ATI Med Surg RN 2023 Latest Update 2024
A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? - ANSWER-A client who has multiple sclerosis and is experiencing progressive dif...
A nurse is assessing a group of clients for indications of role changes. The nurse
should identify that which of the following clients is at risk for experiencing a role
change? - ✔✔✔ANSWER-A client who has multiple sclerosis and is experiencing
progressive difficulty ambulating.
A nurse is providing follow-up care for a client who sustained a compound fracture
3 weeks ago. The nurse should recognize that an unexpected finding for which of
the following laboratory values is a manifestation of osteomyelitis and should be
reported to the provider? - ✔✔✔ANSWER-Sedimentation rate
A nurse is caring for a client who is postoperative. Complete the diagram by
dragging from the choices below to specify what condition the client is most likely
experiencing, two actions the nurse should take to address that condition, and two
parameters the nurse should monitor to assess the client's progress. -
✔✔✔ANSWER-- Hypovolemia
,- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge because the
client is most likely experiencing hypovolemia as evidenced by the client's
restlessness, tachycardia, hypotension, decreased pulses, cool extremities, and
decreased urine output. The nurse should monitor the client's urine output and
blood pressure to evaluate the effectiveness of treatment.
A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the nurse
include? - ✔✔✔ANSWER-"You will need to stay still in the bed during each
treatment session."
A nurse is caring for a client who is receiving dialysis treatment. For each potential
nursing intervention, click to specify if the intervention is indicated or not
indicated. - ✔✔✔ANSWER-Indicated:
- Place the client in Trendelenburg position.
- Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.
A nurse is assessing a client who has had a suspected stroke. The nurse should
place the priority on which of the following findings? - ✔✔✔ANSWER-
Dysphagia
, A nurse is caring for a client who is 12 hr postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take? -
✔✔✔ANSWER-Place a pillow between the client's legs.
A nurse is providing teaching to a client who takes ginkgo biloba as an herbal
supplement. Which of the following statements should the nurse make? -
✔✔✔ANSWER-"Ginkgo biloba can cause an increased risk for bleeding."
A nurse is providing preoperative teaching for a client who is scheduled for an
open cholecystectomy. Which of the following actions should the nurse take? -
✔✔✔ANSWER-Demonstrate ways to deep breathe and cough.
A nurse is assessing a client who has advanced lung cancer and is receiving
palliative care. The client has just undergone thoracentesis. The nurse should
expect a reduction in which of the following common manifestations of advanced
cancer? - ✔✔✔ANSWER-Dyspnea
A nurse is assessing a client while suctioning the client's tracheostomy tube. Which
of the following findings should indicate to the nurse the client is experiencing
hypoxia? - ✔✔✔ANSWER-The client's heart rate increases.
A nurse in the emergency department is caring for a client. Drag 1 condition and 1
client finding to fill in each blank in the following sentence. - ✔✔✔ANSWER-The
client is experiencing manifestations of PANCREATITIS as evidenced by the
AMYLASE AND LIPASE.
A nurse is assessing a client who is postoperative following a thyroidectomy.
Which of the following findings is the nurse's priority? - ✔✔✔ANSWER-
Temperature 38.9° C (102° F)
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