Ati Adult Medical Surgical Nursing 2025 Content Mastery
Series (Cms) Exams Study Guide Actual Exam
A Nurse Is Collecting Data From A Client Who Has Acute Cholecystitis. Which Of
The Following Manifestations Should The Nurse Expect? - Correct Answer Pain
Radiating To The Right Shoulder.
A Nurse Is Reinforcing Teaching With A Client Who Has A Prescription For
Clopidogrel Following A Thrombotic Stroke. Which Of The Following Information
Should The Nurse Include In The Teaching? - Correct
Answer "The Medication Prevents Clot Formation."
A Nurse Is Contributing To The Plan Of Care For A Client Who Is In Skeletal
Traction. Which Of The Following Interventions Should The Nurse Include? -
Correct Answer Keep The Client's Body Centered In The Bed.
A Nurse Is Contributing To The Plan Of Care For A Client Who Has Dysphagia
Following A Stroke. Which Of The Following Actions Should The Nurse Include In
The Plan Of Care To Prevent Aspiration? - Correct Answer Keep The Client
Upright For 30 Min After A Meal.
A Nurse Is Reinforcing Postoperative Teaching With A Client Who Is Scheduled
For Cataract Surgery On His Right Eye. Which Of The Following Instructions
Should The Nurse Include? - Correct Answer "Wear A Protective Eye Shield
While Sleeping."
A Nurse Is Collecting Data From A Client Who Was Admitted With A Glasgow
Coma Scale (Gcs) Of 3. Which Of The Following Findings Should The Nurse
Expect? - Correct Answer Nonresponsive To Commands.
A Nurse Is Caring For A Client Who Has Type 1 Diabetes Mellitus And Has
Undergone A Below-The-Knee Amputation. Which Of The Following Is The
Highest Priority Finding? - Correct Answer Skin Flap Of The Residual Limb Is
Cool To The Touch.
A Nurse Is Reinforcing Teaching About The Prevention Of Sexually Transmitted
Infections (Stis) Which A Client Who Is Sexually Active. Which Of The Following
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Information Should The Nurse Include In The Teaching? - Correct Answer
Inserting A Polyurethane Female Condom Is Effective For Prevention Of Stis.
A Nurse Is Administering A Tap Water Enema To A Client Who Has Constipation.
The Client Reports Abdominal Cramping During Installation Of The Enema. Which
Of The Following Actions Should The Nurse Take? - Correct Answer Slow The
Rate Of Fluid Flow.
A Nurse Is Reinforcing Teaching About Mammograms Which An Adult Client Who
Is Postmenopausal. Which Of The Following Statements Indicates To The Nurse
That The Client Understands The Teaching? - Correct Answer "I Should Have A
Mammogram Every 1 To 2 Years."
A Nurse Is Collecting Data From A Client And Osculates Intermittent High-Pitched
Sounds During Inspiration Over The Lower Base Of The Lungs. The Nurse Should
Identify This Finding As Which Of The Following Lung Sounds? - Correct Answer
Fine Crackles
A Nurse Is Assisting With The Care Of Four Clients. Which Of The Following
Clients Is The Priority For The Nurse To See? - Correct
Answer A Client Who Has Chest Tubes And An Oxygen Saturation Of
90%
A Nurse Is Preparing To Perform A Closed Irrigation Of An Indwelling Urinary
Catheter For A Client Who Had Abdominal Surgery. Which Of The Following
Actions Should The Nurse Plan To Take? - Correct Answer Stop The Irrigation If
Resistance Is Felt During Fluid Instillation.
A Nurse Is Reviewing The Medical Record Of A Client Who Has Systemic Lupus
Erythematous (Sle). Which Of The Following Findings Should The Nurse Expect?
- Correct Answer Joint Pain
A Nurse Is Preparing To Transfer A Client From A Bed To A Chair Following A
Total Knee Arthroplasty. The Client Has A Prescription For Partial Weight
Bearing. Which Of The Following Actions Should The Nurse Take? - Correct
Answer Position Feet Apart Before Pivoting The Client.
A Nurse Is Reviewing Principles Of Body Mechanics Which A Client Following A
Lumbar Laminectomy. Which Of The Following Statements By The Client
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Indicates An Understanding Of The Teaching? - Correct Answer "I Will Flex At
The Knees And Use My Leg Muscles To Lift An Object Off The Floor."
