ATI NCLEX Medical Surgical
Assessment 1 Questions With Correct
Answers
A cnurse cis cplanning ccare cfor ca cclient cwho cis creceiving cmechanical cventilation.
cWhich cof cthe cfollowing cactions cshould cthe cnurse cinclude cin cthe cplan
A. cProvide cthe cclient cwith ca cmeans cof ccommunication
B. cMaintain cthe chead cof cthe cclient's cbed cin ca cflat cposition
C. cSuction cthe cclient's cendotracheal ctube cevery c4 chr
D. cPerform coral chygiene cfor cthe cclient cevery c8 chr c- ccorrect canswers✔✔A
Use celectronic ctablet ccomputer, cprogrammable cspeech cgenerating cdevice, calphabet
cboard, cpencil cand cpaper, cetc
--
B, ckeep chead cof cbed chigher cthan c30 cdegrees cto cprevent caspiration cand cventilator
cassociated cpneumonia. cTurn cthe cclient cq c2hr cto cprevent ccomplications crelated cto
cimmobility
C, cassess cthe cneed cto csuction cq c2-4 chr, cbut cnot cperform croutine csuctioning. cBase
cthe cneed cfor csuctioning con cassessments, cnot ca cschedule. cUnnecessary csuctioning
ccan ccause cbronco cspasms cand cinjury ctracheal cmucosa c
D, coral chygiene cshould cbe cperformed cq c2 chr cto cdecrease cthe crisk cof cventilator
cassociated cpneumonia
A cnurse cis ccaring cfor ca cclient cwho cis creceiving cIV cfluid creplacement ctherapy cfor
cdehydration. cWhich cof cthe cfollowing claboratory cresults cindicates ceffectiveness cof
cthe ctreatment
A. cSodium c165 cmEq/L
B. cPotassium c5.2 cmEq/L
C. cUrine cspecific cgravity c1.020
D. cHct c62% c- ccorrect canswers✔✔C
Within cthe cexpected crange cof c1.005-1.030
--
A, csodium crange cis c136-145
B, cpotassium crange cis c3.5-5
,D, cHct crange cis c37%-52%
A cnurse cis cmonitoring cthe claboratory cfindings cfor ca cclient cwho cis cpostoperative
cfollowing ca ctotal chip carthroplasty c6 chr cago. cWhich cof cthe cfollowing cvalues
cindicates cthat cthe cclient chas can cincreased crisk cfor cbleeding
A. cPT c11.5 cseconds
B. caPTT c35 cseconds
C. cPlatelets c80,000
D. cRBC c4.0 cmillion c- ccorrect canswers✔✔C
platelet crange cis c150,000-400,000
--
A, cPT crange cis c11-12.5
B, caPTT crange cis c30-40 cseconds
D, cRBC crange cis c4.2-6.1 cmillion. cA clow cRBC ccan cindicate cthat cbleeding chas
coccurred, cbut cit cdoes cnot cindicate cthat cthe cclient cis cat crisk cfor cbleeding
A cnurse cis cadmitting ca cclient cwho chas ca ccervical cspinal ccord cinjury cfollowing ca
cmotor cvehicle ccrash. cWhich cof cthe cfollowing cinterventions cis cthe cnurse's cpriority
cwhile ccaring cfor cthis cclient
A. cChange cthe cclient's cposition cevery c2 chours
B. cPad cpressure cpoints cat cthe cedges cof cthe cclient's ccervical ccollar
C. cPalpate cthe cclient's cabdomen cfor cbladder cdistention
D. cAssist cthe cclient cwith cquad ccoughing c- ccorrect canswers✔✔D
The cgreatest crisk cto ca cclient cwho chas ca ccervical cspinal ccord cinjury cis can
cobstructed cairway; cthe cpriority cis cto censure cthe cclient ccan cclear ctheir cairway.
