ATI Medical Surgical Assessment A
A nurse is reviewing the laboratory results of a client scheduled for a CT scan with an IV contrast agent. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? A) Sodium 136 meq/L
B) Potassium 4.8 meq/L
C) ...
A nurse is reviewing the laboratory results of a client scheduled for a CT scan with
an IV contrast agent. Which of the following laboratory findings should the nurse
report to the provider prior to the procedure? A) Sodium 136 meq/L
B) Potassium 4.8 meq/L
C) Creatinine 1.9 mg/dl
D) Calcium 10 mg/dl
Answer: C) Creatinine 1.9 mg/dl
Creatinine 1.9 mg/dl is outside the expected reference range. The nurse should
report this finding to the provider before the client undergoes a CT scan with IV
contrast, as this places the client at risk for contrast-induced nephropathy.
A nurse is monitoring a client taking acarbose. Which of the following findings
should the nurse identify as an adverse effect of the medication? A) Polyuria
B) Abdominal cramps
C) Renal insufficiency
D) Insomnia
Answer: B) Abdominal cramps
Acarbose affects the gastrointestinal system, so the nurse should monitor the client
for abdominal cramping, bowel rumbling, and diarrhea as adverse effects.
A nurse is assisting with the care of a client who had a cardiac catheterization via
the right femoral artery. Which of the following actions should the nurse take to
prevent post-procedure complications? (Select all) A) Monitor the insertion site for
,bleeding
B) Position the affected extremity at a 45-degree angle
C) Restrict the client's fluid intake
D) Maintain the pressure dressing
E) Check the client's peripheral pulses
Answers:
• A) Monitor the insertion site for bleeding
• D) Maintain the pressure dressing
• E) Check the client's peripheral pulses
A nurse is contributing to the plan of care for a client with chronic obstructive
pulmonary disease (COPD) who is dyspneic. Which of the following interventions
should the nurse include in the plan? A) Encourage abdominal breathing
B) Direct the client to inhale with pursed lips
C) Set the oxygen therapy at 5L/min
D) Instruct the client to lean back while coughing
Answer: A) Encourage abdominal breathing
Abdominal breathing reduces the workload on accessory muscles during dyspnea.
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client
who has an INR of 4. Available is phytonadione 10 mg/ml. How many ml should
the nurse administer?
Answer:
7mg/10mg×1ml=0.7ml7mg/10 mg \times 1 ml = 0.7 ml7mg/10mg×1ml=0.7ml
, A nurse is examining a client's IV site and notes a red line up his arm. The client
reports throbbing, burning pain at the IV site. The nurse should identify the client's
manifestations indicate which of the following complications of IV therapy? A)
Thrombophlebitis
B) Infiltration
C) Hematoma
D) Venous spasms
Answer: A) Thrombophlebitis
Pain, warmth, and a red streak up the arm indicate thrombophlebitis.
A nurse is reinforcing teaching about constipation management for a client with
hypothyroidism. Which of the following 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 1200 ml per day
D) Limit activity to preserve energy
Answer: A) Increase intake of fiber-rich foods
Fiber-rich foods help manage constipation. Dried beans and brown rice are
examples.
A nurse is caring for a client with a compound fracture of the femur in balanced
suspension skeletal traction. Which of the following actions should the nurse take?
A) Perform pin site care daily
B) Remove the overbed trapeze
C) Remove the boot every 2 hr
D) Keep the weights on a stable, flat surface
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