ATI Med Surge Proctored Exam 2023
Save
Terms in this set (135)
Ensure the client's A nurse is assisting with the care of a client who has
weights are hanging a femur fracture and is in skeletal traction. Which of
freely from the bed. the following actions should the nurse take
A nurse in a provider's office is reinforcing teaching
Take this medication with a client who has anemia and has been taking
between meals ferrous gluconate for several weeks. Which of the
following instructions should the nurse include?
A nurse in a provider's office is reinforcing teaching
Take this medication with a client who has anemia and has been taking
between meals. ferrous gluconate for several weeks. Which of the
following instructions should the nurse include?
A nurse is reviewing the plan of care for a client who
Wash daily with an
has cellulitis of the leg. Which of the following
antibacterial soap.
interventions should the nurse recommend?
A nurse is reinforcing teaching with a client who is
Avoid medications in postoperative after having an ileostomy established.
capsule or enteric form. Which of the following instructions should the nurse
include in the teaching?
A nurse is caring for a client with severe burns to
"Large incisions will be
both lower extremities. The client is scheduled for an
made in the burned
escharotomy and wants to know what the
tissue to improve
procedure involves. Which of the following
circulation."
statements is appropriate for the nurse to make?
, A nurse is collecting data from a client who has a
Decreased color possible cataract. Which of the following
perception manifestations should the nurse expect the client to
report?
A nurse is contributing to the plan of care for a
client who has an intestinal obstruction and is
Maintain the client in receiving continuous gastrointestinal
Fowler's position. decompression using a nasogastric tube. Which of
the following interventions should the nurse include
in the plan of care?
A nurse is caring for a client who has Cushing's
1) Buffalo hump 2) Purple syndrome. Which of the following clinical
striations 3) Moon face manifestations should the nurse expect to observe?
(Select all that apply.)
A nurse is caring for a client who is in the oliguric
Monitor intake and
phase of acute kidney injury. Which of the following
output hourly
actions should the nurse take?
A nurse is reinforcing teaching about an
"You will remain NPO for
esophagogastroduodenoscopy with a client who
8 hours before the
has upper gastric pain. Which of the following
procedure."
statements should the nurse include in the teaching?
A nurse is caring for a client who is difficult to
arouse and very sleepy for several hours following a
Postictal phase generalized tonic-clonic seizure. Which of the
following descriptions should the nurse use when
documenting this finding in the medical record?
A nurse is reinforcing teaching with a client who
"The pain will dissipate if reports right shoulder pain following a laparoscopic
you ambulate frequently." cholecystectomy. Which of the following statements
should the nurse make?
A nurse is checking the suction control chamber of a
Verify that the suction client's chest tube and notes that there is no
regulator is on. bubbling in the suction control chamber. Which of
the following actions should the nurse take?
, A nurse is assisting with the care of a client
Encourage fluid intake. 2)
immediately following a lumbar puncture. Which of
Monitor the puncture site
the following actions should the nurse take? (Select
for hematoma.
all that apply.)
A nurse is assisting with the care of a client who is
postoperative following surgical repair of a
fractured mandible. The client's jaw is wired shut to
Prevent aspiration.
repair and stabilize the fracture. The nurse should
recognize which of the following is the priority
action?
A nurse is collecting data from a client who has
Hardened skin scleroderma. Which of the following findings should
the nurse expect?
A nurse is caring for an older adult client who has
dysphagia and left-sided weakness following a
Add thickener to fluids.
stroke. Which of the following actions should the
nurse take?
A nurse is caring for a client who has partial-
thickness and full-thickness burns of his head, neck,
Airway obstruction
and chest. The nurse should recognize which of the
following is the priority risk to the client?
A nurse is reinforcing teaching with a client who is
newly diagnosed with myasthenia gravis and is to
1) Take the medication 45
start taking neostigmine. Which of the following
minutes before eating.
instructions should the nurse include in the
teaching?
A nurse is caring for a client who is 12 hours
postoperative following a transurethral resection of
Notify the provider.. the prostate (TURP) and has a 3-way urinary
Determine the patency of catheter with continuous irrigation. The nurse notes
the tubing. there has not been any urinary output in the last
hour. Which of the following actions should the
nurse perform first?
, A nurse is caring for a client scheduled for a bone
"The biopsy can be
marrow biopsy. The client expresses fear about the
uncomfortable, but we
procedure and asks the nurse if the biopsy will hurt.
will try to keep you as
Which of the following responses should the nurse
comfortable as possible."
make?
A nurse is assisting with planning care for a client
Re-establish who is recovering from a left-hemispheric stroke.
communication. Which of the following interventions should the
nurse include in the plan?
A nurse is assisting with the care of a client who has
Hypotension diabetes insipidus. The nurse should monitor the
client for which of the following manifestations?
A nurse is reinforcing teaching with a client who has
Take temperature once a HIV and is being discharged to home. Which of the
day following instructions should the nurse include in
the teaching?
A nurse is caring for a client who is postoperative
following a tracheostomy, and has copious and
Provide humidified
tenacious secretions. Which of the following is an
oxygen.
acceptable method for the nurse to use to thin this
client's secretions?
Following admission, a client with a vascular
occlusion of the right lower extremity calls the nurse
Obtain a pair of slipper
and reports difficulty sleeping because of cold feet.
socks for the client.
Which of the following nursing actions should the
nurse take to promote the client's comfort?
A nurse is caring for a client is who is 4 hr
postoperative following a transurethral resection of
Thick, red-colored urine
the prostate (TURP). Which of the following is the
priority finding for the nurse report to the provider?
A nurse is caring for a client who has a temperature
of 39.7° C (103.5° F) and has a prescription for a
Shivering hypothermia blanket. The nurse should monitor the
client for which of the following adverse effects of
the hypothermia blanket?
