Exam (elaborations)
NURS 3025-ATI MED SURG TEST BANK with 100% verified solutions-
- Course
- Institution
NURS 3025-ATI MED SURG TEST BANK with 100% verified solutions-
[Show more]
Content preview
NURS 3025-ATI MED SURG TEST cc cc cc cc ccBANK- cc
with 100% verified solutions-2022-2023 cc cc cc
1. A nurse is preparing to administer a blood transfusion to a client who has anemia.
cc cc cc cc cc cc cc cc cc cc cc cc cc cc
Which of the following actions should the nurse take first?
cc cc cc cc cc cc cc cc cc cc
check for the type and number of units of blood to administer
cc cc cc cc cc cc cc cc cc cc cc
2. a nurse is providing teaching to an older adult female client who has stress
cc cc cc cc cc cc cc cc cc cc cc cc cc
incontinence and a BMI of 32. Which of the following statements by the client
cc cc cc cc cc cc cc cc cc cc cc cc cc cc
indicates an understanding of the teaching?
cc cc cc cc cc cc
I am dieting to lose weight
cc cc cc cc cc
3. A nurse is providing instructions to a client who has type 2 diabetes and a new
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
prescription of metformin. Which of the following statements by the client indicates
cc cc cc cc cc cc cc cc cc cc cc cc
an understanding of the teaching?
cc cc cc cc cc
I should take this medication with a meal
cc cc cc cc cc cc cc
4. a nurse is providing teaching to a client who has chronic kidney disease and a new
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
prescription for erythropoietin. Which of the following statements by the client
cc cc cc cc cc cc cc cc cc cc cc
indicates an understanding if the teaching?
cc cc cc cc cc cc
i am taking this medication to increase my energy level
cc cc cc cc cc cc cc cc cc
5. a nurse is caring for a client who has a prescription for enalapril. The
c c c c c c c c c c c c c c c c c c c c c c c c c c
nurse should identify which of the following findings as an adverse effect of the
c c c c cc cc cc cc cc cc cc cc cc cc cc cc
medication? orthostatic hypotension
cc cc cc
6. a nurse is caring for a client who has hypothyroidism. which of the
cc cc cc cc cc cc cc cc cc c c cc cc
ccfollowing manifestations should the nurse expect? cc cc cc cc cc
constipation
7. a charge nurse is instructing a newly licensed nurse about caring for a client who has
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
MRSA. which of the following statements by the new nurse indicates an
cc cc cc cc cc cc cc cc cc cc cc cc
understanding of the teaching?
cc cc cc cc
i will leave assessment equipment in the room to use on this patient
cc cc cc cc cc cc cc cc cc cc cc cc
8. a nurse is providing teaching to a client who has irritable bowel syndrome (IBS).
cc cc cc cc cc cc cc cc cc cc cc cc cc
which of the following instructions should the nurse include in the teaching?
cc cc cc cc cc cc cc cc cc cc cc cc
increase fiber intake to at least 30 g/day cc cc cc cc cc cc cc
9. a nurse is caring for a client who has a positive culture for c. diff. which of the
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
following actions should the nurse take?
cc cc cc cc cc cc
implement contact precautions for the client
cc cc cc cc cc
10. a nurse is caring for a client who has a new diagnosis of hyperthyroidism. which of
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
the following is the priority assessment finding that the nurse should report to the
cc c c cc cc cc cc cc cc cc cc cc cc cc cc
provider?
cc
BP 170/80
cc
11. a nurse is planning care for a client who is scheduled for a throacentesis.
cc cc cc cc cc cc cc cc cc cc cc cc cc
which of the following interventions should the nurse include in the plan?
cc cc cc cc cc cc cc cc cc cc cc cc
encourage the client to take deep breaths after the procedure
cc cc cc cc cc cc cc cc cc
12. a nurse is assessing a client who has had a suspected cerebrovascular accident. the
cc cc cc cc cc cc cc cc cc cc cc cc cc
nurse should place the priority on which of the following findings?
cc cc cc cc cc cc cc cc cc cc cc
dysphagia
, 13. a nurse is reviewing the ABG results of a client who has advanced COPD. which of
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
the following results should the nurse expect?
cc cc cc cc cc cc cc
PaCO2 56 cc
14. a nurse is providing discharge instructions to a client who has laryngeal cancer and is
cc cc cc cc cc cc cc cc cc cc cc cc cc cc
receiving radiation treatment. which of the following statements by the client
cc cc cc cc cc cc cc cc cc cc cc
indicates an understanding of the teaching?
cc cc cc cc cc cc
i will avoid direct exposure to the sun
cc cc cc cc cc cc cc
15. a nurse is assessing for compartment syndrome in a client who has a short leg cast.
