ATI MED SURGE PROCTORED EXAM
1. A nurse is caring for a client following a bone marrow
biopsy. What information should the nurse include in the discharge
education?
-Keep dressing clean and dry to prevent infection
-Watch for bleeding and if notice excessive bleeding report to
provider
-Remind pt avoid aspirin or medications that would prevent clotting
2. A nurse is providing client education regarding modes of
hepatitis transmission.
What are the routes of transmission and risk factors for
Hepatitis A, B, C, D and E?
-Hep A transmission by fecal-oral. Risk=consumption of
contaminated food/water (esp. shellfish) and close contact with an
infected person
-Hep B transmission by blood. Risk=unprotected sex, babies born
from infected mothers, contact with infected blood, substance abuse
(injected)
-Hep C transmission by blood. Risk=substance abuse (injected),
blood/blood products, transplants, needle sticks.
-Hep D transmission by coinfection with HBV. Risk=substance
abuse (injected), unprotected sex
-Hep E transmission by fecal-oral. Risk=Consumption of
contaminated food/water that has fecal waste in it.
3. What are three (3) risk factors for testicular cancer? List three
(3) subjective and objective findings in the client with testicular
cancer?
-Risk Factors-Male gender age 20-35 years old, HIV, undescended
testis.
-Subjective findings-swelling/lump in testis, indication of
metastases such as gynecomastia and back pain.
-Objective findings-swollen lymph nodes in groin area, palpable
lump by LIP, enlarged testis without presence of pain.
4. What dietary education should the nurse provide to a client
diagnosed with a hiatal hernia?
-Avoid fatty, fried foods, coffee and caffeinated beverages, spicy
foods, citrus fruits, acidic vegetables such as tomatoes, and ETOH.
, 5. A nurse is caring for a client with chronic gastritis. Provide
three (3) dietary recommendations the nurse should include in
client education?
-Eat small frequent meals, eat slowly, avoid food and beverages that
cause gastric irritation, decrease consumption or eliminate caffeine
and ETOH.
6. A nurse is caring for a client who has been admitted with renal
calculi. List three (3) interventions the nurse will take in the
management of renal calculi.
-Strain urine to monitor for passing of calculi
-Monitor intake/output of urine
-Administer pain meds/NSAIDS/antibiotics/spasmolytics as ordered
7. A nurse has provided education to a client regarding the correct
way to take prescribed nitroglycerin for the treatment of
angina. Which of the following client statements indicates a
need for further education
-"If I still have pain after 5 minutes I will take two more tablets."
8. A nurse is caring for a client with Rheumatoid arthritis who is
prescribed a nonsteroidal anti-inflammatory drug (NSAID) for
the treatment of joint pain. Provide three (3) teaching points in
client education the nurse should provide regarding this
medication therapy.
-Take with food or a full glass of water/milk
-Teach pt to monitor for GI bleeding ad report dark emesis
and tarry stools -Avoid ETOH
9. A nurse is caring for a client experiencing metabolic acidosis.
What are three (3) causes of metabolic acidosis?
-Excess production of hydrogen ions/increased H3 concentration
-Excess elimination of bicarbonate/diarrhea
-Inadequate production of bicarbonate/decreased Hco3
10. A nurse is caring for a client with pneumonia. What are three
(3) physical assessment findings that are noted with the
development of pneumonia?
-SOB
-Fever
1. A nurse is caring for a client following a bone marrow
biopsy. What information should the nurse include in the discharge
education?
-Keep dressing clean and dry to prevent infection
-Watch for bleeding and if notice excessive bleeding report to
provider
-Remind pt avoid aspirin or medications that would prevent clotting
2. A nurse is providing client education regarding modes of
hepatitis transmission.
What are the routes of transmission and risk factors for
Hepatitis A, B, C, D and E?
-Hep A transmission by fecal-oral. Risk=consumption of
contaminated food/water (esp. shellfish) and close contact with an
infected person
-Hep B transmission by blood. Risk=unprotected sex, babies born
from infected mothers, contact with infected blood, substance abuse
(injected)
-Hep C transmission by blood. Risk=substance abuse (injected),
blood/blood products, transplants, needle sticks.
-Hep D transmission by coinfection with HBV. Risk=substance
abuse (injected), unprotected sex
-Hep E transmission by fecal-oral. Risk=Consumption of
contaminated food/water that has fecal waste in it.
3. What are three (3) risk factors for testicular cancer? List three
(3) subjective and objective findings in the client with testicular
cancer?
-Risk Factors-Male gender age 20-35 years old, HIV, undescended
testis.
-Subjective findings-swelling/lump in testis, indication of
metastases such as gynecomastia and back pain.
-Objective findings-swollen lymph nodes in groin area, palpable
lump by LIP, enlarged testis without presence of pain.
4. What dietary education should the nurse provide to a client
diagnosed with a hiatal hernia?
-Avoid fatty, fried foods, coffee and caffeinated beverages, spicy
foods, citrus fruits, acidic vegetables such as tomatoes, and ETOH.
, 5. A nurse is caring for a client with chronic gastritis. Provide
three (3) dietary recommendations the nurse should include in
client education?
-Eat small frequent meals, eat slowly, avoid food and beverages that
cause gastric irritation, decrease consumption or eliminate caffeine
and ETOH.
6. A nurse is caring for a client who has been admitted with renal
calculi. List three (3) interventions the nurse will take in the
management of renal calculi.
-Strain urine to monitor for passing of calculi
-Monitor intake/output of urine
-Administer pain meds/NSAIDS/antibiotics/spasmolytics as ordered
7. A nurse has provided education to a client regarding the correct
way to take prescribed nitroglycerin for the treatment of
angina. Which of the following client statements indicates a
need for further education
-"If I still have pain after 5 minutes I will take two more tablets."
8. A nurse is caring for a client with Rheumatoid arthritis who is
prescribed a nonsteroidal anti-inflammatory drug (NSAID) for
the treatment of joint pain. Provide three (3) teaching points in
client education the nurse should provide regarding this
medication therapy.
-Take with food or a full glass of water/milk
-Teach pt to monitor for GI bleeding ad report dark emesis
and tarry stools -Avoid ETOH
9. A nurse is caring for a client experiencing metabolic acidosis.
What are three (3) causes of metabolic acidosis?
-Excess production of hydrogen ions/increased H3 concentration
-Excess elimination of bicarbonate/diarrhea
-Inadequate production of bicarbonate/decreased Hco3
10. A nurse is caring for a client with pneumonia. What are three
(3) physical assessment findings that are noted with the
development of pneumonia?
-SOB
-Fever
