202 ATI Med-Surg proctored Exam review Questions and Answers latest updates. Graded A

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202 ATI Med-Surg proctored Exam review Questions and Answers latest updates 1. A nurse is contributing to the plan of care for an older adult client who is postoperative following a right hip arthr... oplasty. Which of the following interventions should the nurse include in the plan? Maintain abduction of the right hip. 2. A nurse is caring for a client who has heart failure and respiratory arrest. Which of the following actions should the nurse take first?Feel for a carotid pulse. 3. A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer certain he wants to have the procedure. Which of the following responses should the nurse make? "Bypass surgery must be very frightening for you." 4. A nurse is caring for a client who is postoperative following foot surgery and is not to bear weight on the operative foot. The nurse enters the room to discover the client hopped on one foot to the bathroom, using an IV pole for support. Which of the following actions should the nurse take?Tell the client to remain in the bathroom after toileting and obtain a wheelchair. 5. A nurse is assisting with the care of a client who is postoperative and has a closed-wound drainage system in place. Which of the following actions should the nurse take? Fully recollapse the reservoir after emptying it. 6. A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following statements by the client indicates an understanding of the teaching? "I will abstain from sexual intercourse." 7. A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching? Breathe in through her nose and out through pursed lips. 8. A nurse is caring for a client who is postoperative and has a history Addison's disease. For which of the following manifestations should the nurse monitor? Hypotension 9. A nurse is reinforcing pre-operative teaching for a client who is scheduled for surgery and is to take hydroxyzine preoperatively. Which of the following effects of the medication should the nurse include in the teaching? (Select all that apply.) ✔Decreasing anxiety ✔Controlling emesis ✔Reducing the amount of narcotics needed for pain relief 10. A nurse is reinforcing teaching with a client who has a new prescription for epoetin alfa. The nurse should reinforce to the client to take which of the following dietary supplements with this medication? Iron11. A nurse is caring for a client after a radical neck dissection. To which of the following should the nurse give priority in the immediate postoperative period? Ineffective airway clearance related to thick, copious secretion 12. A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8 who is admitted for comprehensive rehabilitation. Which of the following long-term goals is appropriate with regard to the client's mobility? Propel a wheelchair equipped with knobs on the wheels. 13. A nurse is reinforcing health teaching about skin cancer with a group of clients. Which of the following risk factors should the nurse identify as the leading cause of non-melanoma skin cancer? Sun exposure. 14. Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?"Do you sleep well at night?" 15. A nurse is reinforcing teaching with a client about cancer prevention and plans to address the importance of foods high in antioxidants. Which of the following foods should the nurse include in the teaching?Fresh berries 16. A nurse is assisting with caring for a client who has a new concussion following a motorvehicle crash. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure? Lethargy 17. A nurse is reinforcing teaching about a tonometry examination with a client who has manifestations of glaucoma. Which of the following statements should the nurse include in the teaching? "This test will measure the intraocular pressure of the eye." 18. A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following laboratory findings should the nurse identify as the most important to report to the provider? Increase in serum creatinine 19. A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect? Drop in systolic BP more than 10 mm Hg on inspiration 20. A nurse is caring for a client who has Alzheimer's disease. The nurse discovers the client entering the room of another client, who becomes upset and frightened. Which of the following actions should the nurse take? Attempt to determine what the client was looking for.21. A nurse is caring for a client immediately following a cardiac catheterization with a femoral artery approach. Which of the following actions should the nurse take? Check pedal pulses every 15 min. 22. A nurse is assisting with planning an immunization clinic for older adult clients. Which of the following information should the nurse plan to include about influenza? The composition of the influenza vaccine changes yearly. 23. A nurse is caring for an older adult client who has colon cancer. The client asks the nurse several questions about his treatment plan. Which of the following actions should the nurse take? Help the client write down questions to ask his provider. 24. A nurse is caring for a client who has hemiplegia following a stroke. The client's adult son is distressed over his mother's crying and condition. Which of the following responses should the nurse make? "It must be hard to see your mother so ill and upset." 