ATI Medical Surgical Assessment C
An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. The client appears anxious, restless, and mildly cyanotic. What condition should the nurse further assess for?
• Pulmonary embolism
When performing an initial a...
An adult client who is hospitalized after surgery reports sudden onset of chest pain and
dyspnea. The client appears anxious, restless, and mildly cyanotic. What condition should
the nurse further assess for?
• Pulmonary embolism
When performing an initial assessment on a client presenting to the emergency department
with a painful ankle injury, which information should the nurse obtain? (Select all that
apply):
• Quality of the pain
• Signs of inflammation
• Ankle range of motion
• Visible deformities of the joint
Which description of pain is consistent with rheumatoid arthritis?
• Joint pain is worse in the morning and affects symmetric joints.
What physical assessment finding should the nurse anticipate in a client with long-term
gastroesophageal reflux disease (GERD)?
• Hoarseness
A client presents with chronic venous insufficiency. What assessment finding should the
nurse anticipate?
• Bilateral lower leg stasis dermatitis
A client with a femur fracture is being treated with traction. What is the nurse’s priority
action in caring for this client?
• Assess neurovascular status
Which statement by a client with chronic pancreatitis indicates a need for further
education?
• "I will cut back on smoking cigarettes daily."
, The nurse is teaching a female client who uses a contraceptive diaphragm about reducing
the risk of toxic shock syndrome (TSS). What should the nurse include in the teaching?
(Select all that apply):
• Do not leave the diaphragm in place for more than 8 hours after intercourse.
• Replace the diaphragm every 3 months.
A male client who smokes two packs of cigarettes a day asks if other factors could
contribute to his and his wife’s difficulty in conceiving. What information is best for the
nurse to provide? (Select all that apply):
• Alcohol consumption can cause erectile dysfunction.
• Low testosterone levels affect sperm production.
• Cessation of smoking improves overall health and fertility.
Twenty-four hours after a gastric bypass surgery, the nurse observes large amounts of
blood in the nasogastric tube (NGT) canister. Which assessment finding should the nurse
report as an early sign of hypovolemic shock?
• Lethargy
A male client arrives at the clinic with severe abdominal cramping, tenesmus, and
dehydration. He reports 14 to 20 loose stools with rectal bleeding. What medical history is
most important for the nurse to obtain?
• Ulcerative colitis
A client is newly diagnosed with diverticulosis. Which statement by the client conveys an
understanding of the etiology of diverticula?
• "Chronic constipation weakens the colon wall, leading to the formation of outpouching
sacs."
A client discharged after management of chronic hypertension is instructed to use which
equipment at home?
• Sphygmomanometer
A young adult male diagnosed with stage 4 Hodgkin's lymphoma is concerned about
infertility due to upcoming radiation therapy (RT). How should the nurse respond?
• Suggest sperm banking before RT, with artificial insemination as an option later.
What aspect of a client’s history makes them more susceptible to ulcerative colitis?
• Jewish European ancestry
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