ATI RN Adult Medical Surgical Practice C
Respiratory Alkalosis S/S:
• Lethargy
• Lightheadedness
• Confusion
• Tachycardia
• Dysrhythmias related to hypokalemia
• Nausea, vomiting, epigastric pain
• Numbness and tingling of the extremities
• Hyperventilation (tachypnea)
Osteoporosis Prevention: A nurse is contributing to the care plan for an older
adult at risk for osteoporosis. Which intervention should the nurse include to
prevent bone loss?
• Encourage weight-bearing exercises (e.g., walking), as it helps maintain
bone mass and prevents demineralization.
Meningococcal Pneumonia Precaution: A nurse is caring for a client with
meningococcal pneumonia. Which PPE should the nurse use?
• Wear a mask (requires droplet precautions).
Insulin Glargine Teaching: A nurse is reinforcing teaching with a client taking
insulin glargine. What should the nurse include?
• Administer at the same time every day (released over 24 hours).
, Peripheral Vascular Disease Management: What client statement indicates
adherence to PVD teaching?
• "I don't cross my legs anymore."
MRSA Wound Infection Precaution: What should the nurse plan to share with
visitors of a client with a MRSA wound infection?
• Visitors must wear a gown and gloves.
Heart Failure & Hydrochlorothiazide: What symptom should a client taking
hydrochlorothiazide report to the provider?
• Onset of nausea.
Hearing Loss Communication: How should a nurse communicate with a client
who has hearing loss?
• Rephrase instructions if not understood.
Hip Arthroplasty Post-op Complication: A nurse caring for a post-op hip
arthroplasty client observes hypotension, tachycardia, and tachypnea. What should
the nurse suspect?
• Pulmonary embolism.
Abnormal Cast Finding: What abnormal finding should a nurse recognize in a
client with a cast on the lower extremity?
• Lack of sensation between the first and second toes.
Respiratory Alkalosis S/S:
• Lethargy
• Lightheadedness
• Confusion
• Tachycardia
• Dysrhythmias related to hypokalemia
• Nausea, vomiting, epigastric pain
• Numbness and tingling of the extremities
• Hyperventilation (tachypnea)
Osteoporosis Prevention: A nurse is contributing to the care plan for an older
adult at risk for osteoporosis. Which intervention should the nurse include to
prevent bone loss?
• Encourage weight-bearing exercises (e.g., walking), as it helps maintain
bone mass and prevents demineralization.
Meningococcal Pneumonia Precaution: A nurse is caring for a client with
meningococcal pneumonia. Which PPE should the nurse use?
• Wear a mask (requires droplet precautions).
Insulin Glargine Teaching: A nurse is reinforcing teaching with a client taking
insulin glargine. What should the nurse include?
• Administer at the same time every day (released over 24 hours).
, Peripheral Vascular Disease Management: What client statement indicates
adherence to PVD teaching?
• "I don't cross my legs anymore."
MRSA Wound Infection Precaution: What should the nurse plan to share with
visitors of a client with a MRSA wound infection?
• Visitors must wear a gown and gloves.
Heart Failure & Hydrochlorothiazide: What symptom should a client taking
hydrochlorothiazide report to the provider?
• Onset of nausea.
Hearing Loss Communication: How should a nurse communicate with a client
who has hearing loss?
• Rephrase instructions if not understood.
Hip Arthroplasty Post-op Complication: A nurse caring for a post-op hip
arthroplasty client observes hypotension, tachycardia, and tachypnea. What should
the nurse suspect?
• Pulmonary embolism.
Abnormal Cast Finding: What abnormal finding should a nurse recognize in a
client with a cast on the lower extremity?
• Lack of sensation between the first and second toes.
