ATI Med Surg Test WELL EXPLAINED Multiple Response 2021 EXAM QUESTIONS

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ATI Med Surg Test WELL EXPLAINED Multiple Response 2021 EXAM QUESTIONS A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? (Select... all that apply.) Dyspnea Barrel chest Clubbing of the fingers Shallow respirations A nurse is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that apply.) Buffalo hump Purple striations Moon face A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the following actions should the nurse take? (Select all that apply.) Encourage fluid intake. Monitor the puncture site for hematoma. 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 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.) INCORRECT Polyuria Blurry vision Tachycardia 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.) Edema Erythema Tophi Tight skin A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place. Which of the following actions should the nurse include in the client's plan of care? (Select all that apply.) Perform leg exercises every 2 hr. Encourage hourly use of an incentive spirometer while awake. Document the color, consistency, and amount of nasogastric drainage. A nurse is assisting with discharge teaching for a client who is postoperative following a laryngectomy. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A nurse is assisting with discharge teaching for a client who is postoperative from a mastectomy including the removal of axillary lymph nodes. Which of the following instructions should the nurse include? (Select all that apply.) A client who is postoperative returns to the unit in skeletal traction. When collecting data from the client, the nurse should expect which of the following findings? (Select all that apply.) A nurse is reinforcing teaching about dietary recommendations for a client who has a hiatal hernia. Which of the following client statements indicate understanding of the teaching? (Select all that apply.) "I will lie down for one half hour after meals." "I will consume less caffeine and spicy foods." "I will sleep with the head of my bed elevated." "I will try not to gain weight." A nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of the following clinical manifestations should the nurse expect to find? (Select all that apply.) 13.A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply). 14.A nurse is reinforcing nutrition teaching to a client who has chronic kidney disease about limiting foods high in phosphorus. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply). Milk Sunflower seeds Orange juice Frozen kale Poultry 15.A nurse is assisting in the plan of care for a client who is scheduled to have a renal biopsy. Which of the following actions should the nurse include in the plan? (Select all that apply). Collect a urine specimen prior to the procedure. Obtain an informed consent prior to the procedure. Administer diphenhydramine prior to the procedure. Maintain a clear liquid diet 4 hr prior to the procedure. Complete coagulation studies prior to the procedure. 16. A nurse is caring for a client following a renal biopsy. Which of the following actions should the nurse take? (Select all that apply). Monitor for hematuria. Check for flank pain. Observe for extravasation of tissue surrounding the biopsy site. Encourage ambulation. Administer aspirin PRN for pain. 17.A nurse is reinforcing preoperative teaching to a client who is to undergo a radical prostatectomy. Which of the following statements should the nurse include in the teaching? (Select all that apply). "You may feel the need to urinate even though a catheter is in place." "Performing Kegel exercises following the surgery will help you to manage incontinence." "There is very little postoperative pain with this procedure." "You will be on a low-fiber diet following the surgery." "You should expect your urine to be blood-tinged for a few days following the surgery." A nurse is reinforcing teaching about possible treatments with a client who has psoriasis. Which of the following treatment options should the nurse include in the teaching? (Select all that apply.) Tar preparations Corticosteroids Ultraviolet light therapy Laser therapy Topical antibiotics A nurse is assisting in planning an educational session regarding risk factors for skin cancer to a group of clients. Which of the following information should the nurse plan to include in the session? (Select all that apply.) Being dark-skinned Age under 40 years Overexposure to ultraviolet light Chronic skin irritations Genetic predisposition 20.A nurse is reinforcing teaching with a client who has questions concerning the various treatment options for his new diagnosis of basal cell carcinoma (BCC). Which of the following treatments should she include in the teaching? (Select all that apply). Cryosurgery Electrodessication Radiation therapy Photochemotherapy Mohs surgery A nurse is collecting data for a client who has giant cell arteritis. Which of the following findings should the nurse expect? (Select all that apply.) Chest pain Loss of vision Weight gain Dyspnea Headache A nurse is collecting data from a client who has a herniated intervertebral cervical disc. Which of the following findings should the nurse expect? (Select all that apply.) Tingling in the arms Low back pain Shoulder pain Hip pain Neck stiffness A nurse is collecting data from a client who has Paget's disease. Which of the following findings should the nurse expect? (Select all that apply.) Cranial enlargement Skeletal pain Waddling gait Cold extremities Muscle weakness An occupational health nurse is instructing workers at an industrial facility about emergency procedures to follow in the event of a traumatic amputation. Which of the following guidelines should the nurse include about preserving the amputated part for