ATI MEDICAL-SURGICAL TEST BANK EXAM 220+ QUESTIONS AND
CORRECT ANSWERS 2024 BRANDNEW!! GRADED A+
A nurse cares for a client who is prescribed patient-controlled analgesia (PCA) after a cholecystectomy.
The client states, When I wake up I am in pain. Which action should the nurse take?
a. Administer intravenous morphine while the client sleeps.
b. Encourage the client to use the PCA pump upon awakening.
c. Contact the provider and request a different analgesic.
d. Ask a family member to initiate the PCA pump for the client. - answer-b
A nurse cares for a client with acute pancreatitis. The client states, I am hungry. How should the nurse
reply?
a. Is your stomach rumbling or do you have bowel sounds?
b. I need to check your gag reflex before you can eat.
c. Have you passed any flatus or moved your bowels?
d. You will not be able to eat until the pain subsides. - answer-c
A nurse prepares to discharge a client with chronic pancreatitis. Which question should the nurse ask to
ensure safety upon discharge?
a. Do you have a one- or two-story home?
b. Can you check your own pulse rate?
c. Do you have any alcohol in your home?
d. Can you prepare your own meals? - answer-a
A nurse assesses clients on the medical-surgical unit. Which client should the nurse identify as at high
risk
for pancreatic cancer?
a. A 26-year-old with a body mass index of 21
b. A 33-year-old who frequently eats sushi
c. A 48-year-old who often drinks wine
,d. A 66-year-old who smokes cigarettes - answer-d
A nurse assesses a client who is recovering from a Whipple procedure. Which assessment finding alerts
the
nurse to urgently contact the health care provider?
a. Drainage from a fistula
b. Absent bowel sounds
c. Pain at the incision site
d. Nasogastric (NG) tube drainage - answer-a
A nurse cares for a client who is recovering from an open Whipple procedure. Which action should the
nurse take?
a. Clamp the nasogastric tube.
b. Place the client in semi-Fowlers position.
c. Assess vital signs once every shift.
d. Provide oral rehydration. - answer-b
A nurse assesses a client who is recovering from a Whipple procedure. Which clinical manifestations
alert
the nurse to a complication from this procedure? (Select all that apply.)
a. Clay-colored stools
b. Substernal chest pain
c. Shortness of breath
d. Lack of bowel sounds or flatus
e. Urine output of 20 mL/6 hr - answer-b,c,d,e
nurse assesses a client with cholelithiasis. Which assessment findings should the nurse identify as
contributors to this clients condition? (Select all that apply.)
a. Body mass index of 46
,b. Vegetarian diet
c. Drinking 4 ounces of red wine nightly
d. Pregnant with twins
e. History of metabolic syndrome
f. Glycosylated hemoglobin level of 15% - answer-a,d,f
A nurse teaches a client who is recovering from acute pancreatitis. Which statements should the nurse
include in this clients teaching? (Select all that apply.)
a. Take a 20-minute walk at least 5 days each week.
b. Attend local Alcoholics Anonymous (AA) meetings weekly.
c. Choose whole grains rather than foods with simple sugars.
d. Use cooking spray when you cook rather than margarine or butter.
e. Stay away from milk and dairy products that contain lactose.
f. We can talk to your doctor about a prescription for nicotine patches - answer-b,d,f
A nurse cares for a client who presents with tachycardia and prostration related to biliary colic. Which
actions should the nurse take? (Select all that apply.)
a. Contact the provider immediately.
b. Lower the head of the bed.
c. Decrease intravenous fluids.
d. Ask the client to bear down.
e. Administer prescribed opioids - answer-a,b,
A nurse plans care for a client who has acute pancreatitis and is prescribed nothing by mouth (NPO).
With
which health care team members should the nurse collaborate to provide appropriate nutrition to this
client?
(Select all that apply.)
a. Registered dietitian
, b. Nursing assistant
c. Clinical pharmacist
d. Certified herbalist
e. Health care provider - answer-a,c,e
A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a client who is in
the
healing phase of acute pancreatitis. Which statements focused on nutritional requirements should the
nurse
include when delegating care for this client? (Select all that apply.)
a. Do not allow the client to eat between meals.
b. Make sure the client receives a protein shake.
c. Do not allow caffeine-containing beverages.
d. Make sure the foods are bland with little spice.
e. Do not allow high-carbohydrate food items. - answer-b,c,d
A nurse cares for a client with pancreatic cancer who is prescribed implanted radioactive iodine seeds.
Which actions should the nurse take when caring for this client? (Select all that apply.)
a. Dispose of dirty linen in a red biohazard bag.
b. Place the client in a private room.
c. Wear a lead apron when providing client care.
d. Bundle care to minimize exposure to the client.
e. Initiate Transmission-Based Precautions. - answer-b,c,d
A nurse cares for a client with acute pancreatitis who is prescribed gentamicin (Garamycin) 3 mg/kg/day
in
3 divided doses. The client weighs 264 lb. How many milligrams should the nurse administer for each
dose?
