ATI Med/ Surg Proctored retake exam Updated Version 2023 ( Actual Exam with all Questions and Answers ) A nurse at a providers office is caring for an older adult client who is having an annual physical exam. Which of the following findings indicates additional follow -up is needed in regard to the prostate gland? (Sele ct all that apply.) A. Prostate specific antigen (PSA) is 7.1 ng/mL. B. A digital rectal exam (DRE) reveals an enlarged and nodular prostate. C. The client reports a weak urine stream. D. The client reports urinating once during the night. E. Smegma is pre sent below the glans of the penis. --------- Correct Answer -------- A. Prostate specific antigen (PSA) is 7.1 ng/mL. B. A digital rectal exam (DRE) reveals an enlarged and nodular prostate. C. The client reports a weak urine stream. A nurse is providing information to a client who is scheduled for a transrectal ultrasound (TRUS). Which of the following information should the nurse include? A. "This procedure will determine if you have prostate cancer." B. "The procedure is contraindicated if you have an allergy to eggs." C. "Sound waves will be used to create a picture of your prostate." D. "You should avoid having a bowel movement 1 hr prio r to the procedure." --------- Correct Answer -------- C. "Sound waves will be used to create a picture of your prostate." A nurse on a medical -surgical unit is admitting a client who has hepatitis B with ascites. Which of the following actions should the nurse include in the plan of care? A. Initiate contact precautions. B. Weigh the client weekly. C. Measure abdominal girth 7.5 cm (3 in) above the umbilicus. D. Provide a high -calorie and high -carbohydrate diet. --------- Correct Answer -------- D. Provid e a high -calorie and high -carbohydrate diet. A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of the following laboratory findings should the nurse expect? A. Presence of immunoglobulin G antibodies (IgG) B. Positive EIA test C. Aspartate aminotransferase (AST) 35 units/L D. Alanine aminotransferase (ALT) 15 IU/L --------- Correct Answer -------- B. Positive EIA test A nurse is assessing a client who has advanced cirrhosis. The nurse should identify which of the following findi ngs as indicators of hepatic encephalopathy? (Select all that apply.) A. Anorexia B. Change in orientation C. Asterixis D. Ascites E. Fetor hepaticus --------- Correct Answer -------- B. Change in orientation C. Asterixis E. Fetor hepaticus A nurse is c aring for a client who has cirrhosis. Which of the following medications can the nurse expect to administer to this client? (Select all that apply.) A. Diuretic B. Beta -blocking agent C. Opioid analgesic D. Lactulose E. Sedative --------- Correct Answer -------- A. Diuretic B. Beta -blocking agent D. Lactulose A nurse is teaching a client who has hepatitis B about home care. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. Limit physical activity. B. Avoid alcohol. C. Take acetaminophen for comfort. D. Wear a mask when in public places. E. Eat small frequent meals. --------- Correct Answer -------- A. Limit physical activity. B. Avoid alcohol. E. Eat small frequen t meals. A nurse is reviewing the health record of a client who is to undergo total joint arthroplasty. The nurse should recognize which of the following findings as a contraindication to this procedure? A. Age 78 years B. History of cancer C. Previous j oint replacement D. Bronchitis 2 weeks ago --------- Correct Answer -------- D. Bronchitis 2 weeks ago A nurse is admitting a client to the orthopedic unit following a total knee arthroplasty. Which of the following actions by the nurse is appropriate? A. Check continuous passive motion device settings. B. Palpate dorsal pedal pulses. C. Place a pillow behind the knee D. Elevate heels off bed.
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