cApply cabdominal cpressure cas cthe cclient ccoughs c(quad ccoughing)
A cnurse cis ccaring cfor ca cclient cwho cis creceiving ca cblood ctransfusion. cWhich cof cthe
cfollowing cfindings cindicates cthat cthe cclient cis cexperiencing ctransfusion-associated
ccirculatory coverload
A. cNasuea
B. cHypothermia
C. cDyspnea
D. cBradycardia c- ccorrect canswers✔✔C
Dyspnea cis can cindication cof cpossible ctransfusion cassociated ccirculatory coverload,
cleading cto chypertension, cbounding cpulses, cand cconfusion. cDyspnea ccan calso
cindicate ctransfusion crelated cacute clung cinjury cto can canaphylactic cresponse, cwhich
calso ccauses cwheezing, cchest ctightness, ccyanosis, cand clow cBP
, --
A, cnausea ccan cindicate can cacute chemolytic ctransfusion creaction c
B, ctransfusion creactions cinclude cacute chemolytic, cfebrile, cmild callergic, cand
canaphylactic
D, cbradycardia cis cnot can cindication
A cnurse cis cassessing ca cclient cwho chas clung ccancer cand cis cundergoing cradiation
ctherapy cto cthe cchest. cWhich cof cthe cfollowing cindicates can cadverse ceffect cof cthe
ctherapy
A. cHair closs con cthe cscalp
B. cSweating cat cthe ctreatment csite
C. cAltered ctaste csensations
D. cIntolerance cto ccold c- ccorrect canswers✔✔C
Altered ctaste cis ca cresult cof cthe crelease cof cmetabolites cby cdead ccells
--
A, cclient cmay chave chair closs cat cthe ctreatment csite con cthe cchest
B, cclient cmight chave cskin cchanges, csuch cas cdryness cand cincreased csensitivity
D, cavoid cheat cexposure
A cnurse cis cpreparing cto cadminister ca cunit cof cpacked cRBCs cto ca cclient cwho chas
canemia. cWhich cof cthe cfollowing cactions cshould cthe cnurse cplan cto ctake c(select call
cthat capply)
A. cObtain cpre-transfusion ctemperature
B. cPrime cthe cIV ctubing cwith clactated cRinger's
C. cInstruct can cassistive cpersonnel cto cmonitor cthe cclient cduring cthe ctransfusion
D. cVerify cthe cclient's cblood ctype cwith ca csecond cnurse
E. cUse ca c20 cgauge cIV cneedle cfor cvenous caccess c- ccorrect canswers✔✔A, cD, cE
--
A, ccomplete cassessment cprior cto ctransfusion
B, cprime ctubing cwith ca csolution cthat cdoes cnot ccause chemolysis cof cPRBCs. cNo cLR
cor c5% cdextrose!
C, cnurse cshould cremain cwith cpt cfor cfirst c15 cminutes cof ctransfusion
D, cverify cidentification, cblood ccompatibility, cand cexpiration cof cproduct cwith csecond
cnurse c
Assessment 1 Questions With Correct
Answers
A cnurse cis cplanning ccare cfor ca cclient cwho cis creceiving cmechanical cventilation.
cWhich cof cthe cfollowing cactions cshould cthe cnurse cinclude cin cthe cplan
A. cProvide cthe cclient cwith ca cmeans cof ccommunication
B. cMaintain cthe chead cof cthe cclient's cbed cin ca cflat cposition
C. cSuction cthe cclient's cendotracheal ctube cevery c4 chr
D. cPerform coral chygiene cfor cthe cclient cevery c8 chr c- ccorrect canswers✔✔A
Use celectronic ctablet ccomputer, cprogrammable cspeech cgenerating cdevice, calphabet
cboard, cpencil cand cpaper, cetc
--
B, ckeep chead cof cbed chigher cthan c30 cdegrees cto cprevent caspiration cand cventilator
cassociated cpneumonia. cTurn cthe cclient cq c2hr cto cprevent ccomplications crelated cto
cimmobility
C, cassess cthe cneed cto csuction cq c2-4 chr, cbut cnot cperform croutine csuctioning. cBase
cthe cneed cfor csuctioning con cassessments, cnot ca cschedule. cUnnecessary csuctioning
ccan ccause cbronco cspasms cand cinjury ctracheal cmucosa c
D, coral chygiene cshould cbe cperformed cq c2 chr cto cdecrease cthe crisk cof cventilator
cassociated cpneumonia
A cnurse cis ccaring cfor ca cclient cwho cis creceiving cIV cfluid creplacement ctherapy cfor
cdehydration. cWhich cof cthe cfollowing claboratory cresults cindicates ceffectiveness cof
cthe ctreatment
A. cSodium c165 cmEq/L
B. cPotassium c5.2 cmEq/L
C. cUrine cspecific cgravity c1.020
