ATI Med Surgical 2 Final exam | Actual Exam Questions
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Exam!!!
A nurse is caring for a client who has chronic venous insufficiency and a
prescription for thigh high compression stockings. Which action should the
nurse take?
a. elevate legs for 10 min, 2-3 times a day while wearing stockings
b. apply the stockings in the morning upon awakening and before getting out of
bed
c. roll the stockings down to the knees to relieve discomfort on the legs
d. remove the stockings while out of bed for 1 hour, 4 times a day, to allow the
legs to rest
ANS:<< B.
RATIONALE: Applying the stockings in the morning upon waking up before
getting out of bed reduces venous stasis and assists in the venous return of
blood to the heart.
A nurse in an outpatient clinic is assessing a client who reports night sweats and
fatigue. He states he had a cough along with nausea and diarrhea. His
temperature is 38.1 C orally. The client is afraid he has HIV. Which action should
the nurse take? Select all that apply.
a. perform a physical assessment
b. determine when s/s began
c. teach the client about HIV transmission
d. draw blood for HIV testing
e. obtain a sexual history
ANS:<< a, b, e
A nurse is caring for a client who has a DVT and has been taking heparin for a
week. Two days ago, the provider also prescribed warfarin. The client asks the
,nurse about receiving both at the same time. What should the nurse say?
a. I will remind your provider that you are already receiving heparin
b. your lab findings indicate that 2 anticoagulants are needed
c. it takes 3-4 days for the therapeutic effects of warfarin, and then heparin can
be discontinued
d. only one of these medications are being given to treat your DVT
ANS:<< C.
RATIONALE: warfarin depresses synthesis of clotting factors but does not have
an effect on clotting factors that are present. It takes 3-4 days for the clotting
factors that are present to decay and for the therapeutic effects of warfarin to
occur.
A nurse is assessing a client who has PAD. Which of the following should the
nurse expect?
a. edema around ankles and feet
b. ulceration around the medial malleoli
c. scaling edema of the lower legs with stasis dermatitis
d. pallor on elevation of the limbs, and rubber when the limbs are dependent
ANS:<< D.
RATIONALE: In a client who has PAD, pallor is seen in the extremities when the
limbs are elevated, and rubor occurs when they are lowered
A nurse is teaching a client who has a new diagnosis of severe peripheral
arterial disease. Which should the nurse include?
a. Wear tightly fitting insulated socks with shoes when going outside
b. elevate both legs above heart when resting
c. apply a heating pad to both legs for comfort
d. place both legs in dependent position while sleeping
ANS:<< D.
RATIONALE: Such as hanging off of the bed. This can alleviate swelling and
discomfort of the legs
A nurse is teaching a client who has a new prescription for clopidogrel. Select
all that the nurse should include.
a. avoid consumption of grapefruit
b. monitor black and tarry stools
c. take this when you have pain
,d. schedule weekly PT test
e. Limit food sources containing vit. K while taking this
ANS:<< A, B
a nurse is caring for a client who is suspected of having HIV. The nurse should
identify that which of the following DX tests and lab values are used to confirm
HIV infection? Select all that apply.
a. western blot
b. Indirect immunofluorescence assay
c. CD4+ T-lymphocyte count
d. HIV RNA quantification test
e. CSF analysis
ANS:<< a, b
a nurse is providing teaching for a client who has stage 3 HIV disease. Which of
the following statements by the client should indicate to the nurse an
understanding of the teaching?
a. I will wear gloves while changing the kitty litter
b. I will rinse raw fruits with water before eating them
c. I will wear a mask when around family members who are ill
d. I will cook vegetables before eating them
ANS:<< D, no raw fruits/veggies
A nurse is assessing a client for HIV. Which are risk factors? Select all that
apply.
a. perinatal exposure
b. pregnancy
c. monogamous sex partner
d. older woman adult
e. occupational exposure
ANS:<< A, D, E
A nurse is providing teaching for a client who has stage 2 HIV and is having
difficulty maintaining a normal weight. Which of the following statements by the
client should indicate to the nurse an understanding of the teaching?
a. I will choose to diet high in fat to help gain weight
b. I will be sure to eat 3 large meals a day
c. I will drink up to 1 liter of fluid a day
d. I will add high-protein foods to my diet
, ANS:<< D.
