ATI MED-SURG PROCTORED EXAM 2023 LATEST VERSION
1. A nurse is reinforcing teaching with a client who has HIV and is being discharged home. Which of the following instructions should the nurse include in the teaching?
a. – Take temperature once a day.
2. A nurse is caring for a client who is po...
ATI MED -SURG PROCTORED EXAM 2023 LATEST VERSION 1. A nurse is reinforcing teaching with a client who has HIV and is being discharged home. Which of the following instructions should the nurse include in the teaching? a. – Take temperature once a day. 2. A nurse is caring for a client who is postoperative following a tracheostomy and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to this client’s secretions? – a. provide humidified oxygen 3. Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client’s comfort? – a. Obtain a pair of slipper socks for the client. 4. A nurse is caring for the client who is 4 hr postoperative following a TURP. Which of the following is the priority finding for the nurse to report to the provider? a. – thick red colored urine . 5. A nurse is caring for a client who has a temp of 103.5 and has a prescription for a hypothermia blanket. The nurse should monitor the client for which of the following adverse effects of the hypothermia blanket? – a. Shivering 6. A nurse reinforcing teaching about exercise with a client who has type 1 DM. which of the following statements by the client indicates an understanding of the teaching? – a. “I will not exercise if my urine is positive for ketones”. 7. A nurse notes a small section of bowel protruding from the abdominal incision of a client who is post -op. after calling for assistance, which of the following actions should the nurse take first? – a. Cover the client’s wound with a moist, sterile dressing . 8. A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect? – a. hyperventilation. 9. A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the following should the nurse include in the teaching? – a. avoid bending at the waist. 10. A nurse is caring for a client who has heart failure and has been taking digoxin 0.25mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first? – a. Check the client’s vital signs . 11. A nurse is caring for a client who is 3 days post -op following a cholecystectomy. The nurse suspects the client’s wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found? – a. Purulent . 12. A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent post -op complications which of the following actions should be reinforced during the teaching? – a. Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises . 13. A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? (select all that apply) – a. Dyspnea, barrel chest, clubbing on the fingers, and shallow respirations. 14. A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care, the nurse notices a thin stream of clear drainage coming from out of the client’s right nostril. Which of the following actions should the nurse take first? – a. test the drainage for glucose. 15. A nurse is caring for a client who has spinal cord injury at T-4. The nurse should recognize that the client is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent AD? a. -Prevent bladder distention. 16. A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client to report? – a. Abnormal vaginal bleeding . 17. A nurse is caring for a client following an open reduction and internal fixation of a fractured femur. Which of the following findings is the nurse’s priority? a. – Altered LOC 18. A nurse is assisting in the care of a client who is 2 hours post -op following a wedge resection of the left lung and has a chest tube to suction. Which of the following is the priority finding the nurse should report to the provider? – a. abdomen is distended . 19. A nurse is reinforcing discharge teaching with a client about how to care for a newly ileal conduit. Which of the following instructions should the nurse include in the teaching? a. -change the ostomy pouch daily. 20. A nurse is assisting the plan of care for a client who had removal of the pituitary gland. Which if the following actions should the nurse include in the plan? – a. change the nasal drip pad as needed. 21. A nurse is caring for a client who asks why she is being prescribed aspirin 325mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for patients who have coronary artery disease. Which of the following effects? a. -to prevent blood clotting. 22. A nurse is collecting data from a client who has open -angle glaucoma. Which of the following findings should the nurse expect? – a. loss of peripheral vision. 23. A nurse is collecting data from a client who has acute gastroenteritis. Which of the following data collection findings should the nurse identify as the priority? a. – potassium 2.5
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