{"id":111185,"date":"2023-07-29T02:28:10","date_gmt":"2023-07-29T02:28:10","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=111185"},"modified":"2023-07-29T02:28:12","modified_gmt":"2023-07-29T02:28:12","slug":"ati-med-surg-exit-exam","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/07\/29\/ati-med-surg-exit-exam\/","title":{"rendered":"ATI med surg EXIT EXAM"},"content":{"rendered":"\n
    \n
  1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will
    drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is
    the best follow-up action by the nurse?
    \uf0b7 Review with the client the need to avoid foods that are rich in milk and cream<\/li>\n\n\n\n
  2. A male client with hypertension, who received new antihypertensive prescriptions at his
    last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP
    is 158\/106 and he admits that he has not been taking the prescribed medication because
    the drugs make him \u201cfeel bad\u201d. In explaining the need for hypertension control, the nurse
    should stress that an elevated BP places the client at risk for which pathophysiological
    condition?
    \uf0b7 Stroke secondary to hemorrhage<\/li>\n\n\n\n
  3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
    admitted client who has a seizure disorder. The client is supine and the UAP is placing
    soft pillows along the side rails. What action should the nurse implement?
    \uf0b7 Instruct the UAP to obtain soft blankets to secure to the side rails instead of
    pillows.<\/li>\n\n\n\n
  4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
    the past 12 days. Which assessment finding requires immediate follow-up?
    \uf0b7 Describes life without purpose<\/li>\n\n\n\n
  5. A 60-year-old female client with a positive family history of ovarian cancer has
    developed an abdominal mass and is being evaluated for possible ovarian cancer. Her
    Papanicolau (Pap) smear results are negative. What information should the nurse include
    in the client\u2019s teaching plan?
    \uf0b7 Further evaluation involving surgery may be needed<\/li>\n\n\n\n
  6. A client who recently underwear a tracheostomy is being prepared for discharge to home.
    Which instructions is most important for the nurse to include in the discharge plan?
    \uf0b7 Teach tracheal suctioning techniques<\/li>\n\n\n\n
  7. In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen
    reservoir bag does not deflate completely during inspiration and the client\u2019s respiratory
    rate is 14 breaths \/ minute. What action should the nurse implement?
    \uf0b7 Document the assessment data
    \uf0b7 Rational: reservoir bag should not deflate completely during inspiration and the
    client\u2019s respiratory rate is within normal limits.<\/li>\n\n\n\n
  8. During shift report, the central electrocardiogram (EKG) monitoring system alarms.
    Which client alarm should the nurse investigate firs?
    \uf0b7 Respiratory apnea of 30 seconds<\/li>\n\n\n\n
  9. During a home visit, the nurse observed an elderly client with diabetes slip and fall. What
    action should the nurse take first?
    \uf0b7 Check the client for lacerations or fractures<\/li>\n\n\n\n
  10. At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the
    1 \/ 4
    client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid
    getting a headache. Which action should the nurse take first?
    \uf0b7 Inform the anesthesia care provider<\/li>\n\n\n\n
  11. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
    sounds. To determine if an S3 heart sound is present, what action should the nurse take
    first?
    \uf0b7 Listen with the bell at the same location<\/li>\n\n\n\n
  12. A 66-year-old woman is retiring and will no longer have a health insurance through her
    place of employment. Which agency should the client be referred to by the employee
    health nurse for health insurance needs?
    \uf0b7 Medicare<\/li>\n\n\n\n
  13. A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
    What snack should the nurse instruct the client to take with the tetracycline?
    \uf0b7 Toasted wheat bread and jelly<\/li>\n\n\n\n
  14. Following a lumbar puncture, a client voices several complaints. What complaint
    indicated to the nurse that the client is experiencing a complication?
    \uf0b7 \u201cI have a headache that gets worse when I sit up\u201d
    \uf0b7 \u201cI am having pain in my lower back when I move my legs\u201d
    \uf0b7 \u201cMy throat hurts when I swallow\u201d
    \uf0b7 \u201cI feel sick to my stomach and am going to throw up\u201d<\/li>\n\n\n\n
  15. An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
    with incontinence. Which action should the nurse implement?
    \uf0b7 Obtain a clean catch mid-stream specimen<\/li>\n\n\n\n
  16. The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods
    that are in keeping with the child\u2019s dietary restrictions. Which foods are contraindicated
    for this child?
    \uf0b7 Foods sweetened with aspartame<\/li>\n\n\n\n
  17. Before preparing a client for the first surgical case of the day, a part-time scrub nurse
    asks the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for
    this client. Which response should the circulating nurse provide?
    \uf0b7 Direct the nurse to continue the surgical hand scrub for a 5 minute duration<\/li>\n\n\n\n
  18. Which breakfast selection indicates that the client understands the nurse\u2019s instructions
    about the dietary management of osteoporosis?
    \uf0b7 Bagel with jelly and skim milk<\/li>\n\n\n\n
  19. The charge nurse of a critical care unit is informed at the beginning of the shift that less
    than the optimal number of registered nurses will be working that shift. In planning
    assignments, which client should receive the most care hours by a registered nurse (RN)?
    \uf0b7 An 82-year-old client with Alzheimer\u2019s disease newly-fractures femur who has a
    Foley catheter and soft wrist restrains applied
    2 \/ 4<\/li>\n\n\n\n
  20. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
    pediatrician\u2019s office. Upon inspection, the nurse notes that the nail went through the shoe
    and pierced the bottom of the child\u2019s foot. Which action should the nurse implement
    first?
