ATI Med Surg A 2023 Latest Updated 2024
A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the nurse
include? - ANSWER-"You will need to stay still in the bed during each treatment
session."
A nurse is caring for a client who is receiving dialysis treatment. For each
potential nursing intervention, click to specify if the intervention is indicated or
not indicated. - ANSWER-Indicated:
- Place the client in Trendelenburg position.
- Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.
,A nurse is assessing a client who has had a suspected stroke. The nurse should
place the priority on which of the following findings? - ANSWER-Dysphagia
A nurse is caring for a client who is 12 hr postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take? - ANSWER-
Place a pillow between the client's legs.
A nurse is assessing a group of clients for indications of role changes. The nurse
should identify that which of the following clients is at risk for experiencing a role
change? - ANSWER-A client who has multiple sclerosis and is experiencing
progressive difficulty ambulating.
A nurse is providing follow-up care for a client who sustained a compound
fracture 3 weeks ago. The nurse should recognize that an unexpected finding for
which of the following laboratory values is a manifestation of osteomyelitis and
should be reported to the provider? - ANSWER-Sedimentation rate
A nurse is caring for a client who is postoperative. Complete the diagram by
dragging from the choices below to specify what condition the client is most likely
experiencing, two actions the nurse should take to address that condition, and two
parameters the nurse should monitor to assess the client's progress. - ANSWER--
Hypovolemia
, - Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge because the
client is most likely experiencing hypovolemia as evidenced by the client's
restlessness, tachycardia, hypotension, decreased pulses, cool extremities, and
decreased urine output. The nurse should monitor the client's urine output and
blood pressure to evaluate the effectiveness of treatment.
A nurse is providing teaching to a client who takes ginkgo biloba as an herbal
supplement. Which of the following statements should the nurse make? - ANSWER-
"Ginkgo biloba can cause an increased risk for bleeding."
A nurse is providing preoperative teaching for a client who is scheduled for an
open cholecystectomy. Which of the following actions should the nurse take? -
ANSWER-Demonstrate ways to deep breathe and cough.
A nurse is assessing a client who has advanced lung cancer and is receiving
palliative care. The client has just undergone thoracentesis. The nurse should
expect a reduction in which of the following common manifestations of advanced
cancer? - ANSWER-Dyspnea
A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the nurse
include? - ANSWER-"You will need to stay still in the bed during each treatment
session."
A nurse is caring for a client who is receiving dialysis treatment. For each
potential nursing intervention, click to specify if the intervention is indicated or
not indicated. - ANSWER-Indicated:
- Place the client in Trendelenburg position.
- Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.
,A nurse is assessing a client who has had a suspected stroke. The nurse should
place the priority on which of the following findings? - ANSWER-Dysphagia
A nurse is caring for a client who is 12 hr postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take? - ANSWER-
Place a pillow between the client's legs.
A nurse is assessing a group of clients for indications of role changes. The nurse
should identify that which of the following clients is at risk for experiencing a role
change? - ANSWER-A client who has multiple sclerosis and is experiencing
progressive difficulty ambulating.
A nurse is providing follow-up care for a client who sustained a compound
fracture 3 weeks ago. The nurse should recognize that an unexpected finding for
which of the following laboratory values is a manifestation of osteomyelitis and
should be reported to the provider? - ANSWER-Sedimentation rate
A nurse is caring for a client who is postoperative. Complete the diagram by
dragging from the choices below to specify what condition the client is most likely
experiencing, two actions the nurse should take to address that condition, and two
parameters the nurse should monitor to assess the client's progress. - ANSWER--
Hypovolemia
, - Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge because the
client is most likely experiencing hypovolemia as evidenced by the client's
restlessness, tachycardia, hypotension, decreased pulses, cool extremities, and
decreased urine output. The nurse should monitor the client's urine output and
blood pressure to evaluate the effectiveness of treatment.
A nurse is providing teaching to a client who takes ginkgo biloba as an herbal
supplement. Which of the following statements should the nurse make? - ANSWER-
"Ginkgo biloba can cause an increased risk for bleeding."
A nurse is providing preoperative teaching for a client who is scheduled for an
open cholecystectomy. Which of the following actions should the nurse take? -
ANSWER-Demonstrate ways to deep breathe and cough.
A nurse is assessing a client who has advanced lung cancer and is receiving
palliative care. The client has just undergone thoracentesis. The nurse should
expect a reduction in which of the following common manifestations of advanced
cancer? - ANSWER-Dyspnea
