ATI Med Surg Practice Exam A 2024
a a a a a a a
a
A anurse ais aproviding ateaching ato aa aclient awho ahas astage aII acervical acancer aand ais
ascheduled afor a
a
brachytherapy. aWhich aof athe afollowing ainstructions ashould athe anurse
ainclude?
a
"You awill ahave aan aimplant aplaced atwice aeach amonth afor athe aduration aof athe atreatment." a
"You ashould aremain aat aleast a6 afeet aaway afrom aothers abetween atreatments." a
"You ashould aexpect ato ahave ablood ain ayour aurine afor aa afew adays aafter atreatment." a
"You awill aneed ato astay astill ain athe abed aduring aeach atreatment asession." a- a"You awill aneed
ato astay astill ain athe abed aduring aeach atreatment asession." a
a
The anurse ashould ainstruct athe aclient athat athey awill aneed ato aremain aon abed arest awith avery
alimited a
a
movement abecause aexcessive amovement acan acause athe aradioactive asource ato
abecome
a
dislodged.
a
A anurse ain aan aemergency adepartment ais acaring afor aa aclient awho areports avomiting aand
adiarrhea a
a
for athe apast a3 adays. aWhich aof athe afollowing afindings ashould aindicate ato athe anurse
athat athe
a
client ais aexperiencing afluid avolume
adeficit?
a
a
Heart arate
a110/min
a
Blood apressure a138/90 amm
aHg
a
Urine aspecific agravity
a1.020
BUN a15 amg/dL a- aHeart arate
a110/min
a
A aclient awho ahas aa a3-day ahistory aof avomiting aand adiarrhea ais alikely ato ahave afluid
avolume a
a
deficit aand aan aelevated aheart
arate.
a
A anurse ais acaring afor aa aclient awho ahas aterminal acancer. aThe aclient atells athe anurse, a"I awish
aI acould a stop athese atreatments. aI a am aready ato adie." aWhich aof athe afollowing a statements
ashould athe anurse amake? a
a
"Discontinuing awith athe atreatments ais ayour achoice aif ait ais ayour awish ato ado aso."
a"Your achild ais anamed aas ayour ahealth acare asurrogate. aI awill aask athem aif ayou acan
astop athe atreatments." a
"I awill acall ayour aspiritual aadvisor ato acome ain, aso ayou acan adiscuss athis awith athem." a
"Next atime ayou ahave aan aoncology aappointment, ayou ashould aask athe aoncologist." a- a
"Discontinuing awith athe atreatments ais ayour achoice aif ait ais ayour awish ato ado aso." a
,a
The anurse ashould arecognize athe aclient's aright ato arefuse athe atreatments aand ainform athe
aclient aof a
a
this aright. aThe anurse ashould aadvocate afor athe aclient aand aoffer ato acontact athe aprovider
afor athe
a
client.
a
A anurse ais acaring afor aa aclient awho ais areceiving adialysis atreatment.. a
For aeach apotential anursing aintervention, aclick ato aspecify aif athe aintervention ais aindicated aor
anot aindicated. a- aINDICATED: a
- Apply aoxygen aat a2 aL/min avia anasal acannula. a a
- Administer aa a0.9% asodium achloride a200 amL aIV abolus. a
- Notify athe aprovider aimmediately. a
- Place athe aclient ain aTrendelenburg aposition. a
a
a a
NOT aINDICATED:
a
- aPerform aa a12-lead
aECG.
- aObtain athe aclient's ablood aglucose
alevel.
a
A anurse ais acaring afor aa aclient awho ais apostoperative. aWhich aof athe afollowing aactions ashould
athe a
nurse atake? aSelect aall athat aapply. a- a- aInstruct athe aclient ato asplint athe aabdomen awith aa
apillow afor a
a
coughing
a
- aPlan ato aambulate athe aclient aas asoon aas
apossible
a
- aReport aurinary aoutput ato athe
aprovider
a
- aAsk athe aclient ato arate atheir apain aon aa a0 ato a10 apain
ascale
a
Rationale: a a
- It ais aimportant afor athe aclient ato aturn, acough, aand adeep abreathe ato areduce athe arisk afor
arespiratory acomplications aand areduce athe arisk aof acomplications ato athe asurgical aincision. a-
aThe anurse ashould aplan ato aambulate athe a client aas asoon a as apossible ato apromote aventilation
aand adecrease athe arisk aof athrombosis. a
- The aclient ashould aproduce aat aleast a30 amL aof aurine aper ahour. aTherefore, athe anurse ashould
areport athis afinding ato athe aprovider. a
- The anurse ashould ahave athe aclient arate atheir apain aprior ato aand afollowing athe
aadministration aof apain amedication ato aevaluate aits aeffectiveness. a
a
A anurse ais acaring afor aa aclient awho ais areceiving atotal aparenteral anutrition a(TPN). aA anew
abag ais anot aavailable awhen athe a current ainfusion ais anearly acompleted. aWhich aof athe
afollowing aactions ashould athe anurse atake? a
1. Keep athe aline aopen awith a0.9% asodium achloride auntil athe anew abag aarrives. a
2. Administer adextrose a10% ain awater auntil athe anew abag aarrives. a
3. Flush athe aline aand acap athe aport auntil athe anew abag aarrives. a
, 4. Decrease athe ainfusion arate auntil athe anew abag aarrives. a- a2. aAdminister adextrose a10% ain
awater auntil athe anew abag aarrives. a
a
TPN asolutions ahave aa ahigh aconcentration aof adextrose. aTherefore, aif aa aTPN asolution ais
atemporarily aunavailable, athe anurse a should a administer adextrose a10% aor a20% ain awater ato
aavoid aa aprecipitous adrop ain athe aclient's ablood aglucose alevel. a
a
A anurse ais acaring afor aa aclient awho ahad aa anephrostomy atube ainserted a12 ahr aago. aWhich
aof athe a
a
following afindings ashould athe anurse areport ato athe
aprovider?
