ATI RN MEDICAL SURGICAL CMS NEWEST VERSION A 100
QUESTIONS AND CORRECT ANSWERS
A nurse is caring for a client who is 2 days postoperative following a below-the-knee
amputation and asks about the purpose of maintaining an elastic bandage around the
residual
limb of the extremity. Which of the following is an appropriate response by the nurse?
a. "the elastic bandage will prevent a post-op wound infection"
b. "the elastic bandage will prevent excessive edema"
c. "the elastic bandage will keep the sutures from loosening"
d. "the elastic bandage will keep you from seeing the surgical site" - ANSWER-b. "the
elastic bandage will prevent excessive edema"
A nurse is preparing to discharge a client who has halo device and is reviewing new
prescriptions from the provider. The nurse should clarify which of the following
prescriptions
with the provider?
a. Increase intake of fiber-rich foods
b. May place a small pillow under head when sleeping
c. May operate a motor vehicle when no longer taking analgesics
d. Take a tub bath instead of showers - ANSWER-c. May operate a motor vehicle when
no longer taking analgesics
A nurse is assessing a client who has left-sided heart failure. Which of the following
findings
should the nurse expect?
a. Flushed skin
b. Frothy sputum/Hacking cough
c. Jugular vein distention
d. Bradycardia - ANSWER-b. Frothy sputum/Hacking cough
,A nurse is providing discharge teaching to a client who has tuberculosis. Which of the
following information should the nurse include in the teaching?
a. "You should wear an N95 respirator mask when you are at home"
b. "you will need to return in 2 weeks to provide a sputum specimen"
c. "You can drink alcohol after the first 6 weeks of treatment"
d. "Your provider will discontinue your medications after 3 months of therapy" -
ANSWER-b. "you will need to return in 2 weeks to provide a sputum specimen"
A nurse is planning care for a client who has osteoarthritis of the knees. Which of the
following interventions should the nurse include in the plan?
a. Avoid using a topical salicylate cream
b. Administer acetaminophen for pain management
c. Place a large pillow under the client's knees when resting
d. Apply an ice pack directly to client's knees - ANSWER-b. Administer acetaminophen
for pain management
A nurse is caring for a client who is receiving continuous bladder irrigation following a
transurethral resection of the prostate (TURP). The client reports sharp lower
abdominal pain.
Which of the following actions should the nurse first take?
a. Increase the client's fluid intake
b. Reposition the client in bed
c. Check the client's urine output
d. Administer PRN pain medication - ANSWER-c. Check the client's urine output
A nurse is caring for a client who has Parkinson's disease and is prescribed a level 1
dysphagia
diet. Which of the following items should the nurse remove from the client's tray?
a. Vanilla milkshake
b. Peanut butter
c. Chocolate pudding
, d. Applesauce - ANSWER-b. Peanut butter
A nurse in a provider's office is teaching a client about the self-management of GERD.
Which of
the following instructions should the nurse include?
a. "eat a light meal 1 hour before bedtime"
b. "sleep with head of your bed elevated 6 inches"
c. "increase your caloric intake by 250 calories per day"
d. "lie down for 30 min after each meal" - ANSWER-b. "sleep with head of your bed
elevated 6 inches"
A nurse is caring for a client who is postoperative following a partial thyroidectomy.
Which of
the following findings is the priority for the nurse to report to the provider?
a. Client report of pain at the incision site
b. High-pitched sound on inspiration
c. Hypoactive bowel sounds
d. Loose tracheal secretions - ANSWER-b. High-pitched sound on inspiration
A nurse is planning care for a client who is 8 hour post-op following a coronary artery
bypass
grafting. Which of the following assessments should the nurse plan to perform first?
a. Examine the surgical incision for drainage
b. Auscultate breath sounds
c. Palpate pulses distal to the graft donor site
d. Measure the client's core body temperature - ANSWER-b. Auscultate breath sounds
A nurse is providing instructions to a client who has primary syphilis. Which of the
following
instructions should the nurse include in the discharge plan?