RATIONALE: high protein and high calorie is the best way to gain weight and
maintain health
Which instruction should the nurse discuss with the client diagnosed with
Raynaud's phenomenon?
1.Explain exacerbations will not occur in the summer.
2. Use nicotine gum to help quit smoking.
3.Wear extra-warm clothing during cold exposure.
4.Avoid prolonged exposure to direct sunlight.
ANS:<< 3.
RATIONALE: Raynaud's phenomenon is a form of intermittent arteriolar
vasoconstriction that results in coldness, pain, and pallor of fingertips or toes;
therefore, the client should keep warm to prevent vasoconstriction of the
extremities.
The nurse is teaching the client with peripheral vascular disease. Which
interventions should the nurse discuss with the client? Select all that apply.
1.Wash your feet in antimicrobial soap.
2.Wear comfortable, well-fitting shoes
3.Cut your toenails in an arch.
4.Keep the area between the toes dry.
5.Use a heating pad when feet are cold.
ANS:<< 2. 4.
RATIONALE: Shoes must be comfortable to prevent blisters or ulcerations of the
feet.
Moisture between the toes increases fungal growth, leading to skin breakdown.
The nurse is caring for clients on a medical floor. Which client will the nurse
assess first?
1.The client with an abdominal aortic aneurysm who is constipated.
2.The client on bedrest who ambulated to the bathroom.
3.The client with essential hypertension who has epistaxis and a headache
4.The client with arterial occlusive disease who has a decreased pedal pulse.
ANS:<< 3.
and Well Verified Answers | Latest Updated || Expert
Guarantee Pass and 100% Accurate | Frequently Most
Tested Questions |Brand New Version and Latest
Exam!!!
A nurse is caring for a client who has chronic venous insufficiency and a
prescription for thigh high compression stockings. Which action should the
nurse take?
a. elevate legs for 10 min, 2-3 times a day while wearing stockings
b. apply the stockings in the morning upon awakening and before getting out of
bed
c. roll the stockings down to the knees to relieve discomfort on the legs
d. remove the stockings while out of bed for 1 hour, 4 times a day, to allow the
legs to rest
ANS:<< B.
RATIONALE: Applying the stockings in the morning upon waking up before
getting out of bed reduces venous stasis and assists in the venous return of
blood to the heart.
A nurse in an outpatient clinic is assessing a client who reports night sweats and
fatigue. He states he had a cough along with nausea and diarrhea. His
temperature is 38.1 C orally. The client is afraid he has HIV. Which action should
the nurse take? Select all that apply.
a. perform a physical assessment
b. determine when s/s began
c. teach the client about HIV transmission
d. draw blood for HIV testing
e. obtain a sexual history
ANS:<< a, b, e
A nurse is caring for a client who has a DVT and has been taking heparin for a
week. Two days ago, the provider also prescribed warfarin. The client asks the
,nurse about receiving both at the same time. What should the nurse say?
a. I will remind your provider that you are already receiving heparin
b. your lab findings indicate that 2 anticoagulants are needed
c. it takes 3-4 days for the therapeutic effects of warfarin, and then heparin can
be discontinued
d. only one of these medications are being given to treat your DVT
ANS:<< C.
RATIONALE: warfarin depresses synthesis of clotting factors but does not have
an effect on clotting factors that are present. It takes 3-4 days for the clotting
factors that are present to decay and for the therapeutic effects of warfarin to
occur.
