Ati Med-Surg Proctored Exam B 2019 - 90 Correct Questions & Answers

Ati Med-Surg Proctored Exam B 2019

1. A Nurse is contributing to the plan care of a care to promote a restful night’s sleep for a client who

has Alzheimer’s disease. Which of the following interventions should the nurse include in the plan?

Encourage stimulating activities after

dinner Encourage a late afternoon nap

Offer a small snack at bedtime

Offer hot chocolate at

bedtime

2. A nurse if reinforcing teaching with a client who has chronic kidney disease about disease management.

Which of the following statements by the client indicates an understanding of the teaching?

I will add a banana to my morning cereal

I will decrease my intake of

carbohydrates I will limit my daily intake

of protein

I will season my food with a salt substitute

3. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the

following findings should the nurse report to the provider?

Absent gag reflex

Blood tinged mucus

Diminished breath sounds

Oxygen saturation 95%

4. A nurse is caring for a client who begins to have a seizure while ambulating in the hall. Identify the sequence of

actions the nurse should follow. (Move the steps the nurse should take into the box on the right placing them

in order of performance. Use all the steps.

Lower the client to the floor

Place a pad beneath the client’s head

Loose the clothing around the client’s

neck Time the length of the client’s

seizure Reorient and reassure the client

5. A nurse is reinforcing teaching with a client who has a new diagnosis of genital herpers. Which of the

following information should the nurse include in the teaching?

Use condoms when lesions are present

Look for lesions that have a wart-like appearance

The virus can be transmitted without lesions

present

The lesion resolves in 2 weeks and usually do not recur

6. A nurse is planning care for a group of clients after receiving change-of-shift report. Which of the

following clients should the nurse plan to see first?

A client who had a colectomy 2 days ago and has a nasogastric tube Jackson-Pratt drain and indwelling urinary

catheter.

A client who is dehydrated has mental confusion and was found getting out of bed several times during the

night.

A client who had a right lower lobe lobectomy 4 days ago and has a chest tube set to continuous suction.

A client who has pneumonia and an oral temperature of 38.7°C (101.7°F)

7. A nurse is caring for a client who is receiving a continuous tube feeding of 60 mL/hr at 1.2 cal/mL. How

many calories will the client receive in 12 hrs? (Round the answer to the nearest whole number)

Step 1: What is the unit of measurement the nurse should calculate? Calories

Step 2: What is the volume the nurse should infuse? 60 mL/hr x 12 hr = 720 mL

Step 3: What is the total infusion time? 12 hrs

Step 4: Should the nurse convert the units of measurement? No

Step 5: Set up an equation and solve for

x. 720 mL x 1.2 cal/mL = calories

x = 864 cal

8. A nurse is caring for a client who is in Buck's traction for a fractured hip. The client reports increased pain at

the site of the fracture. Which of the following actions should the nurse take?

Massage the area

Remove the weights

Loosen the ropes

Reposition the client

9. A nurse is reinforcing teaching with a client who is taking levothyroxine. Which of the following statements

by the client indicates an understanding of the teaching?

I will need to take the medication until my thyroid function returns to normal

The medication should be taken before I eat breakfast every morning

The medication might lower my blood sugar

I will take the medication with an antacid if it gives me heartburn

10. A nurse is delegating the task of repositioning a client who is in skeletal traction to an assistive personnel

(AP). Which of the following instructions should the nurse give the AP?

Allow the weights to hang

freely Release the tension of

the ropes

Remove the weights when rewrapping bandages

Manually lift the weights when moving the client up in bed

11. A nurse is reinforcing teaching about pursed-lip breathing with a client who has a new diagnosis of COPD.

The nurse should identify which of the following client statements indicates an understanding of the

teaching?

I should perform pursed-lip breathing exercises before going to

be When I’m fatigued, I should inhale slowly through pursed-lips

Pursed-lip breathing works best for activities like walking up

stairs

I will exhale through my nose after breathing in through pursed-lips

12. A nurse is admitting a client who is suspected of having active tuberculosis (TB). Which of the following

actions should the nurse take first?

Administer anti-tuberculosis medication

Institute airborne precautions

Obtain sputum cultures

Auscultate breath

sounds

13. A nurse is preparing a client for a cardiac catheterization. Which of the following actions should the nurse

take first?

Verify the client has given informed

consent Administer preoperative

medication

Make the location of the pedal

pulses Have the client void

14. A nurse is assisting in the plan of care for a client who had a recent left hemispheric stroke. Which of

the following actions should the nurse include in the plan?

Observe for impulsive behavior

Approach the client from the right

side

Use simple verbal cues when directing tasks

Place the client in low-fowler’s position during meals

15. A nurse is assisting with an educational program for clients who have been newly diagnosed with

diabetes mellitus. Which of the following instructions should the nurse include in the program regarding

insulin?

Store unopened insulin vials in the freezer for up to 1 month

Opened insulin can be stored on a cool countertop away from light

Roll discolored insulin gently to mix before use

Use refrigerated insulin immediately after removing it from the refrigerator

16. A nurse is caring for a client who reports shortness of breath and has an oxygen saturation of 90%. Which of

the following actions should the nurse take?

Prepare for intubation of the client

Administer opioid medication

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