ATI_Med_Surgical Practice Assessment Questions And Answers

Practice Assessment- Adult Medical Surgical Online Practice A 2016 A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements b ...

Practice Assessment- Adult Medical Surgical Online Practice A 2016 A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? “I should take calcium supplements, so the medication will work better in my system.” “I am taking this medication to increase my energy level.” “This medication can cause my blood pressure to drop.” “I will not need to restrict protein in my diet while taking this medication.” A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? You might need to take a stool softerner while taking this medication. You will not be able to use sildenafil if you have diabetes. You will need to limit your caffeine intake if you start taking sildenafil. You will not be able to use sildenafil if you are taking nitroglycerin. A nurse is caring for client who has a new diagnosis of hyperthyroidism. Which of the following is the priority assessment finding that the nurse should report to the provider? Restlessness T3 level 215 ng/dL Blood pressure 170/80 mm Hg Decreased weight A nurse on a medical-surgical unit is receiving change-of-shift report on four clients. Which of the following clients should the nurse identify as having the greatest risk for developing an infection? A client who has a closed fracture of the arm and is receiving an opioid pain medication A client who has COPD and is receiving steroid therapy A client who is postoperative following a laparoscopic appendectomy and is receiving an antibiotic A client who has a deep vein thrombosis and is receiving anticoagulant therapy A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." Which of the following actions is the nurse's priority? Check the client’s neurological status Document the client’s statements Prepare the client for a CT scan Teach the client about using safety precautions for falls A nurse is providing preoperative teaching for a client who his scheduled for an open cholecystectomy. Which of the following actions should the nurse take? Teach the importance of a clear liquid diet after discharge Tell the client to remove incisional adhesive strips 3 days after discharge Demonstrate ways to deep breath and cough Instruct the client to maintain bedrest for 48 hours A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of his total body surface area. After ensuring a patent airway and administering oxygen, which of the following items should the nurse prepare to administer first? IV fluids Analgesia Antibiotics Tetanus toxoid A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent her headaches. The nurse should identify that which of the following client medications interacts with feverfew? Metoprolol Bupropion Naproxen Atorvastatin A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation treatment. Which of the following statements by the client indicates an understanding of the teaching? I will wear a badge to measure how much radiation I am receiving I will remove the markings on my akin after each radiation treatment I will avoid direct exposure to the sun I will rinse my mouth with a commercial mouthwash A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the following actions should the nurse take first? Obtain the client’s vital signs Describe the blood transfusion procedure to the client Check for the type and number of units of blood to administer Initiate a peripheral IV A nurse is caring for a client who has a prescription for enalapril. The nurse should identify which of the following findings as an adverse effect of the medication? Bradycardia Tremors Orthostatic hypotension Drowsiness A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition? Bounding pedal pulse Capillary refill less than 2 seconds Pain that increases with passive movement Areas of warmth on the cast A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. Which of the following statements by the client indicates an understanding of the teaching? I will take my iron with a glass of milk I will take an antacid with my iron I will limit my intake of red meat I will eat more high-fiber foods A nurse is teaching an older adult client about osteoporosis prevention. The nurse should instruct the client that which of the following medications can increase her risk for developing osteoporosis? Conjugated estrogens Enalapril Fludrocortisone Colchicine A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following interventions should the nurse include in the plan? Encourage the client to take deep breaths after the procedure Assist the client to hold her arms up during the procedure Instruct the client to remain NPO after midnight prior to the procedure Keep the client on bed rest for 8 hour following the procedure A nurse is providing discharge to a client who is to self-administer heparin subcutaneously. Which of the following responses by the client indicates an understanding of the teaching? I can expect to have blood in my urine during the first week of injections I will floss my teeth after each meal I will gently massage the site after I inject the medication I will use an electric razor to shave. A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The nurse should recognize that which of the following complications is associated with longterm mechanical ventilation? Elevated blood pressure Dehydration Stress ulcers Hypernatremia A nurse is caring for