A Nurse Is Caring For A Client Who Is Preoperative And Does Not Speak The
Same Language As The Nurse. Which Of The Following Actions Should The
Nurse Take? - Correct Answer Incorporate The Use Of Pictures As A
Communication Tool.
A Nurse Is Reinforcing Teaching With A Client Who Is Scheduled For An
Electroencephalogram (Eeg). Which Of The Following Information Should The
Nurse Include In The Teaching? - Correct Answer
"Shampoo Your Hair The Night Before The Procedure."
A Nurse Is Caring For A Client Who Has A New Diagnosis Of Moderate
Alzheimer's Disease. Which Of The Following Provider Prescriptions Should The
Nurse Expect? - Correct Answer Donepezil 5mg Po Daily
A Nurse Is Collecting Data From A Client Who Has Left Homonymous
Hemianopsia Following A Stroke. Which Of The Following Client Findings
Indicates Effective Management Of Homonymous Hemianopsia? - Correct
Answer Eats Items From Both Sides Of The Lunch Tray.
A Nurse Is Reinforcing Teaching Bout Preventing Utis With A Female Client.
Which Of The Following Statements By The Client Indicates An Understanding Of
The Information? - Correct Answer "I Will Increase My Intake Of Water."
A Nurse Is Reinforcing Teaching With A Client About Advance Directives. The
Nurse Should Identify That Which Of The Following Client Responses Indicates
An Understanding Of The Teaching? - Correct Answer "If I Have Advance
Directives With A Do-Not-Resusciate Order, I Can Change It Later."
A Nurse Is Reinforcing Discharge Teaching With A Client Who Has A New Cast.
The Client Is Prescribed Hydrocodone For The Pain. The Nurse Should Instruct
The Client To Report Immediately Which Of The Following Findings To The
Provider? - Correct Answer Swelling Of The Affected Extremity.
A Nurse Is Caring For A Client Who Is Experiencing Difficulty Using Utensils To
Eat Following A Stroke. Which Of The Following Referrals Should The Nurse
Recommend? - Correct Answer Occupational Therapist
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A Nurse Is Reinforcing Teaching With A Client Who Is Experiencing Neutropenia
As A Result Of Chemotherapy. Which Of The Following Information Should The
Nurse Include? - Correct Answer Bathe With Antimicrobial Soap Daily.
Take Temperature Daily.
Avoid Gardening.
A Nurse Is Collecting Data From A Client Who Has Diabetes Myelitis And A Blood
Because Level Of 61 Mg/Dl. Which Of The Findings Should The Nurse Expect? -
Correct Answer Difficulty Concentrating.
The Nurse Is Reinforcing Teaching With A Client Who Has A History Of Calcium
Oxalate Kidney Stones. Which Of The Following Statements By The Client
Indicates An Understanding Of The Instructions? - Correct Answer "I'll Be Sure
To Eliminate Peanuts From My Diet."
A Nurse Is Caring For A Client Who Is Receiving Bolus Enteral Feedings And Is
Prescribed Digoxin And Furosemide. Which Of The Following Actions Should The
Nurse Take? - Correct Answer Flush The Tube With Water Before And After
Each Medication.
Nurse Is Collecting Data From A Client Who Has A New Ileostomy. Which Of The
Following Findings About The Stoneman Said The Nurse Report To The Provider?
- Correct Answer Purple In Appearance.
A Nurse Is Contributing To The Plan Of Care Of A Client Who Has Neurogenic
Bladder Following A Spinal Cord Injury. Which Of The Following Intervention
Should The Nurse Include In The Plan To Develop Bladder Control? - Correct
Answer Stroke The Inner Thigh.
A Nurse Is Caring For A Client Who Has Burns To The Face, Neck, And Upper
Chest. The Client Has Expressed Concerns Regarding The Change To The
Physical Parents. Which Of The Following Actions Should The Nurse Take? -
Correct Answer Encourage The Client To Ask Questions About Their Treatment.
The Nurse Is Caring For A Client Who Is Receiving Peripheral Iv Therapy.
The Nurse Notes That The Iv Site Is Red, Warm, And Painful To The Touch. Which
Of The Following Actions Should The Nurse Take? - Correct Answer
Discontinue The Iv And Apply A Warm Almost, Compress To The Site.
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