ATI Med Surg Proctored Exam (ACTUAL EXAM) 1) A nurse is collecting data from a client who was admitted with a Glasgow Coma Scale of 3. Which of the following findings should the nurse expect? - Nonresponsive Commands 2) A nurse is collecting data from a client who has coronary artery disease. Which of the following manifestations should the nurse identify as an indication that the client has angina - Chest Discomfort Radiated - Pain lasting less that 15mins - Pain that is relieved with rest 3) A nurse is receiving change -of-shift report for a group of clients. Which of the following clients should the nurse plan to see first? - A client who has diabetes mellitus with diaphoretic 4) A nurse is reinforcing teaching with a young adu lt client about testicular self -examination. Which of the following instructions should the nurse include? - Examine your testicles after a warm shower 5) A nurse is collecting data from a client who has tuberculosis and started combination therapy 2months ago. Which of the following diagnostic results indicates that the client is adhering to the medication regimen. - A negative sputum culture 6) A nurse is collecting data from a client who has bacterial meningitis. Which of the following findings should the nurse expect? - Severe Headache 7) A nurse is reinforcing with a client who has pernicious anemia. Which of the following statements by the client indicated an understanding of the teaching - I will be able to switch to a nasal form of cyanocobalamin when my levels stabilize 8) A nurse is reinforcing teaching with a male client who has right sided hemiparesis about preforming ADL’s. Which of the following instructions should the nurse include in the teaching - Comb your hair with the unaffected arm 9) A nurse is reinforcing discharge teaching with a client who has COPD and reports episodes of dyspnea. Which of the following instructions should the nurse include? - Used the pursed lip breathing technique 10) A nurse is reinforcing teaching with a client who has varicose veins of the right lower extremity. Which of the following instructions should the nurse include in the teaching - Apply elastic support hoes before getting out of bed in the morning 11) A nurse is preparing to transfer a client from a bed to chair following a total knee arthroplasty. The client has a prescription for partial weight bearing. Which of the following actions should the nurse take - Flex at the hip and knees before transferring the client 12) A nurse is reinforcing teaching with a client who is scheduled for a thoracentesis to remove pleural fluid. Which of the following information should the nurse include in the teaching - You will lean forward on the over bed table for this procedure 13) A nurse is reinforcing teaching with a newly licensed nurse about promoting sleep in older adult clients who have Alzheimer’s disease. Which of the following statements by the newly licensed nurse indicated an understanding of the teaching - I will provide the client with a light snack of cheese and crackers at bed time 14) A nurse is reinforcing teaching with a client who is in early stage stages of COPD and wants to use nicotine chewing gum to help him stop smoking. Which of the following recommendations should the nurse make - Do not eat or drink anything 15min before or after chewing the gum 15) A nurse is reinforcing teaching about foot care with a client who has a new diagnosis of diabetes mellitus, which of the following statements by the client indicates an understanding of the instructions - I’ll prop my feet up while im watching television 16) A nurse is contributing to the plan of care for a client who has a neurogenic bladder following a spinal cord injury. Which of the following interventions should the nurse include in the plan to develop bladder control - Stroke the inner thigh 17) A nurse is reviewing the medical record of a client who has systemic lupus erythematosus. Which of the following findings should the nurse expect - Joint pain 18) A nurse is reinforcing dietary teaching with a client who has a new diagnosis of GERD about foods to avoid because they worsen the manifestations of GERD. Which of the following foods should the nurse instruct the clients to avoid - Peppermint 19) A nurse is planning care for a client who is receiving bolus enteral feedings and is prescribed digoxin and furosemide. Which of the following actions should the nurse take - Flush the tube with water before and after each medication 20) A nurse is reinforcing teaching about the use of an Oxygen concentrator in the home for a client who has end stage emphysema. Which of the following instructions should the nurse include to promote client safety - Maintain an electrical back up system 21) A nurse is caring for a client who has type 1 diabe tes mellitus and reports hunger and weakness. The clients blood glucose is 50gm/dL. Which of the following actions should the nurse take -Have the client drink a glass of milk 22) A nurse is assisting a client who has hypertension in making healthy dietary selections regarding sodium intake. Which of the following foods should the nurse instruct the client to avoid? - Pretzels 23) A nurse is collecting data from a client who has a new diagnosis of pheochromocytoma. Which of the following findings should the nurse expect - Hypertension 24) A nurse is reinforcing teaching with a client who has gastric bleeding and is to have a gastric lavage by closed system irrigation. Which of the following statements should the nurse include? - You should expect to be positioned in a semi -upright position 25) A nurse is collecting data from a client who has right -sided heart failure. Which of the following findings should the nurse expect - Peripheral Edema - Hepatomegaly - Abdominal Distension 26) A nurse is reinforcing teaching with a client who is experiencing neutropenia as a result of chemotherapy. Which of the following information should the nurse include - Bathe with antimicrobial soap daily - Take temperature daily - Avoid gardening 27) A nurse is reinforcing teaching about home care with the caregiver of a client who is in the early stages of Alzheimer’s disease. Which of the following information should the nurse include - Put labels on the kitchen cabinets and drawers 28) A nurse is collecting data from a nurse who has sodium level of 128mEq/L. Which of the following findings should the nurse expect - Mental Confusion 29) A nurse is reinforcing teaching with a client who has prescription for clopidogrel following a thrombotic stroke. Which of the following information should the nurse include in the teaching - The medication prevents Clot formation 30) A nurse is reinforcing teaching with a client who is recovering from severe diarrhea and is ready to resume eating solid foods. Which of the following food items should the nurse recommend? - Yogurt 31) A nurse is reinforcing teaching about foods high in calcium with a client who has hypocalcemia. Which of the following foods should the nurse recommend as containing the most calcium - 3oz canned salmon 32) A nurse is reinforcing teaching with the caregiver of a client who has a visual impairment due to macular degeneration. Which of the following comments by the client’s caregiver indicates an understanding of the teaching - I will close the blinds to manage glare
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