a. "you will need cryotherapy for 1 to 2 weeks"
b. "you will need to take an antiviral medication for 6 months"
QUESTIONS AND CORRECT ANSWERS
A nurse is caring for a client who is 2 days postoperative following a below-the-knee
amputation and asks about the purpose of maintaining an elastic bandage around the
residual
limb of the extremity. Which of the following is an appropriate response by the nurse?
a. "the elastic bandage will prevent a post-op wound infection"
b. "the elastic bandage will prevent excessive edema"
c. "the elastic bandage will keep the sutures from loosening"
d. "the elastic bandage will keep you from seeing the surgical site" - ANSWER-b. "the
elastic bandage will prevent excessive edema"
A nurse is preparing to discharge a client who has halo device and is reviewing new
prescriptions from the provider. The nurse should clarify which of the following
prescriptions
with the provider?
a. Increase intake of fiber-rich foods
b. May place a small pillow under head when sleeping
c. May operate a motor vehicle when no longer taking analgesics
d. Take a tub bath instead of showers - ANSWER-c. May operate a motor vehicle when
no longer taking analgesics
A nurse is assessing a client who has left-sided heart failure. Which of the following
findings
should the nurse expect?
a. Flushed skin
b. Frothy sputum/Hacking cough
c. Jugular vein distention
d. Bradycardia - ANSWER-b. Frothy sputum/Hacking cough
,A nurse is providing discharge teaching to a client who has tuberculosis. Which of the
following information should the nurse include in the teaching?
a. "You should wear an N95 respirator mask when you are at home"
b. "you will need to return in 2 weeks to provide a sputum specimen"
c. "You can drink alcohol after the first 6 weeks of treatment"
d. "Your provider will discontinue your medications after 3 months of therapy" -
ANSWER-b. "you will need to return in 2 weeks to provide a sputum specimen"
A nurse is planning care for a client who has osteoarthritis of the knees. Which of the
following interventions should the nurse include in the plan?
a. Avoid using a topical salicylate cream
b. Administer acetaminophen for pain management
c. Place a large pillow under the client's knees when resting
d. Apply an ice pack directly to client's knees - ANSWER-b. Administer acetaminophen
for pain management
A nurse is caring for a client who is receiving continuous bladder irrigation following a
transurethral resection of the prostate (TURP). The client reports sharp lower
abdominal pain.
Which of the following actions should the nurse first take?
a. Increase the client's fluid intake
b. Reposition the client in bed
c. Check the client's urine output
d. Administer PRN pain medication - ANSWER-c. Check the client's urine output
A nurse is caring for a client who has Parkinson's disease and is prescribed a level 1
dysphagia
diet. Which of the following items should the nurse remove from the client's tray?
a. Vanilla milkshake
b. Peanut butter
c. Chocolate pudding
, d. Applesauce - ANSWER-b. Peanut butter
A nurse in a provider's office is teaching a client about the self-management of GERD.
Which of
the following instructions should the nurse include?
a. "eat a light meal 1 hour before bedtime"
b. "sleep with head of your bed elevated 6 inches"
c. "increase your caloric intake by 250 calories per day"
d. "lie down for 30 min after each meal" - ANSWER-b. "sleep with head of your bed
elevated 6 inches"
A nurse is caring for a client who is postoperative following a partial thyroidectomy.
Which of
the following findings is the priority for the nurse to report to the provider?
a. Client report of pain at the incision site
b. High-pitched sound on inspiration
c. Hypoactive bowel sounds
d. Loose tracheal secretions - ANSWER-b. High-pitched sound on inspiration
A nurse is planning care for a client who is 8 hour post-op following a coronary artery
bypass
grafting. Which of the following assessments should the nurse plan to perform first?
a. Examine the surgical incision for drainage
b. Auscultate breath sounds
c. Palpate pulses distal to the graft donor site
d. Measure the client's core body temperature - ANSWER-b. Auscultate breath sounds
A nurse is providing instructions to a client who has primary syphilis. Which of the
following
instructions should the nurse include in the discharge plan?
a. "you will need cryotherapy for 1 to 2 weeks"
b. "you will need to take an antiviral medication for 6 months"
