ATI PN MED SURG
2020 EXAMPACK-
BEST FOR ACTUAL
EXAM REVIEW
,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?
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?
"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?
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?
Keep the client in a side-lying position.
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?
Herpes zoster
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?
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?
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?
Hyperactive bowel sounds
,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?
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 postprocedure complications?
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?
"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?
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?
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
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?
Obtain a raised toilet seat.
A nurse is assisting in the care of a client who has manifestations of sepsis.
Which of the following provider prescriptions should the nurse implement
first?
Initiate oxygen at 4 L/min via nasal cannula
, A nurse is reviewing the laboratory results of a client who has type 2
diabetes mellitus. The nurse should identify that which of the following
laboratory values indicates the client is at risk for delayed wound healing?
Prealbumin 12 mg/dL
A nurse is contributing to the plan of care for a client who has a methicillin-
resistant Staphylococcus aureus (MRSA) infection and is on contact isolation
precautions. Which of the following actions should the nurse take?
Have a designated stethoscope in the client's room.
A nurse is caring for a client who has a compound fracture of the femur and
was placed in balanced suspension skeletal traction 4 days ago. Which of the
following actions should the nurse take?
Perform pin site care daily.
A nurse is monitoring a client who has a history of an enlarged prostate and
is experiencing suprapubic discomfort. Which of the following actions should
the nurse take first?
Palpate the abdomen.
A nurse is collecting data from a client who has heart failure and is taking
digoxin. Which of the following outcomes from the medication should the
nurse expect?
Decreased shortness of breath
A nurse is assisting in the plan of care for a client who had a recent left
hemispheric stroke. Which of the following actions should the nurse include
in the plan?
Use simple verbal cues when directing tasks
A nurse is reinforcing teaching with the caregiver of a client who is terminally
ill about manifestations of impending death. Which of the following
manifestations should the nurse include?
Incontinence of the bowel and bladder
A nurse is reinforcing teaching with a client who is taking insulin glargine.
Which of the following information should the nurse include in the teaching?
This type of insulin should be given at the same time every day.
2020 EXAMPACK-
BEST FOR ACTUAL
EXAM REVIEW
,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?
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?
"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?
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?
Keep the client in a side-lying position.
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?
Herpes zoster
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?
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?
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?
Hyperactive bowel sounds
,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?
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 postprocedure complications?
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?
"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?
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?
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
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?
Obtain a raised toilet seat.
A nurse is assisting in the care of a client who has manifestations of sepsis.
Which of the following provider prescriptions should the nurse implement
first?
Initiate oxygen at 4 L/min via nasal cannula
, A nurse is reviewing the laboratory results of a client who has type 2
diabetes mellitus. The nurse should identify that which of the following
laboratory values indicates the client is at risk for delayed wound healing?
Prealbumin 12 mg/dL
A nurse is contributing to the plan of care for a client who has a methicillin-
resistant Staphylococcus aureus (MRSA) infection and is on contact isolation
precautions. Which of the following actions should the nurse take?
Have a designated stethoscope in the client's room.
A nurse is caring for a client who has a compound fracture of the femur and
was placed in balanced suspension skeletal traction 4 days ago. Which of the
following actions should the nurse take?
Perform pin site care daily.
A nurse is monitoring a client who has a history of an enlarged prostate and
is experiencing suprapubic discomfort. Which of the following actions should
the nurse take first?
Palpate the abdomen.
A nurse is collecting data from a client who has heart failure and is taking
digoxin. Which of the following outcomes from the medication should the
nurse expect?
Decreased shortness of breath
A nurse is assisting in the plan of care for a client who had a recent left
hemispheric stroke. Which of the following actions should the nurse include
in the plan?
Use simple verbal cues when directing tasks
A nurse is reinforcing teaching with the caregiver of a client who is terminally
ill about manifestations of impending death. Which of the following
manifestations should the nurse include?
Incontinence of the bowel and bladder
A nurse is reinforcing teaching with a client who is taking insulin glargine.
Which of the following information should the nurse include in the teaching?
This type of insulin should be given at the same time every day.