D. cHct c62% c- ccorrect canswers✔✔C
Within cthe cexpected crange cof c1.005-1.030
--
A, csodium crange cis c136-145
B, cpotassium crange cis c3.5-5
,D, cHct crange cis c37%-52%
A cnurse cis cmonitoring cthe claboratory cfindings cfor ca cclient cwho cis cpostoperative
cfollowing ca ctotal chip carthroplasty c6 chr cago. cWhich cof cthe cfollowing cvalues
cindicates cthat cthe cclient chas can cincreased crisk cfor cbleeding
A. cPT c11.5 cseconds
B. caPTT c35 cseconds
C. cPlatelets c80,000
D. cRBC c4.0 cmillion c- ccorrect canswers✔✔C
platelet crange cis c150,000-400,000
--
A, cPT crange cis c11-12.5
B, caPTT crange cis c30-40 cseconds
D, cRBC crange cis c4.2-6.1 cmillion. cA clow cRBC ccan cindicate cthat cbleeding chas
coccurred, cbut cit cdoes cnot cindicate cthat cthe cclient cis cat crisk cfor cbleeding
A cnurse cis cadmitting ca cclient cwho chas ca ccervical cspinal ccord cinjury cfollowing ca
cmotor cvehicle ccrash. cWhich cof cthe cfollowing cinterventions cis cthe cnurse's cpriority
cwhile ccaring cfor cthis cclient
A. cChange cthe cclient's cposition cevery c2 chours
B. cPad cpressure cpoints cat cthe cedges cof cthe cclient's ccervical ccollar
C. cPalpate cthe cclient's cabdomen cfor cbladder cdistention
D. cAssist cthe cclient cwith cquad ccoughing c- ccorrect canswers✔✔D
The cgreatest crisk cto ca cclient cwho chas ca ccervical cspinal ccord cinjury cis can
cobstructed cairway; cthe cpriority cis cto censure cthe cclient ccan cclear ctheir cairway.
cApply cabdominal cpressure cas cthe cclient ccoughs c(quad ccoughing)
A cnurse cis ccaring cfor ca cclient cwho cis creceiving ca cblood ctransfusion. cWhich cof cthe
cfollowing cfindings cindicates cthat cthe cclient cis cexperiencing ctransfusion-associated
ccirculatory coverload
A. cNasuea
B. cHypothermia
C. cDyspnea
D. cBradycardia c- ccorrect canswers✔✔C
Dyspnea cis can cindication cof cpossible ctransfusion cassociated ccirculatory coverload,
cleading cto chypertension, cbounding cpulses, cand cconfusion. cDyspnea ccan calso
cindicate ctransfusion crelated cacute clung cinjury cto can canaphylactic cresponse, cwhich
calso ccauses cwheezing, cchest ctightness, ccyanosis, cand clow cBP
, --
A, cnausea ccan cindicate can cacute chemolytic ctransfusion creaction c
B, ctransfusion creactions cinclude cacute chemolytic, cfebrile, cmild callergic, cand
canaphylactic
D, cbradycardia cis cnot can cindication
A cnurse cis cassessing ca cclient cwho chas clung ccancer cand cis cundergoing cradiation
ctherapy cto cthe cchest. cWhich cof cthe cfollowing cindicates can cadverse ceffect cof cthe
ctherapy
A. cHair closs con cthe cscalp
B. cSweating cat cthe ctreatment csite
C. cAltered ctaste csensations
D. cIntolerance cto ccold c- ccorrect canswers✔✔C
Altered ctaste cis ca cresult cof cthe crelease cof cmetabolites cby cdead ccells
--
A, cclient cmay chave chair closs cat cthe ctreatment csite con cthe cchest
B, cclient cmight chave cskin cchanges, csuch cas cdryness cand cincreased csensitivity
D, cavoid cheat cexposure
A cnurse cis cpreparing cto cadminister ca cunit cof cpacked cRBCs cto ca cclient cwho chas
canemia. cWhich cof cthe cfollowing cactions cshould cthe cnurse cplan cto ctake c(select call
cthat capply)
A. cObtain cpre-transfusion ctemperature
B. cPrime cthe cIV ctubing cwith clactated cRinger's
C. cInstruct can cassistive cpersonnel cto cmonitor cthe cclient cduring cthe ctransfusion
D. cVerify cthe cclient's cblood ctype cwith ca csecond cnurse
E. cUse ca c20 cgauge cIV cneedle cfor cvenous caccess c- ccorrect canswers✔✔A, cD, cE
--
A, ccomplete cassessment cprior cto ctransfusion
B, cprime ctubing cwith ca csolution cthat cdoes cnot ccause chemolysis cof cPRBCs. cNo cLR
cor c5% cdextrose!
C, cnurse cshould cremain cwith cpt cfor cfirst c15 cminutes cof ctransfusion
D, cverify cidentification, cblood ccompatibility, cand cexpiration cof cproduct cwith csecond
cnurse c