possible surgical reattachment? (Select all that apply.) Wrap the part in sterile gauze. Place the severed end of the part directly into crushed ice. Put the severed part in a plastic bag. Scrub the severed part with antibacterial solution. Prevent the severed part from coming in contact with water. A nurse in a provider’s office is reinforcing teaching with a client about the risk factors for osteoarthritis. Which of the following information should the nurse include? (Select all that apply.) Bacterial infections Use of diuretic medications Aging Obesity Heredity A nurse in a provider’s office is reinforcing teaching with a female client about risk factors for osteoporosis. Which of the following factors should the nurse include in the teaching? (Select all that apply.) Sedentary lifestyle Obesity Aging Excessive caffeine Hormone therapy A nurse is instructing coworkers about how to minimize lower back pain and avoid repeated episodes of back pain. Which of the following strategies should the nurse include? (Select all that apply.) Avoid prolonged sitting. Apply cold packs frequently. Do partial sit-ups with the knees bent. Sleep on a soft mattress. Ask for help when moving clients. A nurse is caring for a client who has an acute respiratory illness. For which of the following manifestations of an airway obstruction should the nurse monitor? (Select all that apply.) Inspiratory stridor Cyanosis Muscle tremors Retractions Nausea A nurse is reinforcing teaching with the parent of a school-age client who has asthma about the use of a peak flow meter. Which of the following statements about the yellow zone should the nurse include in the teaching? (Select all that apply.) The child should increase his routine medications. The child is having an exacerbation of the asthma. The child is blowing too hard into the meter. The child needs to go to the hospital. The child can participate in strenuous physical activity. A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder? (Select all that apply.) Genetic predisposition Hypercholesterolemia Hypertension Obesity Smoking A nurse is reinforcing teaching with a class about preventing deep-vein thrombosis. The nurse should include in the teaching that which of the following is a risk factor for this disorder? (Select all that apply.) Dehydration Oral contraceptive use Hypertension High calcium intake Immobility A nurse is assisting with the care of a client who is postoperative following a cardiac catheterization via the femoral artery. Which of the following actions should the nurse take? (Select all that apply.) Check peripheral pulses in the affected extremity. Place the client in high-Fowler's position. Measure the client's vital signs every 8 hr. Keep the client's hip and leg extended. Have the client remain in bed up to 6 hr. A nurse is reinforcing teaching for a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply.) Count your pulse for 1 min each morning. Count your respiratory rate for 1 min each morning. Report hiccups to the provider. Avoid metal detectors. Do not operate microwave ovens. A nurse is caring for a client who has a surgical wound. Which of the following factors places the client at risk for dehiscence? (Select all that apply.) Poor nutritional state Altered mental status Obesity Pain medication administration Wound infection A nurse is contributing to the plan of care for a client who has cirrhosis of the liver. Which of the following interventions should the nurse include in the plan? (Select all that apply.) Implement fall precautions. Obtain a weekly weight. Initiate a low sodium diet. Measure abdominal girth daily. Administer enemas to manage constipation. A nurse is reinforcing teaching with a female client who has thrombocytopenia. Which of the following instructions should the nurse include? (Select all that apply.) Lubricate lips with water-soluble ointment. Brush teeth with a soft toothbrush. Blow nose gently. Limit fruit consumption. Manage constipation with the use of glycerin suppositories. A nurse is reinforcing discharge teaching with a client who is immunocompromised. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) Drink 6 to 8 glasses of chilled tap water each day. Restrict visitor with active infections. Limit the client from bathing daily. Instruct the client to eat cooked foods only. Clean the toothbrush by placing it under hot running water. A nurse is reviewing the laboratory data of a client who has acute leukemia and received aggressive chemotherapy treatment 10 days ago. Which of the following abnormalities should the nurse expect to see? (Select all that apply.) Decreased platelet count Increased hemoglobin count Decreased WBC count Increased creatinine kinase level Decreased RBC count A nurse is contributing to the care plan of a client who is postoperative and has an increased risk for deep vein thrombosis (DVT). Which of the following interventions should the nurse include in the plan? (Select all that apply.) Encourage fluid intake. Apply elastic compression stockings. Encourage frequent leg exercises. Measure thighs. Massage calves. A nurse is contributing to the plan of care for a client who has a spinal cord injury and paralysis. Which of the following actions should the nurse include in the plan to decrease the client’s risk of skin breakdown? (Select all that apply.) Massage erythematous bony prominences. Implement turning schedule every 4 hr. Use pillows to keep heels off the bed surface. Keep environmental humidity less than 30%. Minimize skin exposure to moisture. A nurse is contributing to the plan of care for a client who has a seizure disorder. Which of the following interventions should the nurse include in the plan? (Select all that apply.) Provide a suction setup at the bedside. Elevate the side rails when in bed. Place a bite stick at the bedside. Keep an oxygen setup at the