Save
Terms in this set (135)
Ensure the client's A nurse is assisting with the care of a client who has
weights are hanging a femur fracture and is in skeletal traction. Which of
freely from the bed. the following actions should the nurse take
A nurse in a provider's office is reinforcing teaching
Take this medication with a client who has anemia and has been taking
between meals ferrous gluconate for several weeks. Which of the
following instructions should the nurse include?
A nurse in a provider's office is reinforcing teaching
Take this medication with a client who has anemia and has been taking
between meals. ferrous gluconate for several weeks. Which of the
following instructions should the nurse include?
A nurse is reviewing the plan of care for a client who
Wash daily with an
has cellulitis of the leg. Which of the following
antibacterial soap.
interventions should the nurse recommend?
A nurse is reinforcing teaching with a client who is
Avoid medications in postoperative after having an ileostomy established.
capsule or enteric form. Which of the following instructions should the nurse
include in the teaching?
A nurse is caring for a client with severe burns to
"Large incisions will be
both lower extremities. The client is scheduled for an
made in the burned
escharotomy and wants to know what the
tissue to improve
procedure involves. Which of the following
circulation."
statements is appropriate for the nurse to make?
, A nurse is collecting data from a client who has a
Decreased color possible cataract. Which of the following
perception manifestations should the nurse expect the client to
report?
A nurse is contributing to the plan of care for a
client who has an intestinal obstruction and is
Maintain the client in receiving continuous gastrointestinal
Fowler's position. decompression using a nasogastric tube. Which of
the following interventions should the nurse include
in the plan of care?
A nurse is caring for a client who has Cushing's
1) Buffalo hump 2) Purple syndrome. Which of the following clinical
striations 3) Moon face manifestations should the nurse expect to observe?
(Select all that apply.)
A nurse is caring for a client who is in the oliguric
Monitor intake and
phase of acute kidney injury. Which of the following
output hourly
actions should the nurse take?
A nurse is reinforcing teaching about an
"You will remain NPO for
esophagogastroduodenoscopy with a client who
8 hours before the
has upper gastric pain. Which of the following
procedure."
statements should the nurse include in the teaching?
A nurse is caring for a client who is difficult to
arouse and very sleepy for several hours following a
Postictal phase generalized tonic-clonic seizure. Which of the
following descriptions should the nurse use when
documenting this finding in the medical record?
A nurse is reinforcing teaching with a client who
"The pain will dissipate if reports right shoulder pain following a laparoscopic
you ambulate frequently." cholecystectomy. Which of the following statements
should the nurse make?
A nurse is checking the suction control chamber of a
Verify that the suction client's chest tube and notes that there is no
regulator is on. bubbling in the suction control chamber. Which of
the following actions should the nurse take?
, A nurse is assisting with the care of a client
Encourage fluid intake. 2)
immediately following a lumbar puncture. Which of
Monitor the puncture site
the following actions should the nurse take? (Select
for hematoma.
all that apply.)
A nurse is assisting with the care of a client who is
postoperative following surgical repair of a
fractured mandible. The client's jaw is wired shut to
Prevent aspiration.
repair and stabilize the fracture. The nurse should
recognize which of the following is the priority
action?
A nurse is collecting data from a client who has
Hardened skin scleroderma. Which of the following findings should
the nurse expect?
A nurse is caring for an older adult client who has
dysphagia and left-sided weakness following a
Add thickener to fluids.
stroke. Which of the following actions should the
nurse take?
A nurse is caring for a client who has partial-
thickness and full-thickness burns of his head, neck,
Airway obstruction
and chest. The nurse should recognize which of the
following is the priority risk to the client?
A nurse is reinforcing teaching with a client who is
newly diagnosed with myasthenia gravis and is to
1) Take the medication 45
start taking neostigmine. Which of the following
minutes before eating.
instructions should the nurse include in the
teaching?
A nurse is caring for a client who is 12 hours
postoperative following a transurethral resection of
Notify the provider.. the prostate (TURP) and has a 3-way urinary
Determine the patency of catheter with continuous irrigation. The nurse notes
the tubing. there has not been any urinary output in the last
hour. Which of the following actions should the
nurse perform first?
, A nurse is caring for a client scheduled for a bone
"The biopsy can be
marrow biopsy. The client expresses fear about the
uncomfortable, but we
procedure and asks the nurse if the biopsy will hurt.
will try to keep you as
Which of the following responses should the nurse
comfortable as possible."
make?
A nurse is assisting with planning care for a client
Re-establish who is recovering from a left-hemispheric stroke.
communication. Which of the following interventions should the
nurse include in the plan?
A nurse is assisting with the care of a client who has
Hypotension diabetes insipidus. The nurse should monitor the
client for which of the following manifestations?
A nurse is reinforcing teaching with a client who has
Take temperature once a HIV and is being discharged to home. Which of the
day following instructions should the nurse include in
the teaching?
A nurse is caring for a client who is postoperative
following a tracheostomy, and has copious and
Provide humidified
tenacious secretions. Which of the following is an
oxygen.
acceptable method for the nurse to use to thin this
client's secretions?
Following admission, a client with a vascular
occlusion of the right lower extremity calls the nurse
Obtain a pair of slipper
and reports difficulty sleeping because of cold feet.
socks for the client.
Which of the following nursing actions should the
nurse take to promote the client's comfort?
A nurse is caring for a client is who is 4 hr
postoperative following a transurethral resection of
Thick, red-colored urine
the prostate (TURP). Which of the following is the
priority finding for the nurse report to the provider?
A nurse is caring for a client who has a temperature
of 39.7° C (103.5° F) and has a prescription for a
Shivering hypothermia blanket. The nurse should monitor the
client for which of the following adverse effects of
the hypothermia blanket?
