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PN MED SURG EXAM QUESTIONS AND ANSWERS | LATEST UPDATE
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PN MED SURG EXAM QUESTIONS AND ANSWERS | LATEST UPDATE1. A nurse is caring for a client who has pneumothorax and a chest tube with closed water seal drainage system. Which of the following actions should the nurse take? A) Increase the suction pressure on the chest tube B) Refill the water chambe...

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  • October 9, 2024
  • 29
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • pn med surg exam questions and answers latest u

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ATI PN MED SURG EXAM QUESTIONS AND ANSWERS |
LATEST UPDATE



1. A nurse is caring for a client who has pneumothorax and a chest tube with closed water seal
drainage system. Which of the following actions should the nurse take?
A) Increase the suction pressure on the chest tube
B) Refill the water chamber if the fluid is low
C) Change the chest tube dressing immediately
D) Remove the chest tube to allow for natural healing
Correct Answer: B) Refill the water chamber if the fluid is low


2. A nurse on a medical unit is planning care for a group of clients. Which of the following clients
should the nurse attend to first?
A) A client who has thrombocytopenia and reports a nosebleed
B) A client who is recovering from a recent surgery and is stable
C) A client who is scheduled for a routine check-up tomorrow
D) A client who has a mild headache and is requesting pain medication
Correct Answer: A) A client who has thrombocytopenia and reports a nosebleed


3. A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following is the
priority intervention by the nurse?
A) Initiate a continuous IV insulin infusion
B) Check potassium levels
C) Obtain the client's weight daily
D) Monitor serum blood glucose during infusion
Correct Answer: A) Initiate a continuous IV insulin infusion


4. A nurse is assessing the pain status of a group of clients. Which of the following findings
indicate a client is experiencing referred pain?
A) Blanching of the hands

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B) WBC count of 16,000/mm³
C) A client who has pancreatitis reports pain in the left shoulder
D) Ask the client to empty his bladder prior to the procedure
Correct Answer: C) A client who has pancreatitis reports pain in the left shoulder


5. A nurse is providing discharge teaching to a client who has a permanent pacemaker. Which of
the following statements by the client indicates an understanding of the teaching?
A) I need to check my pulse rate every day for a full minute
B) I should avoid all physical activity for a month
C) I can stop taking my medication if I feel fine
D) I must keep my pacemaker site covered at all times
Correct Answer: A) I need to check my pulse rate every day for a full minute


6. A nurse is assessing a client who has heart failure and is receiving a loop diuretic. Which of the
following findings indicates hypokalemia?
A) Muscle spasms
B) Muscle weakness
C) Hypotension
D) Mental confusion
Correct Answer: B) Muscle weakness


7. A nurse is caring for a client who has newly inserted chest tube. The nurse should clarify which
of the following prescriptions with the provider?
A) Remove the chest tube if there is no drainage
B) Clamp the chest tube during transport
C) Change the dressing every hour regardless of need
D) Vigorously strip the chest tube twice daily
Correct Answer: B) Clamp the chest tube during transport


8. A nurse is teaching a client who has a new prescription for alendronate to treat osteoporosis.
Which of the following instructions should the nurse include in the teaching?
A) Take the medication with a high-calcium drink

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B) Sit upright for 30 min after taking the medication
C) Lie down immediately after taking the medication
D) Crush the medication to make it easier to swallow
Correct Answer: B) Sit upright for 30 min after taking the medication


9. A nurse is caring for a client who has completed 10 daily cycles of Total Parenteral Nutrition
(TPN). Which of the following findings indicates that the client is receiving adequate TPN
supplementation?
A) Improvement in skin turgor and hydration status
B) Increased appetite and food intake during TPN
C) Weight gain of 9.1 kilograms (20 pounds)
D) Decrease in blood pressure readings over the treatment period
Correct Answer: A) Improvement in skin turgor and hydration status


10. A nurse is caring for a client following a total knee arthroplasty. The client reports a pain level
of 6 on a pain scale of 0 to 10. Which of the following should the nurse take?
A) Administer a dose of oral pain medication immediately
B) Apply an ice pack to the client's knee
C) Encourage the client to walk around to relieve the pain
D) Suggest the client use a heating pad on the knee
Correct Answer: B) Apply an ice pack to the client's knee


11. A nurse is assessing a client who has deep-vein thrombosis (DVT) in the right lower extremity.
Which of the following findings should the nurse expect?
A) Pallor in the right foot
B) Pain in the right leg when ambulating
C) Petechiae over the right lower leg
D) Increased temperature in the right leg
Correct Answer: D) Increased temperature in the right leg


12. A nurse is teaching a client about using crutches after a left leg injury. Which of the following
instructions should the nurse include?

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