A nurse is assessing a client who has PAD. Which of the following should the
nurse expect?
a. edema around ankles and feet
b. ulceration around the medial malleoli
c. scaling edema of the lower legs with stasis dermatitis
d. pallor on elevation of the limbs, and rubber when the limbs are dependent
ANS:<< D.
RATIONALE: In a client who has PAD, pallor is seen in the extremities when the
limbs are elevated, and rubor occurs when they are lowered
A nurse is teaching a client who has a new diagnosis of severe peripheral
arterial disease. Which should the nurse include?
a. Wear tightly fitting insulated socks with shoes when going outside
b. elevate both legs above heart when resting
c. apply a heating pad to both legs for comfort
d. place both legs in dependent position while sleeping
ANS:<< D.
RATIONALE: Such as hanging off of the bed. This can alleviate swelling and
discomfort of the legs
A nurse is teaching a client who has a new prescription for clopidogrel. Select
all that the nurse should include.
a. avoid consumption of grapefruit
b. monitor black and tarry stools
c. take this when you have pain
,d. schedule weekly PT test
e. Limit food sources containing vit. K while taking this
ANS:<< A, B
a nurse is caring for a client who is suspected of having HIV. The nurse should
identify that which of the following DX tests and lab values are used to confirm
HIV infection? Select all that apply.
a. western blot
b. Indirect immunofluorescence assay
c. CD4+ T-lymphocyte count
d. HIV RNA quantification test
e. CSF analysis
ANS:<< a, b
a nurse is providing teaching for a client who has stage 3 HIV disease. Which of
the following statements by the client should indicate to the nurse an
understanding of the teaching?
a. I will wear gloves while changing the kitty litter
b. I will rinse raw fruits with water before eating them
c. I will wear a mask when around family members who are ill
d. I will cook vegetables before eating them
ANS:<< D, no raw fruits/veggies
A nurse is assessing a client for HIV. Which are risk factors? Select all that
apply.
a. perinatal exposure
b. pregnancy
c. monogamous sex partner
d. older woman adult
e. occupational exposure
ANS:<< A, D, E
A nurse is providing teaching for a client who has stage 2 HIV and is having
difficulty maintaining a normal weight. Which of the following statements by the
client should indicate to the nurse an understanding of the teaching?
a. I will choose to diet high in fat to help gain weight
b. I will be sure to eat 3 large meals a day
c. I will drink up to 1 liter of fluid a day
d. I will add high-protein foods to my diet
, ANS:<< D.
RATIONALE: high protein and high calorie is the best way to gain weight and
maintain health
Which instruction should the nurse discuss with the client diagnosed with
Raynaud's phenomenon?
1.Explain exacerbations will not occur in the summer.
2. Use nicotine gum to help quit smoking.
3.Wear extra-warm clothing during cold exposure.
4.Avoid prolonged exposure to direct sunlight.
ANS:<< 3.
RATIONALE: Raynaud's phenomenon is a form of intermittent arteriolar
vasoconstriction that results in coldness, pain, and pallor of fingertips or toes;
therefore, the client should keep warm to prevent vasoconstriction of the
extremities.
The nurse is teaching the client with peripheral vascular disease. Which
interventions should the nurse discuss with the client? Select all that apply.
1.Wash your feet in antimicrobial soap.
2.Wear comfortable, well-fitting shoes
3.Cut your toenails in an arch.
4.Keep the area between the toes dry.
5.Use a heating pad when feet are cold.
ANS:<< 2. 4.
RATIONALE: Shoes must be comfortable to prevent blisters or ulcerations of the
feet.
Moisture between the toes increases fungal growth, leading to skin breakdown.
The nurse is caring for clients on a medical floor. Which client will the nurse
assess first?
1.The client with an abdominal aortic aneurysm who is constipated.
2.The client on bedrest who ambulated to the bathroom.
3.The client with essential hypertension who has epistaxis and a headache
4.The client with arterial occlusive disease who has a decreased pedal pulse.
ANS:<< 3.