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
which of the following findings should the nurse identify as a manifestation of this
cc cc cc cc cc cc cc cc cc cc cc cc cc cc
condition? cc
pain that increases with passive movement
cc cc cc cc cc
16. a nurse is providing teaching to a client who has a gastric ulcer a d a new
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
prescription for omeprazole. the nurse should instruct the client that the medication
cc cc cc cc cc cc cc cc cc cc cc cc
provides relief by which of the following actions.
cc cc cc cc cc cc cc cc
suppressing gastric acid production cc cc cc
17. a nurse is assessing a client who has peripheral arterial disease. which of the
cc cc cc cc cc cc cc cc cc cc cc cc cc cc
following findings should the nurse expect?
cc cc cc cc cc cc
hair loss on the lower legs
cc cc cc cc cc
18. a nurse is assessing a client following the completion of hemodialysis. which of the
cc cc cc cc cc cc cc cc cc cc cc cc cc
following findings is the nurse's priority to report to the provider?
cc cc cc cc cc cc cc cc cc cc cc
restlessness
19. a nurse is reviewing the medical record of a client who has osteomyelitis and a
cc cc cc cc cc cc cc cc cc cc cc cc cc cc
prescription of gentamicin. which of the following findings from the client's medical
cc cc cc cc cc cc cc cc cc cc cc cc
record should indicate to the nurse the need to withhold the med?
cc cc cc cc cc cc cc cc cc cc cc cc
serum creatinine cc
20. a nurse is reviewing the medical record of a client who has SLE. which of the
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
following findings should the nurse expect?
cc cc cc cc cc cc
facial butterfly rash
cc cc
21. a nurse is providing teaching to a client who has a new prescription for psyllium.
cc cc cc cc cc cc cc cc cc cc cc cc cc cc
which of the following information should the nurse include in the teaching?
cc c c cc cc cc cc cc cc cc cc cc cc
drink 240 mL of water after administration
cc cc cc cc cc cc
22. a nurse in a provider's office is assessing a client who has migraine headaches and is
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
taking feverfew to prevent her headaches. the nurse should identify that which of the
cc cc cc cc cc cc cc cc cc cc cc cc cc cc
following client meds interacts with feverfew?
cc cc cc cc cc cc
naproxen
23. a nurse in a provider's office is caring for a client who requests sildenafil to treat
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
erectile dysfunction. which of the following statements should the nurse make?
cc cc cc cc cc cc cc cc cc cc cc
you will not be able to use sildenfil if you are taking nitroglycerin
cc cc cc cc cc cc cc cc cc cc cc cc
24. a nurse is caring for a client who is receiving TPN. a new bag is not available when
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
the current infusion is nearly completed. which of the following actions should the
cc c c cc cc cc cc cc cc cc cc cc cc cc
nurse take? cc cc
administer dextrose 10% in water until the new bag arrives
cc cc cc cc cc cc cc cc cc
25. a nurse is providing discharge teaching to a client who has HF and a new
cc cc cc cc cc cc cc cc cc cc cc cc cc cc
prescription for a potassium-sparing diuretic. which of the following information
cc cc cc cc cc cc cc cc cc cc
should the nurse include in the teaching?
cc cc cc cc cc cc cc
try to walk at least 3 times per week for exercise
cc cc cc cc cc cc cc cc cc cc
, 26. a nurse is planning care for a client who is postop following a laparotomy and has a
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
closed- suction drain. which of the following actions should the nurse take to
cc cc cc cc cc cc cc cc cc cc cc cc cc
manage the drain?
cc cc cc
compress the drain reservoir after emptying
cc cc cc cc cc
27. a nurse in an emergency department is admitting a client who reports dyspnea and
cc cc cc cc cc cc cc cc cc cc cc cc cc
SOB. which of the following actions is the priority for the nurse to perform prior to
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
administering oxygen?
cc cc
determine if the client has a history of COPD
cc cc cc cc cc cc cc cc
28. a nurse is obtaining a med history from a client who is scheduled to undergo cataract
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
surgery. the nurse should recognize that which of the following client meds is a
cc cc cc cc cc cc cc cc cc cc cc cc cc cc
contraindication for the surgery and notify the provider?
cc cc cc cc cc cc cc cc
warfarin
29. a nurse is caring for a client following extubation of her endotracheal tube 10 min
cc cc cc cc cc cc cc cc cc cc cc cc cc cc
ago. which of the following findings should the nurse report to the provider
cc c c cc cc cc cc cc cc cc cc cc cc cc
immediatelycc
stridor
30. a nurse is providing dietary teaching to a client who is postop following a
cc cc cc cc cc cc cc cc cc cc cc cc cc
thyroidectomy with removal of the parathyroid glands. the nurse should instruct the client
cc cc cc cc cc cc cc cc cc cc cc cc cc
to include which of the following foods to increase calcium in the diet?
cc cc cc cc cc cc cc cc cc cc cc cc cc
12 almonds
cc
31. a nurse is preparing to assist with the insertion of a nontunneled percutaneous central
cc cc cc cc cc cc cc cc cc cc cc cc cc cc
venous catheter into a subclavian vein. the nurse should plan to place the client in
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
which of the following positions?
