ATI MEDICAL SURGICAL TEST BANK CARDIOVASCULAR,ENDOCRINE,GASTROINTESTINAL,IMMUNE & INFECTOUS,MUSCULOSKELETAL,NEUROSENSORY,ONCOLOGY,RENAL& URINARY,RESPIRATORY 500 QUESTIONS AND CORRECT ANSWERS|AGRADE

lOMoAR cPSD|22461342

ATI MEDICAL SURGICAL TEST BANK

CARDIOVASCULAR,ENDOCRINE,GASTROINTESTINAL,IMMUNE &

INFECTOUS,MUSCULOSKELETAL,NEUROSENSORY,ONCOLOGY,REN

AL& URINARY,RESPIRATORY 500 QUESTIONS AND CORRECT

ANSWERS|AGRADE

CARDIOVASCULAR

1. A nurse is preparing to transfuse a unit of packed red blood cells (RBCs) for a client who

has anemia. Which of the following actions should the nurse take first?

Witness the informed consent document

2. A nurse is teaching about a low-cholesterol diet to a client who had a myocardial

infarction. Which of the following meal selections by the client indicates an

understanding of the teaching?

Chicken breast and corn on the cob

3. A nurse is caring for a client who has a new diagnosis of pernicious anemia. The nurse

should expect the client's provider to prescribe which of the following medications for this

client?

Vitamin B12

4. A nurse is caring for a client who has a peripherally inserted central catheter (PICC) in

place. Which of the following actions should the nurse take when handling this central

venous access device? (Select all that apply.)

Flush the line with sterile 0.9% sodium chloride before and after medication

administration

Access the PICC for blood sampling

Perform a heparin flush of the line at least daily when not in use

5. A nurse is monitoring a client who has heart failure related to mitral stenosis. The client

reports shortness of breath on exertion. Which of the following conditions should the

nurse expect?

Increased pulmonary congestion

6. A nurse is preparing an automated external defibrillator (AED) for a client receiving CPR

after a cardiac arrest. Which of the following actions should the nurse perform first?

Apply the defibrillator pads to the client's chest

7. A nurse is reviewing the laboratory findings of a client who has protein-calorie

malnutrition. Which of the following findings should the nurse expect?

Decreased albumin

8. A nurse observes tachycardia, dyspnea, a cough, and distended neck veins in a client

lOMoAR cPSD|22461342

who is receiving a transfusion of packed red blood cells (RBCs). Which of the following

interventions should the nurse use to prevent these manifestations with the client's next

transfusion?

Use a transfusion pump to regulate and maintain the transfusion at a slower rate

lOMoAR cPSD|22461342

9. A nurse is assessing a client who has heart failure and is taking daily furosemide. The

client's apical pulse is weak and irregular. The nurse should identify these findings as

manifestations of which of the following electrolyte imbalances?

Hypokalemia

10. A nurse is providing teaching about lifestyle changes to a client who experienced a

myocardial infarction and has a new prescription for a beta blocker. Which of the

following client statements indicates an understanding of the teaching?

"Before taking my medication, I will count my radial pulse rate."

11. A nurse is assessing for disseminated intravascular coagulation (DIC) in a client who has

septic shock secondary to an untreated foot wound. Which of the following findings

should the nurse expect? (Select all that apply.)

Bleeding at the venipuncture site

Petechiae on the chest and arms

Abdominal distension

12. A nurse is preparing an in-service presentation about assessing clients who are having

an acute myocardial infarction (MI). What is the most common assessment finding with

acute MI?

Substernal chest pain

13. A nurse is teaching a 70-year-old client about risk factors for heart failure. The client has

mild asthma, diabetes mellitus, and coronary artery disease. Which of the following

statements by the client indicates an understanding of the teaching?

"My coronary artery disease is a risk factor for heart failure."

14. A nurse is planning care for a client who has pernicious anemia. Which of the following

interventions should the nurse include in the plan?

Initiate weekly injections of vitamin B12

15. A nurse is caring for a client who has a platelet count of 50,000/mm^3. After

discontinuing the client's peripheral IV site, which of the following actions should the

nurse take?

Apply pressure to the catheter removal site for 5 min

16. A nurse is teaching a client with heart disease about a low-cholesterol diet. Which of the

following client statements indicates the teaching was effective?

"I should remove the skin from poultry before eating it."

17. A nurse is caring for an older adult client who had an acute myocardial infarction (MI).

When assessing this client, the nurse should identify that older adults are prone to

complications of MI from poor tissue perfusion because of which of the following

age-related factors?

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Peripheral vascular resistance increases.

18. A nurse is assessing a client who has an abdominal aortic aneurysm (AAA). Which of

the following findings indicates that the AAA is expanding?

Report of sudden, severe back pain

19. A nurse is assessing a client who has peripheral vascular disease and a venous ulcer on

the right ankle. Which of the following findings should the nurse expect in the client's

affected extremity?

Ankle swelling

20. A nurse is assessing a client who has pericarditis. Which of the following manifestations

should the nurse expect?

Dyspnea with hiccups

21. A nurse is planning care for a client who has acute myelogenous leukemia and a platelet

count of 48,000/mm^3. Which of the following interventions should the nurse include?

Avoid IM injections

22. A nurse is providing discharge teaching to a client who had a sickle cell crisis. Which of

the following statements indicates that the client understands the instructions?

"Physical activity is good for me, but I need to avoid overexertion."

23. A nurse is assessing a client who has pernicious anemia. Which of the following findings

should the nurse expect?

Paresthesias in the hands and feet

24. A nurse is preparing a client for a bone-marrow biopsy. Which of the following pieces of

information should the nurse include in preoperative teaching?

"You'll feel a painful, pulling sensation when the doctor withdraws the marrow."

25. A nurse is reviewing the medical record of a client who has heart failure. Which of the

following findings should the nurse expect?

BNP of 200 pg/mL

26. A nurse is assessing a client who has late-stage heart failure and is experiencing fluid

volume overload. Which of the following findings should the nurse expect?

Weight gain of 1 kg (2.2 lb) in 1 day

27. A client who has thrombocytopenia asks the nurse why platelets are so important. Which

of the following responses should the nurse make?

“Platelets plug breaks in blood vessels”