(Test Bank) MED SURG ATI FINAL EXAMS (9 MOST RECENT VERSIONS) & MED SURG ATI EXAMS (3 MOST RECENT VERSIONS) |GUARANTEE A+ SCORE GUIDE 2023/2024| TEST BANK

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Test Bank for MED SURG ATI FINAL EXAMS (9 MOST RECENT VERSIONS) & MED SURG ATI EXAMS (3 MOST RECENT VERSIONS) |GUARANTEE A+ SCORE GUIDE 2023/2024| TEST BANK, The downloadable file consists of 191 pages, and the total size of the file is 1.18 MB. Purchase now only for highly discounted price.

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COMPLETE | MED SURG ATI FINAL EXAM S (9 MOST RECENT VERSIONS) & MED SURG ATI EXAM S (3 MOST RECENT VERSIONS) |GUARANTEE A+ SCORE GUIDE 2023/2024 | TEST BANK 1.MED SURG ATI FINAL EXAM V1 (90 Correct Questions and Answers) 2.MED SURG ATI FINAL EXAM V2 (90 Correct Questions and Answers) 3.MED SURG ATI FINAL EXAM V3 (90 Correct Questions and Answers) 4.MED SURG ATI FINAL EXAM V4 (90 Correct Questions and Answers) |Multiple Choice 5.MED SURG ATI FINAL EXAM V5 (90 Correct Questions and Answers) 6.MED SURG ATI FINAL EXAM V6 (90 Correct Questions and An swers) 7.MED SURG ATI FINAL EXAM V7 (90 Correct Questions and Answers) 8.MED SURG ATI FINAL EXAM V8 (90 Correct Questions and Answers) 9.MED SURG ATI FINAL EXAM V9 (90 Correct Questions and Answers) |Multiple Choice 1.MED SURG ATI EXAM V1 (50 Correct Questions and Answers) 2.MED SURG ATI EXAM V2 (60 Correct Question s and Answers) |Multiple Choice 3.MED SURG ATI EXAM V3 (40 Correct Questions and Answers) MED SURG ATI FINAL EXAM V1 (90 Correct Questions and Answers) 1. A nurse is reinforcing teaching with a client who has osteoporosis and a new prescription for calcitonin. Which of the following statements should the nurse make to describe the effect of calcit onin in treating osteoporosis? {{Correct Ans - "Calcitonin will slow the breakdown of bone in your body." 2. A nurse is reviewing the medical record of a client who is postoperative. Which of the following findings should the nurse identify as a complication of surgery? {{Correct Ans - WBC count of 15,000/mm3 3. A nurse is caring for a client following a gastrectomy. Which of the following actions should the nurse take to decrease episodes of dumping syndrome? {{Correct Ans - Place the client in the supine posi tion after meals. 4. A nurse is caring for a client who is suspected of having a myocardial infarction. Which of the following actions should the nurse take to prepare the client for an ECG? {{Correct Ans - Cleanse the client's skin prior to electrode placem ent. 5. A nurse is collecting data from a client who is being treated for hypovolemia due to nausea and vomiting. Which of the following findings should the nurse report to the provider? {{Correct Ans - Heat rate 120/min 6. A nurse is reinforcing discharge tea ching with a client who has Crohn's disease. Which of the following statements should the nurse include in the teaching? {{Correct Ans - "Maintain a low -residue diet." 7. A nurse is caring for a client who has an intestinal obstruction and reports a new onse t of nausea. The client has an NG tube set at low intermittent suction and is receiving continuous IV infusion of 0.9% sodium chloride. Which of the following actions should the nurse take first? {{Correct Ans - Check for kinks in the NG tube. 8. A nurse is caring for a client who is 2 hr postoperative following the amputation of a foot. Which of the following actions should the nurse take first? {{Correct Ans - Check the incisional dressing 9. A nurse is assisting in the care of a client who has AIDS -related p neumonia. The client is receiving antibiotic therapy and albuterol nebulizer treatments daily. Which of the following findings should indicate to the nurse that the client's therapeutic regimen is effective? {{Correct Ans - Decrease in exertional dyspnea 10. A nurse is caring for a client who has neutropenia. Which of the following nursing interventions should the nurse implement? {{Correct Ans - Limit visitors to healthy adults. 11. A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about glycosylated hemoglobin (HbA1c) testing. Which of the following information should the nurse include in the teaching? {{Correct Ans - HbA1c results measure glucose control for the prior 3 months. 12. A nurse is caring for a client who is receiving a cont inuous tube feeding of 60 mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) {{Correct Ans - 864 cal 13. A nurse is repositionin g a client who has low back pain. Which of the following positions is should the nurse place the client in? {{Correct Ans - Semi -Fowler's with knees flexed 14. A nurse is preparing to administer an influenza vaccine to a client. Which of the following statem ents by the client should cause the nurse to postpone administration of the vaccine? {{Correct Ans - "I had a low fever this morning." 15. A nurse is reinforcing teaching with a client about testicular self -examination. Which of the following instructions sho uld the nurse include in the teaching? {{Correct Ans - "Perform testicular self -examination after taking a warm shower." 16. A nurse is preparing to assist a client out of bed 4 hr following a laparoscopic cholecystectomy. Which of the following actions should the nurse take first? {{Correct Ans - Obtain the client's blood pressure. 