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ATI RN MEDICAL SURGICAL PREDICTOR NEWEST
NGN VERSION WITH RATIONALES REAL EXAM WITH
ALL 100 QUESTIONS AND CORRECT
ANSWERS|GRADED A+
A nurse is caring for a client who has a leg cast and is
returning to demonstrate on the proper use of crutches
while climbing stairs. Identify the sequence the client
should follow when demonstrating crutch use.
- Brings the crutches and the affected leg up to the stair
- Places body weight on the crutches
- Shifts weight from the crutches to the unaffected leg
- Advances the unaffected leg onto the stair - Answer--
Places body weight on the crutches
- Advances the unaffected leg onto the stair
- Shifts weight from the crutches to the unaffected leg
- Brings the crutches and the affected leg up to the stair
A nurse is caring for a client who has hypothyroidism.
Which of the following manifestations should the nurse
expect?
- Constipation
- Insomnia
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- Tachycardia
- Diaphoresis - Answer-- Constipation
RATIONALE: A client who has hypothyroidism can
experience constipation due to the decrease in the client's
metabolism, resulting in slow motility of the GI tract. The
nurse should instruct the client to increase fiber and fluid
intake to reduce the risk for constipation.
A nurse is assessing a client who has a diagnosis of
rheumatoid arthritis. Which of the following
nonpharmacological interventions should the nurse
suggest to the client to reduce pain?
- Increase intake of foods containing calcium
- Alternate application of heat and cold to the affected
joints
- Keep the affected extremities elevated
- Limit movement of the affected joints - Answer-- Alternate
application of heat and cold to the affected joints
RATIONALE: The nurse should instruct the client to
alternate heat and cold applications to decrease joint
inflammation and pain. The application of cold can relieve
joint swelling and the application of heat can decrease
joint stiffness and pain.
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A nurse is caring for a client who is receiving a blood
transfusion. The client becomes restless, dyspneic, and
has crackles noted to the lung bases. Which of the
following actions should the nurse anticipate taking?
- Administer an antihistamine
- Slow the infusion rate
- Give the client a corticosteroid
- Elevate the client's lower extremities - Answer-- Slow the
infusion rate
RATIONALE: Dyspnea, restlessness, and the onset of
crackles during a blood transfusion are manifestations of
circulatory overload. The nurse should slow or stop the
infusion to improve the client's ability to breath, place the
client in an upright position, and notify the provider. The
provider might prescribe a diuretic to alleviate the fluid
overload.
A nurse in the emergency department is assessing a client
who has a detached retina. Which of the following should
the nurse expect the client to report?
- "It's like a curtain closed over my eye."
- "This sharp pain in my eye started 2 hours ago."
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- "I've been having more and more difficulty seeing over
the last few weeks."
- "I seem to have more problems seeing different colors." -
Answer-- "It's like a curtain closed over my eye."
RATIONALE: A retinal detachment is the separation of the
retina from the epithelium. It can occur because of trauma,
cataract surgery, retinopathy, or uveitis. Clients who have
retinal detachment typically report the sensation of a
curtain being pulled over part of the visual field.
A nurse is teaching a client who has a family history of
colorectal cancer. To help mitigate this risk, which of the
following dietary alterations should the nurse recommend?
- Add full-fat yogurt to the diet
- Add cabbage to the diet
- Replace butter with coconut oil
- Replace shellfish with red meat - Answer-- Add cabbage
to the diet
RATIONALE: To help reduce the risk for colorectal cancer,
the client should consume a diet that is high in fiber, low in
fat, and low in refined carbohydrates. Brassica vegetables,
such as cabbage, cauliflower, and broccoli, are high in
fiber.
ATI RN MEDICAL SURGICAL PREDICTOR NEWEST
NGN VERSION WITH RATIONALES REAL EXAM WITH
ALL 100 QUESTIONS AND CORRECT
ANSWERS|GRADED A+
A nurse is caring for a client who has a leg cast and is
returning to demonstrate on the proper use of crutches
while climbing stairs. Identify the sequence the client
should follow when demonstrating crutch use.
- Brings the crutches and the affected leg up to the stair
- Places body weight on the crutches
- Shifts weight from the crutches to the unaffected leg
- Advances the unaffected leg onto the stair - Answer--
Places body weight on the crutches
- Advances the unaffected leg onto the stair
- Shifts weight from the crutches to the unaffected leg
- Brings the crutches and the affected leg up to the stair
A nurse is caring for a client who has hypothyroidism.
Which of the following manifestations should the nurse
expect?
- Constipation
- Insomnia
,2|Page
- Tachycardia
- Diaphoresis - Answer-- Constipation
RATIONALE: A client who has hypothyroidism can
experience constipation due to the decrease in the client's
metabolism, resulting in slow motility of the GI tract. The
nurse should instruct the client to increase fiber and fluid
intake to reduce the risk for constipation.
A nurse is assessing a client who has a diagnosis of
rheumatoid arthritis. Which of the following
nonpharmacological interventions should the nurse
suggest to the client to reduce pain?
- Increase intake of foods containing calcium
- Alternate application of heat and cold to the affected
joints
- Keep the affected extremities elevated
- Limit movement of the affected joints - Answer-- Alternate
application of heat and cold to the affected joints
RATIONALE: The nurse should instruct the client to
alternate heat and cold applications to decrease joint
inflammation and pain. The application of cold can relieve
joint swelling and the application of heat can decrease
joint stiffness and pain.
,3|Page
A nurse is caring for a client who is receiving a blood
transfusion. The client becomes restless, dyspneic, and
has crackles noted to the lung bases. Which of the
following actions should the nurse anticipate taking?
- Administer an antihistamine
- Slow the infusion rate
- Give the client a corticosteroid
- Elevate the client's lower extremities - Answer-- Slow the
infusion rate
RATIONALE: Dyspnea, restlessness, and the onset of
crackles during a blood transfusion are manifestations of
circulatory overload. The nurse should slow or stop the
infusion to improve the client's ability to breath, place the
client in an upright position, and notify the provider. The
provider might prescribe a diuretic to alleviate the fluid
overload.
A nurse in the emergency department is assessing a client
who has a detached retina. Which of the following should
the nurse expect the client to report?
- "It's like a curtain closed over my eye."
- "This sharp pain in my eye started 2 hours ago."
, 4|Page
- "I've been having more and more difficulty seeing over
the last few weeks."
- "I seem to have more problems seeing different colors." -
Answer-- "It's like a curtain closed over my eye."
RATIONALE: A retinal detachment is the separation of the
retina from the epithelium. It can occur because of trauma,
cataract surgery, retinopathy, or uveitis. Clients who have
retinal detachment typically report the sensation of a
curtain being pulled over part of the visual field.
A nurse is teaching a client who has a family history of
colorectal cancer. To help mitigate this risk, which of the
following dietary alterations should the nurse recommend?
- Add full-fat yogurt to the diet
- Add cabbage to the diet
- Replace butter with coconut oil
- Replace shellfish with red meat - Answer-- Add cabbage
to the diet
RATIONALE: To help reduce the risk for colorectal cancer,
the client should consume a diet that is high in fiber, low in
fat, and low in refined carbohydrates. Brassica vegetables,
such as cabbage, cauliflower, and broccoli, are high in
fiber.
