WorksheetsATI Med Surg A&B
Total questions: 50
Worksheet time: 38mins
A nurse is teaching a client who asks about taking a glucosamine supplement for osteoarthritis. Which of the following information should the nurse include in the teaching?
"Avoid using glucosamine with chondroitin."
"Glucosamine can cause degradation of cartilage when used over a long time."
"Avoid taking glucosamine if you have a shellfish allergy."
"You can take glucosamine with an anticoagulant medication."
A nurse is caring for a client who has visual loss. Which of the following actions should the nurse implement?
Remove all objects from the client's bedside table
Instruction the client to open items on the food tray
Walk a step behind the client when assisting with ambulation
Count steps to the bathroom with the client
A nurse is discussing activity modification with a client who had a right total hip arthroplasty. Which of the following statements should the nurse include in the information?
"Plan to sit in a straight-backed chair when out of bed"
"Place a pillow between your legs when lying in bed"
"You can cross your legs at the ankles when sitting"
"You should bend at the waist when tying your shoes"
A nurse is teaching a newly licensed nurse about preventing a catheter-associated urinary tract infection for a client who has an indwelling urinary catheter. Which of the following instructions should the nurse include?
Ensure the urinary catheter tubing is not kinked
Rest the catheter bag on the floor when the client is sitting in a chair
Clean the perineal area with an antiseptic solution
Empty the collection bag for the client every 12 hr
A nurse is planning wound management for a client who has a stage 3 pressure injury. Which of the following interventions should the nurse include in the plan?
Measure the depth of the wound with a cotton-tipped applicator.
Measure the wound using a reusable tape measure.
Cover the wound bed with dry gauze dressings.
Cleanse the wound with soap and water.
A nurse is planning care for four clients following change-of-shift report. Which of the following clients is the nurse's priority?
A client who had a stroke and has expressive aphasia
A client who has a hemoglobin of 11 g/dL and requires 1 unit of blood
A client who has asthma and a peak expiratory flow rate in the green zone
A client who has peptic ulcer disease and a rigid abdomen
A nurse is planning care for four clients following change-of-shift report. Which of the following clients should the nurse see first?
A client who is receiving propranolol and has a heart rate of 55/min
A client who is receiving warfarin and has an INR of 2.5
A client who has a pacemaker and has persistent hiccupping
A client who has cholecystitis and reports rebound tenderness
A nurse is reviewing the laboratory data of a client who is taking the herbal supplement feverfew to reduce the frequency of migraine headaches. The nurse should identify that which of the following findings indicates a potential contraindication to taking this herbal supplement?
Potassium 3.5 mEq/L
Platelet count 100,000/mm3
Cholesterol 250 mg/dL
Urine bilirubin 0.2 mg/dL
A nurse is providing dietary teaching to a client who has heart failure. The nurse should identify which of the following client statements indicates an understanding of the teaching?
"I will use homemade vinegar and oil dressings on my salads"
"I should purchase low-calorie frozen meals for my lunches"
"I should add salt when cooking my food so I do not add it at the table"
"I will increase my dietary intake of processed cheese products"
A nurse is caring for a client who is postoperative and has a history of heart failure. The client reports slight dyspnea when ambulating. Which of the following findings should the nurse expect when performing a skin assessment?
Petechiae over the client's chest and abdomen
Tenting of the skin on the client's arm
Shiny areas on the client's ankles and feet
Dry, flaky skin on the client's arms and hands
A hospice nurse is planning end-of-life comfort-care for a client. Which of the following interventions should he nurse include in the plan?
Cover the client with an electric blanket if extremities become mottled
Provide frequent feedings during the day
Position the client on their side to improve breathing
Remove visitors from the room if the client becomes restless
A nurse is assessing a client who has a sodium level of 124 mEq/L. Which of the following findings should the nurse expect?
Reports thirst
Decreased consciousness
Reports constipation
Swollen tongue
A nurse is teaching a client who has a prescription for continuous ambulatory peritoneal dialysis. Which of the following instructions should the nurse include?