a
1. aThe aclient's aurinary aoutput ahas
aincreased.
a
2. aThe aclient areports aback
apain.
a
3. aThe aclient's aurine acolor ais ared
atinged.
a
4. aThe aclient's aBUN ais a18 amg/dL. a- a2. aThe aclient areports aback
apain.
a
The anurse ashould anotify athe aprovider aif athe aclient areports aback apain, awhich acan aindicate
athat a
a
the anephrostomy atube ais adislodged aor
aclogged.
a
A anurse ais acaring afor aa aclient awho ais ahaving aa aseizure. aWhich aof athe afollowing
ainterventions ais a
a
the anurse's
apriority?
a
1. aLoosen athe aclothing aaround athe aclient's
aneck.
a
2. aCheck athe aclient's apupillary
aresponse.
a
3. aTurn athe aclient ato athe
aside.
4. aMove afurniture aaway afrom athe aclient. a- a3. aTurn athe aclient ato athe aside. a
a
The agreatest arisk ato athis aclient ais ahypoxia afrom aan aimpaired aairway. aTherefore, athe
apriority aintervention athe anurse ashould atake ais ato a place athe aclient ain aa aside-lying aposition
ato aprevent a aspiration. a
a
A anurse ain aa aprovider's aoffice ais aassessing aa aclient awho ahas ahypertension aand atakes
apropranolol. aWhich aof athe afollowing afindings a should aindicate ato athe anurse athat athe aclient
ais aexperiencing aan aadverse areaction ato athis amedication? a
1. Report aof aa anight acough a
2. Report aof atinnitus a
3. Report aof aexcessive atearing a
4. Report aof aincreased asalivation a- a1. aReport aof aa anight acough a
a
a a a a a a a
a
A anurse ais aproviding ateaching ato aa aclient awho ahas astage aII acervical acancer aand ais
ascheduled afor a
a
brachytherapy. aWhich aof athe afollowing ainstructions ashould athe anurse
ainclude?
a
"You awill ahave aan aimplant aplaced atwice aeach amonth afor athe aduration aof athe atreatment." a
"You ashould aremain aat aleast a6 afeet aaway afrom aothers abetween atreatments." a
"You ashould aexpect ato ahave ablood ain ayour aurine afor aa afew adays aafter atreatment." a
"You awill aneed ato astay astill ain athe abed aduring aeach atreatment asession." a- a"You awill aneed
ato astay astill ain athe abed aduring aeach atreatment asession." a
a
The anurse ashould ainstruct athe aclient athat athey awill aneed ato aremain aon abed arest awith avery
alimited a
a
movement abecause aexcessive amovement acan acause athe aradioactive asource ato
abecome
a
dislodged.
a
A anurse ain aan aemergency adepartment ais acaring afor aa aclient awho areports avomiting aand
adiarrhea a
a
for athe apast a3 adays. aWhich aof athe afollowing afindings ashould aindicate ato athe anurse
athat athe
a
client ais aexperiencing afluid avolume
adeficit?
a
a
Heart arate
a110/min
a
Blood apressure a138/90 amm
aHg
a
Urine aspecific agravity
a1.020
BUN a15 amg/dL a- aHeart arate
a110/min
a
A aclient awho ahas aa a3-day ahistory aof avomiting aand adiarrhea ais alikely ato ahave afluid
avolume a
a
deficit aand aan aelevated aheart
arate.
a
A anurse ais acaring afor aa aclient awho ahas aterminal acancer. aThe aclient atells athe anurse, a"I awish
aI acould a stop athese atreatments. aI a am aready ato adie." aWhich aof athe afollowing a statements
ashould athe anurse amake? a
a
"Discontinuing awith athe atreatments ais ayour achoice aif ait ais ayour awish ato ado aso."
a"Your achild ais anamed aas ayour ahealth acare asurrogate. aI awill aask athem aif ayou acan
astop athe atreatments." a
"I awill acall ayour aspiritual aadvisor ato acome ain, aso ayou acan adiscuss athis awith athem." a
"Next atime ayou ahave aan aoncology aappointment, ayou ashould aask athe aoncologist." a- a
"Discontinuing awith athe atreatments ais ayour achoice aif ait ais ayour awish ato ado aso." a
,a
The anurse ashould arecognize athe aclient's aright ato arefuse athe atreatments aand ainform athe
aclient aof a
a
this aright. aThe anurse ashould aadvocate afor athe aclient aand aoffer ato acontact athe aprovider
afor athe
a
client.