17. A nurse is collecting data from a client who has 30% body surface area deep partial -thickness and full -thickness burns. Which of the following findings indicates that fluid resuscit ation is adequate? {{Correct Ans - Urine output is 50 mL/hr. 18. A nurse is reinforcing teaching with a client who has a new diagnosis of tuberculosis (TB) and a prescription for isoniazid and rifampin. Which of the following information should the nurse inc lude in the teaching? {{Correct Ans - Household family members should be tested for TB. 19. A nurse is contributing to the plan of care for a client who had a stroke. For which of the following inter professional team members should the nurse recommend a refe rral prior to initiating oral intake for the client? {{Correct Ans - Speech -language pathologist 20. A nurse is reinforcing teaching with a client who has a new diagnosis of genital herpes. Which of the following information should the nurse include? {{Correc t Ans - "The virus can be transmitted without lesions being present." 21. A nurse is assisting with an educational program for clients who have been newly diagnosed with diabetes mellitus. Which of the following instructions should the nurse include in the pro gram regarding insulin? {{Correct Ans - Opened insulin can be stored on a cool countertop away from light 22. A nurse is caring for a client who is postoperative following an above -the-knee amputation of the right leg and reports pain in the absent portion of the limb. The client received an opioid analgesic 1 hr prior. Which of the following actions should the nurse take? {{Correct Ans - Collaborate with the physical therapist to initiate alternative pain therapies 23. Click to highlight the findings the nurse sh ould report to the charge nurse immediately. To deselect a finding, clink on the finding again. {{Correct Ans - Perineal pad is saturated with blood, and large clots are present Blood pressure 98/56 mm Hg Heart rate 102/min 24. A nurse is reinforcing teachin g with a client who has osteoporosis. Which of the following instructions should the nurse include in the teaching? {{Correct Ans - "Take calcium supplements with meals." 25. A nurse is contributing to the plan of care for a client who has tuberculosis (TB). Which of the following interventions should the nurse include? {{Correct Ans - Place the client in a negative -pressure airflow room. 26. A nurse is reviewing the chart of a client who is experiencing an adrenal crisis, which was precipitated by the client not taking their medication for several days. The nurse should identify that withdrawal from which of the following medications potentiated the adrenal crisis? {{Correct Ans - Prednisone 27. A nurse is reinforcing teaching with a client who is taking levothyroxin e. Which of the following statements by the client indicates an understanding of the teaching? {{Correct Ans - "The medication should be taken before I eat breakfast every morning." 28. A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. While taking the client's apical pulse, the nurse notes a rate of 58/min. Which of the following actions should the nurse take? {{Correct Ans - Withhold the dose. 29. A nurse is reinforcing teaching with a client who has asthma and a new prescription for a corticosteroid. Which of the following findings should the nurse include as an adverse effect of the medication? {{Correct Ans - Frequent colds 30. A nurse is contributing to the plan of care for a client who has a head injury and is at risk for increas ed intracranial pressure (ICP). Which of the following actions should the nurse include in the plan? {{Correct Ans - Use a turn sheet to reposition the client. 31. A nurse is collecting data from an older adult client who has several concerns. Which of the fol lowing concerns should the nurse recognize as an expected change associated with aging? {{Correct Ans - "My food tastes bland even after I add seasoning." 32. A nurse is reinforcing discharge teaching with a client who has leukemia and is receiving chemotherap y. Which of the following statements should the nurse include in the teaching? {{Correct Ans - "You should place your toothbrush in hydrogen peroxide." 33. A nurse is reinforcing teaching with a client prior to the removal of a leg cast. Which of the following statements should indicate to the nurse that the client understands the teaching? {{Correct Ans - "I will feel vibrations on my leg from the cast cutter." 34. For each finding, click to specify if the finding is consistent with emphysema, asthma, or pneumonia . Each finding may support more than 1 disease process. {{Correct Ans - Temperature - pneumonia Breath sounds - emphysema, asthma, & pneumonia Respiratory rate - emphysema, asthma, & pneumonia Cough - emphysema, asthma, & pneumonia 35. A nurse is delegating th e task of repositioning a cli ent who is in skeletal traction to an assistive personnel (AP). Which of the following instructions should the nurse give the AP? {{Correct Ans - Allow the weights to hang freely. 