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Well Revised ATI RN Adult Medical Surgical Practice
B 2023 Latest Updated 2024 Questions With Precise
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A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse expect? - Precise answer Hair loss on the lower legs A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. Which of the following statements should the nurse identify as an indication that the client understands the teaching? - Precise answer "I will use my hands rather than a washcloth to clean the radiation area. A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy. A nurse is providing teaching for the client. Which of the following instructions should the nurse include? Select all that apply. - Precise answer Avoid drinking fluids with meals Eat several small meals Consume high-protein snacks Avoid highly seasoned foods A nurse is caring for a client who is scheduled for a right knee arthroplasty. The nurse provided preoperative teaching to the client. Which of the following statements by the client indicates an understanding of the teaching? Select all that apply. - Precise answer "I will need to do the breathing exercises every 1 to 2 hours after the surgery" "I will be sure to ask for pain medication before my knee starts to hurt too bad" "I will probably be going home with a walker" A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should the nurse include? - Precise answer Remind the client to scan their complete range of vision during ambulation. An older adult client is brought to an emergency department by a family member. Which of the following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration? - Precise answer Urine specific gravity 1.
A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. Which of the following images depicts a condition caused by pernicious anemia? - Precise answer A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36° C (96.8° F). Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? - Precise answer Heart rate 110/min. A nurse is caring for a client who is 4 hr postoperative following a total vaginal hysterectomy. Click to highlight the findings the nurse should report to the provider immediately. - Precise answer Perineal pad saturated with blood, large clots present Change of blood pressure, heart rate of 102/min A nurse is caring for a client who has HIV. Which of the following findings indicates a positive response to the prescribed HIV treatment? - Precise answer Decreased viral load A nurse is providing discharge teaching to a client who has heart failure and a new prescription for a potassium-sparing diuretic. Which of the following information should the nurse include in the teaching? - Precise answer Try to walk at least three times per week for exercise. A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? - Precise answer History of asthma A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching? - Precise answer "You should cut the opening of the skin barrier one-eighth inch wider than the stoma." A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Which of the following information should the nurse include in the instructions? - Precise answer Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition? - Precise answer Pain that increases with passive movement A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The client is unable to void on the bedpan. Which of the
A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse include in the plan of care? - Precise answer Place personal items, such as pictures, at the client's bedside. A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should the nurse take first? - Precise answer Instruct the client to allow the machine to breathe for them. A nurse is providing teaching to a client who has a history of urinary tract infections (UTIS). Which of the following information should the nurse include in the teaching? - Precise answer Take daily cranberry supplements.. A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. The nurse should identify that which of the following values is an indication of an adverse effect of the medication? - Precise answer BUN 34 mg/dL A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. Which of the following findings is an indication of lung re-expansion? - Precise answer Bubbling in the water seal chamber has ceased. A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. Which of the following interventions should the nurse include in the plan of care? - Precise answer Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period. A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the following actions should the nurse take? - Precise answer Check that one finger fits between the cast and the leg. A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount available is oral solution 125 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - Precise answer 24 mL The nurse is providing care for the client. The nurse has completed the assessment and is reviewing the findings in the EMR. Click to highlight the findings that require follow-up. To deselect a finding, click on the finding again. - Precise answer 12 % weight loss over 2 months Muscle guarding and tenderness in right lower quadrant of abdomen Abdominal firmness and rigidity Abdominal pain rate of 8 Hypoactive bowel sounds Report of anorexia
Temperature of 38.5 C (101.4 F) A nurse is caring for a client. The nurse has completed their performing an assessment of the client and reviewing the client's EMR. (For each of the client's assessment finding, click to specify if the finding is consistent with appendicitis or Crohn's disease. Each finding may support more than one disease process.) - Precise answer Appendicitis - Pain location, temperature, GI concerns Crohn's Disease - Stool color, pain location, temperature, GI concerns A nurse is caring for a client. Complete the following sentence by using the lists of options. - Precise answer After reviewing the findings in the client's medical record, the nurse should first address the client's ABDOMINAL FINDINGS followed by the client's PAIN RATING The nurse is providing care for the client. The nurse is planning care for the client. (For each potential provider's prescription, click to specify if each potential prescription is anticipated or contraindicated for the client.) - Precise answer Anticipate - Obtain blood cultures, insert NG, obtain vitals Contraindicated - Bolus fluids The nurse is providing care for the client. A nurse is reviewing the client's electronic medical record (EMR) and the provider's prescriptions. Which of the following actions should the nurse take? Select the 3 actions that the nurse should take. - Precise answer Administer gentamicin 100 mg IV. Administer client's PO medication with a sip of water. Ensure that the client has provided informed consent. The nurse is providing care for the client. A nurse is providing discharge teaching with the client. Which of the following statements made by the client indicates an understanding of the teaching? (Select all that apply.) - Precise answer "I should schedule several rest periods throughout the day." "I should notify my provider if my temperature is higher than 101 degrees Fahrenheit." A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The nurse should instruct the client that which of