a
A anurse ais acaring afor aa aclient awho ais areceiving adialysis atreatment.. a
For aeach apotential anursing aintervention, aclick ato aspecify aif athe aintervention ais aindicated aor
anot aindicated. a- aINDICATED: a
- Apply aoxygen aat a2 aL/min avia anasal acannula. a a
- Administer aa a0.9% asodium achloride a200 amL aIV abolus. a
- Notify athe aprovider aimmediately. a
- Place athe aclient ain aTrendelenburg aposition. a
a
a a
NOT aINDICATED:
a
- aPerform aa a12-lead
aECG.
- aObtain athe aclient's ablood aglucose
alevel.
a
A anurse ais acaring afor aa aclient awho ais apostoperative. aWhich aof athe afollowing aactions ashould
athe a
nurse atake? aSelect aall athat aapply. a- a- aInstruct athe aclient ato asplint athe aabdomen awith aa
apillow afor a
a
coughing
a
- aPlan ato aambulate athe aclient aas asoon aas
apossible
a
- aReport aurinary aoutput ato athe
aprovider
a
- aAsk athe aclient ato arate atheir apain aon aa a0 ato a10 apain
ascale
a
Rationale: a a
- It ais aimportant afor athe aclient ato aturn, acough, aand adeep abreathe ato areduce athe arisk afor
arespiratory acomplications aand areduce athe arisk aof acomplications ato athe asurgical aincision. a-
aThe anurse ashould aplan ato aambulate athe a client aas asoon a as apossible ato apromote aventilation
aand adecrease athe arisk aof athrombosis. a
- The aclient ashould aproduce aat aleast a30 amL aof aurine aper ahour. aTherefore, athe anurse ashould
areport athis afinding ato athe aprovider. a
- The anurse ashould ahave athe aclient arate atheir apain aprior ato aand afollowing athe
aadministration aof apain amedication ato aevaluate aits aeffectiveness. a
a
A anurse ais acaring afor aa aclient awho ais areceiving atotal aparenteral anutrition a(TPN). aA anew
abag ais anot aavailable awhen athe a current ainfusion ais anearly acompleted. aWhich aof athe
afollowing aactions ashould athe anurse atake? a
1. Keep athe aline aopen awith a0.9% asodium achloride auntil athe anew abag aarrives. a
2. Administer adextrose a10% ain awater auntil athe anew abag aarrives. a
3. Flush athe aline aand acap athe aport auntil athe anew abag aarrives. a
, 4. Decrease athe ainfusion arate auntil athe anew abag aarrives. a- a2. aAdminister adextrose a10% ain
awater auntil athe anew abag aarrives. a
a
TPN asolutions ahave aa ahigh aconcentration aof adextrose. aTherefore, aif aa aTPN asolution ais
atemporarily aunavailable, athe anurse a should a administer adextrose a10% aor a20% ain awater ato
aavoid aa aprecipitous adrop ain athe aclient's ablood aglucose alevel. a
a
A anurse ais acaring afor aa aclient awho ahad aa anephrostomy atube ainserted a12 ahr aago. aWhich
aof athe a
a
following afindings ashould athe anurse areport ato athe
aprovider?
a
1. aThe aclient's aurinary aoutput ahas
aincreased.
a
2. aThe aclient areports aback
apain.
a
3. aThe aclient's aurine acolor ais ared
atinged.
a
4. aThe aclient's aBUN ais a18 amg/dL. a- a2. aThe aclient areports aback
apain.
a
The anurse ashould anotify athe aprovider aif athe aclient areports aback apain, awhich acan aindicate
athat a
a
the anephrostomy atube ais adislodged aor
aclogged.
a
A anurse ais acaring afor aa aclient awho ais ahaving aa aseizure. aWhich aof athe afollowing
ainterventions ais a
a
the anurse's
apriority?
a
1. aLoosen athe aclothing aaround athe aclient's
aneck.
a
2. aCheck athe aclient's apupillary
aresponse.
a
3. aTurn athe aclient ato athe
aside.
4. aMove afurniture aaway afrom athe aclient. a- a3. aTurn athe aclient ato athe aside. a
a
The agreatest arisk ato athis aclient ais ahypoxia afrom aan aimpaired aairway. aTherefore, athe
apriority aintervention athe anurse ashould atake ais ato a place athe aclient ain aa aside-lying aposition
ato aprevent a aspiration. a
a
A anurse ain aa aprovider's aoffice ais aassessing aa aclient awho ahas ahypertension aand atakes
apropranolol. aWhich aof athe afollowing afindings a should aindicate ato athe anurse athat athe aclient
ais aexperiencing aan aadverse areaction ato athis amedication? a
1. Report aof aa anight acough a
2. Report aof atinnitus a
3. Report aof aexcessive atearing a
4. Report aof aincreased asalivation a- a1. aReport aof aa anight acough a
a
