PN ATI MED SURG WITH QUESTIONS
AND VERIFIED ANSWERS
A nurse is assisting in the care of a client who is hypovolemic shock. While waiting for a unit of blood,
the nurse should plan to administer which of the following IV solutions? - ANSWER✔✔✨---0.9%
sodium chloride
A nurse is caring for a client who has advanced heart failure Which of the following actions should the
nurse take? - ANSWER✔✔✨---Enforce fluid restrictions
A nurse is collecting data from a client who has abdominal aortic aneurysm. Which of the following
manifestations should the nurse expect? - ANSWER✔✔✨---Lower back discomfort
A nurse is contributing to the plan of care for a client who has pernicious anemia.Which of the following
interventions should the nurse recommend? - ANSWER✔✔✨---Initiate weekly injections of vitamin
B12
A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker. Which of
the following information should the nurse include in the teaching? - ANSWER✔✔✨---"Avoid lifting
both arms above your head when dressing."
A nurse is reinforcing teaching with a client who has anemia and a new prescription for epoetin Alfa.
Which of the following information should the nurse include in the teaching? - ANSWER✔✔✨---
Hypertension is a common adverse effect of this medication
A nurse is caring for a client who is postoperative following vein ligation and stripping for varicose veins.
Which of the following actions should the nurse take? - ANSWER✔✔✨---Position the client supine
with his legs elevated when in bed
, A nurse is assisting in the care of a client who has an abdominal aortic aneurysm and is scheduled for
surgery. The client's vital signs are BP 160/98, HR 102, R-22, SpO2 95%. Which of the following actions
should the nurse take? - ANSWER✔✔✨---Administer antihypertensive medication for blood
pressure
A nurse in a clinic is collecting data from a client who has a history of peripheral arterial disease. Which
of the following findings on the client's lower extremities should the nurse expect? - ANSWER✔✔✨-
--Cool, pale skin with minimal body hair
A nurse is collecting data from a client who has manifestation of aplastic anemia. Which of the following
findings should the nurse expect? - ANSWER✔✔✨---Petechiae and ecchymosis
A nurse is administering a loop diuretic to a client who has 3+ pitting edema in the lower extremities.
Which of the following actions should the nurse take? - ANSWER✔✔✨---Monitor the client for
ototoxicity
A nurse is assisting in developing the plan of care for an older adult client who is to receive a unto of
packed RBCs. Which of the following action should the nurse recommend? - ANSWER✔✔✨---Verify
the information on the packed RBCs with another nurse
A nurse is caring for a client who has late stage heart failure and is experiencing fluid volume overload.
Which of the following findings should the nurse expect? - ANSWER✔✔✨---Weight gain of 1 kg (2.2
lb) in 1 day
A nurse is assisting in the preparation of a unit of packed RBCs for a client who has anemia. Which of the
following actions should the nurse take first? - ANSWER✔✔✨---Witness the informed consent
A nurse is collecting data from a client who has fluid volume overload resulting from a cardiovascular
disorder. Which of the following manifestations should the nurse expect? - ANSWER✔✔✨---Jugular
vein dissent ion, moist crackles, increases heart rate
A nurse is evaluating a client's repeat laboratory results 4 hr after administering fresh frozen plasma.
Which of the following laboratory test should the nurse review? - ANSWER✔✔✨---Prothrombin
time
AND VERIFIED ANSWERS
A nurse is assisting in the care of a client who is hypovolemic shock. While waiting for a unit of blood,
the nurse should plan to administer which of the following IV solutions? - ANSWER✔✔✨---0.9%
sodium chloride
A nurse is caring for a client who has advanced heart failure Which of the following actions should the
nurse take? - ANSWER✔✔✨---Enforce fluid restrictions
A nurse is collecting data from a client who has abdominal aortic aneurysm. Which of the following
manifestations should the nurse expect? - ANSWER✔✔✨---Lower back discomfort
A nurse is contributing to the plan of care for a client who has pernicious anemia.Which of the following
interventions should the nurse recommend? - ANSWER✔✔✨---Initiate weekly injections of vitamin
B12
A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker. Which of
the following information should the nurse include in the teaching? - ANSWER✔✔✨---"Avoid lifting
both arms above your head when dressing."
A nurse is reinforcing teaching with a client who has anemia and a new prescription for epoetin Alfa.
Which of the following information should the nurse include in the teaching? - ANSWER✔✔✨---
Hypertension is a common adverse effect of this medication
A nurse is caring for a client who is postoperative following vein ligation and stripping for varicose veins.
Which of the following actions should the nurse take? - ANSWER✔✔✨---Position the client supine
with his legs elevated when in bed
, A nurse is assisting in the care of a client who has an abdominal aortic aneurysm and is scheduled for
surgery. The client's vital signs are BP 160/98, HR 102, R-22, SpO2 95%. Which of the following actions
should the nurse take? - ANSWER✔✔✨---Administer antihypertensive medication for blood
pressure
A nurse in a clinic is collecting data from a client who has a history of peripheral arterial disease. Which
of the following findings on the client's lower extremities should the nurse expect? - ANSWER✔✔✨-
--Cool, pale skin with minimal body hair
A nurse is collecting data from a client who has manifestation of aplastic anemia. Which of the following
findings should the nurse expect? - ANSWER✔✔✨---Petechiae and ecchymosis
A nurse is administering a loop diuretic to a client who has 3+ pitting edema in the lower extremities.
Which of the following actions should the nurse take? - ANSWER✔✔✨---Monitor the client for
ototoxicity
A nurse is assisting in developing the plan of care for an older adult client who is to receive a unto of
packed RBCs. Which of the following action should the nurse recommend? - ANSWER✔✔✨---Verify
the information on the packed RBCs with another nurse
A nurse is caring for a client who has late stage heart failure and is experiencing fluid volume overload.
Which of the following findings should the nurse expect? - ANSWER✔✔✨---Weight gain of 1 kg (2.2
lb) in 1 day
A nurse is assisting in the preparation of a unit of packed RBCs for a client who has anemia. Which of the
following actions should the nurse take first? - ANSWER✔✔✨---Witness the informed consent
A nurse is collecting data from a client who has fluid volume overload resulting from a cardiovascular
disorder. Which of the following manifestations should the nurse expect? - ANSWER✔✔✨---Jugular
vein dissent ion, moist crackles, increases heart rate
A nurse is evaluating a client's repeat laboratory results 4 hr after administering fresh frozen plasma.
Which of the following laboratory test should the nurse review? - ANSWER✔✔✨---Prothrombin
time
