ATI MED SURG BUNDLE PACKAGE TEST

A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and reports difficulty following the diet and remembering to take the prescribed medication. Which of the following actions should the nurse take to promote client compliance? SATA A. Ask the dietitian to assist with...

Right sided heart failure Correct Answer - Distended abdomen Jugular vein neck distention Dependent edema Left sided heart failure Correct Answer - Oliguria during the day (b/c decreased blood flow to kidneys) Fluid Volume Overload assessment findings Correct Answer - Distended neck veins ...

1. A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is pending an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate? a."large incisions wi...

A nurse is caring for a client who has chronic venous insufficiency and a prescription for thigh high compression stockings. Which action should the nurse take? a. elevate legs for 10 min, 2-3 times a day while wearing stockings b. apply the stockings in the morning upon awakening and before getti...

traction weights are on the floor Correct Answer - move patient up in bed cholecystits and cholelithiasis food Correct Answer - avoid fatty food and high protein food example : egg yolks ace inhibitor meds for blood pressure Correct Answer - discontinue meds if develop a cough tuberculosis ...

When administering a transfusion of packed red blood cells, it is important to.... Correct Answer - make sure the entire unit is transfused within 4 hours A patient who is anticipating total hip replacement is considering autologous transfusion. When teaching this patient about autologous transfu...

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? Correct Answer - Ensure the client has a patient IV. The nurse should ensure the client has IV access in the event that the client requires medicati...

How do you ensure that medication reaches the inner ear? Correct Answer - Press gently on the tragus which requires an incident report? -putting restraints on a moveable part of the bed -putting a mask on a TB patient before transport -administer meds 30 min before -patient receives addition...

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? - bounding pedal pulse - capillary refill less than 2 seconds - pain that increases with passive movement - areas...

A nurse is reviewing bowel prep using polyethylene glycol with a client scheduled for a colonoscopy. Which of the following instructions should the nurse include in the teaching? a. check with the provider about taking current medications when consuming bowel prep b. consume a normal diet until st...

A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? A. Position the client in an upright position, leaning over the bedside table B. Explain the procedure C. Obtain ABGs D. Administer benzocaine spra...

A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client? Correct Answer - A room with air exhaust directly to the outdoor environment A nurse is caring for a client who has a new d...

A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? 1) Take temperature once a day. 2) Wash the armpits and genitals with a gentle cleanser daily. 3) Change the litter boxes whi...

A nurse is caring for a client who is postoperative. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client...

Four non-modifiable risk factors Correct Answer - -age -genetics -developmental level -gender Five modifiable risk factors Correct Answer - -smoking -exercise -nutrition -health education -sex practices Three triaging categories Correct Answer - -emergent -urgent -no...

Angina Precipitating Factors: 4 E's Correct Answer - Exertion Eating Extreme temperatures Emotional Distress Arterial Occlusion: 4 P's Correct Answer - Pain Pallor Paresthesia Pulselessness or absent pulse Congestive Heart Failure Treatment: MADD DOG Correct Answer - Morphine Aminoph...

Acute pancreatitis Correct Answer - The highest priority finding is absent bowel sounds Nontunneled percutaneous central venous catheter (CVC) Correct Answer - Nurse should place pt in Trendelenburg position Conscious sedation Correct Answer - Nurse should intervene if pt's O2 is 90% because ...

Acute pancreatitis Correct Answer - The highest priority finding is absent bowel sounds Nontunneled percutaneous central venous catheter (CVC) Correct Answer - Nurse should place pt in Trendelenburg position Conscious sedation Correct Answer - Nurse should intervene if pt's O2 is 90% because ...

A nurse is caring for a client who has a blood glucose of 52 mg/dl. The client is lethargic but arousable. Which of the following actions should the nurse perform first? A. Recheck the blood glucose in 15 mins B. Provide a carbohydrate and protein food C. Provide 15 g of simple carbohydrates D...

a home health nurse visits a client who has COPD and receives oxygen at 2L/min via nasal cannula. the client reports difficulty breathing. which of the following actions is the nursing priority? a. increase the oxygen flow to 3L/min b. assess the client's respiratory status c. call emergency ser...

A nurse is planning care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA) with stent placement. Which of the following actions should the nurse anticipate in the post-procedure plan of care? A. Instruct the client about a long-term cardiac conditioning program B. ...