Eat a low-fiber diet to maintain dialysate flow
Warm the dialysate in the microwave before instillation
Expect dialysate outflow to appear cloudy
Allow the dialysate to dwell for 4 hr during each exchange
A nurse is caring for a client who has an endotracheal tube. Which of the following actions should the nurse take?
Perform endotracheal suctioning on the client every hour
Use clean technique to suction the client's endotracheal tube
Increase the oxygen flow before suctioning the client's endotracheal tube
Instill 0.9% sodium chloride into the client's endotracheal tube before suctioning
A nurse is providing hydrotherapy for a client who has full-thickness burns on the lower leg. Which of the following actions should the nurse take?
Perform the hydrotherapy three times per week
Wash the client's burns with mild soap
Rinse the client's burns with cold water
Immerse the client in a whirlpool tub
A nurse is providing discharge teaching with a client who has a new ileostomy. Which of the following instructions should the nurse include?
Empty the ileostomy pouch when it is one-third full
Take a laxative for constipation
Remove the pouch system once a day for 1 hr
Increase intake of high-fiber foods
A nurse is assessing a client who has multiple sclerosis (MS). Which of the following findings should the nurse expect?
Reduced sense of taste
Anorexia
Spasticity
Negative Babinski's reflex
A nurse is assessing a client who is receiving head and neck radiation therapy to treat esophageal cancer. The nurse should identify which of he following findings as an adverse effect of this treatment?
The client has a productive cough
The client reports peripheral neuropathy
The client reports a dry mouth
The client reports diarrhea
A nurse is teaching a client who has a new diagnosis of venous insufficiency. Which of the following instructions should the nurse include?
"Keep your legs below the level of your heart when in bed"
"Avoid sitting for long periods of time"
"Roll compression stockings down to your ankles if they become too constricting"
"Restrict crossing your legs at the knees to 20-minute intervals"
A nurse is assessing a client who has an endotracheal tube and is receiving mechanical ventilation. The client is agitated an appears to be in respiratory distress. Which of the following actions should the nurse take first?
Manually ventilate the client using a bag-valve device
Suction the client's endotracheal tube
Contact the respiratory therapist to check the client's ventilator
Obtain arterial blood gases from the client
A nurse is assisting with a paracentesis for a client who has ascites. Which of the following actions should the nurse take?
Place the client's peritoneal fluid specimen in the refrigerator following the procedure
Position the client into a left lateral position for the procedure
Weigh the client before the procedure
Instruct the client to have a full bladder during the procedure
A nurse is teaching a client who is receiving radiation therapy to treat uterine cancer and reports nausea. Which of the following instructions should the nurse include?
Eat foods that are prepared at a warm temperature
Sip small amounts of fluids frequently
Choose low-carbohydrate foods
Discontinue antiemetics when nausea is absent
A nurse is reviewing the white blood cell differential count of a client who is postoperative. The nurse should identify that which of the following findings is a manifestation of a bacterial wound infection?
Neutrophil count 9,000/mm3
Basophil count 75/mm3
Eosinophil count 200/mm3
Monocyte count 600/mm3
A nurse is caring for a client who is postoperative and has a self-contained closed-wound drainage system. Which of the following actions should the nurse take?
Use the clean technique to empty the reservoir
Secure the drain to the client's sheets after emptying
Cleanse the drain opening with chlorhexidine gluconate before emptying
Compress the reservoir after emptying
A nurse is monitoring daily laboratory values for a client who has had acute pancreatitis for 2 days. Which of the following values should the nurse report to the provider?
Creatinine 1.0 mg/dL
Serum amylase 210 units/L
Serum calcium 8.2 mg/dL
Fasting blood glucose 102 mg/dL
A nurse is teaching a client who is to have a transurethral resection of the prostate (TURP) with continuous bladder irrigation postoperatively. Which of the following statements by the client should the nurse identify as an indication the client understands the teaching?
