ATI MEDSURG 2019 RETAKE GUIDE- LATEST GUIDE
1. A nurse is caring for a client who has a lower extremity facture and a prescription for
crutches. Which of the following client statements indicates that the client is adapting
to their role change?
“I will need to have my partner take over shopping for groceries and cooking the meals
for us “
2. A nurse is planning care for a client following a cardiac catheterization. Which of
the following actions should the nurse take?
Maintain the client's affected extremity in extension
3. a nurse is caring for a client following a below the knee amputation. The client
states.” my life is over.” which of the following responses should the nurse make?
“Why do you think your life is over “
4. a nurse in PACU is assessing a client who is postoperative following general
anesthesia. Which of the following findings is a priority to address?
Indistinct, rambling speech
5. A nurse is caring for a client who has a contusion of the brainstem and reports thirst.
The client's urinary output was 4 milliliters over the past 24 hours. The nurse should
anticipate a prescription for which of the following IV medications?
Desmopressin
6. a nurse is preparing to perform ocular irrigation for a client following a chemical
splash to the eye. Which of the following actions should the nurse plan to take first?
Instill 0.9% sodium chloride solution into the affected eye
7. A nurse is providing instructions to a client who has primary syphilis. Which of
the following instructions should the nurse include in the discharge plan?
You will need to be monitored for 15 minutes after receiving each medication dose
8. a nurse is reviewing ABG results for a client who has COPD. Which of the
following findings should the nurse expect?
PA CO2 48 mm Hg
9. a nurse is reviewing the medical record of a client to identify risk factors for colorectal
cancer. The nurse should identify which of the following finding as increasing the
clients risk?
BMI of 24
10. a nurse is providing discharge teaching to a client who will be self- administering
insulin at home. Which of the following information should the nurse include regarding
needle disposal?
You can discard needles in an empty bleach bottle with a lid
11. a nurse is assessing a client who Has a new diagnosis of type one diabetes mellitus.
Which of the following findings indicates that the client is experiencing
hypoglycemia? Increased perspiration
12. a nurse is planning care for a client who is 8 hours postoperative following a
coronary artery bypass grafting. Which of the following assessments should the
nurse plan to perform first?
Auscultate breath sounds
, 13. a nurse is providing discharge teaching to a client who has an ileostomy. Which of
the following client statements indicates an understanding of the teaching?
“I will expect my stools to be loose.”
14. a nurse is caring for an adolescent client who has an acute kidney injury which of
the following laboratory findings should the nurse anticipate?
potassium 6.8
15. a nurse is assessing a client who has an arteriovenous (AV) graft in the left forearm.
Which of the following findings should indicate to the nurse a complication of
vascular access?
Absence of a bruit
16. A nurse is caring for an older adult client who has dementia. Which of the
following questions should the nurse ask to assess the client's abstract thinking?
What is meant by saying, “don't beat around the Bush? "
17. a nurse is assessing a client who has Graves' disease about recognizing the
manifestations of thyroid storm. Which of the following findings should the
nurse include in the teaching?
Increased temperature
18. a nurse is caring for a female client who is receiving total parenteral nutrition without
fat embolism. Which of the following findings should the nurse report?
Crackles in the bilateral lung bases
19. A nurse is planning care for a client who has full thickness burns on the
lower extremities. Which of the following interventions should the nurse
include? Apply new gloves when alternating between wound care sites
20. a nurse is preparing to administer lactated ringer's via continuous Ivy infusion at 20
milliliters an hour. The IV tubing has a drop factor of 10 GTT slash ML should the
nurse set the IV pump to administer?
21. A nurse is preparing to administer furosemide to a client who has acute heart failure.
Which of the following laboratory results should the nurse identify as a
contraindication for receiving the medication?
Potassium 3.2
22. A nurse is assessing a client who has bacterial pneumonia. Which of the
following findings should the nurse expect (select all that apply)
frequent productive cough
23. a nurse is caring for a client who is 6 hours postoperative following a thyroidectomy.
The client reports tingling and numbness in the hands. The nurse should identify this as
a sign of which of the following electrolyte imbalances?
Hypocalcemia
24. a nurse is planning care for a client who has status epilepticus. Which of the
following interventions is a nurse is priority to include?
Turn the client to the lateral position during seizure activity
25. a nurse is planning care for a client who has developed nephrotic syndrome. Which
of the following dietary recommendations should the nurse include?
Decrease protein intake
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