ATI Med-Surg Proctored Exam 2024/225 Questions & Answers-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'...
ATI Med-Surg Proctored Exam Questions & Answers
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. - Ensure the client's weights are
hanging freely from the bed
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 - Take this medication
between meals
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. - Avoid medications in capsule or
enteric form.
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. - Maintain the client is
Fowler's position
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. - Wash daily w/ an antibacterial soap.
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. - Large
incisions will be made in the burned tissue to improve circulation.
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 - Decreased color perception
,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 - Have family
members wear a gown & gloves when visiting
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 - Practice sessions
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. - Maintain a consistent
time to wake up each day
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
I shouldn't have trouble keeping the hearing aid in place during exercise
I expect to hear a whistling sound when I first insert the hearing aid
, I will be sure to remove my hearing aid before taking a shower - I will be sure to
remove my hearing aid before taking a shower
A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through an open system. Which of the following actions should the nurse
take first?
Rinse the feeding bad with water between feedings/
Tell the client to keep the head of the bed elevated at least 30 degres
Make sure the enteral formula is at room temperature
Wipe the tope of the formula can with alcohol - Tell the client to keep the head of
the bed elevated at least 30 degrees
A nurse is preparing to administer 0.5mL of oral single-dose liquid medication to a
client. Which of the following actions should the nurse take?
Gently shake the container of medication prior to administration
Transfer the medication to a medicine cup
Place the client in a semi-Fowler's position prior to medication administration.
Verify the dosage by measuring the liquid before administering it. - Gently shake
the container of medication prior to administration.
A nurse in a clinic is caring for a middle aged adult client who states "The doctor
says that, since I am at an average risk for colon cancer, I should have routine
screening. What does the involve?" Which of the following responses should the
nurse make?
I'll get a blood sample from you and send it for a screening test.
Beginning at age 60, you should have a colonoscopy.
You should have a fecal occult blood test every year.
The recommendation is to have a sigmoidoscopy every 10 years. - You should
have a fecal occult blood test every year.
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