36. A nurse is reinforcing teaching with a client a bout preventing osteoporosis. Which of the following client statements indicates an understanding of the teaching? {{Correct Ans - "I will limit my coffee intake." 37. A nurse is reviewing the laboratory reports of a client who reports chest pain. Which of the following laboratory results indicates the client is experiencing a myocardial infarction? {{Correct Ans - Elevated troponin 38. A nurse is preparing a client for a cardiac catheterization. Which of the following actions should the nurse take first? {{Correct Ans- Verify the client has given informed consent. 39. For each potential nursing intervention, click to specify if the intervention is indicated or not indicated. {{Correct Ans - Request a chest x -ray - not indicated Place the client in reverse Trendelenburg position - indicated Assist with administering a 0.9% sodium chloride 200 mL IV bolus - indicated Apply oxygen at 2 L/min via nasal cannula - indicated Notify the charge nurse immediately - indicated Obtain the client's blood glucose level - not indicated 40. A nurse is reinforcing instructions with a client who has a new hearing aid. Which of the following instructions should the nurse include? {{Correct Ans - "Adjust the volume to a level where you can hear others speak at a distance of 3 feet." 41. A nurse is monitoring a client who has a cast and reports intense itching underneath the cast. Which of the following actions should the nurse take? {{Correct Ans - Blow cool air into the cast using a blow dryer on a cool setting. 42. A nurse in a telemetry unit is coll ecting data from a client who has a newly - inserted permanent pacemaker. Which of the following findings should the nurse report to the provider? {{Correct Ans - The client experiences hiccups when sitting. 43. A nurse is assisting with the development of a pla n of care to manage pain for a client who has herpes zoster with lesions on the lower extremities. Which of the following interventions should the nurse include in the plan of care? {{Correct Ans- Keep bed linens off of the affected areas 44. A nurse is contr ibuting to the plan of care to promote a restful night's sleep for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan? {{Correct Ans - Offer a small snack at bedtime. 45. A nurse is caring for a clie nt who is postoperative following a transurethral resection of the prostate (TURP) and is receiving continuous bladder irrigation. The nurse notes decreased output from the urethral catheter. Which of the following provider prescriptions should the nurse e xpect? {{Correct Ans - Irrigate the urethral catheter with 0.9% sodium chloride. 46. A nurse is reviewing the plan of care for a client who is 1 day postoperative following a total hip arthroplasty. Which of the following interventions should the nurse contrib ute to the plan of care? {{Correct Ans - Keep an abduction pillow between the client's legs. 47. Select the 3 findings that require follow -up by the nurse. {{Correct Ans - Visual disturbances headache Nausea 48. For each finding below, click to specify if the find ing is consistent with migraine, stroke, or meningitis. Each finding may support more than 1 disease process. {{Correct Ans - Family history - migraine, stroke Pain - migraine, stroke, meningitis Nausea - migraine, meningitis Visual changes - migraine, stro ke, meningitis 49. Complete the following sentence by using the lists of options. The nurse should identify that the client is most likely experiencing _______, and the nurse should address the client's _________. {{Correct Ans - Migraine Pain 50. A nurse is ass isting with the care of a client who has a migraine. Which of the following interventions should the nurse anticipate? Select all that apply. {{Correct Ans - Administer sumatriptan Dim the lights in the client's room 51. Complete the following sentence by usin g the list of options. Following the administration of sumatriptan, the nurse should monitor for ________ due to the risk for ________. {{Correct Ans - Chest pain Myocardial ischemia 52. The nurse is evaluating the client's understanding of the discharge inst ructions. click to highlight the client statements that indicate an understanding of the teaching. to deselect a statement, click on the statement again. {{Correct Ans - "Foods that contain tyramine might trigger my headaches" "I will keep a food headache d iary" " I will place a cool cloth on my forehead when I experience a migraine" 53. A nurse in a clinic is collecting data from a client who has hyperthyroidism and has been taking methimazole for 4 weeks. Which of the following statements by the client indica tes a therapeutic response to the medication? {{Correct Ans - "I have gained 3 pounds since my last appointment." 54. A nurse is reinforcing teaching regarding the use of a continuous passive motion (CPM) machine with a client who is scheduled for a total knee arthroplasty. Which of the following information should the nurse include in the teaching? (Select all that apply.) {{Correct Ans - "Your knee is flexed and extended as prescribed by your provider" "The machine is padded with sheep skin" 55. A nurse is provid ing information regarding transmission -based precautions for a client who has Clostridium difficile to an assistive personnel (AP). Which of the following instructions should the nurse include? (Select all that apply.) {{Correct Ans - "Provide the client wi th disposable utensils and dishes for meals." "Leave blood pressure equipment in the client's room." "Clean contaminated surfaces with a bleach solution." 