ATI Med Surg
ProctORED
MULTIPLE
VERSIONS OF
THE EXAM AND
OTHER ATI
EXTRA
ATI med surg proctored exam
A nurse is caring for a client who has bladder cancer and a WBC
count of 900/mm3. Which of the following actions should the
nurse take?
a) Instruct client to avoid eating raw fruit
b) Move the client to a negative pressure room
c) Use contact isolation while providing care
d) Apply pressure to venipuncture sites for 10 min - ANSWER-a)
Instruct client to avoid eating raw fruit
A nurse is caring for a patient who has hypotension, cool and
clammy skin, tachycardia and tachypnea. Which of the
following positions should the nurse place the client?
a) Reverse Trendelenburg
b) Feet elevated
c) Side lying
d) High - fowler's - ANSWER-a) Reverse Trendelenburg
A nurse is caring for a client who weighs 190 lb and is receiving
Total parenteral Nutrition. If the RDA Protein is 0.8g/kg of body
weight, how many grams of protein should the client receive
daily (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero) - ANSWERAnswer: 69 grams
A nurse is planning care for a client who has a central venous
access device for intermittent infusions. Which of the following
actions should the nurse include in the plan of care?
a) Flush a catheter using a 10 mL syringe
b) Use clean technique when changing the dressing
c) Cleanse the site with Provo dine iodine
d) Change the dressing every 24 hours - ANSWER-a) Flush a
catheter using a 10 mL syringe
A nurse is reviewing the medical record of a client who is to
undergo open heart surgery. Which of the following findings
should the nurse report to the provider as a contradiction to
receiving heparin?
a) Thalassemia
b) Rheumatoid arthritis
c) COPD
d) Thrombocytopenia - ANSWER-d) Thrombocytopenia
A nurse is caring for a client who is receiving a blood
transfusion. The nurse observes that the client has bounding
peripheral pulses, hypertension, and distended jugular veins.
The nurse should anticipate administering which of the
following prescribed medications?
a) Pantoprazole
b) Acetaminophen
c) Furosemide
d) Diphenhydramine - ANSWER-c) Furosemide
A nurse is caring for a client who has cancer. The client tells the
nurse, "I would prefer to try vitamins and minerals instead of
chemotherapy" which of the following responses should the
nurse make?
a) I have never heard of any holistic treatment that is effective
b) you should ask your provider about your plan
c) the best way to treat your cancer is chemotherapy
d) tell me what you know about chemotherapy - ANSWER-d)
tell me what you know about chemotherapy
A nurse is planning to teach a client whose provider has
prescribed a low purine diet. The nurse should plan to instruct
the client that he can include which of the following Foods in
his diet (select all that apply)
a) Sardines
b) Nuts
c) Apricots
d) liver
e) scallops - ANSWER-b) Nuts
c) Apricots
Nurse is caring for a client following a total knee arthroplasty.
The client reports a pain level of 6 on a paint scale of 0 to 10.
Which of the following interventions should the nurse take?
a) Place pillowsl under the clients knee
b) gently massage the area around the clients incision
c) apply an ice pack to the clients knee
d) perform range of motion exercises to the clients knee -
ANSWER-c) apply an ice pack to the clients knee
A nurse is caring for a client who has lower extremity fracture
and a prescription for crutches. Which of the following client
statements indicates that the client is adapting to their role
change? a) I will need to have my partner take over shopping
for groceries and cooking the meals for us
b) Its going to be difficult to tell my parents I can't take them to
their appointments anymore
c) I feel bad that I have to ask my partner to keep the house
clean
d) These crutches will make it impossible to care for my child -
ANSWER-a) I will need to have my partner take over shopping
for groceries and cooking the meals for us
A nurse is assessing a client who is preoperative and reports an
allergy to bananas. The nurse should recognize that the client is
at risk for an allergic cross-reactivity to which of the following
substances?
a) adhesive tape
b) Latex
c) Anesthetics
d) povidone iodine - ANSWER-b) Latex
A nurse on a medical unit is planning care for a group of clients.
Which of the following clients should the nurse attend to First?
a) A client who has chronic obstructive pulmonary disease in
oxygen saturation of 89%
b) a client who has left-sided paralysis and slurred speech from
a prior stroke
c) a client who has thrombocytopenia and reports a nosebleed
d) a client who has multiple sclerosis and reports Ataxia and
vertigo - ANSWER-c) a client who has thrombocytopenia and
reports a nosebleed
A nurse is monitoring a client who is receiving two units packed
RBC's. Which of the following manifestation indicates a
hemolytic transfusion reaction?
a) back pain
b) Hypertension
c) Chills
d) bradycardia - ANSWER-a) back pain
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