ATI PN Adult Medical Surgical Exam 2024

A nurse is reinforcing teaching about infection transmission w/ an assistive personnel (AP) who is caring for a client who has clostridium difficile infection. Which of the following instructions should the nurse include? - Leave the blood pressure cuff in the client's room. A nurse working in a provider's office is reinforcing teaching w/ a client who has a Grade I (mild) ankle sprain. Which of the following instructions should the nurse include? (SATA) - -Elevate the ankle above the level of the heart. -Wrap the ankle w/ an elasticized compression bandage. -Apply intermittent cold compress to the ankle for the first 24-48 hours. A nurse is reinforcing teaching about treatment for a food blockage in the intestine w/ a client who has an ileostomy. Which of the following information should the nurse include in the teaching? - Massage around the ileostomy stoma. A nurse is reinforcing teaching w/ a client who has cancer about reducing the risk of infection. Which of the following client statements indicates an understanding of the instructions? - "I will clean my toothbrush using a hydrogen peroxide solution." A nurse is contributing to the plan of care for a client who has a tracheotomy. Which of the following interventions should the nurse include? - Secure new tracheostomy ties before removing old ones. A nurse is reinforcing teaching about glucose monitoring w/ a client wo has type 1 diabetes mellitus. Which of the following client statements indicates an understanding of the teaching? - "I will check my blood glucose every 4 hours when I am sick." A nurse is preparing to reinforce preoperative teaching w/ a client. Which of the following actions is in the nurse's priority? - Check the client's comfort level. A nurse is contributing to the plan of care for a newly admitted client who has Alzheimer's disease. Which of the following interventions should the nurse include? - Use yellow tape to identify specific boundaries for the client. A nurse is assisting w/ the care of a client who has a right-sided chest tube to closed drainage. The nurse notes a rise in fluid level of the water seal chamber when the client inhales. Which of the following actions should the nurse take? - Continue to monitor the client. A nurse is reinforcing w/ a client who has dumping syndrome as a complication of gastric bypass surgery. Which of the following client statements indicates an understanding of the teaching? - "I will eat some type of protein with each meal." A nurse is caring for a client who has chronic bronchitis and reports shortness of breath. Which of the following actions is the priorty for the nurse to take? - Elevate the head of the client's bed. A nurse is reinforcing teaching w/ a client who is about to begin chemotherapy and is prescribed a medication that causes alopecia. Which of the following statements should the nurse make? - "If you choose to select a head covering, if would be best to do so before hair loss occurs." A nurse is caring for a client who is scheduled for a cardiac catheterization w/ coronary angiography. The client has a history of cornoary artery disease and takes cardiac medications. Which of the following actions should the nurse take? - Ask the client if they have a history of a seafood allergy. A nurse is assisting in the plan of care for a client who may have meningitis and is scheduled for a lumbar puncture. Which of the following actions should the nurse plan to include following the procedure? (SATA) - -Provide pain medication as needed. -Check level of consciousness is correct. -Check sensation in the toes. A nurse is determining a client's ability to perform self-care following a stroke. Which of the following findings should the nurse identify as the priorty? - Vision impairment A nurse is caring for a client whose NG tube has 475 mL drainage in the suction canister. Previously, the nurse instilled 30 mL normal saline through the NG tube twice during the shift without withdrawing it. Calculate the amount of NG output the nurse should document on the client's medical records - 415 mL A nurse is providing palliative care to a client who is in the active phase of dying. Which of the following actions should the nurse take? - Adminster morphine when the client displays manifestations of dyspnea. A nurse is collecting data from the adult child of a client who is concerned about their parent's development of dementia. Which of the following statements by the client's child is the priorty? - "Last week, I found my mother's cell phone in the microwave." A nurse is assisting w/ the admission of a client who has tuberculosis. Which of the following actions should the nurse take? - Wear a HEPA mask when providing care for the client. A nurse is reinforcing teaching w/ a client who has a new prescription for crutches with no weight bearing on the left leg. Which of the following statements should the nurse include? - "Advance your right leg first when going up stairs." A nurse is reinforcing teaching w/ a client who has a new prescription for alendronate 35 mg PO to prevent osteoporosis. Which of the following instructions should the nurse include? - Drink a full glass of water when taking the medication. A nurse is reviewing notes from change-of-shift report regarding the need to remove a client's NG tube. Which of the following actions should the nurse take first? - Verify the provider's prescription to discontinue the tube. A nurse is reviewing the plan of care for a client who is at risk for increased intracranial pressure following a closed-head injury. Which of the following interventions should the nurse identify as contraindicated for this client? - Assist the client to cough and deep breathe. A nurse in reinforcing teaching w/ a client who has a history of pulmonary embolism about reducing the risk of developing deep vein thrombosis (DVT) when traveling. Which of the following statements should the nurse include in the teaching? - Get up and walk every 2 hours when traveling by car." A nurse is assisting w/ the care of a client who has an estimated 15% of total body surface area burn injury, is taking oral nutrition, and reports following a strict vegan diet. Which of the following food choices should the nurse recommend? - Black beans and rice.