Medical Surgical 3 Combination (All 3 forms + New Questions by ATI)

1.

2.

3.

4. A nurse is preparing to administer a unit of packed RBCs (Unable to read)

A. Obtain the client’s first set of vital signs 1 hr. after

B. Initiate venous access with a 21-gauge needle

C. Administer the unit of packed RBCs over 1 hr.

D. Use Y tubing with 0.9% sodium chloride when administering the

5. A nurse is planning care for a client who has upper gastrointestinal bleeding during (Unable to read) nurse

plan to take?

A. Insert large bore NG tube

B. Ensure that the client has 22-gauge IV line in place

C. Provide ketorolac for abdominal pain

D. Administer nitroprusside IV based on client’s weight

6. A nurse is caring for a client who has intractable vomiting. The client’s ABG findings are Ph 7.8 HCO3 35

mEq Pao2 90mm Hg. The nurse should identify these findings as indicating which of the following acid base

imbalances?

A. Respiratory alkalosis

B. Metabolic acidosis

C. Respiratory acidosis

D. Metabolic alkalosis

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7. The nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber

rises and falls. Which of the following statements should the nurse make?

A. “Your breathing pattern causes this”

B. “Suction pressure that is too high causes this”

C. “This means your lung is fully expanded”

D. “This indicates a possible leak”

8.

A.

B.

C.

D.

9. A nurse is reviewing the laboratory result report (Unable to read)

A. Decreased serum amylase

B. Elevated serum calcium

C. Decreased erythrocyte sedimentation rate

D. Elevated blood glucose level

10. A nurse is caring for a client who has an IV in the left forearm and whose infusion pump has alarmed

several times. Which of the following should the nurse do first?

A. Flush IV catheter

B. Reposition Client’s left arm

C. Ensure the tubing connection is secure

D. Check the IV site for redness

11.

A.

B.

C.

D.

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12. A nurse is providing teaching to a client who has left sided heart failure. Which of the following (Unable to

read) teaching?

A. Neck distention

B. Anorexia

C. Ankle edema

D. Hacking cough

13.

A.

B.

C.

D.

14. A nurse is administering packed RBC’s to a client. The nurse (Unable to read) the following actions should

the nurse take first? (Patient was having a reaction)

A. Stop the infusion

B. Collect a urine sample

C. Administer oxygen to the client

D. Check the client’s vital signs

15. A nurse is planning care for a client who has full thickness burns on the lower extremities. Which of the

following should the nurse include?

A. Limit visitation time for the client’s children to 40 minutes a day

B. Provide a diet of fresh fruits and vegetables for the client

C. Apply new gloves when alternating between wound care sites

D. Clean the equipment in the client’s room once per week

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