ATI MED SURG EXAM. QUESTIONS AND ANSWERS.

ATI MED SURG EXAM.

1. A nurse is providing discharge teaching for a client who has a newly inserted
   permanent pacemaker. Which of the following instructions should the nurse include in
   the teaching?
   Answer: Keep your cell phone 6 inches away from your pace maker when making a
   call.
2. A nurse is admitting a client who is in sickle cell crisis. Besides pain management
   which of the following interventions should the nurse include in the client’s plan of care?
   Answer: ample hydration
3. A nurse in caring for a client who has a peripherally inserted central catheter (PICC)
   in place. Which of the following actions should the nurse take when handling this central
   venous access device? select all that apply
   Answer:
   Flush the line with sterile 0.9% sodium chloride before and after medication
   administration
   Access the PICC for blood sampling
   Perform a heparin flush of the line at least daily when not in use
4. A nurse is teaching a client who has coronary artery disease about eh difference
   between angina pectoris and myocardial infarction. Which of the following
   manifestations should the nurse identify as indications of MI? select all that apply
   Answers:
   nausea and vomiting
   diaphoresis and dizziness

anxiety and feeling of doom

5. A nurse is teaching a client with heart disease about a lower cholesterol diet. Which
   of the following client statements indicates the teaching was effective?
   Answer: I should remove the skin form sultry before eating it.
6. A nurse is planning care for a client who has thrombocytopenia. Which of the
   following interventions should the nurse include in the plan of care?
   Answer: Measure the client’s abdominal girth daily
7. A nurse is checking paradoxical blood pressure of a client who has a possible cardiac
   tamponade. In what order should the nurse complete the following steps?
8. Palpate the blood pressure and inflate the cuff above the systolic pressure.
9. Deflate the cuff slowly and listen for the first audible sounds.
10. identify the first BP sounds audible on expiration and then on inspiration
11. Subtract the inspiratory pressure from the expiratory pressure
12. Inspect for jugular venous distention and notify the provider.
13. A nurse is completing dietary teaching who a client who has heart failure and is
    prescribed a 2g sodium diet. Which of the following statements by the client indicates an
    understanding of the teaching?
    Answer:
    I can have yogurt as a dessert
    rationale low in fat and sodium
14. A nurse is assessing a client who has peripheral vascular disease and a venous ulcer
    on the right ankle. Which of the following findings should the nurse expect in the client’s
    affected extremity?