ATI PROCTORED MEDSURGE 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...
ati proctored medsurge 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 comma
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ATI PROCTORED MEDSURGE
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 adult 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 diabetes 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?
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