a client who has a positive culture for C-diff. Which of the following action should the nurse take? Put on sterile gloves after entering the client’s room Implement contact precautions for the client Use alcohol-based hand cleansers when caring for the client Instruct the client to wear a mask when being transported from the room A nurse is teaching a client who has end-stage kidney disease about organ donation. Which of the following information should the nurse include in the teaching? The organ donor will require immunosuppressive therapy following the transplant The organ donor will need to make adjustments to live with one kidney after the transplant. The client’s nonfunctioning kidney is removed before receiving the donor kidney The client who receives a kidney from a live donor has a lower rate of transplant rejection A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The client is unable to void on the bedpan. Which of the following actions should the nurse take first? Document the client’s intake and output Scan the bladder with a portable ultrasound Pour warm water over the client’s perineum Perform a straight catheterization A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Which of the following findings should the nurse report to the provider? The client’s urinary output has increased The client reports back pain The client’s urine color is red tinged The client’s BUN is 18 mg/dL A nurse is caring for client who is experiencing supraventricular tachycardia. Upon assessing the client, the nurse observes the following findings: heart rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate 30/min. Which of the following actions should then nurse take? Defibrillate the client’s heart Perform synchronized cardioversion Begin cardiopulmonary resuscitation Administer lidocaine IV bolus A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omeprazole. The nurse should instruct the client that the medication provides relief by which of the following actions? Neutralizing gastric acid Reducing the growth of ulcer-causing bacteria Coating the stomach lining Suppressing gastric acid production A nurse is performing a dressing change for a client who is recovering from a hemicolectomy. When removing the dressing, the nurse notes that a large part of the bowel is protruding through the abdomen. Which of the following actions should the nurse take first? Place the client in a supine position Measure vital signs Cover the wound with a sterile, saline-moistened dressing Call for help A nurse is reviewing the lab results of a client who has a new diagnosis of acute leukemia. Which of the following findings should the nurse identify as an expected finding? Decreased amylase Decreased aPTT Increased WBC count Increased hemoglobin A nurse is caring for a client who is exhibiting manifestations of a febrile reaction while receiving a blood transfusion. Which of the following medications should the nurse administer? Cephalexin Acetaminophen Furosemide Diphenhydramine A nurse is caring for a client who is receiving TPN. A new bag is not available when the current infusion is nearly completes. Which of the following action should the nurse take? Keep the line open with 0.9% sodium chloride until the new bag arrives Administer dextrose 10% in water until the new bag arrives Flush the line and cap the port until the new bag arrives Decrease the infusion rate until the new bag arrives A nurse is planning care for a client who his having a modified radical mastectomy of the right breast. Which of the following interventions should the nurse include in the plan of care? Instruct the client that the drain is removed when there is 25 mL of output or less over a 24-hr period Assist the client to start arm exercises 48 hr after surgery Maintain the right arm in an extended position at the client’s side when in bed Place the client in a supine position for the first 24 hour after surgery A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the following results should the nurse expect? CO2 56 PH 7.38 HCO3 24 O2 90 A nurse is preparing to assist with the insertion of a nontunneled percutaneous central venous catheter into a client's subclavian vein. The nurse should plan to place the client in which of the following positions? Prone Left side-lying Semi-fowlers Trendelenburg A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. After ensuring a patent airway, which of the following nursing interventions is the priority? Applying oxygen via face mask Placing the client in fowler’s position Administering epinephrine Initiating an IV infusion of 0.9% sodium chloride A nurse is performing a cardiac assessment for a client who had a myocardial infarction 2 days ago. Which of the following actions should the nurse take first after hearing the following sound? Obtain a 12-lead ECG Request ABGs Check the client’s blood pressure manually Listen with the client on his left side A nurse is an emergency department is caring for a client who report 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? Heartrate 110/min Blood pressure 138/90 mmHG Urine specific gravity 1.020 BUN 15 mg/dL A nurse is providing discharge teaching to a client who has heart failure and a new prescription for a potassium-sparing diuretic. Which of the following information should the nurse include in the teaching? Try to walk at least 3x per week for exercise To increase stamina, walk for 5 min after fatigue begins Take over-the-counter cough medicine for