ATI RN ADULT MEDICAL SURGICAL 2019 RETAKE EXAMS WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED ANSWERS BY EXPERTS
A nurse on a medical-surgical unit is receiving change-of-shift report on four clients. Which of the
following clients should the nurse identify as having the greatest risk for developing an infection?
a) A client who has a closed fracture of the arm and is receiving an opioid pain medication
b) A client who has COPD and is receiving steroid therapy
c) A client who is postoperative following a laparoscopic appendectomy and is receiving an
antibiotic
d) A client who has a deep vein thrombosis (DVT) and is receiving anticoagulant therapy
A nurse is planning care for a client who has full-thickness burns on the lower extremities. Which
of the following interventions should the nurse include?
a) Limit visitation time for the client's children to 40 minutes per day
b) Clean the equipment in the client's room once per week
c) Provide a diet of fresh fruits and vegetables for the client
d) Apply new gloves when alternating between wound care sites
A nurse is caring for a client who has chronic renal failure. The client displays the following ABG
results: pH: 7.24 paCO2: 44 mmHg paO2: 84 mmHg HCO3: 18 mEq/L base excess- 2 and O2 saturation
95%. The nurse should include that the client has which of the following acid-base balances?
a) Metabolic alkalosis
b) Respiratory acidosis
c) Respiratory alkalosis
d) Metabolic acidosis
A nurse in a provider's office is teaching a client about the self management of GERD which of the
following instructions should the nurse include?
a) Lie down for 30 minutes after each meal
b) Sleep with the head of your bed elevated 6 inches
c) Increase your caloric intake by 250 calories per day
d) Eat a light meal 1 hour before bed
A nurse suspects that a client with diabetes mellitus is experiencing HYPOglycemia. Which of the
following assessment findings supports this suspicion?
a) Cool, clammy skin
b) Kussmaul respirations
c) Acetone breath
d) Increased urinary output
A nurse is caring for a client who is receiving radiation. The client reports nausea since the therapy
was initiated. Which of the following considerations should the nurse include when offering the
client meals?
a) Offer hot beverages with meals
,b) Offer a snack prior to radiation therapy
c) Offer highly seasoned foods
d) Offer frequent high carbohydrate meals
A charge nurse receives a call from the house supervisor requesting room assignments for four
new clients. Based on the information diagnosis, which of the following clients requires a private
room?
a) A client service port reports having fever, night sweats, and cough for 2 days
b) An older adult client who was admitted with aspiration pneumonia
c) a client who had diabetes mellitus and is presenting with acute ketoacidosis
d) a client who has a compound fracture of the right femur
A nurse in an emergency department is assessing a client who has diabetic ketoacidosis. Which of
the following findings should the nurse expect? (select all that apply)
a) Tremors
b) Reports of nausea and vomiting
c) Serum glucose 380 mg/dL
d) Serum pH 7.6
e) Fruity smelling breath
c) Serum glucose 380 mg/dL
d) Serum pH 7.6
e) Fruity smelling breath
A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for
erythropoietin. Which of the following statements by the client indicates an understanding of the
teaching?
a) "I should take calcium supplements, so the medication will work better in my system."
b) "I am taking this medication to increase my energy level."
c) "This medication can cause my blood pressure to drop."
d) "I will need to restrict protein in my diet while taking this medication.
A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile
dysfunction. Which of the following statements should the nurse make?
a) You might need to take a stool softener while taking this medication.
b) You will not be able to use sildenafil if you have diabetes.
c) You will need to limit your caffeine intake if you start taking sildenafil.
d) You will not be able to use sildenafil if you are taking nitroglycerin.
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following is
the priority assessment finding that the nurse should report to the provider?
a) Restlessness
b) T3 level 215 ng/dL
c) Blood pressure 170/80
d) Decreased weight
, A nurse in an emergency department is assessing an older adult client who has a fractured wrist
following a fall. During the assessment, the client states, "Last week I crashed my car because my
vision suddenly went blurry." Which of the following actions is the nurse's priority?
a) Check the client's neurological status
b) Document the client's statements
c) Prepare the client for a CT scan
d) Teach the client about using safety precautions for falls
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?
a) Teach the importance of a clear liquid diet after discharge
b) Tell the client to remove incisional adhesive strips 3 days after discharge
c) Demonstrate ways to deep breath and cough
d) Instruct the client to maintain bedrest for 48 hours
A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of
his total body surface area. After ensuring a patent airway and administering oxygen, which of the
following items should the nurse prepare to administer?
a) IV fluids
b) Analgesia
c) Antibiotics
d) Tetanus toxoid - (correct answer)
A nurse in a provider's office is assessing a client who has migraine headaches and is taking
feverfew to prevent her headaches. The nurse should identify that which of the following client
medications interacts with feverfew?
a) Metoprolol
b) Bupropion
c) Naproxen
d) Atorvastatin - (correct answer)
A nurse is providing discharge teaching to a client who has laryngeal cancer and is receiving
radiation treatment. Which of the following statements made by the client indicates an
understanding of the teaching?
a) I will wear a badge to measure how much radiation I am receiving
b) I will remove the markings on the skin after each radiation treatment
c) I will avoid direct exposure to the sun
d) I will rinse my mouth with a commercial mouthwash
A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the
following actions should the nurse take first?
a) Obtain the client's vital signs
b) Describe the blood transfusion procedure to the client
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