Download ATI MEDSURG Protected Exam Practice Q&As Latest Update 2023 (120 Qs and more Exams Advanced Education in PDF only on Docsity!
2023 (120 Qs)
A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the following actions should the nurse take? Loosen the knots on the ropes if the client is experiencing pain Ensure the client's weights are hanging freely from the bed Check the client's bony prominence every 12 hours Cleanse the client's pin sites with povidone-iodine. - correct answer ✅ Ensure the client's weights are hanging freely from the bed A nurse in a provider's office is reinforcing teaching with a client who has anemia & has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include? Take these medications between meals. Limit intake of Vitamin C while taking this medication. Take this medication with milk. Limit intake of whole grains while taking this medication - correct answer ✅ Take this medication between meals
2023 (120 Qs)
A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established. Which of the following instructions should the nurse include in the teaching? Empty the pouch immediately after meals. Change the entire appliance once a day. Limit fluid intake. Avoid medications in capsule or enteric form. - correct answer ✅ Avoid medications in capsule or enteric form. A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care? Measure abdominal girth daily. Use sterile water to irrigate the nasogastric tube. term- Maintain the client in Fowler's position. Moisten the client's lips with lemon-glycerin swabs. - correct answer ✅ Maintain the client is Fowler's position
2023 (120 Qs)
A nurse is collecting data from a client who has a possible cataract. Which of the following manifestations should the nurse expect the client to report? Decreased color perception Loss of peripheral vision Bright flashes of light Eyestrain - correct answer ✅ Decreased color perception A charge nurse is discussing the responsibility of nurses caring for clients who have C. difficile infection. Which of the following information should the nurse include in the teaching? Assign the client to a room with a negative air-flow system Use alcohol-based hand sanitizer when leaving the clients room Clean contaminated surfaces in the client's room with a phenol solution Have family members wear a gown and gloves when visiting - correct answer ✅ Have family members wear a gown & gloves when visiting
2023 (120 Qs)
A nurse is planning teaching for a group of adolescents who each recently has surgical placement of an ostomy. Which of the following methods should the nurse use as a psychomotor approach to learning? Role play Group discussions Question-answer meeting Practice sessions - correct answer ✅ Practice sessions A nurse is caring for a client who reports difficulty falling asleep. Which of the following recommendations should the nurse make? Drink a cup of hot cocoa before bedtime. Maintain a consistent time to wake up each day. Exercise 1 hour before going to bed. Watch a television program in bed before going to sleep. - correct answer ✅ Maintain a consistent time to wake up each day
2023 (120 Qs)
A nurse is preparing to administer 0.5mL of oral single-dose liquid medication to a client. Which of the following actions should the nurse take? Gently shake the container of medication prior to administration Transfer the medication to a medicine cup Place the client in a semi-Fowler's position prior to medication administration. Verify the dosage by measuring the liquid before administering it. - correct answer ✅ Gently shake the container of medication prior to administration. A nurse in a clinic is caring for a middle aged adult client who states "The doctor says that, since I am at an average risk for colon cancer, I should have routine screening. What does the involve?" Which of the following responses should the nurse make? I'll get a blood sample from you and send it for a screening test. Beginning at age 60, you should have a colonoscopy. You should have a fecal occult blood test every year. The recommendation is to have a sigmoidoscopy every 10 years. - correct answer ✅ You should have a fecal occult blood test every year.
2023 (120 Qs)
A nurse is caring for a client who is receiving fluid through a peripheral IV catheter. Which of the following findings at the IV site should the nurse identify as indicating infiltration? Purulent exudate Warmth Skin blancing Bleeding - correct answer ✅ Skin Blanching Along w/ edema & coolness at site A nurse is discussing the use of herbal supplements for health promotion with a client. Which of the following client statements indicated an understanding of herbal supplement use? I can take echinacea to improve my immune system I can take feverfew to reduce my level of anxiety I can take ginger to improve my memory I can take ginkgo blob to relive nausea - correct answer ✅ I can take echinacea to improve my immune system
2023 (120 Qs)
A nurse is performing a Romberg test during a physical assessment of a client. Which of the following techniques should the nurse use? Touch the face with a cotton ball Apply a vibrating tuning fork the the client's forehead Have the client stand with their arms at their sides & their feet together Perform direct percussion over the area of the kidneys - correct answer ✅ Have the client stand with their arms at their sides & their feet together A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a new tracheostomy. Which of the following actions should the nurse plan to take? Use a resuscitation bad with 80% oxygen prior to the procedure Select a suction catheter that is half the size of the lumen Place the end of the suction catheter in water-soluble lubricant Adjust the wall suction apparatus to a pressure of 170 mm Hg - correct answer ✅ Select a suction catheter that is half the size of the lumen
2023 (120 Qs)
A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take? (Select all that apply) Place the client in a room with negative pressure airflow. Wear gloves when assisting the client with oral care. Limit each visitor to 2-hr increments. Wear a surgical mask when providing client care. Use antimicrobial sanitizer for hand hygiene. - correct answer ✅ Place the client in a room with negative-pressure airflow. Wear gloves when assisting the client with oral care. Use antimicrobial sanitizer for hand hygiene A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure. Inject 5 units of air into the bottle of regular insulin Withdraw the correct dose of NPH insulin from the bottle Inject 10 units of air into the bottle of NPH insulin
2023 (120 Qs)
A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair. After securing a safe environment, which of the following actions should the nurse take next? Rock the client to a standing position Pivot on the foot that is farthest from the chair Assess the client for orthostatic hypotension - correct answer ✅ Assess the client for orthostatic hypotension A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following assessment findings should the nurse expect? Neck vein distention Urine specific gravity 1. Rapid heart rate Blood pressure 144/82 mm Hg - correct answer ✅ Rapid heart rate A nurse is caring for a client who has limited mobility in his lower extremities. Which of the following actions should the nurse take to prevent skin breakdown?