bedside. Furnish restraints at the bedside. A nurse is caring for a client who has an acute ankle sprain. Which of the following actions should the nurse take? (Select all that apply.) Rest Movement Heat application Compression Elevation A nurse is reinforcing teaching with a client who has a new diagnosis of testicular cancer. Which of the following statements should the nurse include in in the teaching? (Select all that apply.) Close male relatives are at increased risk for the disease. It typically occurs between ages 15 to 40. It occurs in both testicles equally. Impotence usually occurs after an orchiectomy. An early sign is scrotal warmth and redness. A nurse is reinforcing discharge teaching to a client about nutrition therapy for wound healing following major surgery. Which of the following vitamins should the nurse include in the teaching as promoting wound healing? (Select all that apply.) Vitamin A Vitamin B12 Vitamin C Vitamin D Vitamin E A nurse is reviewing home medications of a male client who has a new prescription for warfarin. Which of the following of the client's herbal medications should the nurse identify as being contraindicated to warfarin? (Select all that apply.) Saw palmetto Echinacea Glucosamine Flaxseed Gingko biloba A nurse is reinforcing teaching with a group of clients about common findings that can indicate cancer. The nurse should instruct the clients to monitor for and report which of the following findings? (Select all that apply.) A nonhealing sore Unintended weight gain Change in bowel pattern Unilateral calf tenderness Nagging cough A nurse is caring for a client who was placed on isolation precautions for active pulmonary tuberculosis (TB). Which of the following actions should the nurse plan to take? (Select all that apply.) Use an alcohol-based hand cleaner unless hands are visibly soiled. Remind the client to cover her mouth with a tissue when coughing. Determine whether the client lives alone or with others. Place the client in a room with positive airflow. Instruct the client about taking antifungal medications. A nurse is collecting data from a client. The provider suspects the client may have syndrome of inappropriate antidiuretic hormone (SIADH). When obtaining a medical history, the nurse should ask for additional information about which of the following conditions? (Select all that apply.) Osteoarthritis Lung cancer Liver cirrhosis Dyspepsia Seizures A nurse is reinforcing teaching with a client about risk factors for osteoarthritis. Which of the following risk factors should the nurse identify as contributing to this diagnosis? (Select all that apply.) Bacteria Diuretics Aging Obesity Smoking A nurse is assisting with the care of an older adult client who is scheduled for surgery. The nurse should identify that the client is at risk for which of the following? (Select all that apply.) A decrease in kidney function A decrease in the skin elasticity A decrease in medication efficacy An increase in metabolism An increase in cardiac output A nurse is obtaining informed consent from a client prior to surgery. Which of the following is necessary for informed consent to be valid? (Select all that apply.) Client's ability to pay for the consented surgical procedure Client's ability to read the consent form Disclosure of the treatment is provided Client understands the surgical procedure Voluntary consent is given A nurse is reinforcing teaching with a female client about risk factors for osteoporosis. Which of the following factors should the nurse include? (Select all that apply.) Sedentary lifestyle Obesity Aging Caffeine intake Smoking A nurse is reinforcing teaching about ergonomic principles with a group of assistive personnel. Which of the following strategies should the nurse include in the teaching? (Select all that apply.) Tighten the abdominal muscles when lifting objects. Limit lifting to no more than 22.68 kg (50 lb) without assistance. Flex knees and hips periodically when standing for a period of time. Maintain straight knees when picking items up from the floor. Enlarge the distance between the front foot and the back foot when pulling a client towards you. A nurse is completing a neurovascular check for a client who had an open reduction internal fixation surgery. Which of the following findings should the nurse identify as possible manifestations of compartment syndrome? (Select all that apply.) Cool skin Absence of pulse Pain relieved by narcotics Capillary refill 1 second Altered sensation of the toes A nurse is assisting with a presentation at a community center about knee disorders and injuries. The nurse should include which of the following as risk factors for developing osteoarthritis? (Select all that apply.) Obesity Family history of osteoarthritis Calcium deficiency Aging Regular, strenuous exercise A nurse in an urgent care center is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. Which of the following interventions should the nurse take? (Select all that apply.) Apply heat to the client’s ankle. Encourage range of motion of the client’s foot. Check the client’s toes for color, temperature, and sensation. Apply a compression bandage to the client’s ankle. Elevate the client’s foot. 57.A nurse is working with community members to prepare for an external disaster. The nurse is assisting the community members to compile a list of basic supplies needed in the case of a disaster. Which of the following supplies should the nurse instruct the community members to include? (Select all that apply.) Three quarts of water per person Clean clothing Personal identification Matches Family possessions A nurse is caring for a client who has multiple injuries following a motor-vehicle crash. The nurse should collect data concerning which of the following areas when using primary survey triage? (Select all that apply.) Airway