"After surgery, I should drink about one and a half liters of fluid every day"
"I should try to urinate around the catheter after surgery"
"After the catheter is removed, I can expect to experience some burning when I urinate"
"I will stay in bed for the first 3 days following my surgery"
A nurse is planning care for a client who was admitted with a right hip fracture and is scheduled for surgery the following day. Which of the following actions should the nurse plan to take?
Shave hair from the surgical area the night before surgery
Bathe the client with an antiseptic solution the night before and the day of the surgery
Provide the client with detailed information about the surgical procedure on the day before the surgery
Teach the client to use an incentive spirometer every 4 hr after the surgery
A nurse is planning care for a client who had a stroke resulting in right-sided hemiplegia earlier in the day. Which of the following actions should the nurse plan to take?
Remind the client to refrain from trying to speak
Position the client's affected arm so it hangs down freely from the shoulder
Keep the client NPO
Monitor the client's vital signs every 4 hr
A nurse is assessing a client who has dry age-related macular degeneration (AMD) of the left eye. Which of the following findings should the nurse expect?
Purulent discharge
Pain with blinking
Gradual decrease of central vision
Petechiae on surrounding skin
A nurse is using the National lnstitutes of Health (NIH) Stroke Scale to assess a client whose condition has been improving following a middle cerebral artery stroke 1 week ago. Which of the following assessments should the nurse identify as an expected finding?
When the nurse raises the client's affected leg to a 30 degree angle, the client is able to hold the position for 5 seconds.
When the nurse raises the client's affected leg to a 90 degree angle, the client is able to hold the position for 2 seconds.
When the nurse uses moderate tactile stimulation, the client rouses and responds by blinking their eyes.
When the nurse pricks the client's affected arm with a sharp object, the client feels the pinprick and describes it as dull.
A nurse in the emergency department is assessing a client who was admitted following a traumatic brain injury (TBI). Which of the following should the nurse identify as an indication of increased intracranial pressure (ICP)?
Ecchymosis around the eyes
Asymmetric pupils
Hypotension
Leaking cerebral spinal fluid (CSF) from the nose and ears
A nurse is caring for a client who has type 1 diabetes mellitus and has a blood glucose level of 298 mg/dL. Which of the following findings should the nurse expect?
Anxiety
Abdominal cramping
Cool skin
Tingling sensation around the mouth
A nurse is testing the cranial nerves (CN) of a client who has a possible brain tumor. Which of the following actions should the nurse take when testing CN VII?
Shine a penlight in the client's eyes to test for pupil constriction
Observe for symmetry when the client smiles
Ask the client to open their mouth and say "ah"
Palpate the client's temples as they clench their teeth
A nurse is providing teaching for a client who is scheduled for a flexible bronchoscopy. Which of the following information should the nurse include in the teaching?
"You should not eat or drink for 2 hours before the procedure."
"You will lean over a bedside table in your room during the procedure."
"Following the procedure, you can eat and drink right away."
"Your throat will be sprayed with a numbing spray before the procedure."
A nurse is reviewing the medical record of a client who is experiencing hypovolemia and receiving 0.9% sodium chloride IV bolus. The nurse should identify that which of the following findings indicates a therapeutic response to the fluid therapy?
Pulse rate 88/min
Urine output of 500 ml over past 24 hr
Hemoglobin 20 g/dL
Respiratory rate 24/min
A nurse is teaching a client who has a new diagnosis of a seizure disorder and has a prescription for carbamazepine. Which of the following instructions should the nurse include?
"Keep a diary to record your seizure activity."
"Discontinue the medication if you have no seizure activity after 1 month."
"Participate in strenuous physical exercise daily."
"Expect your urine to turn dark brown."
A nurse is teaching about interventions to reduce the incidence of methicillin-resistant Staphylococcus aureus (MRSA) to nurses who work in an intensive care unit. Which of the following interventions should the nurse include in the teaching?
