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MEDSURG-ATI: CMS FUNDAMENTAL EXAM
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MEDSURG-ATI: CMS FUNDAMENTAL EXAM UPDATEDED 2024/2025 GRADE A+
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Med Surg V2 PN HESI, OB HESI,Pediatrics HESI PN Review, Maternity
NCLEX PN LATEST EXAM 2024/2025
QESTIONS AND ANSWERS GEADED A+
A primigravid client at 26 weeks' gestation asks the nurse
what causes heartburn
during pregnancy. The nurse should explain to the client
that heartburn during pregnancy
is usually caused by which of the following?
1. Increased peristaltic action during pregnancy.
2. Displacement of the stomach by the diaphragm.
3. Decreased secretion of hydrochloric acid.
4. Backflow of stomach contents into the esophagus. -
ANSWER-4. Backflow of stomach contents into the
esophagus.
,2. A client at a follow-up appointment after having a
miscarriage 2 weeks
previously yells at the nurse, "How could God do this to
me? I've never done anything
wrong." Which of the following responses by the nurse
would be most appropriate at
this time?
1. "God can handle your anger. It's okay."
2. "I know you are angry. It's so hard to lose your baby."
3. "It isn't God's fault. It was an accident."
4. "You're a strong person. You will get through this." -
ANSWER-2. "I know you are angry. It's so hard to lose
your baby."
3. A client who has been prescribed chemotherapy is
worried and wants to take
herbal treatments instead. The nurse's best response to
the client is which of the
following?
1. "You are making a mistake and placing your life in
jeopardy."
2. "Herbal treatments are not approved by the
government's regulatory agency."
3. "Herbal treatments have not been researched with
cancer."
4. "Tell me about your concerns with chemotherapy." -
ANSWER-4. "Tell me about your concerns with
chemotherapy."
4. A 4-year-old child is admitted for a cardiac
catheterization. Which of the
,following is most important to include as the nurse teaches
this child about the cardiac
catheterization?
1. A plastic model of the heart.
2. A catheter that will be inserted into the artery.
3. The parents.
4. Other children undergoing a catheterization. -
ANSWER-3. The parents.
5. A client has a reddened area over a bony prominence.
The nurse finds a nursing
assistant massaging this area. The nurse should:
1. Reinforce the nursing assistant's use of this intervention
over the bony
prominence.
2. Explain to the nursing assistant that massage is
effective because it improves
blood flow to the area.
3. Inform the nursing assistant that massage is even more
effective when combined
with the use of lotion.
4. Instruct the nursing assistant that massage is
contraindicated because it decreases
blood flow to the area. - ANSWER-4. Instruct the nursing
assistant that massage is contraindicated because it
decreases
blood flow to the area.
6. A worried mother confides in the nurse that she wants
to change primary care
, providers because her infant is not getting better. The best
response by the nurse is
which of the following?
1. "This doctor has been on our staff for 20 years."
2. "I know you are worried, but the doctor has an excellent
reputation."
3. "You always have an option to change. Tell me about
your concerns."
4. "I take my own children to this doctor." - ANSWER-3.
"You always have an option to change. Tell me about your
concerns."
7. A mother who is breast-feeding and has known food
sensitivities is asking the
nurse what foods she should avoid in her diet. The nurse
should advise her to avoid
which foods? Select all that apply.
1. Shellfish.
2. Eggs.
3. Peanuts.
4. Beef.
5. Lamb. - ANSWER-1. Shellfish.
2. Eggs.
3. Peanuts.
8. A widowed client who is receiving chemotherapy tells
the nurse that he does not
like to cook for himself. A community resource for this
client is:
1. Hospice/palliative care association.
2. Home care/visiting nurses group.
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