2024 ATI MED SURG Content Mastery Exam Questions & Answers
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2024 ATI MED SURG Content Mastery
2024 ATI MED SURG Content Mastery Exam Questions & Answers-A charge nurse is observing a newly licensed nurse provide care for a client who is receiving internal radiation therapy for the treatment of cervical cancer. For which of the following actions by the newly licensed nurse should the charge ...
ATI MED SURG Content Mastery Exam Questions & Answers
A charge nurse is observing a newly licensed nurse provide care for a client who is receiving
internal radiation therapy for the treatment of cervical cancer. For which of the following actions
by the newly licensed nurse should the charge nurse intervene?
A. Leaving soiled linens in a container in the client's room i
B. Instructing visitors to remain 2 m (6 feet) away from the client
C. Borrowing a dosimeter film badge from another nurse before entering the client's room
D. Removing an extra IV pole from the client's room to be used for another client - C
A nurse should never borrow a dosimeter film badge from another staff member. Nurses who are
caring for the client should each have a personal badge and wear it while in the client's room.
The badge measures the radiation exposure that the nurse is receiving, and each film badge will
indicate the nurse's cumulative radiation exposure.
A client comes to the emergency department in severe respiratory distress following left-sided
blunt chest trauma. The nurse notes absent breath sounds on the client's left side and a tracheal
shift to the right. For which of the following procedures should the nurse prepare the client?
A. Tracheostomy placement
B. Thoracentesis.
C. CT scan of the chest
D. Chest tube insertion - D
The client's manifestations indicate pneumothorax due to blunt chest trauma. The nurse should
prepare for the provider to insert a chest tube and connect it to a water-seal drainage system.
A home health nurse is performing an assessment on a client who is 1 week postoperative
following a total knee replacement. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will discontinue the blood thinner my doctor prescribed once I am at home."
B. "I will keep a pillow under my knee when I am in bed."
C. "I plan to use a walker to help me get around."
D. "I will discontinue using the CPM machine when I get home." - C
The nurse should identify that the client will receive a prescription for a walker, cane, or crutches
to promote ambulation following a total knee replacement.
A nurse in a provider's office is assessing a client who has GERD. The nurse should expect the
client to report which of the following manifestations? (Select all that apply.)
A. Regurgitation
B. Nausea
C. Belching
D. Heartburn
E. Weight loss - ABCD
A nurse in a provider's office is assessing a client's skin lesions. The nurse notes that the lesions
are 0.5 cm (0.20 in) in size, elevated, and solid with distinct borders. The nurse should document
these findings as which of the following skin lesions?
A. Papules
,B. Macules
C. Wheals
D. Vesicles - A
A papule is a small, solid, elevated lesion with distinct borders. It is usually smaller than 10 mm
in diameter. Papules are common lesions of warts and elevated moles.
A nurse in the PACU is assessing a newly admitted client and observes intercostal retractions
and a high-pitched inspiratory sound. The nurse should identify these findings as manifestations
of which of the following complications?
A. Pulmonary edema
B. Tension pneumothorax
C. Flail chest
D. Respiratory obstruction. - D.
Intercostal retractions and a high-pitched inspiratory noise (i.e. stridor) are manifestations of an
airway obstruction caused by laryngospasm and edema. The nurse should notify the rapid
response team and plan to administer racemic epinephrine.
A nurse is assessing a 66-year-old client during a routine physical examination. This is the
client's first clinic visit, and she does not have her medical records. When the nurse asks if she
has received the pneumococcal immunization, the client replies, "I am not sure, but it's been at
least 5 years since I've had any immunizations. Which of the following responses should the
nurse provide?
A. "In case you had the immunization before, we can't give you another one."
B. "You'll need a series of 3 injections."
C. "This immunization is unsafe for people over the age of 65 years old."
D. "Let's go ahead and give you this immunization." - D
The Centers for Disease Control and Prevention recommend this immunization for people who
are 65 years of age and older. If the client did receive this immunization more than 5 years ago,
the nurse should administer another because the client is over 65.
A nurse is assessing a client who has a complete intestinal obstruction. Which of the following
findings should the nurse expect?
A. Absence of bowel sounds in all 4 abdominal quadrants
B. Passage of blood-tinged liquid stool
C. Presence of flatus.
D. Hyperactive bowel sounds above the obstruction - D
The nurse should expect the client to have hyperactive bowel sounds above the obstruction
because the intestinal peristalsis above the obstruction attempts to push the obstruction through
the intestines. With a complete intestinal obstruction, there are no bowel sounds below the
obstruction.
A nurse is assessing a client who has a new diagnosis of acute angle-closure glaucoma. The
nurse should anticipate the client to report which of the following manifestations?
A. Multiple floaters
B. Flashes of light in front of the eye
C. Severe eye pain
, D. Double vision - C
Severe eye pain is a manifestation of acute angle-closure glaucoma. Other manifestations can
include report of halos around lights, blurred vision, headaches, brow pain, and nausea and
vomiting.
A nurse is assessing a client who has an exacerbation of herpes zoster. Which of the following
manifestations of the client's skin should the nurse expect?
A. Confluent, honey-colored, crusted lesions
B. A large, tender nodule located on a hair follicle
C. Unilateral, localized, nodular skin lesions
D. A fluid-filled vesicular rash in the genital region - C
Herpes zoster, or shingles, results from the reactivation of a dormant varicella virus. It is the
acute, unilateral inflammation of the dorsal root ganglion. The infection typically develops in
adults and produces localized vesicular lesions confined to a dermatome. It produces localized,
nodular skin lesions.
A nurse is assessing a client who has cholecystitis. Which of the following findings should the
nurse expect?
A. Blumberg's sign
B. Ascites
C.Gastrointestinal bleeding
D. Kehr's sign - A
The nurse should expect to find rebound tenderness (Blumberg's sign) in a client who has
cholecystitis. This response can be an indication of peritoneal inflammation.
A nurse is assessing a client who is receiving hemodialysis for the first time. Which of the
following findings indicates that the client is developing dialysis disequilibrium syndrome
(DDS)?
A. Elevated BUN
B. Bradycardia
C. Headache
D. Temperature 39.2°C (102.5°F) - C
DDS is a CNS disorder that can develop in clients who are new to dialysis due to the rapid
removal of solutes and changes in the blood pH. Clients beginning hemodialysis are at greatest
risk, particularly if their BUN is above 175. DDS causes headaches, nausea, vomiting, a
decreased level of consciousness, seizures, and restlessness. When the condition is severe, clients
progress to confusion, seizures, coma, and death.
A nurse is assessing a client with a closed head injury who has received mannitol for
manifestations of increased intracranial pressure (ICP). Which of the following findings indicates
that the medication is having a therapeutic effect?
A. The client's serum osmolarity is 310 mOsm/L.
B. The client's pupils are dilated.
C. The client's heart rate is 56/min..
D. The client is restless. - A
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