25. A nurse is reinforcing teaching with the family of a client who has primary dementia. Which of the following manifestations of dementia should the nurse include in the teaching? Forgetfulness gradually progressing to disorientation 26. A nurse is contributing to the plan of care for a client who has labyrinthitis. Which of the following interventions should the nurse include in the plan? Monitor client's cardinal fields of vision. 27. A nurse is contributing to the plan of care for a client who is admitted with a deep vein thrombosis (DVT) of the left leg. Which of the following interventions should the nurse include in the plan? Monitor platelet levels 28. A nurse is caring for a client who comes to the clinic to be tested for tuberculosis (TB) after a close family contact tests positive. Which of the following measures should the nurse anticipate preparing for this client? Chest x-ray 29. A nurse is reviewing data for a client who has a head injury. Which of the following findings should indicate to the nurse that the client might have diabetes insipidus? Urine output 650 mL/hr 30. A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client? "I took my metformin before breakfast." 31. A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds? Expiratory wheeze32. A nurse is planning to change an abdominal dressing for a client who has an incision with a drain. Which of the following actions should the nurse plan to take? Don clean gloves to remove the dressing. 33. A nurse is caring for a client who is scheduled to undergo thoracentesis. In which of the following positions should the nurse place the client for the procedure? Sitting, leaning forward over the bedside table. 34. A nurse is caring for a client newly diagnosed with ovarian cancer. Which of the following reactions from the client should the nurse initially expect? Denial 35. A nurse is contributing to the plan of care for a client who is postoperative following peritoneal lavage for peritonitis. The client has a nasogastric tube to low-intermittent suction and closed-suction drains in place. Which of the following interventions should the nurse include in the plan? Place the client in a high Fowler's position. 36. A nurse is caring for a client who is receiving hemodialysis. Which of the following client measurements should the nurse compare before and after dialysis treatment to determine fluid losses? Body weight 37. A nurse is caring for a client who is receiving a unit of packed RBCs. About 15 min following the start of the transfusion, the nurse notes that the client is flushed and febrile, and reports chills. To help confirm that the client is having an acute hemolytic transfusion reaction, the nurse should observe for which of the following manifestations? Hypotension 38. A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. The nurse should recognize the client is experiencing which of the following conditions? A sensory warning that a seizure is imminent 39. A nurse is caring for a client who just had cataract surgery. Which of the following comments from the client should the nurse report to the provider? "I need something for the horrible pain in my eye." 40. A nurse is caring for a client who is scheduled for a colonoscopy. The client asks the nurse if there will be a lot of pain during the procedure. Which of the following responses should the nurse make? "You may feel some cramping during the procedure." 41. A nurse caring for a client at risk for increased intracranial pressure is monitoring the client for manifestations that indicate that the pressure is increasing. To do this, the nurse should check the function of the third cranial nerve by performing which of the following data-collection activities? Checking pupillary responses to light 42. A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse shouldexplain that the medication should have which of the following effects? Reducing anxiety 43. A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report? Frequent mood changes 44. A nurse is collecting data from a client who has skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites? Fever 45. A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.) ✔Blurry vision ✔Tachycardia ✔Sweating symptoms of hyperglycemia ✔polyphagia ✔polyuria ✔polydipsia 46. A nurse is collecting data from a client who has an exacerbation of gout. Which of the following findings should the nurse expect? (Select all that apply.) hint: all EE's and all TT's ✔Edema ✔Erythema ✔Tophi ✔Tight skin 47. A nurse is caring for a client who has myasthenia gravis (MG). Which of the following is a complication of MG for which the nurse should monitor? Hint: ABC's Respiratory difficulty 48. A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize which of the following actions is the priority? Evaluate fluid and electrolyte levels. 49. A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching? "You should wear glasses instead of contacts while taking this medication." 