Colon resection Correct Answer - Surgical removal of a portion of the colon. Hemorrhaging Correct Answer - Excessive bleeding. Diabetes insipidus Correct Answer - Condition characterized by decreased production of antidiuretic hormone (ADH), resulting in excessive urination. Desmopressin Co...

A nurse is assessing a client who is preoperative. The nurse should identify that which of the following factors reported by the client increases the risk for a postoperative wound infection? A- Frequent use of echinacea B- Long term use of corticosteroids C- History of osteoporosis D- Die...

A nurse is caring for a client who is postprocedure following a lumbar puncture and reports a throbbing headache when sitting upright. Which of the following actions should the nurse take? (Select all that apply). A. Use the Glasgow Coma Scale when assessing the client. B. Assist the client to a...

A nurse is screening a client for hypertension. Which of the following actions by the client increase his risk for hypertension? Correct Answer - - Eating popcorn at the movie theater - Consuming 36 oz of beer daily A nurse is caring for a client who received a bolus dose of succinylcholine (An...

What are some clinical manifestations of hypocalcemia? Correct Answer - muscle cramping and tingling in the extremities Describe the risk factors of ESKD and then manifestations and treatments: Correct Answer - Anemia- malaise, fatigue, and activity intolerance; treated with epoetin alfa Pulmona...

A nurse is providing discharge instructions for a client following cataract surgery with insertion of an intraocular lens. Which of the following instruction should the nurse include? Correct Answer - Restrict lifting objects greater than 10 pounds Rationale: the nurse instruct the client to rest...

A nurse in an emergency department is preparing to perform an ocular irrigation for a client. Which of the following actions should the nurse plan to take? a. Assess the client's visual acuity prior to irrigation b. Have the client turn their head toward the unaffected eye c. Hold the irrigator ...

S/Sx hypoparathyroidism Correct Answer - involuntary muscle spasms protamine sulfate Correct Answer - antidote to heparin monitor aPTT levels for... Correct Answer - heparin chest petechaie in a pt with a fractured long bone Correct Answer - notify HCP- could be an indication of fat emboli ...

Which respiratory diseases are risk factors for surgical complications? Correct Answer - 1. COPD 2. Pneumonia 3. Asthma Which cardiovascular diseases are risk factors for surgical complications? Correct Answer - 1. Heart failure 2. Myocardial infraction 3. Hypertension 4. Dysrhythmia How ...

signs of increase ICP Correct Answer - Sleepiness or difficulty arousing the client from sleep A widening pulse pressure decerebrate and decorticate posturing What med do you hold for cardioversions? Correct Answer - Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. ...

A nurse is preparing an in-service presentation about the management of myocardial infarction (MI). Death following MI is often a result of which of the following complications? A. Cardiogenic shock B. Dysrhythmias C. Heart failure D. Pulmonary edema Correct Answer - Correct Answer: B. Dysrhyth...

a nurse is caring for four clients. which of the following is at the greatest risk for pneumonia? a. school age child with hx of asthma b. young adult who is living in college dorm c. middle adult who is using incentive spirometer post surgery d. older adult with dysphagia Correct Answer - d....

A nurse is teaching a client who asks about taking a glucosamine supplement for osteoarthritis. Which of the following information should the nurse include in the teaching? A. Avoid using glucosamine with chondroitin B. Glucosamine can cause degradation of cartilage when used over a long time C. ...

A nurse is caring for a client who had a left lower lobectomy to treat lung cancer. Which of the following factors will have a significant impact on the plan of care for this client? Correct Answer - C. Lung cancer usually has metastasized before the client presents with symptoms. A nurse is prep...

Wound Evisceration, Emergency management Correct Answer - 1. Saline cover wound Asthma emergency management of bee sting allergies Correct Answer - 1. Epi Pen Hypocalcemia Correct Answer - 1. Paresthesia fingers and lips 2. Tetany 3. Muscle Twitching Peripheral Vascular Disease, Data Coll...

A nurse is caring for a client who has a tracheostomy with an inflated cuff in place. Which of the following findings indicates that the nurse should suction the client's airway secretions? a.The client is unable to speak. b. The client's airway secretions were last suctioned 2 hr ago. c. The c...

