ATI FINAL MEDICAL SURGICAL PROCTORED EXAM REVIEW STUDY GUIDE

ATI FINAL MEDICAL SURGICAL PROCTORED EXAM REVIEW STUDY GUIDE A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? - CORRECT ANSWER-Lymphedema A nurse is preparing to administer lactated Ringer's via continuos IV infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many gtt/min should the nurse set the IV ump to administer? - CORRECT ANSWER-33 A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following client statements indicates an understanding of the teaching? - CORRECT ANSWER-I should lie down when I take this medication A nurse is providing discharge teaching to an older adult client following total hip arthroplasty. Which of the following instructions should the nurse include in the teaching. - CORRECT ANSWER-Install a raised toilet seat in your bathroom A nurse is planning care for a client following a cardiac catheterization. which of the following actions should the nurse take. - CORRECT ANSWER-Maintain the client's affected extremity in extension A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. which of the following client statements indicates that the client is adapting to their role change? - CORRECT ANSWER-I will need to have my partner take over shopping for groceries and cooking the meals for us A nurse is providing teaching to a client who has an impaired immune system due to chemotherapy. which of the following information should the nurse include in the teaching? - CORRECT ANSWER-Change your pet's litter box daily a nurse is caring for a client who has a contusion and reports thirst. The client's urinary output was 4,000 ml over past 24 hr. the nurse should anticipate a prescription for which of the following IV medications? - CORRECT ANSWER-Desmopressin A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor and reports nagging dry cough. Which of the following responses by the nurse is appropriate? - CORRECT ANSWER-Sucking on a lozenge may reduce the frequency of your cough A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following assessment findings should the nurse identify as a parenteral trigger for exacerbation of Raynaud's? - CORRECT ANSWER-Using nicotine transdermal patch A nurse is caring for a client who has a central venous device and notes the tubing has become disconnected. the client develops dyspnea and tachycardia. Which of the following actions should the nurse take first? - CORRECT ANSWERA nurse is completing an assessment of an older client and notes reddened areas over the bony prominences, but the client's skin is intact. which of the following interventions should the nurse include in the plan of care? - CORRECT ANSWER-Support bony prominences with pillows A home health nurse is making an initial visit to a client who has multiple sclerosis. Which of the following actions is the priority for the nurse to take? - CORRECT ANSWERA nurse in the emergency department is assessing a client. which of the following actions should the nurse take first? (click on rhe "exhibit" button for additional information about the client - CORRECT ANSWER-Initiate airborne precautions A nurse is reviewing the medical record of a client to identify factors for colorectal cancer. The nurse should identify which of the following findings as increasing the client's risk? - CORRECT ANSWER-Historyof Crohn's disease A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse, "I'm not sure I want to have a mastectomy." Which of the following statements should the nurse make? - CORRECT ANSWER-I can give you additional information about the procedure A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identify the sequence of steps the nurse should follow. - CORRECT ANSWER-1. obtain venous access using a 19-gauge needle 2. Obtain the unit of a packed RBCs from blood bank 3. verify blood compatibility with another nurse 4. Initiate traensfuntion of the unit of packed RBCs 5. Remain with the client for the first 15 to 30 minutes A nurse is providing discharge teaching to a client following a modified left radical mastectomy with breast expander. Which of the following statements by the client indicates an understanding of the teaching. - CORRECT ANSWER-I should expect less than 25 ml of secretions per day in the drainage devices A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli, the client does not open her eyes, displays decerebrate posturing and makes incomprehensible sounds. which of the following glasgow Coma scale scores should the nurse assign the client? - CORRECT ANSWER-5 A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit sodium intake to 2 g per day. Which of the following statements by the client indicates an understanding of the teaching? - CORRECT ANSWER-I can have a frozen fruit juice bar for dessert A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye. Which of the following actions should the nurse plan to take first? - CORRECT ANSWER-instill 0.9% sodium chloride solution into the affected eye A nurse is assessing a client following extubation from a which of the following findings should the nurse intervene immediately? - CORRECT ANSWERStridor A nurse is reviewing the laboratory reports of a client who has acute pancreatitis. Which of the following findings should the nurse expect? - CORRECT ANSWER-Elevated blood glucose A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the following findings should the nurse expect? - CORRECT ANSWER-Urine specific gravity 1.001 A nurse is planning care for a client who has a pulmonary embolism. which of the following interventions should the nurse include? - CORRECT ANSWER-Initiate a continuos IV heparin infusion a nurse is providing discharge teaching to a client who is recovering from a sickle cell crisis. which of the following instructions should the nurse include? - CORRECT ANSWER-Avoid extremely hot or cold temperatures A nurse in the emergency department is caring for a client who is in hypovolemic shock. Which of the following ac ons should the nurse take first? - CORRECT ANSWER-Insert a large-bore IV catheter