ATI Med Surg Practice A Questions and AnsweRS A+ CONFIRMED TEST
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ATI Med Surg Practice A
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ATI Med Surg Practice A
ATI Med Surg Practice A Questions and AnsweRSATI Med Surg Practice A Questions and AnsweRS A+ CONFIRMED TESTATI Med Surg Practice A Questions and AnsweRS A+ CONFIRMED TESTATI Med Surg Practice A Questions and AnsweRS A+ CONFIRMED TEST A+ CONFIRMED TEST
,A nurse is reinforcing teaching with a client who has mitral valve disease. Which of
following statements by the client indicates an understanding of the disease process?
A. "I should call my doctor if I get a headache."
B. "I might develop gastric reflux."
C. "I might develop excessive bruising."
D. "I should call my doctor if my ankles swell." - CORRECT ANSWERS-D. "I should call
my doctor if my ankles swell."
RAT: Swelling of the ankles can indicate heart failure. The client should report this
finding to the provider. A provider might prescribe anticoagulants to prevent thrombus
formation on the valve, which can cause excessive bruising for a client who has mitral
valve disease. However, excessive bruising is not a direct result of the disease.
A nurse is reinforcing teaching about joint protection with a client who has an acute
exacerbation of rheumatoid arthritis. Which of the following information should the nurse
include in the teaching?
A. Apply cold packs to the inflamed joints.
B. Participate in high-impact exercise.
C. Carry a hand purse rather than a shoulder bag.
D. Sleep on a soft foam mattress. - CORRECT ANSWERS-A. Apply cold packs to the
inflamed joints.
,RAT: The nurse should instruct the client to use both warm and cold packs on inflamed
joints to decrease pain.
A nurse is collecting data from who has hypothyroidism. Which of the following
manifestations should the nurse anticipate?
A. Blurred vision
B. Insomnia
C. Bradycardia
D. Weight loss - CORRECT ANSWERS-C. Bradycardia
RAT: The nurse should identify that bradycardia is a manifestation of hypothyroidism
that is caused by a decrease in the client's metabolic rate.
A nurse is reinforcing teaching with an adolescent child regarding testicular self-
examination. Which of the following statements by the client indicates an understanding
of the teaching?
A. "I will perform the exam before I shower."
B. "I will check my testicles every 6 months."
C. "I understand that testicular cancer is typically painless."
D. "I understand that pea-sized lumps are normal." - CORRECT ANSWERS-C. "I
understand that testicular cancer is typically painless."
RAT: Clients should report a lump that is not painful because testicular cancer is
typically painless. Clients should perform a testicular self-examination after a warm
shower. Clients should perform a testicular self-examination monthly.
A nurse is contributing to the plan of care of a client who is at risk for osteoporosis.
Which of the following interventions should the nurse include to prevent bone loss?
A. Increase fluid intake.
B. Encourage range-of-motion exercises.
C. Massage bony prominences.
D. Encourage weight-bearing exercises. - CORRECT ANSWERS-D. Encourage weight-
bearing exercises.
Weight-bearing exercises, such as walking, can maintain bone mass by reducing bone
demineralization, thus helping to prevent osteoporosis.
A nurse is reinforcing teaching about management of constipation with a client who has
hypothyroidism. Which of the following instructions should the nurse include in the
teaching?
A. Increase intake of fiber-rich foods.
B. Take a laxative every morning.
, C. Maintain a fluid intake of 1,200 mL/day.
D. Limit activity to preserve energy. - CORRECT ANSWERS-A. Increase intake of fiber-
rich foods.
RAT: The nurse should instruct the client to increase the amount of fiber-rich foods in
their diet. Dried beans and brown rice are examples of fiber-rich foods. The nurse
should instruct the client to increase activity to stimulate the evacuation of stool.
A home health nurse is reinforcing teaching with a client about preventing complications
of peripheral vascular disease. Which of the following statements indicates that the
client is adhering to the nurse's instructions?
A. "I apply rubbing alcohol to my feet every day to prevent infection."
B. "I will wear clean, knee-high wool socks every day to help improve my circulation."
C. "I use hot water bottles to keep my feet warm at night."
D. "I don't cross my legs anymore." - CORRECT ANSWERS-D. "I don't cross my legs
anymore."
RAT: Clients who have peripheral vascular disease should not cross their legs because
it can impede circulation.
A nurse observes a client who is lying in bed and experiencing a tonic-clonic seizure.
Which of the following actions should the nurse take?
A. Lower the side rails of the client's bed.
B. Apply wrist restraints to the client.
C. Position the client in the semi-Fowler's position.
D. Loosen clothing around the client's neck. - CORRECT ANSWERS-D. Loosen
clothing around the client's neck.
RAT: The nurse should loosen clothing around the client's neck to maintain an open
airway and prevent aspiration.
A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about
manifestations of impending death. Which of the following manifestations should the
nurse include?
A. Incontinence of bowel and bladder
B. Increase in heart rate
C. Warmness of the skin
D. Hypertension - CORRECT ANSWERS-A. Incontinence of bowel and bladder
RAT: The nurse should inform the caregiver that incontinence of the bowel and bladder
is a manifestation of impending death. Other manifestations include hypotension,
bradycardia, restlessness, and coolness of the skin.
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