ATI ADULT MEDICAL SURGICAL NURSING CONTENT
MASTERY SERIES (CMS) EXAMS STUDY GUIDE
ACTUAL EXAM
A nurse is caring for a client who is 3 days postoperative following a
total right hip arthroplasty. Which of the following actions should the
nurse take? - CORRECT ANSWER Maintain abduction of the client's
right leg while in bed.
A nurse is caring for a client who has terminal pancreatic cancer. The
client states, "I don't think I can go on any longer." Which of the
following responses should the nurse make?
"Are you experiencing abdominal pain?"
"You should talk about this with the people you're closest to."
"Many people who have cancer feel this way."
"You feel like you want to discontinue treatment?" - CORRECT
ANSWER "You feel like you want to discontinue treatment?"
A nurse is contributing to the plan of care for a client who is having
difficulty eating following a stroke. Which of the following actions
should the nurse take first?
Collaborate with a dietitian.
Ensure that the client is provided with a high-ber diet.
Implement recommendations from the speech-language pathologist.
Request a referral for an occupational therapist. - CORRECT ANSWER
Implement recommendations from the speech-language pathologist.
A nurse is contributing to the plan of care for a client who was
admitted to the neurological unit following a stroke 3 hr ago. Which of
the following interventions should the nurse identify as the priority? -
CORRECT ANSWER Keep the client in a side-lying position.
Greatest risk to the client following a stroke is aspiration. The nurse
should position the client in a lateral, or side-lying, position to allow
any secretions to drain out of the mouth, decreasing the risk for
aspiration. Additionally, the nurse should have suction equipment
,available in the event that any secretions are present in the oral
cavity.
A nurse is participating in a health fair for older adult clients. Which of
the following vaccines should the nurse recommend for this age
group? - CORRECT ANSWER Herpes zoster for 60 years of age and
older.
Meningococcal vaccine to college students and military recruits who
are living in shared housing.
HPV vaccine for clients who are 9 to 26 years of age.
MMR vaccine to clients who are 62 years of age.
A nurse is contributing to the plan of care for a client who has a new
prescription for nystatin suspension for oral candidiasis. Which of the
following interventions should the nurse include in the plan?
Use a commercial mouthwash before taking the medication.
Instruct the client to swish the medication in their mouth.
Discontinue the medication as soon as the lesions are healed.
Combine the medication with applesauce - CORRECT ANSWER
Instruct the client to swish the medication in their mouth.
A nurse is preparing to perform intermittent urinary catheterization for
a female client who has been unable to void following surgery 6 hr
ago. Which of the following catheters should the nurse use to perform
this procedure? - CORRECT ANSWER intermittent straight catheter
(clear tube with blue top)
A nurse is preparing to auscultate the bowel sounds of a client who
has a mechanical bowel obstruction in the descending colon. When
listening in the left upper quadrant, the nurse should identify this
sound as which of the following? - CORRECT ANSWER Hyperactive
bowel sounds
Normal bowel sounds, the nurse should expect to hear 5-35 gurgles
and clicks in 1 min.
,A nurse is contributing to the plan of care for a client who has multiple
sclerosis and is taking dantrolene to manage muscle spasms. Which of
the following interventions should the nurse include?
Apply hot packs to the client's muscles.
Schedule physical therapy in the afternoon
Encourage the client to complete ADLs.
Administer valerian to promote sleep - CORRECT ANSWER
Encourage the client to complete ADLs.
A nurse is assisting with the care of a client who had a cardiac
catheterization via the right femoral artery. Which of the following
actions should the nurse take to prevent post procedure
complications?
Monitor the insertion site for bleeding
Position the affected extremity at a 45º
Restrict the client's fluid intake
Maintain the pressure dressing
Check the client's peripheral pulses - CORRECT ANSWER Monitor the
insertion site for bleeding is
Maintain the pressure dressing
Check the client's peripheral pulses
A home health nurse is reinforcing teaching about preventing asthma
attacks with a client who has asthma. Which of the following
instructions should the nurse include in the teaching?
"Cover the floor of your bedroom with carpet."
"Do not allow visitors to smoke cigarettes in your home."
"Breathe cold air to ease feelings of shortness of breath."
"Open the windows in your home during the spring to increase air
flow." - CORRECT ANSWER "Do not allow visitors to smoke
cigarettes in your home."
A nurse is caring for a client who has a prescription for
phenazopyridine. Which of the following findings should the nurse
identify as a therapeutic effect of the medication?
, Reduces bacteria in the urinary tract
Suppresses urge to void
Prevents nerve stimulation to the bladder muscle
Decreases pain during urination - CORRECT ANSWER Decreases pain
during urination
A nurse is monitoring a client who is taking acarbose. Which of the
following findings should the nurse identify as an adverse effect of the
medication?
Polyuria
Abdominal cramps
Renal insufficiency
Insomnia - CORRECT ANSWER Abdominal cramps
A nurse is caring for a client who has a new cast on their left forearm
and reports severe pain in the affected arm with numbness in the
ngers. The nurse nds the skin is pale and cold with sluggish capillary
refill. Which of the following fracture complications should the nurse
suspect?
Compartment syndrome
Fat embolism
Deep-vein thrombosis
Osteomyelitis - CORRECT ANSWER Compartment Syndrome
A nurse is assisting with the discharge planning for a client who is
postoperative following a total hip arthroplasty. Which of the following
instructions should the nurse include in the discharge plan?
Expect decreased sensation for the rst postoperative week.
Avoid lying on the operative side.
Obtain a raised toilet seat.
Cross legs at the ankles - CORRECT ANSWER Obtain a raised toilet
seat.
