ATI Medsurg Protected Exam Practice Questions (Answered) Graded A+. 2022

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ATI Medsurg Protected Exam Practice Questions (Answered) Graded A+. 2022 A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the followin... g 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. A nurse is caring for a client who is receiving fluid through a peripheral IV catheter. Which of the following findings at the IV site should the nurse identify as indicating infiltration? Purulent exudate Warmth Skin blancing Bleeding - ✔✔Skin Blanching Along w/ edema & coolness at site A nurse is discussing the use of herbal supplements for health promotion with a client. Which of the following client statements indicated an understanding of herbal supplement use? I can take echinacea to improve my immune system I can take feverfew to reduce my level of anxiety I can take ginger to improve my memory I can take ginkgo blob to relive nausea - ✔✔I can take echinacea to improve my immune system A nurse has just inserted an NG tube for a client. Which of the following findings should the nurse expect to confirm correct tube placement? The tube aspirate has a pH of 7 An x-ray shows the end of the tube above the pylorus Bowel sounds are present on auscultation The client reports relief of nausea - ✔✔An x-ray shows the end of the tube above the pylorus A nurse in a surgical suite notes documentation on a client's medical record that he has a latex allergy. In preparation for the client's procedure, which of the following precautions should the nurse take? Ensure sterilization of non disposable items with ethylene oxide Wrap monitoring cords with stockinette and tape them in place Cleanse latex ports on IV tubing w/ chlorhexidine before injecting medication Wear hypoallergenic latex gloves that contain powder - ✔✔Wrap monitoring cords with stockinette and tape them in place A nurse is performing a Romberg test during a physical assessment of a client. Which of the following techniques should the nurse use? Touch the face with a cotton ball Apply a vibrating tuning fork the the client's forehead Have the client stand with their arms at their sides & their feet together Perform direct percussion over the area of the kidneys - ✔✔Have the client stand with their arms at their sides & their feet together A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a new tracheostomy. Which of the following actions should the nurse plan to take? Use a resuscitation bad with 80% oxygen prior to the procedure Select a suction catheter that is half the size of the lumen Place the end of the suction catheter in water-soluble lubricant Adjust the wall suction apparatus to a pressure of 170 mm Hg - ✔✔Select a suction catheter that is half the size of the lumen A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take? (Select all that apply) Place the client in a room with negative pressure airflow. Wear gloves when assisting the client with oral care. Limit each visitor to 2-hr increments. Wear a surgical mask when providing client care. Use antimicrobial sanitizer for hand hygiene. - ✔✔Place the client in a room with negative-pressure airflow. Wear gloves when assisting the client with oral care. Use antimicrobial sanitizer for hand hygiene A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure. Inject 5 units of air into the bottle of regular insulin Withdraw the correct dose of NPH insulin from the bottle Inject 10 units of air into the bottle of NPH insulin Withdraw the correct dose of regular insulin from the bottle - ✔✔Inject 10 units of air into the bottle of NPH insulin Inject 5 units of air into the bottle of regular insulin Withdraw the correct dose of regular insulin from the bottle Withdraw the correct dose of NPH insulin for the bottle A nurse is providing discharge teaching for a client who has a new prescription for a home oxygen concentrator. Which of the following instructions should the nurse provide to the client and his family? SATA Check the cord routinely for frays or tearing Keep the unit at least 1.2 m (4 ft) away from a gas stove Consider purchasing a generator for power backup Observe for signs of hypoxia Select synthetic clothing & bedding - ✔✔Check the cord routinely for frays or tearing Consider purchasing a generator for power backup Observe for signs of hypoxia A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair. After securing a safe environment, which of the following actions should the nurse take next? Rock the client to a standing position Pivot on the foot that is farthest from the chair Assess the client for orthostatic hypotension - ✔✔Assess the client for orthostatic hypotension A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following assessment findings should the nurse expect? Neck vein distention Urine specific gravity 1.010 Rapid heart rate Blood pressure 144/82 mm Hg - ✔✔Rapid heart rate A nurse is caring for a client who has limited mobility in his lower extremities. Which of the following actions should the nurse take to prevent skin breakdown? Place the client in high-Fowler's position Increase the client's intake of carbohydrates Massage reddened areas with unscented lotion Have the client use a trapeze bar when changing positions - ✔✔Have the client use a trapeze bar when changing positions A nurse is teaching a client whose left leg is in a cast about using crutches. which of the following statements should the nurse identify as an indication that the client understands the teaching? "When descending stairs, I will first shift my weight to my right leg." "I should place my crutches 12 inches in front and to the side of each foot." "As I sit down, I will hold one crutch in each hand." "I will make sure the shoulder rests are snug against my armpits." - ✔✔When descending stairs, I will shift my weight to my right leg." When descending stairs, first shift body weight to unaffected leg A nurse is caring for a client who has an indwelling urinary catheter. Which of the following findings indicates that the catheter requires irrigation? Urine has an unusual odor Urine specific gravity of 1.035 Bladder scan shows 525 mL of urine Urine is positive for ketones - ✔✔Bladder scan shows 525 mL of urine Indwelling catheter should not have an urine buildup - irrigation will help fix any occlusion A nurse is obtaining the blood pressure in a client's lower extremity. Which of the following actions should the nurse take? Auscultate the blood pressure at the dorsalis pedis artery Measure the blood pressure with the client sitting on the side of the bed Place the cuff 7.6 cm (3 in) above the popliteal artery Place the bladder of the cuff over the posterior aspect of the thigh - ✔✔Place the bladder of the cuff over the posterior aspect of the thigh A nurse is caring for a client who in unstable and has vital signs measured every 15 minutes by an electronic blood pressure machine. The nurse notices the machine begins to measure the blood pressure at varied intervals, and the readings are inconsistent. Which of the following actions should the nurse take? Turn on the machine very 15 min to measure the client's blood pressure. Record only the blood pressure readings needed for 15-min intervals. Obtain manual & automatic readings and compare them. Disconnect the machine & measure the blood pressure manually every 15 min. - ✔✔Disconnect the machine & measure the blood pressure manually every 15 min. A client who reports shortness of breath requests the nurse's help in changing positions. After repositioning the client, which of the following actions should the nurse take next? Encourage the client to take deep breaths Observe the rate, depth, & character of the client's respirations Prepare to administer oxygen Give the client a back rub to promote relaxation - ✔✔Observe the rate, depth, & character of the client's respirations Before the nurse can create a plan or implement interventions - they must first collect data from client A nurse is caring for a client who has a cuffed endotracheal tube in place. The nurse should identify that the purpose of inflating the cuff includes which of the following? SATA Allowing the client to speak Stabilizing the position of the tube Preventing aspiration of secretions Preventing air leaks Preventing tracheal injury - ✔✔Stabilizing the position of the tube Preventing aspiration of secretions [Show More]

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