following statements by the client reflects an understanding of the teaching? - Precise answer "This identifies if the pacemaker cells of my heart are working properly." A nurse is providing discharge instructions to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? - Precise answer Wrap fingers with individual dressings. A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. The nurse should identify which of the following findings as an indication of a myocardial infarction (MI)? - Precise answer Troponin 18 ng/mL A nurse is caring for a client who has a stage 3 pressure injury. Which of the following findings contributes to delayed wound healing? - Precise answer Urine output 25 mL/hr 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? - Precise answer "I am taking this medication to increase my energy level." A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The client is to receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV pump should be set at how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - Precise answer 167 mL/hr A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous. Which of the following actions should the nurse take? - Precise answer Inject the medication into the anterolateral abdominal wall. A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. Which of the following information should the nurse include in the teaching? - Precise answer Create complete outfits and allow the client to select one each day. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client's bedside? - Precise answer Suction machine A nurse is caring for a client. The nurse is reviewing the client's diagnostic results. Which of the following findings requires follow-up by the nurse? Select all that apply. - Precise answer BUN level Chest x-ray Oxygen saturation level WBC count PCO₂ level
A nurse is caring for a client. The nurse is reviewing the client's medical record. Click to highlight the findings below that indicate that the client has a potential problem. To deselect a finding, click on the finding again. - Precise answer Client is short of breath and has a productive cough with yellow mucus "I could barely breathe when I got up this morning and I had a throbbing headache" Crackles heard in posterior lungs Client is diaphoretic A nurse is caring for a client. A nurse is prioritizing client care. Complete the following sentence by using the lists of options. - Precise answer The nurse should first address the client's oxygen saturation followed by the client's temperature. A nurse is caring for a client. The nurse is planning care for the client. For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client. - Precise answer Anticipated - Obtain sputum, acetaminophen, cough and deep breathe, administer O Nonessential - Neuro checks, famotidine Contraindicated - Limit fluid intake A nurse is caring for a client. The nurse is reviewing the client's medical record. Select the 3 findings that require nursing intervention. - Precise answer Potassium level WBC count Temperature A nurse is caring for a client. The nurse is reviewing the client's medical record from Day 5. Click to highlight the findings below that indicate the client is improving. To deselect a finding, click on the finding again. - Precise answer Heart rate 72/min Respiratory rate 20/min Blood pressure 128/56 mm Hg Oxygen saturation 95% on room air
A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the client? (Select all that apply.) - Precise answer Visual spatial deficits Left hemianopsia One-sided neglect A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? - Precise answer Tachycardia A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following should the nurse plan to administer? - Precise answer Regular insulin 20 units IV bolus A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse should postpone the testing and report to the provider which of the following findings? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) - Precise answer Current medications A nurse in an emergency department is reviewing the provider's prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse expect? - Precise answer Administer an opioid analgesic to the client. A nurse is providing teaching to a client who has a new prescription for psyllium. Which of the following information should the nurse include in the teaching? - Precise answer Drink 240 mL (8 oz) of water after administration. A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which of the following adverse effects should the nurse monitor? - Precise answer Respiratory paralysis 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? - Precise answer Blood pressure 170/80 mm Hg A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) - Precise answer Administer oxygen via a nonrebreather mask. Initiate IV therapy with a large-bore catheter. Insert an NG tube. Administer famotidine.
A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take? - Precise answer Bathe the client using chlorhexidine solution. A nurse is caring for a client who is experiencing supraventricular tachycardia. Upon assessing the client, the nurse observes the following findings: heart rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate 30/min. Which of the following actions should the nurse take? - Precise answer Perform synchronized cardioversion. A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? - Precise answer Low urine specific gravity A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? - Precise answer Wear a mask. A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? - Precise answer A client who is receiving preoperative teaching for a right knee arthroplasty. A nurse is caring for a client in the emergency department (ED). Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress. - Precise answer Administer Morphine IV Ensure client is NPO Cholecystitis Monitor for rectal bleeding Monitor for dark urine A nurse is caring for a client. For each assessment finding, click to specify if the finding is consistent with emphysema, asthma, or pneumonia. Each finding may support more than 1 disease process. - Precise answer Emphysema - ABG results, Respiratory rate, Heart rate, Breath sounds, Cough Asthma - Resp rate, breath sounds, cough Pneumonia - ABG, RR, temp, HR, breath, cough A nurse is caring for a client who was just admitted from the emergency
