MedSurg 2020 proctored ATI
1.A nurse is reinforcing teaching with a client who has HIV and is being
discharged to home. Which of the following instructions should the
nurse include in the teaching?: Take temperature once a day
2.A nurse is caring for a client who is postoperative following a
tracheostomy, and has copious and tenacious secretions. Which of the
following is an ac- ceptable method for the nurse to use to thin this client's
secretions?: Provide humidified oxygen
3.Following admission, a client with a vascular occlusion of the right lower
extremity calls the nurse and reports difficulty sleeping because of cold
feet. Which of the following nursing actions should the nurse take to
promote the client's comfort?: Obtain a pair of slipper socks for the client
4.A nurse is caring for a client is who is 4 hr postoperative following a
transurethral resection of the prostate (TURP). Which of the following is
the priority finding for the nurse report to the provider?: Thick, red-
colored urine
5.A nurse is caring for a client who has a temperature of 39.7° C (103.5° F)
and has a prescription for a hypothermia blanket. The nurse should monitor
the client for which of the following adverse effects of the hypothermia
, MedSurg 2020 proctored ATI
blan- ket?: Shivering
6.A nurse is reinforcing teaching about exercise with a client who has type
1 diabetes mellitus. Which of the following statements by the client
indicates an understanding of the teaching?: "I will not exercise if my
urine is positive for ketones."
7.A nurse notes a small section of bowel protruding from the abdominal
incision of a client who is postoperative. After calling for assistance, which
of the following actions should the nurse take first?: Cover the client's
wound with a moist, sterile dressing
8.A nurse is collecting data from a client who has alcohol use disorder
and is experiencing metabolic acidosis. Which of the following
manifestations should the nurse expect?: Hyperventilation
9.A nurse is reinforcing discharge teaching with a client following a
cataract extraction. Which of the following should the nurse include in the
teaching?-
: Avoid bending at the waist
10.A nurse is caring for a client who has heart failure and has been taking
digoxin 0.25 mg daily. The client refuses breakfast and reports nausea.
Which of the following actions should the nurse take first?: Check the
, MedSurg 2020 proctored ATI
client's vital signs
11.A nurse is caring for a client who is 3 days postoperative following a
cholecystectomy. The nurse suspects the client's wound is infected
because the drainage from the dressing is yellow and thick. Which of the
following findings should the nurse report as the type of drainage found?:
Purulent
, MedSurg 2020 proctored ATI
12.A nurse is reinforcing discharge teaching to a client following
arthroscopic surgery. To prevent postoperative complications which of the
following ac- tions should be reinforced during the teaching?: Administer
an opioid analgesic to the client 30 min prior to initiating CPM exercises
13.A nurse is collecting data from a client who has emphysema. Which of
the following findings should the nurse expect? (Select all that apply.):
Dyspnea, Barrel chest, Clubbing of the fingers, Shallow respirations
14.A nurse is caring for a client who sustained a basal skull fracture. When
performing morning hygiene care, the nurse notices a thin stream of clear
drainage coming from out of the client's right nostril. Which of the
following actions should the nurse take first?: Test the drainage for
glucose
15.A nurse is caring for a client who has a spinal cord injury at T-4. The
nurse should recognize that the client is at risk for autonomic dysreflexia.
Which
of the following interventions should the nurse take to prevent autonomic
dysreflexia?: Prevent bladder distention
16.A nurse is caring for a client who is being evaluated for endometrial
1.A nurse is reinforcing teaching with a client who has HIV and is being
discharged to home. Which of the following instructions should the
nurse include in the teaching?: Take temperature once a day
2.A nurse is caring for a client who is postoperative following a
tracheostomy, and has copious and tenacious secretions. Which of the
following is an ac- ceptable method for the nurse to use to thin this client's
secretions?: Provide humidified oxygen
3.Following admission, a client with a vascular occlusion of the right lower
extremity calls the nurse and reports difficulty sleeping because of cold
feet. Which of the following nursing actions should the nurse take to
promote the client's comfort?: Obtain a pair of slipper socks for the client
4.A nurse is caring for a client is who is 4 hr postoperative following a
transurethral resection of the prostate (TURP). Which of the following is
the priority finding for the nurse report to the provider?: Thick, red-
colored urine
5.A nurse is caring for a client who has a temperature of 39.7° C (103.5° F)
and has a prescription for a hypothermia blanket. The nurse should monitor
the client for which of the following adverse effects of the hypothermia
, MedSurg 2020 proctored ATI
blan- ket?: Shivering
6.A nurse is reinforcing teaching about exercise with a client who has type
1 diabetes mellitus. Which of the following statements by the client
indicates an understanding of the teaching?: "I will not exercise if my
urine is positive for ketones."
7.A nurse notes a small section of bowel protruding from the abdominal
incision of a client who is postoperative. After calling for assistance, which
of the following actions should the nurse take first?: Cover the client's
wound with a moist, sterile dressing
8.A nurse is collecting data from a client who has alcohol use disorder
and is experiencing metabolic acidosis. Which of the following
manifestations should the nurse expect?: Hyperventilation
9.A nurse is reinforcing discharge teaching with a client following a
cataract extraction. Which of the following should the nurse include in the
teaching?-
: Avoid bending at the waist
10.A nurse is caring for a client who has heart failure and has been taking
digoxin 0.25 mg daily. The client refuses breakfast and reports nausea.
Which of the following actions should the nurse take first?: Check the
, MedSurg 2020 proctored ATI
client's vital signs
11.A nurse is caring for a client who is 3 days postoperative following a
cholecystectomy. The nurse suspects the client's wound is infected
because the drainage from the dressing is yellow and thick. Which of the
following findings should the nurse report as the type of drainage found?:
Purulent
, MedSurg 2020 proctored ATI
12.A nurse is reinforcing discharge teaching to a client following
arthroscopic surgery. To prevent postoperative complications which of the
following ac- tions should be reinforced during the teaching?: Administer
an opioid analgesic to the client 30 min prior to initiating CPM exercises
13.A nurse is collecting data from a client who has emphysema. Which of
the following findings should the nurse expect? (Select all that apply.):
Dyspnea, Barrel chest, Clubbing of the fingers, Shallow respirations
14.A nurse is caring for a client who sustained a basal skull fracture. When
performing morning hygiene care, the nurse notices a thin stream of clear
drainage coming from out of the client's right nostril. Which of the
following actions should the nurse take first?: Test the drainage for
glucose
15.A nurse is caring for a client who has a spinal cord injury at T-4. The
nurse should recognize that the client is at risk for autonomic dysreflexia.
Which
of the following interventions should the nurse take to prevent autonomic
dysreflexia?: Prevent bladder distention
16.A nurse is caring for a client who is being evaluated for endometrial