MASTERY SERIES (CMS) EXAMS STUDY GUIDE
ACTUAL EXAM
A nurse is caring for a client who is 3 days postoperative following a
total right hip arthroplasty. Which of the following actions should the
nurse take? - CORRECT ANSWER Maintain abduction of the client's
right leg while in bed.
A nurse is caring for a client who has terminal pancreatic cancer. The
client states, "I don't think I can go on any longer." Which of the
following responses should the nurse make?
"Are you experiencing abdominal pain?"
"You should talk about this with the people you're closest to."
"Many people who have cancer feel this way."
"You feel like you want to discontinue treatment?" - CORRECT
ANSWER "You feel like you want to discontinue treatment?"
A nurse is contributing to the plan of care for a client who is having
difficulty eating following a stroke. Which of the following actions
should the nurse take first?
Collaborate with a dietitian.
Ensure that the client is provided with a high-ber diet.
Implement recommendations from the speech-language pathologist.
Request a referral for an occupational therapist. - CORRECT ANSWER
Implement recommendations from the speech-language pathologist.
A nurse is contributing to the plan of care for a client who was
admitted to the neurological unit following a stroke 3 hr ago. Which of
the following interventions should the nurse identify as the priority? -
CORRECT ANSWER Keep the client in a side-lying position.
Greatest risk to the client following a stroke is aspiration. The nurse
should position the client in a lateral, or side-lying, position to allow
any secretions to drain out of the mouth, decreasing the risk for
aspiration. Additionally, the nurse should have suction equipment
,available in the event that any secretions are present in the oral
cavity.
A nurse is participating in a health fair for older adult clients. Which of
the following vaccines should the nurse recommend for this age
group? - CORRECT ANSWER Herpes zoster for 60 years of age and
older.
Meningococcal vaccine to college students and military recruits who
are living in shared housing.
HPV vaccine for clients who are 9 to 26 years of age.
MMR vaccine to clients who are 62 years of age.
A nurse is contributing to the plan of care for a client who has a new
prescription for nystatin suspension for oral candidiasis. Which of the
following interventions should the nurse include in the plan?
Use a commercial mouthwash before taking the medication.
Instruct the client to swish the medication in their mouth.
Discontinue the medication as soon as the lesions are healed.
Combine the medication with applesauce - CORRECT ANSWER
Instruct the client to swish the medication in their mouth.
A nurse is preparing to perform intermittent urinary catheterization for
a female client who has been unable to void following surgery 6 hr
ago. Which of the following catheters should the nurse use to perform
this procedure? - CORRECT ANSWER intermittent straight catheter
(clear tube with blue top)
A nurse is preparing to auscultate the bowel sounds of a client who
has a mechanical bowel obstruction in the descending colon. When
listening in the left upper quadrant, the nurse should identify this
sound as which of the following? - CORRECT ANSWER Hyperactive
bowel sounds
Normal bowel sounds, the nurse should expect to hear 5-35 gurgles
and clicks in 1 min.
,A nurse is contributing to the plan of care for a client who has multiple
sclerosis and is taking dantrolene to manage muscle spasms. Which of
the following interventions should the nurse include?
Apply hot packs to the client's muscles.
Schedule physical therapy in the afternoon
Encourage the client to complete ADLs.
Administer valerian to promote sleep - CORRECT ANSWER
Encourage the client to complete ADLs.
A nurse is assisting with the care of a client who had a cardiac
catheterization via the right femoral artery. Which of the following
actions should the nurse take to prevent post procedure
complications?
Monitor the insertion site for bleeding
Position the affected extremity at a 45º
Restrict the client's fluid intake
Maintain the pressure dressing
Check the client's peripheral pulses - CORRECT ANSWER Monitor the
insertion site for bleeding is
Maintain the pressure dressing
Check the client's peripheral pulses
A home health nurse is reinforcing teaching about preventing asthma
attacks with a client who has asthma. Which of the following
instructions should the nurse include in the teaching?
"Cover the floor of your bedroom with carpet."
"Do not allow visitors to smoke cigarettes in your home."
"Breathe cold air to ease feelings of shortness of breath."
"Open the windows in your home during the spring to increase air
flow." - CORRECT ANSWER "Do not allow visitors to smoke
cigarettes in your home."
A nurse is caring for a client who has a prescription for
phenazopyridine. Which of the following findings should the nurse
identify as a therapeutic effect of the medication?
, Reduces bacteria in the urinary tract
Suppresses urge to void
Prevents nerve stimulation to the bladder muscle
Decreases pain during urination - CORRECT ANSWER Decreases pain
during urination
A nurse is monitoring a client who is taking acarbose. Which of the
following findings should the nurse identify as an adverse effect of the
medication?
Polyuria
Abdominal cramps
Renal insufficiency
Insomnia - CORRECT ANSWER Abdominal cramps
A nurse is caring for a client who has a new cast on their left forearm
and reports severe pain in the affected arm with numbness in the
ngers. The nurse nds the skin is pale and cold with sluggish capillary
refill. Which of the following fracture complications should the nurse
suspect?
Compartment syndrome
Fat embolism
Deep-vein thrombosis
Osteomyelitis - CORRECT ANSWER Compartment Syndrome
A nurse is assisting with the discharge planning for a client who is
postoperative following a total hip arthroplasty. Which of the following
instructions should the nurse include in the discharge plan?
Expect decreased sensation for the rst postoperative week.
Avoid lying on the operative side.
Obtain a raised toilet seat.
Cross legs at the ankles - CORRECT ANSWER Obtain a raised toilet
seat.