persistent cough Use a salt-substitute to reduce sodium intake A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that the client has exopthalmos? The last one-bulging eyes A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. Which of the following actions should the nurse take to manage the drain? Set the wall suction to 80 to 100 mmHg Compress the drain reservoir after emptying Allow the drainage to collect on a sterile gauze dressing Position the drain below the bed to promote drainage A nurse is caring for a client who has hypothyroidism. Which of the following manifestations should the nurse expect? Constipation Insomnia Tachycardia Diaphoresis A nurse is planning care for a client who is postoperative following a parathyroidectomy. Which of the following actions should the nurse identify as the priority? Use pillows to support the client’s head and neck Offer opioid medication Place a tracheostomy tray at the bedside Place the client in semi-fowler’s position A charge nurse is instructing a newly licensed nurse about caring for a client who has MRSA. Which of the following statements by the new nurse indicates an understanding of the teaching? I will have the client wear a mask when he leaves his room I will bathe the client using povidone-iodine and cool water I will leave assessment equipment in the room to use on this client I will need to move the client to a room with a negative airflow A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure. Based on the information in the client's chart, which of the following findings should the nurse report to the provider? Potassium 4.1 Heart rate 55/min SaO2 92% Weight 67.1 kg (148 lb) A nurse is providing teaching to an older adult client who as cancer and a new prescription for an opioid analgesic for pain management. Which of the following information should the nurse include in the teaching? Be sure to take this medication on an empty stomach It is normal for your urine to turn orange when taking this medication You should increase your fiber intake to prevent constipation If you experience ringing in your ears, your dose will need to be reduced A nurse is providing teaching to an older adult female client who has stress incontinence and a BMI of 32. Which of the following statements by the client indicates an understanding of the teaching? I am taking my progesterone daily I am dieting to lose weight I am limiting my daily fluid intake I have switched my morning cups of coffee to hot tea A nurse is teaching a client who has atrial fibrillation about the purpose of wearing a Holter monitor. Which of the following information should the nurse include in the teaching? This device measures the amount of blood pumped through your heart This device can detect heart murmurs This device can detect when you have an irregular heart rate This device can decrease a rapid heart rate A nurse is preparing the present a program about prevention of atherosclerosis at a health fair. Which of the following recommendations should the nurse plan to include? Following a smoking cessation program Maintain an appropriate weight Eat a low-fat diet Increase fluid intake Decrease intake of complex carbs A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. The nurse notes a spike (pacemaker artifact) followed by a QRS complex. Which of the following actions should the nurse take? Document that depolarization has occurred Increase the pacemaker’s voltage Decrease the pacemaker’s sensitivity Check the placement of the ECG leads A nurse is assessing a client who has had a suspected cerebrovascular accident. The nurse should place the priority on which of the following findings? Dysphagia Aphasia Ataxia Hemianopsia A nurse is providing teaching to a client who has IBS. Which of the following instructions should the nurse include in the teaching? Take an antacid before meals and at bedtime Increase fiber intake to at least 30 g per day Drink ginger tea daily Consume no more than 1 L of water per day A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. The nurse should recognize that an unexpected finding for which of the following laboratory values is a manifestation of osteomyelitis and should be reported to the provider? Sedimentation rate Hematocrit Calcium Acid phosphatase A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish an ureterostomy. Which of the following statements should the nurse include in the teaching? You will still have to urge to void You will need to drink an electrolyte supplement every day Cut the opening of the skin barrier 1/8-inch wider than the stoma You should use a moisturizing soap when washing the skin around the stoma A nurse is planning discharge teaching for a client who has an external fixation device for a fracture of the lower extremity. Which of the following instructions should the nurse include in the plan of care? Secure the straps firmly around the boot Remove the device before showering Use crutches with rubber tips Adjust the screws to maintain alignment A nurse in a provider's office is providing teaching to a client who has a urinary tract infection and a new prescription for ciprofloxacin. Which of the following instructions should the nurse include? Avoid drinking wine while taking this medication You should take the medication with a glass of milk Avoid taking magnesium-containing antacids with this medication Your urine will turn on an orange-red color while you are taking this medication A nurse is caring for a client