    \uf0b7 Cleanse the foot with soap and water and apply an antibiotic ointment
    \uf0b7 Provide teaching about the need for a tetanus booster within the next 72 hours.
    \uf0b7 have the mother check the child’s temperature q4h for the next 24 hours
    \uf0b7 transfer the child to the emergency department to receive a gamma globulin
    injection<\/li>\n\n\n\n
  21. The mother of an adolescent tells the clinic nurse, \u201cMy son has athlete\u2019s foot, I have been
    applying triple antibiotic ointment for two days, but there has been no improvement.\u201d
    What instruction should the nurse provide?
    \uf0b7 Stop using the ointment and encourage complete drying of the feet and wearing
    clean socks.<\/li>\n\n\n\n
  22. A 26-year-old female client is admitted to the hospital for treatment of a simple goiter,
    and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the
    nurse that the prescribed dosage is too high for this client? The client experiences
    \uf0b7 Bradycardia and constipation
    \uf0b7 Lethargy and lack of appetite
    \uf0b7 Muscle cramping and dry, flushed skin
    \uf0b7 Palpitations and shortness of breath<\/li>\n\n\n\n
  23. A client with a history of heart failure presents to the clinic with a nausea, vomiting,
    yellow vision and palpitations. Which finding is most important for the nurse to assess to
    the client?
    \uf0b7 Obtain a list of medications taken for cardiac history<\/li>\n\n\n\n
  24. The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250
    ml of D5W at 300 mcg\/hour. The nurse should program the infusion pump to deliver how
    many ml\/hour? (Enter numeric value only.)
    \uf0b7 75
    \uf0b7 Rationale: Convert mg to mcg and use the formula D\/H x Q. 300 mcg\/hour \/
    1,000 mcg x 250 ml = 3\/1 x 25 = 75 ml\/hour<\/li>\n\n\n\n
  25. The pathophysiological mechanism are responsible for ascites related to liver failure?
    (Select all that apply)
    \uf0b7 Fluid shifts from intravascular to interstitial area due to decreased serum protein
    \uf0b7 Increased hydrostatic pressure in portal circulation increases fluid shifts into
    abdomen
    \uf0b7 Increased circulating aldosterone levels that increase sodium and water retention<\/li>\n\n\n\n
  26. The nurse is auscultating a client\u2019s heart sounds. Which description should the nurse use
    to document this sound? (Please listen to the audio first to select the option that applies)
    \uf0b7 Murmur
    \uf0b7 Rationale: A murmur is auscultated as a swishing sound that is associated with the
    blood turbulence created by the heart or valvular defect.
    3 \/ 4<\/li>\n\n\n\n
  27. The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM for an
    infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluent to provide a
    concentration of 100 mg\/ml. How many ml should the nurse administered for each dose?
    (Enter numeric value only. If rounding is required, round to the nearest tenth)
    \uf0b7 0.4
    \uf0b7 rationale: 35mg\/100mg x 1 = 0.35 = 0.4 ml<\/li>\n\n\n\n
  28. The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six
    hours for four days. What assessment is most important for the nurse to complete?
    \uf0b7 Auscultate the client’s bowel sounds
    \uf0b7 Observe for edema around the ankles
    \uf0b7 Measure the client\u2019s capillary glucose level
    \uf0b7 Count the apical and radial pulses simultaneously
    \uf0b7 Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis and
    frequently causes constipation, so it is most important to Auscultate the client’s
    bowel sounds<\/li>\n\n\n\n
  29. A female client is admitted with end stage pulmonary disease is alert, oriented, and
    complaining of shortness of breath. The client tells the nurse that she wants \u201cno heroic
    measures\u201d taken if she stops breathing, and she asks the nurse to document this in her
    medical record. What action should the nurse implement?
    \uf0b7 Ask the client to discuss \u201cdo not resuscitate\u201d with her healthcare provider<\/li>\n\n\n\n
  30. A client is receiving a full strength continuous enteral tube feeding at 50 ml\/hour and has
    developed diarrhea. The client has a new prescription to change the feeding to half
    strength. What intervention should the nurse implement?
    \uf0b7 Add equal amounts of water and feeding to a feeding bag and infuse at 50ml\/hour<\/li>\n\n\n\n
  31. A female client reports that her hair is becoming coarse and breaking off, that the outer
    part of her eyebrows have disappeared, and that her eyes are all puffy. Which follow-up
    question is best for the nurse to ask?
    \uf0b7 Have you noticed any changes in your fingernails?
    \uf0b7 Rationale: The pattern of reported manifestations is suggestive of hypothyroidism<\/li>\n\n\n\n
  32. After a third hospitalization 6 months ago, a client is admitted to the hospital with ascites
    and malnutrition. The client is drowsy but responding to verbal stimuli and reports
    recently spitting up blood. What assessment finding warrants immediate intervention by
    the nurse?
    \uf0b7 Capillary refill of 8 seconds
    \uf0b7 bruises on arms and legs
    \uf0b7 round and tight abdomen
    \uf0b7 pitting edema in lower legs<\/li>\n\n\n\n
  33. After the nurse witnesses a preoperative client sign the surgical consent form, the nurse
    signs the form as a witness. What are the legal implications of the nurse\u2019s signature on
    the client\u2019s surgical consent form? (Select all that apply)
    \uf0b7 The client voluntarily grants permission for the procedure to be done
    \uf0b7 The client is competent to sign the consent without impairment of judgment
    \uf0b7 The client understands the risks and benefits associated with the procedure<\/li>\n\n\n\n
  34. Following surgery, a male client with antisocial personality disorder frequently requests<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-111185","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111185","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=111185"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111185\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=111185"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=111185"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=111185"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}