ATI MEDSURG PROTECTED EXAM
PRACTICE/120 QUESTIONS AND
ANSWERS (A+)
A nurse is assisting with the care of a client who has a
femur fracture and is in skeletal traction. Which of the
following actions should the nurse take?
Loosen the knots on the ropes if the client is
experiencing pain
Ensure the client's weights are hanging freely from the
bed
Check the client's bony prominence every 12 hours
Cleanse the client's pin sites with povidone-iodine. -
√Answer :Ensure the client's weights are hanging freely
from the bed
Quiz :A nurse in a provider's office is reinforcing
teaching with a client who has anemia & has been
taking ferrous gluconate for several weeks. Which of the
following instructions should the nurse include?
Take this medications between meals.
Limit intake of Vitamin C while taking this medication.
Take this medication with milk.
Limit intake of whole grains while taking this medication
- √Answer :Take this medication between meals
Quiz :A nurse is reinforcing teaching with a client who is
postoperative after having an ileostomy established.
Which of the following instructions should the nurse
include in the teaching?
,Empty the pouch immediately after meals.
Change the entire appliance once a day.
Limit fluid intake.
Avoid medications in capsule or enteric form. -
√Answer :Avoid medications in capsule or enteric form.
Quiz :A nurse is contributing to the plan of care for a
client who has an intestinal obstruction and is receiving
continuous gastrointestinal decompression using a
nasogastric tube. Which of the following interventions
should the nurse include in the plan of care?
Measure abdominal girth daily.
Use sterile water to irrigate the nasogastric tube.term-3
Maintain the client in Fowler's position.
Moisten the client's lips with lemon-glycerin swabs. -
√Answer :Maintain the client is Fowler's position
Quiz :A nurse is reviewing the plan of caring for a client
who has cellulitis of the leg. Which of the following
interventions should the nurse recommend?
Apply topical antifungal agents.
Apply fresh ice packs every 4 hrs.
Wash daily w/ an antibacterial soap.
Keep draining lesions uncovered to air dry. -
√Answer :Wash daily w/ an antibacterial soap.
Quiz :A nurse is caring for a client with severe burns to
both lower extremities. The client is scheduled for an
escharotomy and wants to know what the procedure
,involves. Which of the following statements is
appropriate for the nurse to make?
An escharotomy surgically removes dead tissue.
A cannula will be inserted into the bone to infuse fluids
& antibiotics.
A piece of skin will be removed and grafted over the
burned area.
Large incisions will be made in the burned tissue to
improve circulation. - √Answer :Large incisions will be
made in the burned tissue to improve circulation.
Quiz :A nurse is collecting data from a client who has a
possible cataract. Which of the following manifestations
should the nurse expect the client to report?
Decreased color perception
Loss of peripheral vision
Bright flashes of light
Eyestrain - √Answer :Decreased color perception
Quiz :A charge nurse is discussing the responsibility of
nurses caring for clients who have C. difficile infection.
Which of the following information should the nurse
include in the teaching?
Assign the client to a room with a negative air-flow
system
Use alcohol-based hand sanitizer when leaving the
clients room
Clean contaminated surfaces in the client's room with a
phenol solution
, Have family members wear a gown and gloves when
visiting - √Answer :Have family members wear a gown &
gloves when visiting
Quiz :A nurse is planning teaching for a group of
adolescents who each recently has surgical placement
of an ostomy. Which of the following methods should
the nurse use as a psychomotor approach to learning?
Role play
Group discussions
Question-answer meeting
Practice sessions - √Answer :Practice sessions
Quiz :A nurse is caring for a client who reports difficulty
falling asleep. Which of the following recommendations
should the nurse make?
Drink a cup of hot cocoa before bedtime.
Maintain a consistent time to wake up each day.
Exercise 1 hour before going to bed.
Watch a television program in bed before going to
sleep. - √Answer :Maintain a consistent time to wake up
each day
Quiz :The nurse is caring for a client who has recently
started using a behind-the-ear hearing aid. Which of the
following statements should the nurse identify as an
indication that the client understands the use of this
assistive device?
This type of hearing aid does not allow for fine-tuning of
volume
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