Wear a mask when working within 1 m (3 ft) of clients.
Place clients on prophylactic penicillin.
Bathe clients with a chlorhexidine gluconate solution.
Use negative airflow in the intensive care unit.
A charge nurse is conducting an in-service on cardiac output for a group of newly licensed nurses. Which of the following statements should the nurse include in the teaching?
"Cardiac output is the resistance the ventricles produce when ejecting blood."
"Cardiac output is the amount of blood the left ventricle ejects."
"Cardiac output is the relationship between stroke volume and heart rate."
"Cardiac output is the amount of blood that stretches the right and left ventricles."
A nurse is caring for a client who has diverticular disease. Which of the following findings should the nurse identify as a manifestation of this disease?
Fatty stools
Urinary frequency
Abdominal distension
Weight gain
A nurse is providing discharge teaching for a client who is postoperative following a colostomy placement. Which of the following colostomy care instructions should the nurse include?
"Expect your stoma to turn purple in color by 6 weeks, which indicates adequate healing."
"Cut the opening of the pouch three-fourths of an inch larger than the stoma."
"Apply a fragrance-free moisturizer around the stoma to prevent drying of the skin."
"Empty your pouch when it is half full."
A nurse is creating a plan of care for a client who has a vertebral compression fracture (VCF) and is postoperative following a kyphoplasty. Which of the following interventions should the nurse plan to include?
Administer morphine IV to control the client's pain.
Place the client supine with the head of the bed flat for 1 to 2 hr.
Apply a heating pad to the operative site.
Replace the surgical dressing with a damp dressing in 4 hr.
A nurse is caring for a client who is receiving hemodialysis via an arteriovenous (AV) fistula. Which of the following actions should the nurse take?
Obtain routine blood samples from the AV fistula.
Administer the client's scheduled medications before dialysis.
Tell the client to expect the dialysis to last about 2 hr.
Weigh the client before and after each dialysis treatment.
A nurse is planning care for a client who is receiving hemodynamic monitoring and has a low cardiac output from heart failure. Which of the following medications should the nurse plan to administer first?
Morphine
Furosemide
Enalapril
Nitroglycerin
A nurse is reviewing the laboratory data of a client who has a history of coronary artery disease and reports chest pain and nausea. Which of the following findings should the nurse report to the provider immediately?
Total cholesterol 260 mg/dL
RBC count 6.2 million/mm3
Troponin T 0.3 ng/mL
C-reactive protein 1.3 mg/dL
A nurse is monitoring a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following findings should the nurse expect?
Polyuria
Dehydration
Hyponatremia
Hyperthermia
A nurse is preparing a client for an electroencephalogram (EEG). Which of the following pieces of information should the nurse share with the client?
"Expect the test to take about 3 hr."
"You'll begin by lying still with your eyes closed."
"You'll sleep for the duration of the procedure."
"Expect some mild electrical shocks during the test."
A nurse is providing discharge teaching to a client who has had a transient ischemic attack (TIA). Which of the following instructions should the nurse include?
Reduce dietary sodium
Decrease dietary potassium
Restrict intake of insoluble fiber
Limit alcohol intake to 3 or less servings per day
A nurse is monitoring the laboratory results of a client who has end-stage liver failure. Which of the following results should the nurse expect?
Decreased lactate dehydrogenase
Increased serum albumin
Decreased serum ammonia
Increased prothrombin time
A nurse is caring for a client who has left homonymous hemianopsia. Which of the following is an appropriate nursing intervention?
Teach the client to scan to the right to see objects on the right side of their body
Place the client's bedside table on the right side of the bed
Orient the client to the food on their plate using the clock method
Place the wheelchair on the client's left side
A nurse is caring for a client who has major burn injury and is experiencing third spacing. Which of the following fluid or electrolyte imbalances should the nurse expect?
Hypokalemia
Hypernatremia
Elevated Hct
Decreased Hgb