who has chronic glomerulonephritis with oliguria. Which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis? Metabolic alkalosis Hyperkalemia Increased hemoglobin Hypophosphatemia A nurse is providing teaching to a client who has AIDS. Which of the following statements by the client indicates an understanding to the teaching? I should clean my toothbrush in the dishwasher once a month I should eat more fresh fruit and vegetables I will avoid drinking a glass of cold liquid that has been standing for 30 minutes I will take my temperature once a day A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. For which of the following adverse effects should the nurse instruct the client to notify the provider? Night sweats Calf pain Vaginal dryness Numbness in the arms Intense headache A nurse is caring for a client following extubation of her endotracheal tube 10 min ago. Which of the following findings should the nurse report to the provider immediately? Stridor Oral secretions Hoarseness Sore throat A nurse is assessing a client following the completion of hemodialysis. Which of the following findings is the nurse's priority to report to the provider? Temp 37.2C (99F) Blood pressure 100/70 mmHg Weight loss Restlessness A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The client is dyspneic with a productive cough and is using accessory muscles to breathe. Which of the following actions should the nurse take first? Obtain a prescription for ABGs Initiate an infusion of anti-infective therapy Obtain a sputum specimen from the client Place the client in high-fowler’s position A nurse an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? Restrict the client’s access to television Keep the side rails lowered on the client’s bed Maintain the client’s bed at hip level or above Ensure that the client has a patent IV A nurse is assessing a male client for an inguinal hernia. Which of following areas should the nurse palpate to verify that the client has an inguinal hernia? C A nurse is providing discharge teaching to a client who has active TB. Which of the following information should the nurse include in the instructions.? Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. The contagious period generally lasts 6 to 8 weeks after the initiation of medication therapy Family members should follow airborne precautions at home A follow-up tuberculosis skin test is necessary in 2 months A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the following actions should the nurse take? Maintain adduction of the client’s legs Encourage range of motion of the hip up to 120 angle Place a pillow between the client’s legs Keep the client’s hip internally rotated A nurse is reviewing the medication history of client who is to undergo allergy testing. The nurse should instruct the client to discontinue which of the following medications before the testing? Ibuprofen Alprazolam Prednisone Olmesarta A nurse is caring for a client who has DKA. Which of the following findings should indicate to the nurse that the client's condition is improving? Potassium 3.5 mEq/L pH 7.28 glucose 272 mg/dL HCO3 14 mEq/L A nurse is caring for client who is on bed rest and has a new prescription for enoxaparin subcutaneous. Which of the following action should the nurse take? Monitor the client’s INR daily Expel air bubbles when using a prefilled syringe Administer the medication at the same time each day Massage the injection site after administration A nurse is caring for a client who is receiving plasmapheresis through a venous access site. Which of the following action should the nurse take? Check electrolyte levels before and after therapy Palpate the access site for a thrill every 8 hr Tell the client to expect redness at the access site immediately following therapy Document vital signs every 12 hr A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the following findings should indicate to the nurse the client is experiencing hypoxia? The client starts to cough The client’s heart rate increases The client is diaphoretic The client’s blood pressure decreases A nurse is caring for a client who has a leg cast and is returning demonstration on the proper use of crutches while climbing stairs. Identify the sequence the client should follow when demonstration crutch use. Places body weight on the crutches Advances the unaffected leg onto the stair Shifts weight from the crutches to the unaffected leg Brings the crutches and the affected leg up to the stair A nurse is providing teaching to a client who has a new prescription for psyllium. Which of the following information should the nurse include in the the teaching? Drink 240 ml (8 oz) of water after administration Expect results in 4 to 6 hours Take this medication before meals to increase appetite Let the medication stand for 5 min after mixing A nurse is providing teaching to a client who has type 1 diabetes mellitus and a new prescription for insulin lispro. Which of the following statements by the client indicates an understanding of the teaching? I will need to take the lispro in addition to my other prescribed insulin I will need to inject the medication deep into a muscle I will need to wait 1 hour after my lispro injection to eat a meal I will need to decrease my medication dosage if I get the flu A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the following findings indicates a potential complication? RBC 5.2 million WBC 2,000 Platelets 380,000 Potassium 4 mEq/L