50. A nurse is reinforcing teaching about cyclosporine for a client who is postoperative following a renal transplant. Which of the following statements by the client indicates an understanding of the teaching? "I will need to take this medication for the rest of my life." 51. A nurse is caring for a client who has Parkinson's disease and is taking selegiline 5 mg by mouth twice daily. Which of the following therapeutic outcomes should the nurse monitor for with a client who is taking this medication? Decreased tremors 52. A nurse is assisting in the care of a client who is receiving a transfusion of packed red blood cells. The client develops itching and hives. Which of the following actions should the nurse take first? Stop the transfusion. 53. A nurse is reinforcing teaching with a client about how to prevent the onset of manifestations of Raynaud's phenomenon. Which of the following statements should thenurse identify as an indication that the client needs further teaching? "I will keep my house at a cool temperature." 54. A nurse is reinforcing teaching with a client who has iron-deficiency anemia and is to start taking ferrous sulfate twice a day. Which of the following statements by the client indicate an understanding of the teaching? "I will take the medication with orange juice." 55. A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy. Which of the following dietary supplements should the nurse include in the teaching as the treatment for pernicious anemia? Vitamin B12 56. A nurse is caring for a client who is scheduled for surgical repair of a femur fracture and has a prescription for lorazepam preoperatively. Which of the following statements by the client should indicate to the nurse that the medication has been effective? "I feel very sleepy." 57. A nurse is collecting data from a client who has AIDS. When checking the client's mouth, the nurse notes a white, creamy covering on the tongue and buccal membranes. The nurse should recognize this is a manifestation of which of the following conditions? Candidiasis 58. A nurse is caring for a client who is postoperative open reduction and internal fixation with placement of a wound drain to repair a hip fracture. Which of the following actions should the nurse take?Empty the suction device every 4 hr. 59. A nurse is assisting with teaching a client who has a history of smoking about recognizing early manifestations of laryngeal cancer. The nurse should instruct the client to monitor and report which of the following manifestations of laryngeal cancer? Hoarseness 60. A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following laboratory values should the nurse review to determine the client's renal function? Serum creatinine 61. A nurse is collecting data from a client who has Cushing's syndrome. Which of the following manifestations should the nurse expect? Bruising 62. A nurse is caring for a client who is postoperative and requesting something to drink. The nurse reads the client's postoperative prescriptions, which include, "Clear liquids, advance diet as tolerated." Which of the following actions should the nurse take first? Auscultate the client's abdomen. 63. A nurse is collecting data on a client who has a surgical wound healing by secondary intention. Which of the following findings should the nurse report to the charge nurse? The wound has a halo of erythema on the surrounding skin.64. A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax? Absence of breath sounds 65. A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect? Peripheral edema 66. A nurse is caring for a client who is receiving chemotherapy for treatment of ovarian cancer and experiencing nausea. Which of the following actions should the nurse take? Encourage the client to drink a carbonated beverage 1 hr before meals. 67. A nurse is assisting with the care of a client following a transurethral resection of the prostate (TURP) and has an indwelling urinary catheter. Which of the following actions should the nurse take?Irrigate the catheter as prescribed. 68. A nurse is evaluating discharge instructions for a client following a right cataract extraction. Which of the following client statements indicates the teaching is effective? "I will take a stool softener until my eye is healed." 69. A nurse is collecting data from a client who is 6 days post craniotomy for removal of an intracerebral aneurysm. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure? Hypertension 70. A nurse is caring for a client who has COPD. Which of the following actions should the nurse take? Encourage the client to drink 8 glasses of water a day. 71. A nurse is caring for a client who was admitted with major burns to the head, neck, and chest. Which of the following complications should the nurse identify as the greatest risk to the client? Airway obstruction 72. A nurse is collecting data from a client who was bitten by a tick one week ago. Which of the following client manifestations should the nurse identify as an indication of the development of Lyme disease? An expanding circular rash 73. A nurse is a contributor to the plan of care for a client who is 12 hr postoperative following a right radical mastectomy with closed suction drains present. The nurse should expect that the client will be unable to perform which of the following activities with her right arm? Combing her hair 74. A nurse in a provider's office is collecting data for a 45-year-old client who is having manifestations associated with perimenopause. Which of the following findings should the nurse expect? Report of dryness with vaginal intercourse [Show More]

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