(Record your answer using a whole number.) ____ mg/dose - answer-120
CORRECT ANSWERS 2024 BRANDNEW!! GRADED A+
A nurse cares for a client who is prescribed patient-controlled analgesia (PCA) after a cholecystectomy.
The client states, When I wake up I am in pain. Which action should the nurse take?
a. Administer intravenous morphine while the client sleeps.
b. Encourage the client to use the PCA pump upon awakening.
c. Contact the provider and request a different analgesic.
d. Ask a family member to initiate the PCA pump for the client. - answer-b
A nurse cares for a client with acute pancreatitis. The client states, I am hungry. How should the nurse
reply?
a. Is your stomach rumbling or do you have bowel sounds?
b. I need to check your gag reflex before you can eat.
c. Have you passed any flatus or moved your bowels?
d. You will not be able to eat until the pain subsides. - answer-c
A nurse prepares to discharge a client with chronic pancreatitis. Which question should the nurse ask to
ensure safety upon discharge?
a. Do you have a one- or two-story home?
b. Can you check your own pulse rate?
c. Do you have any alcohol in your home?
d. Can you prepare your own meals? - answer-a
A nurse assesses clients on the medical-surgical unit. Which client should the nurse identify as at high
risk
for pancreatic cancer?
a. A 26-year-old with a body mass index of 21
b. A 33-year-old who frequently eats sushi
c. A 48-year-old who often drinks wine
,d. A 66-year-old who smokes cigarettes - answer-d
A nurse assesses a client who is recovering from a Whipple procedure. Which assessment finding alerts
the
nurse to urgently contact the health care provider?
a. Drainage from a fistula
b. Absent bowel sounds
c. Pain at the incision site
d. Nasogastric (NG) tube drainage - answer-a
A nurse cares for a client who is recovering from an open Whipple procedure. Which action should the
nurse take?
a. Clamp the nasogastric tube.
b. Place the client in semi-Fowlers position.
c. Assess vital signs once every shift.
d. Provide oral rehydration. - answer-b
A nurse assesses a client who is recovering from a Whipple procedure. Which clinical manifestations
alert
the nurse to a complication from this procedure? (Select all that apply.)
a. Clay-colored stools
b. Substernal chest pain
c. Shortness of breath
d. Lack of bowel sounds or flatus
e. Urine output of 20 mL/6 hr - answer-b,c,d,e
nurse assesses a client with cholelithiasis. Which assessment findings should the nurse identify as
contributors to this clients condition? (Select all that apply.)
a. Body mass index of 46
,b. Vegetarian diet
c. Drinking 4 ounces of red wine nightly
d. Pregnant with twins
e. History of metabolic syndrome
f. Glycosylated hemoglobin level of 15% - answer-a,d,f
A nurse teaches a client who is recovering from acute pancreatitis. Which statements should the nurse
include in this clients teaching? (Select all that apply.)
a. Take a 20-minute walk at least 5 days each week.
b. Attend local Alcoholics Anonymous (AA) meetings weekly.
c. Choose whole grains rather than foods with simple sugars.
d. Use cooking spray when you cook rather than margarine or butter.
e. Stay away from milk and dairy products that contain lactose.
f. We can talk to your doctor about a prescription for nicotine patches - answer-b,d,f
A nurse cares for a client who presents with tachycardia and prostration related to biliary colic. Which
actions should the nurse take? (Select all that apply.)
a. Contact the provider immediately.
b. Lower the head of the bed.
c. Decrease intravenous fluids.
d. Ask the client to bear down.
e. Administer prescribed opioids - answer-a,b,
A nurse plans care for a client who has acute pancreatitis and is prescribed nothing by mouth (NPO).
With
which health care team members should the nurse collaborate to provide appropriate nutrition to this
client?
(Select all that apply.)
a. Registered dietitian
, b. Nursing assistant
c. Clinical pharmacist
d. Certified herbalist
e. Health care provider - answer-a,c,e
A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a client who is in
the
healing phase of acute pancreatitis. Which statements focused on nutritional requirements should the
nurse
include when delegating care for this client? (Select all that apply.)
a. Do not allow the client to eat between meals.
b. Make sure the client receives a protein shake.
c. Do not allow caffeine-containing beverages.
d. Make sure the foods are bland with little spice.
e. Do not allow high-carbohydrate food items. - answer-b,c,d
A nurse cares for a client with pancreatic cancer who is prescribed implanted radioactive iodine seeds.
Which actions should the nurse take when caring for this client? (Select all that apply.)
a. Dispose of dirty linen in a red biohazard bag.
b. Place the client in a private room.
c. Wear a lead apron when providing client care.
d. Bundle care to minimize exposure to the client.
e. Initiate Transmission-Based Precautions. - answer-b,c,d
A nurse cares for a client with acute pancreatitis who is prescribed gentamicin (Garamycin) 3 mg/kg/day
in
3 divided doses. The client weighs 264 lb. How many milligrams should the nurse administer for each
dose?
(Record your answer using a whole number.) ____ mg/dose - answer-120
