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Med Surg ATI Practice A Questions and Answers | Latest Update

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  • Med Surg ATI

A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Which of the following instructions should the nurse include? "You will have an implant placed twice each month for the duration of the treatment." "You should remain at least 6 feet a...

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  • September 27, 2024
  • 60
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Med Surg ATI
  • Med Surg ATI
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2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!

Med Surg ATI Practice A Questions
and Answers | Latest Update
A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled

for brachytherapy. Which of the following instructions should the nurse include?




"You will have an implant placed twice each month for the duration of the treatment."


"You should remain at least 6 feet away from others between treatments."


"You should expect to have blood in your urine for a few days after treatment."


"You will need to stay still in the bed during each treatment session."


✓ "You will need to stay still in the bed during each treatment session."




The nurse should instruct the client that they will need to remain on bed rest with very

limited movement because excessive movement can cause the radioactive source to

become dislodged.




A nurse in an emergency department is caring for a client who reports vomiting and

diarrhea for the past 3 days. Which of the following findings should indicate to the nurse

that the client is experiencing fluid volume deficit?




Heart rate 110/min


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,2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!
Blood pressure 138/90 mm Hg


Urine specific gravity 1.020


BUN 15 mg/dL


✓ Heart rate 110/min




A client who has a 3-day history of vomiting and diarrhea is likely to have fluid volume

deficit and an elevated heart rate.




A nurse is caring for a client who has terminal cancer. The client tells the nurse, "I wish I

could stop these treatments. I am ready to die." Which of the following statements should

the nurse make?




"Discontinuing with the treatments is your choice if it is your wish to do so."


"Your child is named as your health care surrogate. I will ask them if you can stop the

treatments."


"I will call your spiritual advisor to come in, so you can discuss this with them."


"Next time you have an oncology appointment, you should ask the oncologist."


✓ "Discontinuing with the treatments is your choice if it is your wish to do

so."




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,2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!
The nurse should recognize the client's right to refuse the treatments and inform the client

of this right. The nurse should advocate for the client and offer to contact the provider for

the client.




A nurse is caring for a client who is receiving dialysis treatment..


For each potential nursing intervention, click to specify if the intervention is indicated or not

indicated.


✓ INDICATED:

- Apply oxygen at 2 L/min via nasal cannula.


- Administer a 0.9% sodium chloride 200 mL IV bolus.


- Notify the provider immediately.


- Place the client in Trendelenburg position.




NOT INDICATED:


- Perform a 12-lead ECG.


- Obtain the client's blood glucose level.




A nurse is caring for a client who is postoperative. Which of the following actions should

the nurse take? Select all that apply.




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, 2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!
✓ - Instruct the client to splint the abdomen with a pillow for coughing

- Plan to ambulate the client as soon as possible


- Report urinary output to the provider


- Ask the client to rate their pain on a 0 to 10 pain scale




Rationale:


- It is important for the client to turn, cough, and deep breathe to reduce the risk for

respiratory complications and reduce the risk of complications to the surgical incision.


- The nurse should plan to ambulate the client as soon as possible to promote ventilation

and decrease the risk of thrombosis.


- The client should produce at least 30 mL of urine per hour. Therefore, the nurse should

report this finding to the provider.


- The nurse should have the client rate their pain prior to and following the administration

of pain medication to evaluate its effectiveness.




A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is

not available when the current infusion is nearly completed. Which of the following actions

should the nurse take?


1. Keep the line open with 0.9% sodium chloride until the new bag arrives.


2. Administer dextrose 10% in water until the new bag arrives.


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