ATI Medical –Surgical (Nursing Exam Prep Test
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A nurse is teaching a newly A
licensed nurse about Kinks can cause blockage of urinary flow and result in a UTI
preventing a catheter-
associated urinary tract
infection for a client who
has an indwelling urinary
catheter. Which of the
following instructions
should the nurse include?
A. Ensure the urinary
catheter tubing is not
kinked
B. Rest the catheter bag on
the floor when the client is
sitting in a chair
C. Clean the perineal
area with an
antiseptic solution
D. Empty the collection bag
for the client every 12 hr
A nurse is planning wound A
management for a client Check wound for tunneling
who has a stage 3 pressure
injury. Which of the
following interventions
should the nurse include in
the plan?
A. Measure the depth of the
wound with a cotton-
tipped applicator
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B. Measure the wound
using a reusable tape
measure
C. Cover the wound bed
with dry gauze dressings
D. Cleanse the wound with
soap and water
A nurse is planning care D
for four clients following The client is unstable and a rigid abdomen is a
chase-of-shift report. manifestation of a perforated peptic ulcer and could
Which of the following lead to septicemia and shock.
clients is the nurse's
priority?
A. A client who had a
stroke and has
expressive aphasia
B. A client who has a
hemoglobin of 11g/dL and
requires 1 unit of blood
C. A client who has
asthma and a peak
expiratory flow rate in
the green zone
D. A client who has peptic
ulcer disease and a rigid
abdomen
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A nurse is planning care C
for four clients following Hiccuping is a manifestation of a dislocation of the
chase-of-shift report. pacemaker lead and could lead to bradycardia and
Which of the following decreased CO
clients should the nurse see
first?
A. A client who is receiving
propranolol and has a HR
of 55/min
B. A client who is receiving
warfarin and has an INR of
2.5
C. A client who has a
pacemaker and has
persistent hiccuping
D. A client who has
cholecystitis and reports
rebound tenderness
A nurse is reviewing the B
laboratory data of a client Feverfew can lead to platelet dysfunction by
who is taking the herbal suppressing platelet aggregation. A patient with a
supplement feverfew to decreased platelet count should not take fever few
reduce the frequency of because it can increase the risk of bleeding. Monitor
migraine headaches. The for bleeding and impaired coagulation while taking
nurse should identify that feverfew
Ranges:
which of the following
-Platelet 150,000-450,000/mm3
findings indicates a
-Potassium 3.5-5mEq/L
potential contraindication
-Cholesterol <200mg/dL
to taking this herbal
-Urine Bilirubin 0.0mg/dL
supplement?
A. Potassium 3.5mEq/L
B. Platelet count
100,000/mm3
C.Cholesterol 250mg/dL
D. Urine bilirubin 0.2mg/dL
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A nurse is caring for a C
client who is postoperative Edema is an expected finding for HF with dyspnea with
and has a history of heart exertion. Edematous skin appears taut and shiny, and
failure. The client reports can also look swollen and blanched.
slight dyspnea when
ambulating. Which of the
following findings should
the nurse expect when
performing a skin
assessment?
A. Petechiae over the client's
chest and abdomen
B. Tenting of the skin on the
client's arm
C. Shiny areas on the
client's ankles and feet
D. Dry, flaky skin on the client's
arms and
hands
A hospice nurse is C
planning end-of-life Position laterally to improve breathing and promote comfort
comfort care for a client.
Which of the following
interventions should the
nurse include in the
plan?
A. Cover the client with an
electric blanket if
extremities become
mottled
B. Provide frequent feedings
during the day
C. Position the client on their
side to improve breathing
D. Remove visitors from the
room if the
Clint becomes restless
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