COMPLETE EXAM FOR ATI MED/SURG PROCTORED

COMPLETE EXAM FOR ATI MED/SURG PROCTORED A nurse is caring for a client who had a left lower lobectomy to treat lung cancer. Which of the following factors will have a significant impact on the plan of care for this client? - CORRECT ANSWER-C. Lung cancer usually has metastasized before the client presents with symptoms. A nurse is preparing a plan of care for a client who is postoperative following a modified radical mastectomy. Which of the following invasive devices should the nurse expect this client to have? - CORRECT ANSWER-D. Jackson-Pratt drain A nurse is monitoring a client who has heart failure related to mitral stenosis. The client reports shortness of breath on exertion. Which of the following conditions should the nurse expect? - CORRECT ANSWER-D. Increased pulmonary congestion A nurse is caring for a client who is postoperative following a total knee arthroplasty and has been prescribed a continuous passive motion (CPM) machine and PCA. The client tells the nurse, "I am in so much pain." Which of the following actions should the nurse take first? - CORRECT ANSWER-C. Ask the client to describe the characteristics of the pain A nurse is reviewing the laboratory results of a lumbar puncture (LP) for a client who has manifestations of bacterial meningitis. Which of the following findings should the nurse expect? - CORRECT ANSWER-B. Elevated protein A nurse is admitting a client who has manifestations that suggest tuberculosis. Which of the following actions is the nurse's priority? - CORRECT ANSWER-A. Initiate airborne precautions A nurse is providing information to a client who is scheduled for an exercise electrocardiography test. Which of the following client statements indicates an understanding of the teaching? - CORRECT ANSWER-A. "I will not drink coffee 4 hours prior to my test." A nurse is assessing a client who has osteoarthritis. The client's medical record indicates the presence of Heberden's nodes. Which of the following findings should the nurse expect? - CORRECT ANSWER-D. Hard lumps over the joints of the fingers A nurse is caring for a client who has a fractured hip and was placed in Buck's traction 4 hours ago. Which of the following actions should the nurse take? - CORRECT ANSWER-B. Encourage the client to perform dorsiflexion of the affected extremity every 2 hours A nurse is auscultating the lungs of a client who is having an acute asthma attack. Which of the following sounds should the nurse expect to hear? - CORRECT ANSWERD. Noisy wheezing A nurse is providing discharge teaching to the partner of a client who has acquired immune deficiency syndrome (AIDS). Which of the following statements by the client's partner indicates a need for further teaching? - CORRECT ANSWER-B."I'll clean up blood spills immediately with hot water." A nurse is preparing an in-service presentation about the basics of hematology. Which of the following factors provides a stimulus for the production of RBCs? - CORRECT ANSWER-D. Tissue hypoxia A nurse is admitting a client who is in sickle cell crisis. Besides pain management, which of the following interventions should the nurse include in the client's plan of care? - CORRECT ANSWER-D. Ample hydration A nurse is assessing a client who has Addison's disease. Which of the following findings should the nurse expect? - CORRECT ANSWER-A. Hypotension A nurse is teaching a client who has chronic kidney disease (CKD). Which of the following instructions should the nurse include? - CORRECT ANSWER-A. Limit fluid intake A nurse is teaching a group of clients about the functions of the liver and gallbladder. Which of the following should the nurse include in the teaching as the purpose of bile? - CORRECT ANSWER-A. Digesting fats A nurse is assessing an older adult client for physiological changes that can occur with age. Which of the following findings should the nurse expect? - CORRECT ANSWER-B. Decreased sense of taste A nurse is caring for a client with Addison's disease who has been admitted with muscle weakness, dehydration, and nausea and vomiting for the past 2 days. Which of the following prescribed medications should the nurse plan to administer? - CORRECT ANSWER-C. Hydrocortisone A nurse is developing a plan of care for a client who as gastroesophageal refulx disease (GERD). The nurse should plan to monitor the client for which of the following complications? - CORRECT ANSWER-A. Aspiration A female client who has recurrent cystitis asks the nurse about preventing future episodes. For which of the following client statements should the nurse provide future teaching? - CORRECT ANSWER-B. "I prefer taking tub baths to showering." A nurse is assessing the abdominal incision of a client who is 3 days postoperative. The incision is slightly edematous and pink with crusting on the edges and is draining serosanguineous fluid. Which of the following assessments describes the incision? - CORRECT ANSWER-C. The incision is showing signs of healing without complications A nurse is assisting a provider with performing a paracentesis on a client. Which of the following actions should the nurse take? - CORRECT ANSWER-A. Ask the client to empty his bladder before the procedure A nurse is examining the ECG of a client who has frequent premature ventricular contractions (PVCs). Which of the following QRS changes should the nurse expect to see on the client's ECG? - CORRECT ANSWER-B. Much greater amplitude than the usual QRS complexes A nurse is teaching a group of clients about skin cancer. The nurse should explain that basal cell carcinoma originates from which of the following tissues? - CORRECT ANSWER-B. Epidermis A nurse is admitting a client who has cirrhosis. Which of the following prescriptions should the nurse anticipate? (Select all that apply) - CORRECT ANSWER-A. Obtain the client's PT and INR measurements B. Administer lactulose 30 mL PO 4 times daily C. Obtain daily weights and abdominal girth measurements D. Administer a daily multivitamin A nurse is caring for a client who is concerned about the possibility of contracting Lyme disease after receiving a tick bite. For which of the following early manifestations of Lyme disease should the nurse assess the client? - CORRECT ANSWER-D. Progressive circular rash A nurse is monitoring a newly licensed nurse who is caring for a client. The client has active pulmonary tuberculosis, was placed on airborne precautions, and is scheduled for a chest X-ray. The nurse should instruct the newly licensed nurse to take which of the following actions? - CORRECT ANSWER-A. Have the client wear a surgical mask A home health nurse is planning care for a client who is receiving chemotherapy and has neutropenia. Which of the following foods should the nurse include in the client's plan of care? - CORRECT ANSWER-D. Baked chicken A nurse on a surgical unit is caring for 4 clients who have healing wounds. Which of the following wounds should the nurse expect to heal by primary intention? - CORRECT ANSWER-C. Surgical incision