56. A nurse is reviewing the medication administration record of a client who has osteoarthritis. Which of the following analgesic prescriptions should the nurse expect to administer when the client reports pain? {{Correct Ans - Acetaminophen 57. A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of the following actions should t he nurse take when communicating with the client? {{Correct Ans - Rephrase client instructions when not understood. 58. A nurse is caring for a client who has been taking enalapril. The nurse should monitor the client for which of the following adverse effects ? {{Correct Ans - Cough 59. A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. Which of the following instructions should the nurse include to promote comfort? {{Correct Ans - Sleep on a firm mattress. 60. Drag 1 conditio n and 1 client finding to fill in each blank in the following sentence. The client is experiencing manifestations of (Condition) due to the client's (Client Finding). {{Correct Ans - Peritonitis Abdominal x -ray results 61. A nurse is caring for a client who i s in Buck's traction for a fractured hip. The client reports increased pain at the site of the fracture. Which of the following actions should the nurse take? {{Correct Ans - Reposition the client. 62. A nurse is planning care for a group of clients after rece iving change -of-shift report. Which of the following clients should the nurse plan to see first? {{Correct Ans - A client who is dehydrated, has mental confusion, and has tried to get out of bed several times during the night 63. A nurse is reinforcing teachin g about nutrition choices with a client who has leukemia and is receiving chemotherapy. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? {{Correct Ans - "I drink bottled water." 64. A nu rse in a clinic is assisting with the development of a pamphlet about STIs. Which of the following information should the nurse recommend including in the pamphlet? {{Correct Ans - Females have a higher risk for contracting STIs than males. 65. A nurse is rein forcing teaching with a client about increasing dietary fiber. The nurse should recommend which of the following foods as the best source of fiber? {{Correct Ans - 1/2 cup cooked kidney beans 66. A nurse in a dermatology clinic is reviewing the medical records of a group of clients. Which of the following prescriptions for a client who has psoriasis should the nurse clarify with the provider? {{Correct Ans - Dermabrasion 67. A nurse is reinforcing preoperative teaching with a client. Which of the following statemen ts by the client indicates an understanding of the teaching? Select all that apply. {{Correct Ans - " I will need to do the breathing exercises every 1 to 2 hrs after surgery." "I will use my PCA medication before my knee starts to hurt too bad." "I will pr obably be going home with a walker." 68. A nurse is contributing to the plan of care for a client who has just transferred to the medical -surgical unit from the PACU following a right total knee arthroplasty. Which of the following interventions should the nu rse include in the plan? {{Correct Ans - Assist the client to change positions at least every 2 hrs. 69. A nurse is caring for a client who reports shortness of breath and has an oxygen saturation of 90%. Which of the following actions should the nurse take? {{Correct Ans - Administer oxygen via nasal cannula. 70. A nurse is reviewing the medication record of a client who is taking digoxin. Which of the following medications should the nurse identify as increasing the risk for the client to develop digoxin toxicity ? {{Correct Ans - Furosemide 71. A nurse is contributing to the plan of care for a client who has pericarditis. In which of the following positions should the nurse plan to place the client to decrease pain? {{Correct Ans - Upright, leaning forward 72. A nurse is caring for a client who has dementia due to Alzheimer's disease. Which of the following actions should the nurse take to reduce the client's confusion? {{Correct Ans - Encourage reminiscence of past experiences. 73. Select the 3 findings that require follow -up by the nurse. {{Correct Ans - oxygen saturation pain level wound dressing 74. Complete the following sentence by using the lists of options. The client is most likely experiencing a _______ as evidenced by the client's ________. {{Correct Ans - Hemothorax Resp iratory findings 75. Drag words from the choices below to fill in each blank in the following sentence. The nurse should first address the client's ______, followed by the client's ________. {{Correct Ans - Oxygenation Blood pressure 76. For each potential provid er prescription, click to specify if the potential prescription is anticipated or contraindicated for the client. {{Correct Ans - Transfuse packed RBCs - anticipated Place the client in Trendelenburg position - contraindicated Prepare the client for chest t