Circulation Disability Exposure Urinary output A nurse at a provider’s office is reviewing information about management of osteoarthritis with a client. Which of the following interventions should the nurse recommend? (Select all that apply.) Weight management Aerobic exercise Massage therapy Cold compresses Isometric exercise A nurse is assisting with the care of a client who has hypertension and chronic kidney disease. The client is scheduled for hemodialysis. Which of the following actions should the nurse plan to take while caring for this client? (Select all that apply.) Document vital signs. Obtain the client's weight. Verify the glomerular filtration rate. Administer a sedative to the client. Check the graft site for a palpable thrill. A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.) "I must stop smoking." "I should lower my HDL cholesterol level." "I will stop consuming alcohol." "I need to monitor my weight." "I am limiting my intake of fast foods." A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all that apply.) Add the amount of bladder irrigation to the total output. Use sterile technique when preparing the irrigation solution. Make sure the drainage tubing is patent and without obstruction. Contact the surgeon if the client reports a continual need to void. Notify the surgeon if the urine is bright red or has large clots. A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.) "I must stop smoking." "I should lower my HDL cholesterol level." "I will stop consuming alcohol." "I need to monitor my weight." "I am limiting my intake of fast foods." A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all that apply.) Add the amount of bladder irrigation to the total output. Use sterile technique when preparing the irrigation solution. Make sure the drainage tubing is patent and without obstruction. Contact the surgeon if the client reports a continual need to void. Notify the surgeon if the urine is bright red or has large clots. `A nurse is planning care for a client who is postoperative. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) Instruct the client to cough and deep breathe every 4 hr. Have the client sit at the bedside prior to getting up. Remove compression stockings once per day. Provide pain medications around the clock for the first 48 hr. Encourage intake of foods high in carbohydrates. A nurse is contributing to the plan of care for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following interventions should the nurse include? (Select all that apply.) Assist the client to develop an individualized meal plan. Give the client an extra dose of insulin for a blood glucose level of 50 mg/dL. Instruct the client to soak his feet daily. Offer the client 240 mL (8 oz) of skim milk if the client’s skin becomes cool and clammy. Check the client’s blood glucose level before meals and bedtime. A nurse is caring for a client following a lumbar puncture. Which of the following actions should the nurse take? (Select all that apply.) Provide oral fluids Monitor for nausea Maintain fetal position Check level of consciousness Check sensation in the toes A nurse is caring for a client who has a closed wound drainage system connected to a portable bulb suction device. Which of the following actions should the nurse take to care for the drain? (Select all that apply.) Allow the drain fill completely before emptying. Flush the drainage tube with sterile water each shift. Wipe the top of the drainage port with an alcohol swab after emptying. Milk the drainage port to promote emptying.> Squeeze the suction bulb while inserting the plug into the drainage port. A nurse working in an assisted living facility has been made aware that a chemical disaster has occurred within the community and is a threat to the facility. Which of the following actions should the nurse take? (select all that apply) Evacuate the facility of all residents and staff. Place wet towels under the doors. Close the doors and windows of each resident's apartment. Open the fireplace dampers in each resident's apartment. Turn off fans and heaters. A nurse is reinforcing breast self- examination (BSE) teaching with a client who is menopausal. Which of the following statements by the client indicate an understanding of the teaching? (Select all that apply.) "I can stand in the shower to perform the examination." "I will use my fingertips to check my breasts." "It is important to press my breasts firmly to detect any lumps." "Since I no longer have periods, I can do the exam at any time of the month." "I will make sure to feel for changes in my underarm area." A nurse is planning to perform an electrocardiogram (ECG) for a client who has a history of coronary heart disease. Which of the following actions should the nurse take? (Select all that apply.) Keep the client NPO after midnight. Inspect the electrode pads. Use alcohol to wipe the skin before placing the electrodes. Instruct the client to breath normally. Administer an analgesic prior to the procedure. A nurse is reinforcing preoperative teaching about breathing exercises with a client. Which of the following instructions should the nurse include? (Select all that apply.) Make the chest and shoulders move when inhaling. Exhale through pursed lips. Perform deep breathing every 2 hr around the clock. Sit in an upright position before beginning coughing exercises. Take a deep breath between each attempt to cough. A nurse is caring for a client who is in Buck’s traction. Which of the following actions should the nurse take? (Select all that apply.) Monitor peripheral pulses in the affected extremity. Position weights against the foot of the bed. Adjust the prescribed weights every shift. Examine the skin under the traction splint. Assess the temperature of the affected extremity. [Show More]

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