ATI RN ADULT MEDICAL SURGICAL 2020

RN ADULT MEDICAL SURGICAL 2020

A nurse is preparing to admit a client who has dysphasia. The nurse should plan to place which of the following items at bedside?

A nurse is caring for a client who is having a seizure. Which of the following interventions is the nurse’s priority?

A nurse is providing teaching to a client who was hypothyroidism and is receiving levothyroxine. The nurse should instruct the client that which of the following supplements can interfare with the effectiveness of this medication?

 A nurse is providing teaching to a female client who has a history of UTI’s. Which of the following information should nurse teach?

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?

A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the affected extremity.  Which of the following interventions is the nurse’s priority?

A nurse is caring for a client who has emphysema and is receiving medication ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should the nurse take first?

A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of the following laboratory values should the nurse expect?

A nurse is teaching a client who has venous insufficiency about self-care. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

A nurse is caring ofr a client who is postoperative following a total hip arthroplasty.  Which of the following laboratory values should the nurse report to the provider?

A nurse is caring ofr a client who has a stage III pressure injury. Which of the following findings contributes to delayed wound healing?

A nurse is caring for a client who is undergoing hemodialysis to treat ESKD. The client reports muscle cramps and tingling sensation in their hands. Which of the following should the nurse plan to administer?

A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which of the following actions should the nurse include in the client’s plan of care?

A nurse is preparing to administer a unite of packed RBC’s to a client. Which of the following actions should the nurse take?

A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following findings indicates that the client is experiencing increased intracranial pressure?

A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following prescribed medications should the nurse instruct to withhold for 48 hr prior to cardioversion?

A nurse is assessing a client who has acute cholecystitis.  Which of the following findings is the nurse’s priority?

A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure (view chart)

A nurse is caring for a client who has a potassium level of 3 mEq/L.  Which of the following assessment findings should the nurse expect?

A nurse is providing dietary teaching to a client who is postoperative following a thyriodectomy with removal of the parathyroid glands. The nurse should instruct the client to include which of the following foods that has the greatest amount of calcium in her diet?

A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine.  To help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid?

A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings indicate to the nurse that the client is experiencing fluid volume deficit?

A nurse is providing instructions to a client who has type 2 diabetes and a new prescription of metformin. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is performing a cardiac assessment for a client who had a myocardial infarction 2 days ago.  Which fo the following actions should the nurse take first after hearing the following sound?

A nurse is caring or a client who has amyotrophic lateral sclerosis (ALS) and is being admitted to the hospital with . Which of the following assessment findings is the nurse’s priority?

A nurse is conduction 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?

A nurse is providing discharge instruction so to a client who has a partial-thickness burn on the hand.  Which of the following instructions should the nurse include?

A nurse is caring for a client who has a bilateral pneumonia and an SaO2 of 85%.  The client has dyspnea with a productive cough and is using accessory muscles to breathe.  Which of the following actions should the nurse take first?

A nurse is providing teaching for a female client who has recurrent UTI. Which of the following actions should the nurse include in her teaching?

A nurse is reviewing the health records of a client who is schedules for allergy skin testing. The nurse should postpone testing based on what in his chart?

A nurse and an AP are caring for a client who has bacterial meningitis.  The nurse should give the AP which of the following instructions?

A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose.  The client is experiencing excessive stools. Which of the following findings is an adverse effect of this medication?

A nurse in the emergency department is caring for a client who has full-thickness burns over 20% of their total body surface area.  After ensuring a patient airway and administering oxygen, which of the following items should the nurse prepare to administer first?

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new back is not available when the current infusion is nearly completed. Which of the following actions should the nurse take?

A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement?

A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk, which of the following dietary alterations should the nurse recommend?

A nurse in a provider’s office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches.  The nurse should identify that which of the following client medications interacts with feverfew?

A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching?

A nurse is caring for a client who has a prescription for enalapril.  The nurse should identify which of the following findings as an adverse effect of the medication?

An older adult client is brought to an ED by a family member.  Which of the following assessment findings should cause the nurse to suspect the client has hypertonic dehydration?

A nurse is caring for a client while experiencing a seizure.  Which of the following actions should the nurse take?

A nurse is evaluation a client who has a new diagnosis of type 1 diabetes. Which of the following client statements indicates the client is successfully coping with the change?

A nurse is caring for a client who has portal hypertension. The client is vomiting blood mixed with food after a meal.  Which of the following actions should the nurse take first?

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?

