ATI Med-Surg Final Study Questions and answers, Graded A+. 2022 update

Document Content and Description Below

ATI Med-Surg Final Study Questions and answers, Graded A+. 2022 update A nurse is collecting data from a client who reports severe headache and a stiff neck. Data collection reveals positive Kern ... ig's and Brudzinski's signs. Which of the following actions should the nurse perform first? - ✔✔Implement droplet precautions A nurse is checking for the presence of Brudzinski's sign in a client who has suspected meningitis. Which of the following actions should the nurse take? - ✔✔-Place client in supine position -Place hands behind the client's neck -Bend client's head toward chest A nurse is contributing to the plan of care for a client who has meningitis and is at risk for increased intracranial pressure (ICP). Which of the following interventions should the nurse recommend? - ✔✔-Implement seizure precautions -Turn off room lights and television -Monitor for impaired extraocular movements A health department nurse is reviewing the use of the meningococcal vaccine (MCV4) for the prevention of meningitis with a newly licensed nurse. Which of the following information should the nurse include? - ✔✔Mendes vaccine for adolescents before starting college A nurse is contributing to the plan of care for a client who has bacterial meningitis. Which of the following interventions should the nurse include? - ✔✔-Provide an emesis basin at the bedside -Administer antipyretic medication -Perform a skin assessment A nurse is collecting data from a client who has a seizure disorder. The client reports sensing an aura and is about to have a seizure. Which of the following actions should the nurse implement? - ✔✔-Provide privacy -Ease the client to the floor if standing -Move furniture away from client -Loosen the client's clothing -Protect the client's head with padding A nurse is caring for a client who just experienced a generalized seizure. Which of the following actions should the nurse perform first? - ✔✔Keep the client and a side-lying position A nurse is reinforcing discharge instructions with a female client who has a prescription for phenytoin. Which of the following information should the nurse include? - ✔✔Take the medication at the same time every day A nurse is reinforcing education about trigger factors that can cause seizures with a client who has a new diagnosis of generalized seizures. Which of the following information should the nurse include in this review? - ✔✔-Avoid overwhelming fatigue -Remove caffeinated products from diet -Limit looking at flashing lights A nurse is reinforcing discharge teaching to a client who has seizures and received a vagal nerve stimulator to decrease seizure activity.Which of the following statements should the nurse include? - ✔✔"I can expect to have a temporary voice change" A nurse is reviewing the plan of care for a client who has PD. Which of the following intervention should the nurse identify as a priority? - ✔✔Schedule a swallowing evaluation A nurse is contributing to a plan of care for the nutritional needs of a client who has stage IV Parkinson's disease. Which of the following actions should the nurse include in the plan of care? - ✔✔-Record diet and fluid intake daily -Offered nutritional supplements between meals A nurse is reinforcing teaching with the family of a client who has Parkinson's disease and a new prescription for bromocriptine. Which of the following statements by a family member should the nurse identify as understanding of the teaching? - ✔✔"This medication can cause dizziness" A nurse is collecting data from a client who has Parkinson's disease. Which of the following findings should the nurse expect? - ✔✔-Pill-rolling tremor of the fingers -Shuffling gait -Drooling -Lack of facial expression A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesia. Which of the actions should the nurse take? - ✔✔Give the client extra time to perform activities A nurse is reinforcing teaching with the partner of an older adult client who has AD and has a new prescription for the donepezil. Which of the following statements by the partner indicates the teaching is effective? - ✔✔"This medication should help my partner's daily function" A nurse working in a long-term care facility is caring for a client who has AD. Which of the following actions should the nurse take? - ✔✔Provide finger foods for the client's snacks and meals A nurse is making a home visit to a client who has AD. The client's partner states that the client is often disoriented to time and place, is unsteady on his feet, and has a history of wondering. Which of the following safety measures should the nurse review with the partner? - ✔✔-Remove floor rugs -Provide increased lighting in stairwells -Install handrails in the bathroom -Place the mattress on the floor A nurse is caring for a client who has AD and falls frequently. Which of the following actions is the priority for the nurse to take to keep the client safe? - ✔✔Place the client in a room close to the nurses' station A nurse is caring for a client who has AD. A family member of the client asks the nurse about risk factors for the disease. Which of the following information should the nurse include? - ✔✔-Exposure to metal wasta products -Previous head injury -History of herpes infection A nurse is caring for a client who has experienced a right-hemispheric stroke. Which of the following findings should the nurse expect? - ✔✔-Impulse control difficulty -Left hemiplegia -Loss of depth perception -Lack of situational awareness A nurse is caring for a client who has left homonymous hemianopsia. Which of the following intervention should the nurse implement? - ✔✔Place the bedside table on the right side of the bed A nurse is contributing to the plan of care for a client who has dysphagia and a new dietary prescription. Which of the following interventions should the nurse include in the plan? - ✔✔-Have suction equipment available for use -Feed the client thickened liquids -Please food on the unaffected side of the client's mouth -Instruct the client to swallow with her neck flexed A nurse is contributing to the plan of care for a client who has global aphasia (both receptive and expressive). Which of the following intervention should the nurse include in the client's plan? - ✔✔-Speak to the client at a slower rate -Assist the client to use flashcards with pictures -Give instructions one step at a time A nurse is collecting data on a client who has experienced a left-hemispheric stroke. Which of the following manifestations should the nurse expect? - ✔✔Frustrated about deficits A nurse is caring for a client who has multiple sclerosis. Which of the following findings should the nurse expect? - ✔✔Loss of cognitive function A nurse is collecting data from a client who has a new diagnosis of