ATI RN Adult Medical Surgical Practice B 2023-2024 Latest Update (GRADED A), Exams of Nursing

Download ATI RN Adult Medical Surgical Practice B 2023-2024 Latest Update (GRADED A) and more Exams Nursing in PDF only on Docsity! ATI RN Adult Medical Surgical Practice B 2023-2024 Latest Update (GRADED A) A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse expect? - ANSWER Hair loss on the lower legs A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. Which of the following statements should the nurse identify as an indication that the client understands the teaching? - ANSWER "I will use my hands rather than a washcloth to clean the radiation area. A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy. A nurse is providing teaching for the client. Which of the following instructions should the nurse include? Select all that apply. - ANSWER Avoid drinking fluids with meals Eat several small meals Consume high-protein snacks Avoid highly seasoned foods A nurse is caring for a client who is scheduled for a right knee arthroplasty. The nurse provided preoperative teaching to the client. Which of the following statements by the client indicates an understanding of the teaching? Select all that apply. - ANSWER "I will need to do the breathing exercises every 1 to 2 hours after the surgery" "I will be sure to ask for pain medication before my knee starts to hurt too bad" "I will probably be going home with a walker" A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should the nurse include? - ANSWER Remind the client to scan their complete range of vision during ambulation. An older adult client is brought to an emergency department by a family member. Which of the following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration? - ANSWER Urine specific gravity 1.045 A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. Which of the following images depicts a condition caused by pernicious anemia? - ANSWER A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36° C (96.8° F). Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? - ANSWER Heart rate 110/min. A nurse is caring for a client who is 4 hr postoperative following a total vaginal hysterectomy. Click to highlight the findings the nurse should report to the provider immediately. - ANSWER Perineal pad saturated with blood, large clots present Change of blood pressure, heart rate of 102/min A nurse is caring for a client who has HIV. Which of the following findings indicates a positive response to the prescribed HIV treatment? - ANSWER Decreased viral load A nurse is providing discharge teaching to a client who has heart failure and a new prescription for a potassium-sparing diuretic. Which of the following information should the nurse include in the teaching? - ANSWER Try to walk at least three times per week for exercise. A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? - ANSWER History of asthma A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching? - ANSWER "You should cut the opening of the skin barrier one-eighth inch wider than the stoma." A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Which of the following information should the nurse include in the instructions? - ANSWER Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition? - ANSWER Pain that increases with passive movement A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The client is unable to void on the bedpan. Which of the following actions should the nurse take first? - ANSWER Scan the bladder with a portable ultrasound. The nurse has completed their performing an assessment of the client and reviewing the client's EMR. (For each of the client's assessment finding, click to specify if the finding is consistent with appendicitis or Crohn's disease. Each finding may support more than one disease process.) - ANSWER Appendicitis - Pain location, temperature, GI concerns Crohn's Disease - Stool color, pain location, temperature, GI concerns A nurse is caring for a client. Complete the following sentence by using the lists of options. - ANSWER After reviewing the findings in the client's medical record, the nurse should first address the client's ABDOMINAL FINDINGS followed by the client's PAIN RATING The nurse is providing care for the client. The nurse is planning care for the client. (For each potential provider's prescription, click to specify if each potential prescription is anticipated or contraindicated for the client.) - ANSWER Anticipate - Obtain blood cultures, insert NG, obtain vitals Contraindicated - Bolus fluids The nurse is providing care for the client. A nurse is reviewing the client's electronic medical record (EMR) and the provider's prescriptions. Which of the following actions should the nurse take? Select the 3 actions that the nurse should take. - ANSWER Administer gentamicin 100 mg IV. Administer client's PO medication with a sip of water. Ensure that the client has provided informed consent. The nurse is providing care for the client. A nurse is providing discharge teaching with the client. Which of the following statements made by the client indicates an understanding of the teaching? (Select all that apply.) - ANSWER "I should schedule several rest periods throughout the day." "I should notify my provider if my temperature is higher than 101 degrees Fahrenheit." A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The nurse should instruct the client that which of the following supplements can interfere with the effectiveness of the medication? - ANSWER Calcium A nurse is providing teaching to a client who has irritable bowel syndrome (IBS). Which of the following instructions should the nurse include in the teaching? - ANSWER Increase fiber intake to at least 30 g per day. A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter readings have fluctuated between 79% and 88% for the last 30 min. Which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen? - ANSWER Nonrebreather mask A nurse is providing discharge teaching about infection prevention to a client who is receiving chemotherapy. Which of the following