What should the nurse do before witnessing the client signing an informed consent who has expressed fears of the surgery? Correct Answer - Ask the surgeon to speak to the client for clarification Medication history: which medicine puts the client at risk for complications with anesthetic? Correct...

A nurse is reinforcing teaching with an older adult client who has osteoporosis. Which of the following instructions should the nurse in the teaching? a) "Place throw rugs on wooden floors at home." b) "Supplement your diet with vitamin E." c) "Swim laps for 20 minutes twice per week." d) ...

a nurse is assessing a pt who has a herniated lumbar disc, what finding would the nurse expect Correct Answer - the pt reports tingling and burning sensation in one foot a nurse is assessing a pt who has a history of migraine headaches with aura and reports feeling a "migraine coming on", the n...

Colon resection Correct Answer - Surgical removal of a portion of the colon. Hemorrhaging Correct Answer - Excessive bleeding. Diabetes insipidus Correct Answer - Condition characterized by decreased production of antidiuretic hormone (ADH), resulting in excessive urination. Desmopressin Co...

An older adult 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? Correct Answer - Urine Specific gravity 1.045 A urine specific gravity greater than 1.030 indicates a ...

Internal Radiation Correct Answer - Bodily fluids will be contaminated. Delivered via IV (radionuclide iodine) DO NOT touch body secretions Place client in private room Sign on door Wear dosimeter Limit visitors 30 minutes (6 feet away) No one under 16 years, pregnant Wear lead apron Lead ...

A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? Correct Answer - Lymphedema A nurse i...

A nurse is working in the emergency department (ED) when a client arrives complaining of substernal and left arm discomfort that has been going on for about 3 hours. All of these baseline lab tests are drawn. Which of these lab values will be most useful in determining whether the nurse should antic...

Albumin correct answer - 3.5-5 g/dL (decrease indicates hepatic disease) aPTT correct answer - 1.5-2 times normal range of 30-40 seconds (monitored for Heparin therapy) Calcium (Ca) correct answer - 9-10.5 mg/dL Hypo: CATS Convulsions, Arrythmias, Tetany/muscle twitches, spasms and strid...

. A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is pending an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate? a."large incisions wil...

dyspnea on exertion Correct Answer - A nurse is assessing a client who has dilated cardiomyopathy. Which of the following findings should the nurse expect? A nurse is teaching a client who is starting to take an ACE inhibitor to treat hypertension. The nurse should instruct the client to notify h...

A nurse is assessing a client who has experienced a gunshot wound. Findings include blood pressure 108/55 mm Hg, heart rate 124/min, respiratory rate 36/min, temperature 38.6 (101.4), and a SaO2 95% on oxygen 30 minute later. Which of the following should the nurse report to the provider? (select al...

A nurse in an emergency department is assessing a client who has a bradydysrhythmia. Which of the following findings should the nurse monitor for? Correct Answer - Confusion Rationale: It can cause decreased systemic perfusion, which leads to confusion. ; will manifest hypotension and diaphoresis...

MI vs Angina Correct Answer - Angina pectoris is a warning sign of an impending acute MI 4 major S/Sx differences between Angina and MI Correct Answer - MI risk factors (10) Correct Answer - 1. male gender 2. postmenopausal women 3. hypertension 4. tobacco use 5. hyperlipidemia 6. metabo...

heart failure occurs when the heart muscle is unable to pump effectively, resulting in inadequate _____, myocardial hypertrophy, and pulmonary/systemic congestion. Correct Answer - Heart failure _____ is a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of th...

How long should a pt fast before having a lipid profile taken? Correct Answer - 12-14 hours is recommended Total cholesterol Correct Answer - less that 200 mg/dL Triglycerides M and F Correct Answer - M: 40-160 mg/dL F: 35-135 mg/dL LDL cholesterol Correct Answer - less than 130 mg/dL H...

Troponin T correct answer - <0.2 ng/mL elevation detectable after MI 3-5 hrs Troponin I correct answer - <0.03 ng/mL elevation detectable after MI 3 hrs Myoglobin correct answer - <90 mcg/L elevation detectable after MI 2 hrs Echocardiogram correct answer - ultrasound of the...

A nurse caring for a client who has a new prescription for atenolol. For which of the following adverse effects should the nurse monitor the client? Correct Answer - Bradycardia A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the cl...