A nurse is providing  to a client following an upper gastrointestinal …with barium contrast.  Which of the following information should the nurse provide?

A nurse is providing teaching to an older adult who has cancer and a new prescription for an opioid analgesic for pain management Which of the following information should the nurse include in the teaching?

A nurse is providing preoperative teaching for a client who is schedules for an open cholecystectomy.  Which of the following actions should the nurse take?

A nurse is teaching a class about client rights. Which of the following instructions should the nurse include?

A nurse in an emergency department is assessing a client who has a detached retina. Which of the following actions should the nurse ….report?

A home health care nurse is assigned to a client who was recently discharged from a rehab center after experiencing a right-hemispheric stroke.  Which of the following neurologic deficits should the nurse expect to find when assessing the client?

A nurse is caring for a client who has type 1 diabetes mellitus and has had an acute bronchitis for the past 3 days. Which of the following statements should the nurse including when instructing the client?

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 fo the following rx should the nurse expect?

A nurse is  to provide discharge teaching for a family of an older adult client who has hemianopsia and is at risk for falls.  Which of the following instructions should the nurse include?

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?

A nurse is assessing a client who had extracorporeal shop wave lithotripsy (ESWL) 6 hours ago.  Which of the following findings should the nurse expect?

A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first?

A nurse is assessing a client who has had a plaster cast applied to their leg 2 hr ago.  Which of the following actions should the nurse take?

A nurse is providing teaching to an older adult female client who has stress incontinence and a BMI of 32.  Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has had a new diagnosis of hyperthyroidism. Which of the following is the priority assessment finding that the nurse should report to the provider?

A nurse is caring for a client who is experiencing supraventricular tachycardia.  Upon assessing the client, the nurse observes the following findings: HR 200/min, BP 78/40 mm Hg, and RR 30/min.  Which of the following actions should the nurse take?

A nurse is providing teaching to a client who has chronic kidney diease and a new prescription for erythropoietin.  Which of the following statements by the client indicates an understanding of the teaching?

A nurse is teaching a young adult client how to perform testicular self-examination.  Which of the following instructions should the nurse include?

A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which fo the following adverse effects should the nurse monitor?

A nurse is caring for a client who has DKA.  Which of the following laboratory findings should the nurse expect?

A nurse in a provider’s office is assessing a client who has hypertension and takes propranolol. Which of the following findings indicate to the nurse that the client is experiencing an adverse reaction to the medication?

A nurse is caring for a client who has viral pneumonia.  The client’s pulse oximeter readings have fluctuated between 79% and 88% for the last 30 mins. Which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen?

A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for CKD.  Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client who is receiving morphine for daily dressing changes. The client tells the nurse, “I don’t want any more morphine because I don’t want to get addicted.” Which of the following actions should the nurse take?

A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings?

A nurse is caring for a client who has HIV. Which of the following findings indicates a positive response to the prescribed HIV treatment?

A nurse in an ED is caring for a client who is experiencing a thyroid storm.  Which of the following manifestations should the nurse expect?

A nurse is caring for a client has who has chronic glomerulonephritis with oliguria.  Which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis?

A nurse in an ICU is assessing a client who has a traumatic brain injury.  Which of the following findings should the nurse identify as a component of Cushing’s triad?

A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy.  Which of the following interventions should the nurse include in the plan?

A nurse is planning care for a client who has extensive burn injuries and immunocompromised.  Which of the following precautions should the nurse include in the plan of care to prevent Pseudomonas aeruginosa infection?

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?

A nurse is teaching a young adult client to perform testicular self-exam.  Which of the following instructions should the nurse include?

A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. Which of the following adverse effects should the nurse monitor?

A nurse is caring for a client who has DKA.  Which of the following laboratory findings should the nurse expect?

A nurse in a provider’s office is assessing a client who has hypertension and takes propranolol.  Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication?

A nurse in a provider’s office is caring for a client who requests sildenafil to treat erectile dysfunction.  Which of the following statements should the nurse make?

A nurse is providing teaching to a client who has irritable bowel syndrome (IBS).  Which of the following instructions should the nurse include in the teaching?

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?

A nurse is caring for a client who has pancreatitis.  The nurse should expect which of the following laboratory results to be below the expected reference range?

A nurse is assessing a group of clients for indication of role changes.  The nurse should identify that which of the following clients is at risk for expecting a role change?

A nurse is caring for a client who has a leg cast and is returning demonstration on the proper use of crutches while climbing stairs.