ube insertion - anticipated Cover the client with a cooling blanket - contraindicated Initiate NPO status - anticipated 77. The nurse is assisting with the care of the client following the placement of a chest tube for a hem thorax . Which of the following act ions should the nurse take? Select all that apply. {{Correct Ans - Place the client in high -fowler's position Place two rubber -tipped hemostats in client's room Palpate the chest tube insertion site for subcutaneous Ensure that all chest tube connections ar e securely attached 78. The nurse is assisting with the care of the client 1 hr following chest tube insertion. Click to highlight the findings that indicate the client's condition is improving. To deselect a finding, click on the finding again. {{Correct Ans - Client reports pain as a 3 on a scale of 0 to 10 Client reports shortness of breath has decreased Wound dressing is dry and intact Respiratory rate 24/min Blood pressure 108/74 mm Hg Oxygen saturation 95% on oxygen 2L/min via nasal cannula 79. A nurse is ca ring for four clients. Which of the following conditions should the nurse identify as a risk for developing vascular disease? {{Correct Ans - Diabetes Mellitus 80. A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription f or regular and NPH insulin. Which of the following instructions on preparing the insulins should the nurse include? {{Correct Ans - Withdraw the regular insulin before withdrawing the NPH insulin. 81. A nurse is changing the dressing for a client who has an ab dominal incision and a closed -suction drain. Which of the following actions should the nurse take? {{Correct Ans - Cleanse the drainage plug with alcohol swabs. 82. A nurse is reinforcing dietary teaching with a client about increasing the intake of foods cont aining vitamin C to enhance absorption of oral iron supplements. Which of the following food choices should the nurse include in the teaching? {{Correct Ans - 1 cup of boiled broccoli 83. A nurse is reinforcing discharge teaching with a client who had a mechan ical mitral valve replacement. Which of the following statements by the client indicates an understanding of the teaching? {{Correct Ans - "I will notify my dentist about this procedure." 84. A nurse is caring for a client who has just returned to the unit fol lowing a bronchoscopy. Which of the following findings should the nurse report to the provider? {{Correct Ans - Diminished breath sounds 85. A nurse is reinforcing teaching with a client who has coronary artery disease. Which of the following instructions shou ld the nurse include in the teaching? {{Correct Ans - "Add oily fish to your diet twice weekly." 86. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to ad dress that condition, and 2 parameters the nurse should monitor to assess the client's progress. {{Correct Ans - Administer Morphine IV Ensure the client is NPO Cholecystitis Jaundice Increasing temperature 87. A nurse is caring for a client who has Cushing's syndrome and expresses concern regarding physical changes associated with the syndrome. Which of the following should the nurse recognize as a physical change caused by this disorder? {{Correct Ans - Truncal Obesity 88. A nurse is reinforcing teaching about ho spice care with a client who has terminal cancer. Which of the following statements should the nurse make? {{Correct Ans - "Hospice care will provide support for you and your loved ones during the dying process." 89. A home health nurse is caring for a client who has COPD. The client reports shortness of breath while eating, despite the use of home oxygen. Which of the following recommendations should the nurse make? {{Correct Ans - "Use a bronchodilator 30 minutes before your meal." 90. A nurse is reinforcing teac hing about pursed -lip breathing with a client who has a new diagnosis of COPD. The nurse should identify that which of the following client statements indicates an understanding of the teaching? {{Correct Ans - "Pursed -lip breathing works best for activitie s like walking up stairs." MED SURG ATI FINAL EXAM V2 (90 Correct Questions and Answers) 1. A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Which of the following interventions should the nurse identify as the priority? {{Correct Ans - Determine the client's understanding of the procedure. 2. A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the lower extremities. Which of the following interventions should the nurse incl ude? {{Correct Ans - Dangle the extremities off the side of the bed. 3. A nurse is assisting in the plan of care for a client who had a recent left hemispheric stroke. Which of the following actions should the nurse include in the plan? {{Correct Ans - Use s imple verbal cues when directing tasks. 4. A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about manifestations of impending death. Which of the following manifestations should the nurse include? {{Correct Ans - Incontine nce of the bowel and bladder 5. A nurse is preparing to remove a client's NG tube. Which of the following interventions should the nurse take to decrease the risk for aspiration? {{Correct Ans - Pinch the NG tube. 6. A nurse is caring for a client who is preop erative and is receiving an IV infusion of cefazolin. Ten minutes after beginning the infusion, the client reports intense itching. Which of the following actions should the nurse take first? {{Correct Ans - Stop the medication infusion. 