cc cc cc cc cc
trendelenburg
32. teaching to client with HTN and new med verapamil. what juice should client
cc cc cc cc cc cc cc cc cc cc cc cc
avoid? grapefruit
cc cc
33. client experiencing anaphylactic reaction, after patent airway, which is priority
cc cc cc cc cc cc cc cc cc
nursing intervention?
cc c c
apply oxygen vi face mask
cc cc cc cc
34. client had nephrostomy tube inserted 12hrs ago. what should the nurse
c c c c c c c c c c c c c c c c c c c c
report to the provider?
c c c c c c cc
client reports back pain
cc cc cc
35. teaching to perimenopausal and has hormone replacement therapy. adverse
c c c c c c c c c c c c c c c c
effects to notify provider?
c c c c cc cc
calf pain, numbness in arms, and intense headache
cc cc cc cc cc cc cc
36. older adult with cancer and a new prescription of opioid analgesic. which info should
cc cc cc cc cc cc cc cc cc cc cc cc cc
the nurse include in teaching?
cc cc cc cc cc
you should increase your fiber intake to prevent constipation
cc cc cc cc cc cc cc cc
37. a nurse is providing med teaching to a group with seizure disorders.
cc cc cc cc c c cc cc c c cc cc c c
instruction about phenytoin?
cc c c cc
phenytoin decreases the effectiveness of oral contraceptives
cc cc cc cc cc cc
38. a nurse is caring for client with supraventricular tachycardia. which action should
cc cc cc cc cc cc cc cc cc cc cc
nurse take next?
cc cc cc
perform synchronized cardioversion
cc cc
39. change of shift report with four clients. client with greatest risk of developing
cc cc cc cc cc cc cc cc cc cc cc cc
infection? COPD and receiving steroid therapy
cc cc cc cc cc cc
40. teach with self administration of heparin?
cc cc cc cc cc
, use electric razor
cc cc
41. client having seizure, nurse priority? cc cc cc cc
turn client on the side
cc cc cc cc cc
42. Female client with hx of UTI, nurse include in teaching
?
clean perineum front to back
cc cc cc cc
43. cardiac assessment with MI 2 days ago. action after hearing this
cc cc cc cc cc cc cc cc cc cc
sound? listen with client on left side
cc cc cc cc cc cc cc
44. client on bed rest and enoxaparin subcut, actions nurse
cc cc cc cc cc cc cc cc
take? administer med at the same time each day
cc cc cc cc cc cc cc cc cc
45. postop following parathyroidectomy. priority action? cc cc cc cc
place a trach tray at bedside
cc cc cc cc cc cc
46. pt with arterial line, following actions should nurse
cc cc cc cc cc cc cc
taking? place a pressure bag around the flush solution
cc cc cc cc cc cc cc cc cc
47. teaching client about a fib and purpose of wearing a holter monitor. info
cc cc cc cc cc cc cc cc cc cc cc cc
should nurse include in the teaching?
cc cc cc cc cc cc
this device can detect when you have an irregular HR
cc cc cc cc cc cc cc cc cc
48. client with DKA, client condition cc cc cc cc
improving? glucose 272
cc cc cc
49. stroke on right hemisphere. nurse cc cc cc cc
expect? impulsive behavior
cc cc cc
50. client who has external fixation device for fracture. instruction for nurse plan of
cc cc cc cc cc cc cc cc cc cc cc cc
care? use crutches with rubber tips
cc cc cc cc cc cc
51. receiving mechanical ventilation via trach tube. nurse recognizes complications with
cc cc cc cc cc cc cc cc cc
long term mechanical ventilation?
cc cc cc cc
stress ulcers cc
52. teaching about asthma use of metered-dose inhaler. understand cc cc cc cc cc cc cc
teaching? holding breath for 10 secs after inhaling
cc cc cc cc cc cc cc cc
53. graves disease, picture with exophthalmos? cc cc cc cc
big eyes, last picture
cc cc cc cc
54. leg cast and demonstration w/crutches on climbing stairs. identify steps
cc cc cc cc cc cc cc cc cc
body weight on crutches, advance unaffected leg onto stair, shift weight from crutch to
cc cc cc cc cc cc cc cc cc cc cc cc cc
unaffected, bring crutches and affected leg up to the stair
cc cc cc cc cc cc cc cc cc cc
55. older adult with fractured wrist following fall. last week i crashed my car bc my
cc cc cc cc cc cc cc cc cc cc cc cc cc cc
vision suddenly blurry.
cc c c cc
check for neuro status
cc cc cc
56. peforming dressing change recovering from hemicolectomy. large part of bowel cc cc cc cc cc cc cc cc cc
is protruding, action take first?
cc cc cc cc cc
call for help
cc cc
57. older adult about osteoporosis prevention. meds increase risk for developing
osteoporosis? cc
fludrocortisone
58. client having modified radical mastectomy of right breast. intervention for plan of
cc cc cc cc cc cc cc cc cc cc cc
care? instruct the client that the drain is removed when there is 25mL of output or
cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc cc
ccless over a 24hr period
cc cc cc cc
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LucieLucky. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75057 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now