ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 1 of 63
In evaluating a 10-year-old child with meningitis suspected of having diabetes insipidus, which finding is indicative of diabetes insipidus?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 2 of 63
The healthcare provider is planning care for a non-potty-trained child with nephrotic syndrome. Which intervention provides the best means of determining fluid retention?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 3 of 63
Which client's laboratory value requires immediate intervention by a nurse?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 4 of 63
Which assessment finding indicates a client's readiness to leave the nursing unit for a bronchoscopy?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 5 of 63
A highly successful individual presents to the community mental health center complaining of sleeplessness and anxiety over their financial status. What action should the nurse take to assist this client in diminishing their anxiety?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 6 of 63
A client from a nursing home is admitted with urinary sepsis and has a single-lumen, peripherally-inserted central catheter (PICC). Four medications are prescribed for 9:00 a.m. and the nurse is running behind schedule. Which medication should the nurse administer first?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 7 of 63
The client with a history of heart failure is taking furosemide (Lasix). Which laboratory result should the nurse monitor closely?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 8 of 63
When a client expresses, 'I don't know how I will go on' while discussing feelings related to a recent loss, the nurse remains silent. What is the most likely reason for the nurse's behavior?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 9 of 63
Which intervention should the nurse implement to enhance the efficacy of the client's asthma medication therapy?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 10 of 63
In which situation is it most important for the registered nurse (RN) working on a medical unit to provide direct supervision?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 11 of 63
The healthcare provider prescribes naproxen (Naprosyn) 500 mg PO twice a day for a client with osteoarthritis. During a follow-up visit one month later, the client tells the nurse, 'The pills don't seem to be working. They are not helping the pain at all.' Which factor should influence the nurse's response?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 12 of 63
What physical assessment data should the nurse consider a normal finding for a primigravida client who is 12 hours postpartum?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 13 of 63
During an admission physical assessment, the nurse is examining a newborn who is small for gestational age (SGA). Which finding should the nurse report immediately to the pediatric healthcare provider?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 14 of 63
What dietary advice should the nurse provide to help reduce the occurrence of hot flashes in a post-menopausal client?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 15 of 63
A male client in the day room becomes increasingly angry and aggressive when denied a day-pass. Which action should the nurse implement?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 16 of 63
A male client is admitted to the neurological unit. He has just sustained a C-5 spinal cord injury. Which assessment finding of this client warrants immediate intervention by the nurse?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 17 of 63
The healthcare provider is caring for a client with a chest tube. Which assessment finding requires immediate intervention?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 18 of 63
A client is admitted with suspected meningitis. Which assessment finding requires immediate intervention?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 19 of 63
A 62-year-old male client with a history of coronary artery disease complains that his heart is 'racing' and he often feels dizzy. His blood pressure is 110/60, and he uses portable oxygen at 2 liters per nasal cannula. Based on the rhythm shown, which prescription should the nurse administer?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 20 of 63
The client has just been diagnosed with Addison's disease. Which clinical manifestation should the nurse expect to find?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 21 of 63
A client with newly diagnosed diabetes mellitus is being discharged home. Which statement indicates the client understands the instructions about managing blood glucose levels?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 22 of 63
The client has acute kidney injury (AKI). Which assessment finding requires immediate intervention?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 23 of 63
An elderly male client reports to the clinic nurse that he is experiencing increasing nocturia with difficulty initiating his urine stream. He reports a weak urine flow and frequent dribbling after voiding. Which nursing action should be implemented?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 24 of 63
A client with hypothyroidism is started on levothyroxine (Synthroid). Which statement by the client indicates a need for further teaching?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 25 of 63
A healthcare provider is preparing to administer a scheduled dose of intravenous (IV) metoprolol (Lopressor) to a client. The client's apical pulse is 58 beats/minute. What action should the healthcare provider take?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 26 of 63
A healthcare professional is interested in studying the incidence of infant death in a particular city and wants to compare that city's rate to the state's rate. What state resource is most likely to provide this information?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 27 of 63
What instruction should be provided to a client with a history of myocardial infarction (MI) who is prescribed nitroglycerin?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 28 of 63
The nurse is caring for four clients: Client A, who has emphysema and an oxygen saturation of 94%; Client B, with a postoperative hemoglobin of 8.7 g/dL; Client C, newly admitted with a potassium level of 3.8 mEq/L; and Client D, scheduled for an appendectomy with a white blood cell count of 15,000/mm3. What intervention should the nurse implement?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 29 of 63
A client with chronic kidney disease (CKD) has an arteriovenous (AV) fistula for hemodialysis. Which finding should the nurse report to the healthcare provider immediately?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 30 of 63
When evaluating a client's understanding of wearing a Holter monitor, which statement made by the client would indicate to the nurse that the client understands the procedure?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 31 of 63
A male infant born at 30-weeks gestation at an outlying hospital is being prepared for transport to a Level IV neonatal facility. His respirations are 90/min, and his heart rate is 150 beats per minute. Which drug is the transport team most likely to administer to this infant?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 32 of 63
A client with a history of diabetes mellitus is admitted with a foot ulcer. The nurse should recognize that which intervention is most critical in promoting healing of the foot ulcer?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 33 of 63
