ATI Adult Med Surge Form A | Questions

and Answers

1. A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a

pressure ulcer. Which of the following actions should the nurse take?

- Use a 30 mL syringe

2. A nurse is preparing to administer a unit of packed RBCs to a client. Which of the

following actions should the nurse take?

- Remain with the client for the first 15 minutes of the infusion.

3. A nurse in an emergency department is assessing a client who has a detached retina.

Which of the following should the nurse expect the client to report?

- It's like a curtain closed over my eye.

4. A nurse is reviewing the laboratory results of a client who had a recent exposure to

hepatitis C virus. Which of the following tests should the nurse identify as indicating the

presence of hepatitis C antibodies?

- Enzyme immunoassay (EIA)

5. A nurse is caring for a client who has active bleeding from peptic ulcer disease. Which of

the following findings is an indication that the client is experiencing compensatory

shock?

- Increased heart rate

6. A nurse is conducting an admission history for a client who is to undergo a CT scan with

an IV contrast agent. The nurse should identify that which of the following findings

requires further screening?

- Shellfish allergy

7. A nurse is providing teaching to a client who has a recent diagnosis of constipationpredominant irritable bowel syndrome. Which of the following instructions should the

nurse include in the teaching?

- Consume at least 30 g of fiber daily

8. A nurse is caring for a client who has type 1 diabetes mellitus and has had acute

bronchitis for the past 3 days. Which of the following statements should the nurse include

when instructing the client?