ATI Medical Surgical Practice Exam with Answers (129 Solved Questions)

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Ati medical surgical practice questions 2mdc IV (Rasmussen University)Ati medical surgical practice questions 2mdc IV (Rasmussen University)lOMoARcPSD|13778330

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A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the followinginstructions should the nurse include in the teaching?1.take temperature once a day2.wash the armpits and genitals with a gentle cleanser daily3.change the litter boxes while wearing gloves4.wash dishes in warm water;1.take temperature once a day=A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacioussecretions. Which of the following is an acceptable method for the nurse to use to thin this client’s secretions?1.provide humidified oxygen2.perform chest physiotherapy prior to suctioning3.prelubricate the suction catheter tip with sterile saline when suctioning the airway4.hyperventilate the client with 100% oxygen before suctioning the airway;1.provide humidified oxygen=Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reportsdifficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promotethe client’s comfort?1.rub the client’s feet briskly for several minutes2.obtain a pair of slipper socks for the client3.increase the client’s oral fluid intake4.place a moist heating pad under the client’s feet;2.obtain a pair of slipper socks for the client=A nurse is caring for a client who is 4 hr postoperative following a transurethral resection of the prostate (TURP).Which of the following is the priority finding for the nurse to report to the provider?1.emesis of 100 mL2.oral temperature of 37.5 C (99.5 F)3.thick, red-colored urine4.pain level of 4 on a 0 to 10 rating scale;3.thick, red-colored urine=A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a hypothermiablanket. The nurse should monitor the client for which of the following adverse effects of the hypothermia blanket?1) Shivering2) Infection3) Burns4) Hypervolemia;1) Shivering=A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the followingstatements by the client indicates an understanding of the teaching?lOMoARcPSD|13778330

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1) "I will carry a complex carbohydrate snack with me when I exercise."2) "I should exercise first thing in the morning before eating breakfast."3) "I should avoid injecting insulin into my thigh if I am going to go running."4) "I will not exercise if my urine is positive for ketones.";4) "I will not exercise if my urine is positive for ketones."=A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative.After calling for assistance, which of the following actions should the nurse take first?1) Cover the client's wound with a moist, sterile dressing.2) Have the client lie supine with knees flexed.3) Check the client's vital signs.4) Inform the client about the need to return to surgery.;1) Cover the client's wound with a moist, sterile dressing.=A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Whichof the following manifestations should the nurse expect?1) Cool, clammy skin.2) Hyperventilation3) Increased blood pressure4) Bradycardia;2) Hyperventilation=A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the following shouldthe nurse include in the teaching?1) Avoid bending at the waist.2) Remove the eye shield at bedtime.3) Limit the use of laxatives if constipated.4) Seeing flashes of light is an expected finding following extraction.;1) Avoid bending at the waist.=A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refusesbreakfast and reports nausea. Which of the following actions should the nurse take first?1) Suggest that the client rests before eating the meal.2) Request a dietary consult.3) Check the client's vital signs.4) Request an order for an antiemetic.;3) Check the client's vital signs.=A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects theclient's wound is infected because the drainage from the dressing is yellow and thick. Which of the followingfindings should the nurse report as the type of drainage found?1) SanguineouslOMoARcPSD|13778330

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2) Serous3) Serosanguineous4) Purulent;4) Purulent=A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent postoperativecomplications which of the following actions should be reinforced during the teaching?1) Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises.2) Place the client’s affected leg into the CPM machine with the machine in the flexed position.3) Place the client into a high Fowler’s position when initiating the CPM exercises.4) Align the joints of the CPM machine with the knee gatch in the client’s bed.;1) Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises.=A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurseexpect? (Select all that apply.)1) Dyspnea2) Barrel chest3) Clubbing of the fingers4) Shallow respirations5) Bradycardia;1) Dyspnea2) Barrel chest3) Clubbing of the fingers4) Shallow respirations=A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care, thenurse notices a thin stream of clear drainage coming from out of the client's right nostril. Which of the followingactions should the nurse take first?1) Take the client's temperature.2) Place a dressing under the client's nose.3) Notify the charge nurse.4) Test the drainage for glucose.;4) Test the drainage for glucose.=A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client is at riskfor autonomic dysreflexia. Which of the following interventions should the nurse take to prevent autonomicdysreflexia?1) Monitor for elevated blood pressure.2) Provide analgesia for headaches.3) Prevent bladder distention.4) Elevate the client's head.;3) Prevent bladder distention.=lOMoARcPSD|13778330

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A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings shouldthe nurse expect the client to report?1) Hot flashes2) Recurrent urinary tract infections3) Blood in the stool4) Abnormal vaginal bleeding;4) Abnormal vaginal bleeding=A nurse is caring for a client following an open reduction and internal fixation of a fractured femur. Which of thefollowing findings is the nurse's priority?1) Altered level of consciousness2) Oral temperature of 37.7° C (100° C)3) Muscle spasms4) Headache;1) Altered level of consciousness=A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the left lungand has a chest tube to suction. Which of the following is the priority finding the nurse should report to theprovider?1) Abdomen is distended2) Chest tube drainage of 70 mL in the last hour3) Subcutaneous emphysema is noted to the left chest wall4) Pain level of 6 on a 0 to 10 scale;1) Abdomen is distended=A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal conduit. Which ofthe following instructions should the nurse include in the teaching?1) Change the ostomy pouch daily.2) Empty the ostomy pouch when it is 2/3 full.3) Trim the opening of the ostomy seal to be 1/2 in. wider than the stoma.4) Apply lotion to the peristomal skin when changing the ostomy pouch.;1) Change the ostomy pouch daily.=A nurse is assisting in the plan of care for a client who had a removal of the pituitary gland. Which of the followingactions should the nurse include in the plan?1) Position the client supine while in bed.2) Change the nasal drip pad as needed.3) Encourage frequent brushing of teeth.4) Encourage the client to cough every 2 hr following surgery.;2) Change the nasal drip pad as needed.=lOMoARcPSD|13778330

