lOMoARcPSD|26582732
Ati Adult Medical Surgical Nursing Content Mastery Series
(Cms) Exams Study Guide Actual Exam
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? - correct
answer 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?
"are you experiencing abdominal pain?"
"you should talk about this with the people you're closest to."
"many people who have cancer feel this way."
"you feel like you want to discontinue treatment?" - correct
Answer "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?
Collaborate with a dietitian.
Ensure that the client is provided with a high-ber diet.
Implement recommendations from the speech-language pathologist. Request a
referral for an occupational therapist. - correct answer 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? - correct answer keep the client in a
side-lying position.
Greatest risk to the client following a stroke is aspiration. The nurse should
position the client in a lateral, or side-lying, position to allow any secretions to
drain out of the mouth, decreasing the risk for aspiration. Additionally, the nurse
should have suction equipment available in the event that any secretions are
present in the oral cavity.
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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? - correct
answer herpes zoster for 60 years of age and older.
Meningococcal vaccine to college students and military recruits who are living in
shared housing.
Hpv vaccine for clients who are 9 to 26 years of age.
Mmr vaccine to clients who are 62 years of age.
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?
Use a commercial mouthwash before taking the medication.
Instruct the client to swish the medication in their mouth.
Discontinue the medication as soon as the lesions are healed. Combine the
medication with applesauce - correct answer 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? - correct
answer 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? -
correct answer hyperactive bowel sounds
Normal bowel sounds, the nurse should expect to hear 5-35 gurgles and clicks in
1 min.
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?
Apply hot packs to the client's muscles. Schedule
physical therapy in the afternoon encourage the client to
complete adls.
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Administer valerian to promote sleep - correct answer 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
Position the affected extremity at a 45º
Restrict the client's fluid intake
Maintain the pressure dressing
Check the client's peripheral pulses - correct answer 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?
"cover the floor of your bedroom with carpet."
"do not allow visitors to smoke cigarettes in your home."
"breathe cold air to ease feelings of shortness of breath." "open the
windows in your home during the spring to increase air flow." - correct
answer "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?
Reduces bacteria in the urinary tract
Suppresses urge to void
Prevents nerve stimulation to the bladder muscle
Decreases pain during urination - correct answer 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?
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Polyuria
Abdominal cramps
Renal insufficiency
Insomnia - correct answer 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
Fat embolism
Deep-vein thrombosis
Osteomyelitis - correct answer 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?
Expect decreased sensation for the rst postoperative week.
Avoid lying on the operative side.
Obtain a raised toilet seat.
Cross legs at the ankles - correct answer 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? -
correct answer initiate oxygen at 4 l/min via nasal cannula.
Clients who have manifestations of sepsis are often hypoxic, tachypneic, or have
a paco2 level less than 32 mm hg. The nurse should provide supplemental
oxygen to keep the client's oxygen saturation levels at 95% or greater, which will
maximize the ability of the hemoglobin to support the oxygen needs of the body.
A broad spectrum antibiotic, such as ceftriaxone, is administered when sepsis is
suspected because it treats both gram-positive and gram-negative bacteria.
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
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Ati Adult Medical Surgical Nursing Content Mastery Series
(Cms) Exams Study Guide Actual Exam
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? - correct
answer 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?
"are you experiencing abdominal pain?"
"you should talk about this with the people you're closest to."
"many people who have cancer feel this way."
"you feel like you want to discontinue treatment?" - correct
Answer "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?
Collaborate with a dietitian.
Ensure that the client is provided with a high-ber diet.
Implement recommendations from the speech-language pathologist. Request a
referral for an occupational therapist. - correct answer 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? - correct answer keep the client in a
side-lying position.
Greatest risk to the client following a stroke is aspiration. The nurse should
position the client in a lateral, or side-lying, position to allow any secretions to
drain out of the mouth, decreasing the risk for aspiration. Additionally, the nurse
should have suction equipment available in the event that any secretions are
present in the oral cavity.
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
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? - correct
answer herpes zoster for 60 years of age and older.
Meningococcal vaccine to college students and military recruits who are living in
shared housing.
Hpv vaccine for clients who are 9 to 26 years of age.
Mmr vaccine to clients who are 62 years of age.
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?
Use a commercial mouthwash before taking the medication.
Instruct the client to swish the medication in their mouth.
Discontinue the medication as soon as the lesions are healed. Combine the
medication with applesauce - correct answer 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? - correct
answer 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? -
correct answer hyperactive bowel sounds
Normal bowel sounds, the nurse should expect to hear 5-35 gurgles and clicks in
1 min.
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?
Apply hot packs to the client's muscles. Schedule
physical therapy in the afternoon encourage the client to
complete adls.
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Administer valerian to promote sleep - correct answer 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
Position the affected extremity at a 45º
Restrict the client's fluid intake
Maintain the pressure dressing
Check the client's peripheral pulses - correct answer 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?
"cover the floor of your bedroom with carpet."
"do not allow visitors to smoke cigarettes in your home."
"breathe cold air to ease feelings of shortness of breath." "open the
windows in your home during the spring to increase air flow." - correct
answer "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?
Reduces bacteria in the urinary tract
Suppresses urge to void
Prevents nerve stimulation to the bladder muscle
Decreases pain during urination - correct answer 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?
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Polyuria
Abdominal cramps
Renal insufficiency
Insomnia - correct answer 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
Fat embolism
Deep-vein thrombosis
Osteomyelitis - correct answer 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?
Expect decreased sensation for the rst postoperative week.
Avoid lying on the operative side.
Obtain a raised toilet seat.
Cross legs at the ankles - correct answer 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? -
correct answer initiate oxygen at 4 l/min via nasal cannula.
Clients who have manifestations of sepsis are often hypoxic, tachypneic, or have
a paco2 level less than 32 mm hg. The nurse should provide supplemental
oxygen to keep the client's oxygen saturation levels at 95% or greater, which will
maximize the ability of the hemoglobin to support the oxygen needs of the body.
A broad spectrum antibiotic, such as ceftriaxone, is administered when sepsis is
suspected because it treats both gram-positive and gram-negative bacteria.
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
Downloaded by NELSON KIIRU ()
