ATI Med Surg Mastery Application
Exercises
A nurse is caring for a client who has a new diagnosis of type 2 diabetes
mellitus and reports difficulty following the diet and remembering to
take the prescribed medication. Which of the following actions should
the nurse take to promote client compliance? Select all that apply.
A. Ask the dietitian to assist with meal planning
B. Contact the client’s support system
C. Assess for age-related cognitive awareness
D. Encourage the use of a daily medication dispenser
E. Provide educational materials for home use – ANSWER
A, B, D, E
A: The nurse provides resources to strength coping abilities by asking
the dietitian to assist the client with meal planning. This will improve
client compliance.
B: With the client’s consent, the nurse can contact members of the
client’s support system and encourage the client to use this support
during times of illness and stress to improve compliance
C: Assessing the client for age-related cognitive awareness is important
but it is not an appropriate intervention that enhances the client’s
compliance.
D: The nurse encourages the use of a daily medication dispenser to
reduce health risks and improve medication compliance by the client.
E: The nurse provides educational materials to the client to improve
health awareness and reduce health risks after discharge<\/p>\n\n\n\n
A nurse in a health care clinic is evaluating the level of wellness for
clients using the illness-wellness continuum tool. The nurse should
identify which of the following clients as being at the center of the
continuum?
A. A college student who has influenza
B. An older adult who has a new diagnosis of type 2 diabetes mellitus
C. A new mother who has a urinary tract infection
D. A young male client who has a long history of well-controlled
rheumatoid arthritis – ANSWER D
A: The client who has influenza is measured on the continuum by the
level of health to illness in comparison to the norm for the client.
B: The client who is newly diagnosed with type 2 diabetes mellitus is
measured on the continuum by the level of health to illness in
comparison to the norm for the client.
C: The client who has a urinary tract infection is measured on the
continuum by the level of health to illness in comparison to the norm
for the client.
D: The client who has well-controlled rheumatoid arthritis is measure
ad the center of the continuum, which is the client’s normal state of
health
A nurse is evaluating clients at a health fair for modifiable variables
affecting health and wellness. The nurse should identify which of the
following variables as modifiable? (Select all that apply).
A. Smoking on social occasions<\/p>\n\n\n\n
B. BMI of 28
C. Alopecia
D. Trisomy 21
E. History of reflux – ANSWER A, B, E
A: The nurse identifies smoking as a modifiable variable that a client
can change. The nurse should provide the client with educational
materials and information on smoking cessation.
B: The nurse identifies a BMI of 28 as a modifiable variable that a client
can change. The nurse should provide the client with information on
weight reduction and exercising.
C: The nurse identifies alopecia as a non-modifiable variable because
alopecia is a genetic disorder.
D: The nurse identifies Trisomy 21 as a non-modifiable variable because
Trisomy 21 is genetic in origin
E: The nurse identifies reflux as a modifiable variable that a client can
change. The nurse should provide the client with step-by-step
educational information about treatment.
A nurse is caring for a client who was just informed of a new diagnosis
of breast cancer. The nurse evaluates the client’s response. Which of
the following statements by the client reflects a lack of understanding
of an illness perspective?
A. “I have no family history of breast cancer.”
B. “I need a second opinion. There is no lump.”
C. “I am glad we live in the city near several large hospitals.”
D. “I will schedule surgery next week, over the holidays.” –
ANSWER B.<\/p>\n\n\n\n
A: The client’s lack of family history of cancer can influence the client’s
response to the new diagnosis, but it does not reflect a lack of
understanding of an illness perspective.
B: The client’s statement of denial reflects a lack of understanding of
the illness perspective and can influence the client’s acceptance of the
diagnosis.
C: Access to health care resources can influence the client’s response to
the new diagnosis, but it does not reflect a lack of understanding of an
illness perspective
D: Time constraints can influence a client’s response to the diagnosis,
but it does not reflect a lack of understanding of an illness perspective.
A nurse on a medical-surgical unit is caring for a group of clients. The
nurse should notify the rapid response team for which of the following
clients?
A. Client who has a pressure injury of the right heel whose blood
glucose is 300 mg\/dL
B. Client who reports right calf pain and shortness of breath
C. Client who has blood on a pressure dressing in the femoral area
following a cardiac catheterization
D. Client who has dark red coloration of left toes and absent pedal
pulse – ANSWER B.
A: The nurse should notify the provider. The situation does not indicate
the beginning of a rapid decline in the client’s condition
B: The nurse should identify that the client is at risk for respiratory
arrest due to a possible embolism. The nurse should call the rapid
response team because the manifestations can indicate the beginning
of a rapid decline in the client’s condition.
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