7. A nurse is reinfo rcing discharge teaching with a client who has cirrhosis. Which of the following instructions should the nurse include? {{Correct Ans - "Consume foods that are low in sodium." 8. A nurse is reinforcing teaching with a client who is scheduled for a guaiac feca l occult blood test. Which of the following instructions should the nurse include in the teaching? {{Correct Ans - Avoid eating red meat for 3 days prior to the test. 9. A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) {{Correct Ans - 0.7 mL 10. A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the following information should the nurse include in the teaching? {{Correct Ans - "This type of insulin should be given at the same time every day." 11. A nurse is caring for a client who has a methicillin -resistant Staphylococcus aureus (MRSA) infection in a surgical wound. Which of the following information should the nurse plan to share with visitors? {{Correct Ans - Visitors must don a gown and gloves prior to entering the client's room. 12. A nurse is collec ting data from a 55 -year-old female client who reports vaginal dryness and hot flashes. The client is interested in trying hormone replacement therapy (HRT). Which of the following should the nurse recognize as a contraindication to HRT? {{Correct Ans - History of treatment for blood clots 13. A nurse is reinforcing teaching about management of constipation with a client who has hypothyroidism. Which of the following instructions should the nurse include in the teaching? {{Correct Ans - Increase intake of fibe r-rich foods. 14. A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching? {{Correct Ans - Avoid stopping this medication sudden ly. 15. A nurse is caring for a client who has an area indicating potential breakdown over the sacrum. Which of the following actions should the nurse take? {{Correct Ans - Minimize the time the head of the bed is elevated. 16. A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by continuous IV infusion. The client reports pain and swelling at the IV site. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the o rder of performance. Use all the steps.) {{Correct Ans - Check IV site Stop the infusion Withdraw the IV catheter Elevate the affected arm Notify the charge nurse 17. Drag words from the choices below to fill in each blank in the following sentence. During th e emergent phase of burn care, the client is at risk for developing____________ and _____________. {{Correct Ans - Hypovolemia Respiratory failure 18. A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has skin cancer. W hich of the following information should the nurse include in the teaching? {{Correct Ans - Mohs surgery is a horizontal shaving of thin layers of the tumor. 19. A nurse is contributing to the plan of care for a client who is postoperative following a total k nee arthroplasty. The client is using a continuous passive motion (CPM) machine. Which of the following interventions should the nurse recommend for the plan of care? {{Correct Ans - Keep a sheepskin pad between the client's extremity and the CPM machine. 20. A nurse is reinforcing teaching about joint protection with a client who has an acute exacerbation of rheumatoid arthritis. Which of the following information should the nurse include in the teaching? {{Correct Ans - Apply cold packs to the inflamed joints . 21. A nurse is caring for a client who has difficulty swallowing. Which of the following actions should the nurse implement to prevent aspiration? {{Correct Ans - Give the client liquids with increased viscosity. 22. A nurse is discussing health screening gui delines with an older adult client. Which of the following statements should the nurse include? {{Correct Ans - "You should have a pneumococcal immunization every 10 years." 23. A nurse is planning to implement droplet precautions for a client who has manifest ations of pertussis. Which of the following interventions should the nurse include when contributing to the plan of care? {{Correct Ans - Apply a mask on the client if transport is needed. 24. A nurse is contributing to the plan of care for a client who was ad mitted to the neurological unit following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the priority? {{Correct Ans - Keep the client in a side -lying position. 25. A nurse is caring for a client who has a compound fractur e of the femur and was placed in balanced suspension skeletal traction 4 days ago. Which of the following actions should the nurse take? {{Correct Ans - Perform pin site care daily. 26. A nurse is reinforcing discharge teaching about wound care with the caregi ver of a client who is postoperative. Which of the following instructions should the nurse include in the teaching? {{Correct Ans - Report purulent drainage to the provider. 27. A nurse is collecting data from a client who has hypokalemia. Which of the followi ng findings should the nurse identify as the priority? {{Correct Ans - Dysrhythmia 28. