NGN ATI R MED SURG PROCTORED EXAM 2024-2025 200+QUESTIONS
AND ANSWERS 100 % PASS SOLUTION A+ GRADE
A nurse is teaching a newly licensed nurse about reportable communication diseases. Which of
the following diseases should the nurse include in the teaching?
a. Roseola
b. Mumps
c. Group A streptococcus
d. Respiratory syncytial virus-ANSWER-d. Respiratory syncytial virus
A nurse is reviewing recommendations for immunizations with a healthy 38 client who has not
had any immunizations in more than 15,18 or (10) years. Which of the following vaccines
should the nurse plan to recommend?
a. Zoster live
b. Pneumococcal
c. Human papillomavirus
d. Tetanus, Diphtheria, Pertussis-ANSWER-d. Tetanus, Diphtheria, Pertussis
A nurse is providing instructions to a client who has primary syphilis. Which of the following
instructions should the nurse include in the discharge plan?
a. You will need cryotherapy for 1 to 2 weeks
b. You will need to take an antiviral medication for 6 months
c. You will need three follow-up blood tests within a 24-months period
d. You will need to be monitored for 15 minutes after receiving each medication dose-
ANSWER-d. You will need to be monitored for 15 minutes after receiving each medication
dose
A nurse is providing discharge teaching for a client who has HIV. Which of the following
information is the priority for the nurse to review with the client?
,a. Describe your daily medication schedule
b. Name a few things you will change about your diet
c. List some ways you can cope with the stress of your illness
d. Tell me why it's important to have your CD4+ count checked-ANSWER-a. Describe your
daily medication schedule
A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which
of the following statements by the client indicates an understanding of the teaching?
a. I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the
trash
b. I will need to take my clothes to the dry cleaners to sterilize them
c. I will be sure to wear gloves and wash my hands when I change my cat's litter box
d. I will increase the amount of fresh fruits and vegetables I consume-ANSWER-c. I will be
sure to wear gloves and wash my hands when I change my cat's litter box
a nurse is teaching a client who has AIDS and wishes to continue self-care at home despite
living alone. which of the following actions by the nurse demonstrates client advocacy?
a. Initiate a referral for the client to a home health agency
b. Instruct the client to avoid eating raw vegetables
c. Tell the client to avoid places where there are large crowds of people
d. Remind the client of the importance of medication adherence-ANSWER-a. Initiate a
referral for the client to a home health agency
A nurse is caring for a client who has Haemophilus influenza type B. Which of the following
types of isolation should the nurse implement?
a. Droplet
b. Airborne
c. Protective
,d. Contact-ANSWER-a. Droplet
A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of
the following findings should the nurse include as an indication the client is no longer
infectious?
a. Negative sputum cultures for acid-fast bacillus
b. Positive Quantiferon-TB Gold test
c. Mantoux skin test revealing an induration of less than 1 mm
d. Client no longer coughing up blood-tinged sputum-ANSWER-a. Negative sputum
cultures for acid-fast bacillus
A nurse is providing discharge teaching to a client who has tuberculosis. Which of the following
information should the nurse include in the teaching?
a. "You will need to return in 2 weeks to provide a sputum specimen"
b. "Your provider will discontinue your medication after 3 months of therapy"
c. "You can drink alcohol after the first 6 weeks of treatment"
d. "You should wear an N95 respirator mask when you are at home"-ANSWER-a. "You will
need to return in 2 weeks to provide a sputum specimen"
A nurse is providing teaching for a client who has tuberculosis and a new prescription for
pyrazinamide. The nurse should instruct the client to notify the provider if which of the
following adverse effects occurs?
a. Jaundice
b. Hair loss
c. Polyuria
d. Weight gain-ANSWER-a. Jaundice
, A nurse is caring for an older adult client who has not been eating. Which of the following
findings indicates dehydration?
a. Capillary refill of 2 seconds
b. Engorged neck vein
c. Crackles auscultated bilaterally
d. Diminished peripheral pulses-ANSWER-d. Diminished peripheral pulses
A nurse is caring for a client who has gastroenteritis. Which of the following assessment
findings should the nurse recognize as an indication that the client is experiencing
dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP-ANSWER-d. Decreased BP
A nurse is preparing to discharge a client who has a halo device and is reviewing new
prescriptions from the provider. The nurse should clarify which of the following prescriptions
with the provider?
a. May place a small pillow under the head when sleeping
b. Take tub baths instead of showers
c. Increase intake of fiber-rich foods
d. May operate a motor vehicle when no longer taking analgesics-ANSWER-d. May
operate a motor vehicle when no longer taking analgesics
A home care nurse is planning to use nonpharmacological pain relief measures for an older
adult client who has severe chronic back pain. Which of the following guidelines should the
nurse use?
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