ATI Med Surg Proctored 2023
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1. A nurse in an acute care fa- Ensure the client has a patient IV
cility is caring for a client
who is at risk for seizures. The nurse should ensure the client has IV
Which of the following pre- access in the event
cautions should the nurse that the client requires medication to stop
implement? seizure activity
2. A nurse is caring for a client Hgb 8 g/dL
who is postoperative follow-
ing a total hip arthroplasty. The nurse should report an Hgb level of 8
Which of the following lab- g/dL, which is below
oratory values should the the expected reference range and is an indi-
nurse report to cator of postoperative hemorrhage or
the provider? anemia
3. A nurse is assessing a Stone fragments in the urine
client who had extracorpo-
real shock wave lithotrip- ESWL is an effort to break the calculi so that
sy (ESWL) 6 hr ago. Which the fragments pass down the ureter, into the
of the following findings bladder, and through the urethra during void-
should the nurse expect? ing. Following the procedure, the nurse should
strain the client's urine to confirm the passage
of stones
4. A nurse is caring for a Initiate airborne precautions
client who has anorex-
ia, low-grade fever, night This client is exhibiting manifestations of tu-
sweats, and a productive berculosis. The greatest risk in this client sit-
cough. Which of the fol- uation is for other people in the facility to
lowing actions should the acquire an airborne disease from this client.
nurse take first? Therefore, the first action the nurse should
take is to initiate airborne precautions
5. A nurse is caring for a Administer dextrose 10% in water until the
client who is receiving total new bag arrives
parenteral nutrition (TPN).
A new bag is not avail- TPN solutions have a high concentration of
able when the current in- dextrose. Therefore, if a TPN solution is tem-
fusion is nearly complet- porarily unavailable, the nurse should admin-
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ed. Which of the following ister dextrose 10% or 20% in water to avoid a
actions should the nurse precipitous drop in the client's blood glucose
take? level.
6. A nurse is providing teach- Calcium
ing to a client who has hy-
pothyroidism and is receiv- Calcium limits the development of osteoporo-
ing levothyroxine. The nurse sis in clients who are postmenopausal and
should instruct the client works as an antacid. Calcium supplements
that which of the following can interfere with the metabolism of a number
supplements can interfere of medications, including levothyroxine. The
with the effectiveness of the nurse should instruct the client to avoid taking
medication? calcium within 4 hr of levothyroxine adminis-
tration.
7. A nurse is caring for a client Instruct the client to allow the machine to
who has emphysema and is breathe for them.
receiving mechanical ven-
tilation. The client appears When providing client care, the nurse should
anxious and restless, and first use the least
the high-pressure alarm is restrictive intervention. Therefore, the first ac-
sounding. Which of the fol- tion the nurse should take is to
lowing actions should the provide verbal instructions and emotional
nurse take first? support to help the client relax and allow
the ventilator to work. Clients can exhibit anx-
iety and restlessness when trying to
"fight the ventilator."
8. A nurse is caring for a client Orthostatic hypotension
who has a prescription for
enalapril. The nurse should The nurse should identify that dilation of arter-
identify which of the follow- ies and veins causes orthostatic hypotension,
ing findings as an adverse which is an adverse effect of enalapril.
effect of the medication?
9. A nurse is caring for a client Urine output 25 mL/hr
who has a stage III pressure
injury. Which of Urinary output reflects fluid status. Inade-
the following findings con- quate urine output can
, ATI Med Surg Proctored 2023
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tributes to delayed wound indicate dehydration, which can delay wound
healing? healing.
10. A nurse is providing teach- "You should void every 4 hours to decrease
ing to an older adult client the risk of urinary retention."
who has cancer and a new
prescription for an opioid The nurse should instruct the client to void at
analgesic for pain manage- least every 4 hr to decrease the risk of urinary
ment. Which of the follow- retention, which is an adverse effect of opioid
ing information should the analgesics
nurse include in the teach-
ing?
11. A nurse is caring for a client Obtain vital signs.
who has portal hyperten-
sion. The client is vomiting The first action the nurse should take using
blood mixed with food af- the nursing process is to assess the client's
ter a meal. Which of the fol- vital signs. A client who has portal hyperten-
lowing actions should the sion can develop esophageal varices, which
nurse take first? are fragile and can rupture, resulting in large
amounts of blood loss and shock. Obtain-
ing vital signs provides information about the
client's condition that can contribute to deci-
sion making.
12. A nurse at a provider's of- - Avoid drinking fluids with meals
fice is caring for a client who - Eat several small meals per day
is 2 weeks postoperative - Consume high-protein snacks
following a gastrectomyA - Avoid highly seasoned foods
nurse is providing teach-
ing for the client. Which of :Maintain a high carbohydrate intake is in-
the following instructions correct. Dumping syndrome requires a low
should the nurse include? carbohydrate diet because of reactive hypo-
glycemia. Eat five servings of fresh fruit per
day is incorrect. The client should limit intake
to three servings of unsweetened cooked or
canned fruit per day. Avoid drinking fluids with
meals is correct. The nurse should instruct the
client to drink fluids 30 min before or after
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meals
Eat several small meals per day is correct. The
nurse should instruct the client to eat several
small, frequent meals instead of three large
meals per day. Consume high-protein snacks
is correct. The client should eat snacks that
are high in protein and low in carbohydrates to
prevent the gastric food boluses and reactive
hypoglycemia in dumping syndrome. Avoid
highly seasoned foods is correct. The nurse
should instruct the client to avoid excessive
amounts of spices and salt.
13. A nurse in an ICU is assess- Bradycardia
ing a client who has a trau-
matic brain injury. Which A client who has increased intracranial pres-
of the following findings sure from a traumatic brain injury can de-
should the nurse identify as velop bradycardia, which is one component
a component of Cushing's of Cushing's triad. The other components of
triad? Cushing's triad are severe hypertension and
a widened pulse pressure
14. A nurse is evaluating a "I used to never worry about my feet. Now, I
client who has a new di- inspect my feet every day with a mirror."
agnosis of type 1 diabetes
mellitus. Which of the fol- This statement indicates that the client is suc-
lowing client statements in- cessfully coping with the change because the
dicates the client is suc- client is performing preventive foot care to
cessfully coping with the reduce the risk for complications
change?
15. A nurse in an emergency Administer an opioid analgesic to the client.
department is reviewing the
provider's prescriptions for The nurse should expect a prescription for an
a client who sustained a opioid analgesic to promote comfort following
rattlesnake bite to the low- a rattlesnake bite
er leg. Which of the fol-
lowing prescriptions should
the nurse expect? -
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