ATI RN Medical-Surgical Proctored
Exam 2019/ 101 Questions and Answers/
100% Correct.
A nurse is providing discharge teaching to a client who has a new prescription for
sublingual nitroglycerin. Which of the following client statements indicates an
understanding of the teaching? - -I should lie down when I take this medication
-A nurse is providing discharge teaching to an older adult client following total hip
arthroplasty.Which of the following instructions should the nurse include in the
teaching? - -Install a raised toilet seat in your bathroom
-A nurse is planning care for a client following a cardiac catheterization. Which of the
followingactions should the nurse take? - -Maintain the client's affected extremity in
extension
-A nurse is caring for a client who has a lower extremity fracture and a prescription for
crutches.which of the following client statements indicates that the client is adapting to
their role change? - -I will need to have my partner take over shopping for groceries and
cooking the meals for us
-A nurse is providing teaching to a client who has an impaired immune system due to
chemotherapy. which of the following information should the nurse include in the
teaching? - -Change your pet's litter box daily
-a nurse is caring for a client who has a contusion and reports thirst. The client's
urinary output was 4,000 ml over past 24 hr. the nurse should anticipate a prescription
for which of the following IV medications? - -Desmopressin
-A nurse in a clinic receives a phone call from a client who recently started therapy with
an ACE inhibitor and reports nagging dry cough. Which of the following responses by
the nurse isappropriate? - -Sucking on a lozenge may reduce the frequency of your
cough
-A nurse is taking an admission history from a client who reports Raynaud's disease.
Which of the following assessment findings should the nurse identify as a parenteral
trigger for exacerbation of Raynaud's? - -Using nicotine transdermal patch
-A nurse is caring for a client who has a central venous device and notes the tubing has
become
disconnected. the client develops dyspnea and tachycardia. Which of the following
actions
should the nurse take first? - -Clamp the catheter
, -A nurse is completing an assessment of an older client and notes reddened areas over
the bony prominences, but the client's skin is intact. which of the following
interventions should the nurse include in the plan of care? - -Support bony
prominences with pillows
-A home health nurse is making an initial visit to a client who has multiple sclerosis.
Which of the following actions is the priority for the nurse to take? - -Provide coping
strategies for client and family
-A nurse in the emergency department is assessing a client. which of the following
actions should the nurse take first? (click on the "exhibit" button for additional
information about the client.) - -Initiate airborne precautions
-A nurse is reviewing the medical record of a client to identify factors for colorectal
cancer. The nurse should identify which of the following findings as increasing the
client's risk? - -History of Crohn's disease
-A nurse is caring for a client who is scheduled for a mastectomy. The client tells the
nurse, "I'mnot sure I want to have a mastectomy." Which of the following statements
should the nurse make? - -I can give you additional information about the procedure
-A nurse is preparing to administer a unit of packed RBCs to a client who is anemic.
Identify the sequence of steps the nurse should follow - -1. obtain venous access using a
19-gauge needle
2. Obtain the unit of a packed RBCs from blood bank
3. verify blood compatibility with another nurse
4. Initiate transfusion of the unit of packed RBCs
5. Remain with the client for the first 15 to 30 minutes
-A nurse is providing discharge teaching to a client following a modified left radical
mastectomy with breast expander. Which of the following statements by the client
indicates an understanding of the teaching? - -I should expect less than 25 ml of
secretions per day in the drainage devices
-A critical care nurse is assessing a client who has a severe head injury. In response to
painful stimuli, the client does not open her eyes, displays decerebrate posturing and
makes incomprehensible sounds. which of the following Glasgow Coma scale scores
should the nurseassign the client? - -5
-A nurse is providing discharge teaching to a client who has heart failure and instructs
him to limitsodium intake to 2 g per day. Which of the following statements by the client
indicates anunderstanding of the teaching? - -I can have a frozen fruit juice bar for
dessert
-A nurse is preparing to perform ocular irrigation for a client following a chemical
splash to the eye. Which of the following actions should the nurse plan to take first? - -
instill 0.9% sodium chloride solution into the affected eye
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