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A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardialinfarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary arterydisease for which of the following effects?1) To provide analgesia2) To reduce inflammation3) To prevent blood clotting4) To prevent fever;3) To prevent blood clotting=A nurse is collecting data from a client who has open-angle glaucoma. Which of the following findings should thenurse expect?1) Loss of peripheral vision2) Headache3) Halos around lights4) Discomfort in the eyes;1) Loss of peripheral vision=A nurse is collecting data from a client who has acute gastroenteritis. Which of the following data collectionfindings should the nurse identify as the priority?1) Weight loss of 3% of total body weight.2) Blood glucose 150 mg/dL.3) Potassium 2.5 mEq/L4) Urine specific gravity 1.035;3) Potassium 2.5 mEq/L=A nurse is reinforcing discharge teaching with a client who had a total abdominal hysterectomy and a vaginal repair.Which of the following statements by the client indicates a need for further teaching?1) "I should increase my intake of protein and vitamin C."2) "I will no longer have menstrual periods."3) "Once I am able to resume sexual activity, I can use a water-based lubricant if I experience discomfort."4) "I will take a tub bath instead of a shower.";4) "I will take a tub bath instead of a shower."=A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of thefollowing actions should the nurse take?1) Loosen the knots on the ropes if the client is experiencing pain.2) Ensure the client’s weights are hanging freely from the bed.3) Check the client’s bony prominences every 12 hr.4) Cleanse the client’s pin sites with povidone-iodine.;2) Ensure the client’s weights are hanging freely from the bed.=A nurse in a provider’s office is reinforcing teaching with a client who has anemia and has been taking ferrousgluconate for several weeks. Which of the following instructions should the nurse include?lOMoARcPSD|13778330

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1) Take this medication between meals.2) Limit intake of Vitamin C while taking this medication.3) Take this medication with milk.4) Limit intake of whole grains while taking this medication.;1) Take this medication between meals.=A nurse is reviewing the plan of care for a client who has cellulitis of the leg. Which of the following interventionsshould the nurse recommend?1) Apply topical antifungal agents.2) Apply fresh ice packs every 4 hr.3) Wash daily with an antibacterial soap.4) Keep draining lesions uncovered to air dry.;3) Wash daily with an antibacterial soap.=A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established. Which ofthe following instructions should the nurse include in the teaching?1) Empty the pouch immediately after meals.2) Change the entire appliance once a day.3) Limit fluid intake.4) Avoid medications in capsule or enteric form.;4) Avoid medications in capsule or enteric form.=A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for anescharotomy and wants to know what the procedure involves. Which of the following statements is appropriate forthe nurse to make?1) "An escharotomy surgically removes dead tissue."2) "A cannula will be inserted into the bone to infuse fluids and antibiotics."3) "A piece of skin will be removed and grafted over the burned area."4) "Large incisions will be made in the burned tissue to improve circulation.";4) "Large incisions will be made in the burned tissue to improve circulation."=A nurse is collecting data from a client who has a possible cataract. Which of the following manifestations shouldthe nurse expect the client to report?1) Decreased color perception2) Loss of peripheral vision3) Bright flashes of light4) Eyestrain;1) Decreased color perception=A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuousgastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurseinclude in the plan of care?lOMoARcPSD|13778330

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1) Measure abdominal girth daily.2) Use sterile water to irrigate the nasogastric tube..3) Maintain the client in Fowler’s position.4) Moisten the client’s lips with lemon-glycerin swabs.;3) Maintain the client in Fowler’s position.=A nurse is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should thenurse expect to observe? (Select all that apply.)1) Buffalo hump2) Purple striations3) Moon face4) Tremors5) Obese extremities;1) Buffalo hump2) Purple striations3) Moon face=A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actionsshould the nurse take?1) Provide a diet high in protein.2) Provide ibuprofen for retroperitoneal discomfort.3) Monitor intake and output hourly4) Encourage the client to consume at least 2 L of fluid daily.;3) Monitor intake and output hourly=A nurse is reinforcing teaching about an esophagogastroduodenoscopy with a client who has upper gastric pain.Which of the following statements should the nurse include in the teaching?1) "A flexible tube is introduced through the nose during the procedure."2) "During the procedure you are in a sitting position."3) "You will remain NPO for 8 hours before the procedure."4) "You will be awake while the procedure is performed.";3) "You will remain NPO for 8 hours before the procedure."=A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalizedtonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in themedical record?1) Aura phase2) Presence of automatisms3) Postictal phase4) Presence of absence seizures;3) Postictal phase=A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopiccholecystectomy. Which of the following statements should the nurse make?lOMoARcPSD|13778330

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