statements by the client indicates understanding of the teaching? - ANSWER "I can ask a friend to change my cats litter box." A nurse is caring for an client who has dementia and requires acute care for a respiratory infection. The client is agitated and is attempting to remove their IV catheter. Which of the following actions should nurse take to avoid restraining the client? - ANSWER Keep the client occupied with a manual activity. A nurse is caring for a client who presents to a clinic for a 1-week follow- up visit after hospitalization for heart failure. Based on the information in the client's chart, which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) - ANSWER Heart rate 55/min A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection? - ANSWER Avoid placing plants or flowers in the client's room. A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery. The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? - ANSWER Warfarin A nurse is planning care for a client who is postoperative following a parathyroidectomy. Which of the following actions should the nurse identify as the priority? - ANSWER Place a tracheostomy tray at the bedside. A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. Which of the following statements by the client reflects an understanding of the teaching? - ANSWER "This identifies if the pacemaker cells of my heart are working properly." A nurse is providing discharge instructions to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? - ANSWER Wrap fingers with individual dressings. A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? - ANSWER Troponin 18 ng/mL A nurse is caring for a client who has a stage 3 pressure injury. Which of the following findings contributes to delayed wound healing? - ANSWER Urine output 25 mL/hr A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER "I am taking this medication to increase my energy level." A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The client is to receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV pump should be set at how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - ANSWER 167 mL/hr A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous. Which of the following actions should the nurse take? - ANSWER Inject the medication into the anterolateral abdominal wall. A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. Which of the following information should the nurse include in the teaching? - ANSWER Create complete outfits and allow the client to select one each day. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client's bedside? - ANSWER Suction machine A nurse is caring for a client. The nurse is reviewing the client's diagnostic results. Which of the following findings requires follow-up by the nurse? Select all that apply. - ANSWER BUN level Chest x-ray Oxygen saturation level WBC count PCO₂ level A nurse is caring for a client. the following neurologic deficits should the nurse expect to find when assessing the client? (Select all that apply.) - ANSWER Visual spatial deficits Left hemianopsia One-sided neglect A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? - ANSWER Tachycardia A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following should the nurse plan to administer? - ANSWER Regular insulin 20 units IV bolus A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse should postpone the testing and report to the provider which of the following findings? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) - ANSWER Current medications A nurse in an emergency department is reviewing the provider's prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse expect? - ANSWER Administer an opioid analgesic to the client. A nurse is providing teaching to a client who has a new prescription for psyllium. Which of the following information should the nurse include in the teaching? - ANSWER Drink 240 mL (8 oz) of water after administration. A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which of the following adverse effects should the nurse monitor? - ANSWER Respiratory paralysis A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following is the priority assessment finding that the nurse should report to the provider? - ANSWER Blood pressure 170/80 mm Hg A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) - ANSWER Administer oxygen via a nonrebreather mask. Initiate IV therapy with a large-bore catheter. Insert an NG tube. Administer famotidine. A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take? - ANSWER Bathe the client using chlorhexidine solution. A nurse is caring for a client who is experiencing supraventricular tachycardia. Upon assessing the client, the nurse observes the following findings: heart rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate 30/min. Which of the following actions should the nurse take? - ANSWER Perform synchronized cardioversion. A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? - ANSWER Low urine specific gravity A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? - ANSWER Wear a mask. A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? - ANSWER A client who is receiving preoperative teaching for a right knee arthroplasty. A nurse is caring for a client in the emergency department (ED). Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress. - ANSWER Administer Morphine IV Ensure client is NPO Cholecystitis Monitor for rectal bleeding Monitor for dark urine A nurse is caring for a client. For each assessment finding, click to specify if the finding is consistent with emphysema, asthma, or pneumonia. Each finding may support more than 1 disease process. - ANSWER Emphysema - ABG results, Respiratory rate, Heart rate, Breath sounds, Cough Asthma - Resp rate, breath sounds, cough Pneumonia - ABG, RR, temp, HR, breath, cough A nurse is caring for a client who was just admitted from the emergency department (ED). Drag words from the choices below to fill in each blank in the following sentence. - ANSWER The client is most likely experiencing acute chest syndrome and pneumonia.