2023 (120 Qs)
Place the client in high-Fowler's position Increase the client's intake of carbohydrates Massage reddened areas with unscented lotion Have the client use a trapeze bar when changing positions - correct answer ✅ Have the client use a trapeze bar when changing positions A nurse is teaching a client whose left leg is in a cast about using crutches. which of the following statements should the nurse identify as an indication that the client understands the teaching? "When descending stairs, I will first shift my weight to my right leg." "I should place my crutches 12 inches in front and to the side of each foot." "As I sit down, I will hold one crutch in each hand." "I will make sure the shoulder rests are snug against my armpits." - correct answer ✅ When descending stairs, I will shift my weight to my right leg." When descending stairs, first shift body weight to unaffected leg
2023 (120 Qs)
A nurse is caring for a client who in unstable and has vital signs measured every 15 minutes by an electronic blood pressure machine. The nurse notices the machine begins to measure the blood pressure at varied intervals, and the readings are inconsistent. Which of the following actions should the nurse take? Turn on the machine very 15 min to measure the client's blood pressure. Record only the blood pressure readings needed for 15-min intervals. Obtain manual & automatic readings and compare them. Disconnect the machine & measure the blood pressure manually every 15 min. - correct answer ✅ Disconnect the machine & measure the blood pressure manually every 15 min. A client who reports shortness of breath requests the nurse's help in changing positions. After repositioning the client, which of the following actions should the nurse take next? Encourage the client to take deep breaths Observe the rate, depth, & character of the client's respirations Prepare to administer oxygen
2023 (120 Qs)
Give the client a back rub to promote relaxation - correct answer ✅ Observe the rate, depth, & character of the client's respirations Before the nurse can create a plan or implement interventions - they must first collect data from client A nurse is caring for a client who has a cuffed endotracheal tube in place. The nurse should identify that the purpose of inflating the cuff includes which of the following? SATA Allowing the client to speak Stabilizing the position of the tube Preventing aspiration of secretions Preventing air leaks Preventing tracheal injury - correct answer ✅ Stabilizing the position of the tube Preventing aspiration of secretions Preventing air leaks A nurse is performing suctioning for a client who has a tracheostomy. Which of the following actions should the nurse take?
2023 (120 Qs)
Managing a home Establish a sense of self in the adult world Forming new friendships Ceasing to compare personal identity with others - correct answer ✅ Ceasing to compare personal identity with others A nurse is planning care for a client who has a single-lumen nasogastric (NG) tube for gastric decompression. Which of the following actions should the nurse include in the plan of care? SATA Set the suction machine at 120 mmHg Provide oral hygiene frequently Measure the amount of drainage from the NG tube every shift Secure the NG tube to the client's gown Apply the petroleum jelly to the client's nares - correct answer ✅ Provide oral hygiene frequently Measure the amount of drainage from the NG tube every shift Secure the NG tube to the client's gown
2023 (120 Qs)
A nurse is assisting a client who has dysphagia at mealtimes. Which of the following actions should the nurse take? Assist the client into a semi-sitting position Have the client lean slightly backward Advise the client to tuck his chin downward Instruct the client to tilt his head slightly backward - correct answer ✅ Advise the client to tuck his chin downward A charge nurse is observing a newly licensed nurse perform tracheostomy care for a client. Which of the following actions by the newly licensed nurse requires intervention? Obtaining hydrogen peroxide for tracheostomy care Obtaining cotton balls for tracheostomy care Obtaining sterile gloves for tracheostomy care Obtaining a sterile brush for tracheostomy - correct answer ✅ Obtaining cotton balls for tracheostomy care