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that con dition, and 2 parameters the nurse should monitor to assess the client's progress. {{Correct Ans - Reduce the temperature in the clients room. Limit visitors Hyperthyroidism Increased temperature Weight daily 29. A nurse is caring for a client who reports st omatitis. Which of the following dietary recommendations should the nurse make? {{Correct Ans - "Eat soft foods." 30. A nurse is caring for a client who has a history of breast cancer. The client asks the nurse about birth control. Which of the following metho ds of birth control is contraindicated for this client? {{Correct Ans - Combination oral contraceptives 31. A nurse is collecting data from a client and notices several skin lesions. Which of the following findings should the nurse report as possible melanoma? {{Correct Ans - Irregular borders 32. A nurse is contributing to the plan of care for a client who has COPD and is dyspneic. Which of the following interventions should the nurse include in the plan? {{Correct Ans - Encourage abdominal breathing 33. A nurse is as sisting with the care of a client who has a newly -inserted water -seal closed chest tube. Which of the following findings should the nurse report to the provider? {{Correct Ans - Chest drainage is greater than 70 mL/hr. 34. A nurse is reinforcing teaching with a client who is to begin using an insulin pump. Which of the following instructions should the nurse include? {{Correct Ans- "Use rapid -acting insulin in the infusion device." 35. Which of the following actions should the nurse take? Select all that apply. {{Correct Ans - Instruct the client to splint their abdomen with a pillow when coughing plan to ambulate the client as soon as possible report the client's urinary output to the charge nurse monitor the client's pain level 36. A nurse is caring for a client who is in Buck's traction. Which of the following interventions should the nurse perform to reduce skin breakdown? {{Correct Ans- Keep the skin dry and free of perspiration. 37. A nurse is monitoring a client who is taking acarbose. Which of the following finding s should the nurse identify as an adverse effect of the medication? {{Correct Ans - Abdominal cramps 38. A nurse is reinforcing teaching with a client who is on a low -sodium diet and asks about how to improve the taste of bland food. Which of the following foo ds should the nurse recommend? {{Correct Ans - Lemon juice 39. A nurse is reinforcing discharge teaching for the caregivers of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching? {{Correct Ans - Remind the client to avoid watching their feet when walking. 40. A nurse is reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to begin taking methylprednisolone orally. Which of the following statements should the nurse include in the teaching? {{Correct Ans- "Limit contact with large groups of people." 41. A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Which of the following laboratory findings should the nurse rep ort to the provider prior to the procedure? {{Correct Ans - Creatinine 1.9 mg/dL Complete the following sentence by using the lists of options. 42. After reviewing the findings in the client's medical record, the nurse should first address the client's_______ ______ followed by the client's ________. {{Correct Ans - Abdominal distention Acute pain 43. The nurse is collecting data on the client For each client finding, click to specify if the finding is consistent with appendicitis, diverticular disease, or Crohn's disease. Each finding may support more than 1 disease process. {{Correct Ans - Blood in the stool - Diverticular disease Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client has manifestations of ___________ ; therefore, the priority finding for the nurse to report is the __________. {{Correct Ans - peritonitis laboratory values 44. The nurse is contributing to the plan of care for the client who has peritonitis and Crohn's disease. For each potential intervention, click to specify if the intervention is indicated or contraindicated for the client. {{Correct Ans - Obtain blood cultures - indicated obtain the client's vital signs every 15 min - indicated Administer a hypotonic IV solution - contraindicated insert a nas ogastric tube - indicated 45. The nurse is assisting with the care of the client who is preoperative for an exploratory laparotomy. Select the 4 actions the nurse should take. {{Correct Ans - Administer phenytoin with a sip of water on the day of surgery. Assist with the administration of gentamicin 100 mg IV. Assist with the administration of dextrose 5% in lactated Ringer's. Contact the wound, ostomy, and continence nurse. 46. The nurse is reinforcing discharge teaching with the client. Which of the following cl ient statements indicates an understanding of the teaching? Select all that apply. {{Correct Ans - "I should schedule several rest periods throughout the day" "I should notify my provider if my temperature is higher than 101 degrees Fahrenheit". 