multiple sclerosis. Which of the following findings should the nurse expect? - ✔✔-Areas of paresthesia -Involuntary eye movement -Ataxia A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription of baclofen. Which of the following statements should the nurse include in the teaching? - ✔✔"This medication may cause your skin to appear yellow in color" A nurse in a clinic is caring for a client who has frequent migraine headaches. The client asks about food that can cause headaches. The nurse should recommend that the client avoid which of the following foods? - ✔✔Salted cashews A nurse in a clinic is reinforcing teaching with a client who has a history of migraine headaches and a new prescription of zolmitriptan. Which of the following statements by the client indicates an understanding of the teaching? - ✔✔"I should expect facial flushing when I take this medication" A nurse in a provider's office is collecting data from a client who has cluster headaches. Which of the following findings should the nurse expect? - ✔✔-Client experiences altered sleep-wake cycle -Headache occurs at approximately the same time of the day -Nasal congestion and drainage occur A nurse is reinforcing discharge instructions with a client who has a new diagnosis of migraine headaches. Which of the following instruction should the nurse include? - ✔✔Apply a cool cloth to the face during a headache A nurse is obtaining a health history from my client who is being evaluated for the cause of frequent headaches. Which of the following questions should the nurse asked to identify the findings of migraine headaches? - ✔✔"Is there a pattern of headaches among family members?" A nurse is collecting data from a client who has increased intracranial pressure (ICP). Which of the following findings should the nurse expect? - ✔✔-Disorientated to time and place -Restlessness and irritability -Unequal pupils -Headache A nurse is reviewing a prescription for dexamethasone with a client who has an expanding brain tumor. Which of the following are appropriate statements by the nurse? - ✔✔-"It is given to reduce swelling of the brain" -"You may notice weight gain" -"It can cause you to retain fluids" A nurse is caring for a client who has a benign brain tumor. The client asks the nurse if he can expect the same type of tumor to occur in other areas of his body. Which of the following is an appropriate response by the nurse? - ✔✔"It is limited to brain tissue" Nurse is reviewing the health record for a client who has a malignant brain tumor and notes the client has a positive Romberg sign. Which of the following actions should the nurse take to check for this manifestation? - ✔✔Have the client stand erect with eyes closed A nurse is assisting with the care of a client following surgical evacuation of a subdural hematoma. Which of the following data is the priority to monitor? - ✔✔Oxygen saturation A nurse is caring for a client who is at risk for increased intracranial pressure (ICP). Which of the following actions should the nurse take to decrease the potential for raising the client's ICP? - ✔✔-Decrease the noise level in the client's room -Administer a stool softener A nurse is caring for an older adult client who has diabetes mellitus and reports a gradual loss of peripheral vision. The nurse should recognize this as a manifestation of which of the following diseases? - ✔✔Open-angle glaucoma A nurse is reinforcing postoperative teaching with a client following cataract surgery. Which of the following statements should the nurse include in the teaching? - ✔✔"You need to limit your housekeeping activities" A nurse is collecting data on a male older adult client who has a new diagnosis of glaucoma. Which of the following findings should the nurse recognize as risk factors associated with this disease? - ✔✔-Genetic predisposition -Eye trauma -Age -Diabetes mellitus A nurse is collecting data on a client who has a new diagnosis of cataracts. Which of the following manifestations should the nurse expect? - ✔✔-Blurred vision -White pupils A nurse is reinforcing teaching with a client who has a new diagnosis of dry macular degeneration. Which of the following instructions should the nurse include in the teaching? - ✔✔Increase intake of deep yellow and orange vegetables A nurse is performing an otoscopic examination of a client. Which of the following is an unexpected finding? - ✔✔Fluid bubble scene behind the TM A nurse is reviewing the health record of a client who has severe otitis media. Which of the following are expected findings? - ✔✔-Enlarged adenoids -Report of recent colds -Ear pain relieved by meclizine A nurse in the clinic is caring for a client who has been experiencing mild to moderate vertigo due to benign paroxysmal vertigo for several weeks. Which of the following actions should the nurse recommend to help control the vertigo? - ✔✔-Reduce exposure to bright lighting -Move head slowly when changing positions -Plan evenly spaced daily fluid intake -Avoid fluids containing caffeine A nurse is caring for a client who has suspected Ménière's disease. Which of the following is an expected finding? - ✔✔Unilateral hearing loss A nurse is reinforcing discharge teaching with a client following middle ear surgery. Which of the following statements by the client indicates an understanding of the teaching? - ✔✔"I should restrict rapid movement and avoid bending from the waist for several weeks" A nurse in a clinic is caring for a client who has suspected anemia. Which of the following laboratory test results should the nurse expect? - ✔✔Hgb 10 g/dL A nurse is caring for a client who is receiving warfarin for anticoagulation therapy. Which of the following laboratory test results indicates that the client needs an increase in the dosage? - ✔✔INR 1.1 Nurse is reinforcing teaching with a client who is scheduled for a bone marrow biopsy of the iliac chest. Which of the following statements by the client indicates an understanding of the teaching? - ✔✔"I will need to stay in bed for about an hour after the test" A nurse is assisting with the administration of a unit of packed RBCs to a client who has a Hgb of 8 g/dL. Which of the following actions should the nurse plan to take during the first 15 min of the transfusion? - ✔✔Monitor for acute hemolytic reaction A nurse is caring for a client who is receiving a blood transfusion. Which of the following actions should the nurse take if an allergic transfusion reaction is suspected? - ✔✔-Stop the transfusion -Maintain an IV infusion of 0.9% sodium chloride -Administer diphenhydramine A nurse is monitoring a client who began receiving a unit of packed RBCs 10 min ago. Which of the following findings should the nurse identify as an indication of a febrile transfusion reaction? - ✔✔-Heart rate change from [Show More]

Last updated: 3 years ago

Preview 1 out of 24 pages