Because the census is currently low in the Obstetrics (OB) unit, one of the nurses is sent to work on a medical-surgical unit for the day, or until the OB unit becomes busy. Which client assessment is best for the charge nurse to assign to the OB nurse?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 34 of 63
A recently widowed middle-aged female client presents to the psychiatric clinic for evaluation and tells the nurse that she has 'little reason to live.' She describes one previous suicidal gesture and admits to having a gun in her home. To maintain the client's confidentiality and to help ensure her safety, which action is best for the nurse to implement?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 35 of 63
The client has received 250 ml of 0.9% normal saline through the IV line in the last hour. The client is now tachypneic and has a pulse rate of 120 beats/minute, with a pulse volume of +4. In addition to reporting the assessment findings to the healthcare provider, what action should the nurse implement?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 36 of 63
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. Which intervention should the nurse implement to ensure the client's safety?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 37 of 63
What action should the healthcare provider take to reduce the risk of vesicant extravasation in a client receiving intravenous chemotherapy?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 38 of 63
An elderly client with congestive heart failure (CHF) is admitted to the hospital. Which laboratory test result should the nurse expect to find?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 39 of 63
A client with type 2 diabetes mellitus is prescribed metformin (Glucophage). Which instruction should the nurse provide?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 40 of 63
A client in labor states, 'I think my water just broke!' The nurse notes that the umbilical cord is on the perineum. What action should the nurse perform first?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 41 of 63
A client is undergoing chemotherapy and is at risk for developing thrombocytopenia. What precaution should the nurse teach the client to minimize the risk of bleeding?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 42 of 63
The mother of a 9-month-old who was diagnosed with respiratory syncytial virus (RSV) yesterday calls the clinic to inquire if it will be all right to take her infant to the first birthday party of a friend's child the following day. What response should the nurse provide this mother?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 43 of 63
The client is prescribed clozapine (Clozaril), and the nurse plans to educate them about its purpose. Which statement should the nurse provide?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 44 of 63
A client with a severe head injury is admitted to the intensive care unit (ICU). Which finding should the nurse report to the healthcare provider immediately?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 45 of 63
A primipara at 38-weeks gestation is admitted to labor and delivery for a biophysical profile (BPP). The nurse should prepare the client for what procedures?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 46 of 63
When a client reports being allergic to penicillin, which question should the nurse ask to gather more information?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 47 of 63
A client with cirrhosis of the liver is being cared for by the healthcare team. Which clinical manifestation indicates that the client has developed hepatic encephalopathy?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 48 of 63
A client who underwent a total hip replacement is receiving discharge teaching from a nurse. Which instruction should the nurse include?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 49 of 63
The client with newly diagnosed osteoporosis is being taught by the nurse about dietary modifications. Which instruction should the nurse include?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 50 of 63
A client with schizophrenia is prescribed haloperidol (Haldol). The nurse should monitor the client for which potential side effect?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 51 of 63
A 38-year-old male client collapsed at his outside construction job in Texas in July. His admitting vital signs to ICU are, BP 82/70, heart rate 140 beats/minute, urine output 10 ml/hr, skin cool to the touch. Pulmonary artery (PA) pressures are, PAWP 1, PAP 8/2, RAP -1, SVR 1600. What nursing action has the highest priority?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 52 of 63
A client with myelogenous leukemia is receiving an autologous bone marrow transplantation (BMT). What is the priority intervention that the nurse should implement when the bone marrow is repopulating?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 53 of 63
A 60-year-old male client is admitted to the hospital with the complaint of right knee pain for the past week. His right knee and calf are warm and edematous. He has a history of diabetes and arthritis. Which neurological assessment action should the nurse perform for this client?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 54 of 63
The client with chronic kidney disease (CKD) is receiving hemodialysis. Which finding should be reported to the healthcare provider immediately?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 55 of 63
A client receiving total parenteral nutrition (TPN) through a central line suddenly develops dyspnea, chest pain, and a drop in blood pressure. What should the nurse do first?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 56 of 63
A client who delivered a 7-pound infant 12 hours ago is complaining of a severe headache. The client's blood pressure is 110/70, respiratory rate is 18 breaths/minute, heart rate is 74 beats/minute, and temperature is 98.6º F. The client's fundus is firm and one fingerbreadth above the umbilicus. What action should the healthcare team implement first?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 57 of 63
Following a CVA, the nurse assesses that a client developed dysphagia, hypoactive bowel sounds, and a firm, distended abdomen. Which prescription for the client should the nurse question?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 58 of 63
A client diagnosed with major depressive disorder refuses to get out of bed, eat, or participate in group therapy. Which intervention is most important for the nurse to implement?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 59 of 63
In planning the turning schedule for a bedfast client, it is most important for the nurse to consider what assessment finding?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 60 of 63
A client who has Type 1 diabetes and is at 10-weeks gestation comes to the prenatal clinic complaining of a headache, nausea, sweating, feeling shaky, and being tired all the time. What action should the nurse take first?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 61 of 63
The client has acute pancreatitis. Which nursing intervention is the highest priority?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 62 of 63
A 9-year-old female client was recently diagnosed with diabetes mellitus. Which symptom will her parents most likely report?
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ATI LPN · ATI Medical Surgical Proctored Exam 2019 Quizlet
Question 63 of 63
When assessing a client reporting severe pain in the right lower quadrant of the abdomen, which sign would most likely indicate appendicitis?
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