A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36C. Which of the following vital sign changes should alert the nurse that the client might be hemorrhaging? Heart rate 110/min Blood pressure 160/70 mmHg Respiratory rate 14/min Temperature 38.4C (101.1F) A nurse is caring for a client who has an arterial line. Which of the following actions should the nurse take? Flush the line before administering antibiotics Position the client in Trendelenburg to obtain measurements Have the client bear down when readings are obtained Place a pressure bag around the flush solution A nurse is caring for a client who has a new prescription for TPN. The client is to receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV pump should be set at how many mL/hr? 167 mL/hr A nurse is caring for a client who recently had a stroke of the right hemisphere. Which of the following manifestations should the nurse expect? Impulsive behavior Anxiety concerning the future Feelings of guilt Expressive aphasia A nurse is teaching a client who has venous insufficiency about self-care. Which of the following statements should the nurse identify as an indication that the client understands the teaching?" I should avoid walking as much as possible I should sit down and read for several hours a day I will wear clean graduated compression stockings every day I will keep my legs level with my body when I sleep at night A nurse is caring for a client who is having a seizure. Which of the following interventions is the nurse's priority? Loosen the clothing around the client’s neck Check the client’s pupillary response Turn the client to the side Move furniture away from the client A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery. The nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider? Hydrocodone Bupropion Lactulose Warfarin A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse expect? Painless ulcerations on the ankles Hair loss on the lower legs No extremity pain when resting Rubor with elevation of the extremity A nurse is assessing a client who has hypokalemia. Which of the following manifestations should the nurse expect? Facial twitching Bounding peripheral pulses Decreased peristalsis Hyperreflexia A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider? Potassium 4 mEq/L WBC 10,000 Hct 45% Hgb 8 g/dL A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of the following juices should the nurse instruct the client to avoid? Apple Orange Grapefruit Tomato A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. Which of the following findings from the client's medical record should indicate to the nurse the need to withhold the medication and notify the provider? WBC count Temperature Blood pressure Serum creatinine A nurse is providing teaching to a female client who has a history of urinary tract infections (UTIs). Which of the following information should the nurse include in the teaching? Avoid foods high in ascorbic acid Add oatmeal to the water when taking a tub bath Urinate every 6 hours Clean the perineum from front to back A nurse is providing instructions to a client who has type 2 DM and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? I will monitor my blood glucose carefully because the medication increases the secretion of insulin I should take this medication with a meal I can expect to gain weight while taking this medication While taking this medication, I might experience flushing of my skin A nurse providing dietary teaching to a client who is postoperative following a thryoidectomy with removal of the parathyroid glands. The nurse should instruct the client to include which of the following foods that has the greatest amount of calcium in her diet? 12 almonds One small banana 1 TBSP peanut butter ½ c tomato juice A nurse in an emergency department is planning care for a client who has a flail chest on the right side following a motor-vehicle crash. Which of the following actions should the nurse plan to take? Prepare the client for positive pressure ventilation Instruct the client to perform the Valsalva maneuver Prepare to administer anticoagulants to the client Position the client on his right side A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. The nurse should identify that which of the following client actions indicates an understanding of the teaching? Breathing in rapidly while administering the medication Washing the plastic case and cap of the inhaler in the dishwasher Holding breath for 10 seconds after inhaling Waiting 15 seconds between puffs, if two puffs are required A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect. Facial butterfly rash Bradycardia Esophagitis Interstitial fibrosis A nurse is providing medication teaching to a group of clients who have seizure disorders. Which of the following information should the nurse include about phenytoin? Phenytoin decreases the effectiveness of oral contraceptives Once the client is seizure-free for 6 months, phenytoin can be discontinued Discontinue phenytoin is gastrointestinal upset occurs Phenytoin might initially increase the frequency of seizures A nurse in an emergency department is admitting a client who reports dyspnea and shortness of breath. Which of the following actions is the priority for the nurse to perform prior to administering oxygen? Monitor the client’s ABG results Observe the client’s respiratory pattern Ask the client’s preference for nasal or mask oxygen Determine if the client has a history of COPD 100%