47. A home hea lth nurse is reinforcing teaching about preventing asthma attacks with a client who has asthma. Which of the following instructions should the nurse include in the teaching? {{Correct Ans - "Do not allow visitors to smoke cigarettes in your home." 48. A nurse is caring for a client who has a new cast on their left forearm and reports severe pain in the affected arm with numbness in the fingers. The nurse finds the skin is pale and cold with sluggish capillary refill. Which of the following fracture complication s should the nurse suspect? {{Correct Ans - compartment syndrome 49. A nurse is contributing to the plan of care for a client who has a methicillin - resistant Staphylococcus aureus (MRSA) infection and is on contact isolation precautions. Which of the following actions should the nurse take? {{Correct Ans- Have a designated stethoscope in the client's room. 50. A nurse is collecting data from a client who has heart failure and is taking digoxin. Which of the following outcomes from the medication should the nurse expect? {{Correct Ans - Decreased shortness of breath. 51. A nurse is contributing to the plan of care for a client who has a new prescription for nystatin suspension for oral candidiasis. Which of the following interventions should the nurse include in the pla n? {{Correct Ans - Instruct the client to swish the medication in their mouth. 52. A nurse is reviewing the laboratory results of a client who has type 2 diabetes mellitus. The nurse should identify that which of the following laboratory values indicates the c lient is at risk for delayed wound healing? {{Correct Ans - Prealbumin 12 mg/dL 53. A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of the following actions should the nurse take to reduce the risk for aspiration? {{Correct Ans - Allow for 30 min of rest before meals. 54. A nurse is reinforcing teaching with the client. Which of the following instructions should the nurse include? Select all that apply. {{Correct Ans - Avoid drinking fluids with meals. Eat several small meals per day . Consume high -protein snacks. 55. A nurse is contributing to the plan of care for a client who has Ménière's disease. Which of the following interventions should the nurse include in the plan of care? {{Correct Ans - Administer an antiemetic to the client. 56. A nurse is examining a client's IV site and notes a red line up their arm. The client reports a throbbing, burning pain at the IV site. The nurse should identify that the client's manifestations indicate which of the following complications of IV therapy? {{Correct Ans - Thrombophlebitis 57. A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client who has diabetes mellitus. Which of the following statements indicates that the client understands the teaching? {{Correct Ans - "I will have my HbA1c checked twice per year." 58. A nurse enters the room of a client whose transfusion of packed RBCs was initiated 15 min ago by the RN. The client reports dyspnea and urticaria. After stopping the infusion, which of the following actions shoul d the nurse take next? {{Correct Ans - Take the client's vital signs. 59. A nurse is contributing to the plan of care for a client who has multiple sclerosis and is taking dantrolene to manage muscle spasms. Which of the following interventions should the nurs e include? {{Correct Ans - Encourage the client to complete ADLs. 60. A nurse is caring for a client who is postoperative and has an epidural infusion. Which of the following findings should the nurse recognize as the priority? {{Correct Ans - Dyspnea 61. A nurse is contributing to the plan of care for a client who has partial hearing loss. Which of the following interventions should the nurse include in the plan of care? {{Correct Ans - Face the client while speaking. 62. A nurse is reinforcing teaching with the careg iver of a client who has a cervical injury and has a halo vest in place. Which of the following safety precautions should the nurse include in the teaching? {{Correct Ans - Change the sheepskin liner weekly. 63. A nurse is reinforcing teaching about home care with a client who had a knee arthroplasty. Which of the following factors should the nurse identify as an indication that a barrier to learning might be present? {{Correct Ans - The client stops the nurse and asks for pain medication. 64. A nurse is caring for a client who has a prescription for phenazopyridine. Which of the following findings should the nurse identify as a therapeutic effect of the medication? {{Correct Ans - Decreases pain during urination. 65. A nurse is assisting a client who reports difficulty falling asleep. Which of the following activities should the nurse recommend to promote sleep? {{Correct Ans- Listen to soft music before sleeping. 66. A nurse is reinforcing teaching with a client who has asthma. Which of the following client statements ind icates an understanding of the use of budesonide and albuterol inhalers? (Select all that apply.) {{Correct Ans - "I never forget to rinse my mouth after using my budesonide inhaler" "Between office visits, I keep a record of how many times I use my albuter ol inhaler" "I use my albuterol inhaler before I go swimming" 67. The nurse is reviewing the client's diagnostic results. Which of the following findings require follow up? Select all that apply. {{Correct Ans - PaCO2 WBC count Chest x -ray