ATI RN MEDICAL SURGICAL PROCTORED EXAM 2019 VERSION WITH 100+ QUESTIONS AND DETAILED CORRECT ANSWERS

A nurse is providing discharge teaching to a client who has a new prescription for
sublingual nitroglycerin. Which of the following client statements indicates an
understanding of the teaching?
- I should lie down when I take this medication
2. A nurse is providing discharge teaching to an older adult client following total hip
arthroplasty. Which of the following instructions should the nurse include in the
teaching?
- Install a raised toilet seat in your bathroom
3. A nurse is planning care for a client following a cardiac catheterization. Which of
the following actions should the nurse take?
- Maintain the client's affected extremity in extension
4. A nurse is caring for a client who has a lower extremity fracture and a
prescription for crutches. which of the following client statements indicates that
the client is adapting to their role change?
- I will need to have my partner take over shopping for groceries and
cooking the meals for us
5. A nurse is providing teaching to a client who has an impaired immune system
due to
6. chemotherapy. which of the following information should the nurse include in the
teaching?
- Change your pet's litter box daily
7. a nurse is caring for a client who has a contusion and reports thirst. The client's
urinary output was 4,000 ml over past 24 hr. the nurse should anticipate a
prescription for which of the following IV medications?
- Desmopressin
8. A nurse in a clinic receives a phone call from a client who recently started
therapy with an ACE inhibitor and reports nagging dry cough. Which of the
following responses by the nurse is appropriate?
- Sucking on a lozenge may reduce the frequency of your cough
9. A nurse is taking an admission history from a client who reports Raynaud's
disease. Which of the following assessment findings should the nurse identify as
a parenteral trigger for exacerbation of Raynaud's?
- Using nicotine transdermal patch
10.A nurse is caring for a client who has a central venous device and notes the
tubing has become disconnected. the client develops dyspnea and tachycardia.
Which of the following actions should the nurse take first?
- Clamp the catheter
11.A nurse is completing an assessment of an older client and notes reddened
areas over the bony prominences, but the client's skin is intact. which of the
following interventions should the nurse include in the plan of care?
- Support bony prominences with pillows
12.A home health nurse is making an initial visit to a client who has multiple
sclerosis. Which of the following actions is the priority for the nurse to take?
- Provide coping strategies for client and family
13.A nurse in the emergency department is assessing a client. which of the following
actions should the nurse take first? (click on the "exhibit" button for additional
information about the client.)
- Initiate airborne precautions
14.A nurse is reviewing the medical record of a client to identify factors for colorectal
cancer. The nurse should identify which of the following findings as increasing
the client's risk?
- History of Crohn's disease
15.A nurse is caring for a client who is scheduled for a mastectomy. The client tells
the nurse, "I'm not sure I want to have a mastectomy." Which of the following
statements should the nurse make?
- I can give you additional information about the procedure
16.A nurse is preparing to administer a unit of packed RBCs to a client who is
anemic. Identify the sequence of steps the nurse should follow
1. obtain venous access using a 19-gauge needle
2. Obtain the unit of a packed RBCs from blood bank
3. verify blood compatibility with another nurse
4. Initiate transfusion of the unit of packed RBCs
5. Remain with the client for the first 15 to 30 minutes
17.A nurse is providing discharge teaching to a client following a modified left radical
mastectomy with breast expander. Which of the following statements by the
client indicates an understanding of the teaching?
- I should expect less than 25 ml of secretions per day in the drainage
devices
18.A critical care nurse is assessing a client who has a severe head injury. In
response to painful stimuli, the client does not open her eyes, displays
decerebrate posturing and makes incomprehensible sounds. which of the
following Glasgow Coma scale scores should the nurse assign the client?
- 5
19.A nurse is providing discharge teaching to a client who has heart failure and
instructs him to limit sodium intake to 2 g per day. Which of the following
statements by the client indicates an understanding of the teaching?
- I can have a frozen fruit juice bar for dessert
20.A nurse is preparing to perform ocular irrigation for a client following a chemical
splash to the eye. Which of the following actions should the nurse plan to take
first?
- instill 0.9% sodium chloride solution into the affected eye
21.A nurse is assessing a client following extubation from a ventilator. For which of
the following findings should the nurse intervene immediately?
- Stridor
22.A nurse is reviewing the laboratory reports of a client who has acute pancreatitis.
Which of the following findings should the nurse expect?
- Elevated blood glucose
23.A nurse is reviewing the medical record of a client who has diabetes insipidus.
Which of the following findings should the nurse expect?
- Urine specific gravity 1.001
24.A nurse is planning care for a client who has a pulmonary embolism. which of the
following interventions should the nurse include?
- Initiate a continuous IV heparin infusion
25.a nurse is providing discharge teaching to a client who is recovering from a sickle
cell crisis. which of the following instructions should the nurse include?
- Avoid extremely hot or cold temperatures
26.A nurse in the emergency department is caring for a client who is in hypovolemic
shock. Which of the following actions should the nurse take first?
- Insert a large-bore IV catheter
27.A nurse is caring for a client who has an arteriovenous graft. Which of the
following findings indicates adequate circulation on of the graft?
- Palpable thrill
28.A nurse is assessing a client who has heart failure and is receiving a loop
diuretic. Which of the following finding indicates hypokalemia?
- Muscle weakness
29.A nurse is caring for a client in diabetic ketoacidosis (DKA) Which of the following
is the
30.priority intervention by the nurse?
- Infuse 0.9% normal saline
31.A nurse is providing discharge teaching to a client who has an ileostomy. Which
of the following client statements indicates an understanding of the teaching?
- I will expect my stools to be loose
32. A nurse is caring for a client who is receiving total parenteral nutrition through a
central line. The current bag is nearly empty, and a new bag is unavailable from
the pharmacy. Which of the following actions should the nurse take?
- Switch the infusion to a 10% dextrose solution
33. A nurse is caring for a client who is 6hr postoperative following a thyroidectomy.
The client reports tingling and numbness in the hands. The nurse should identify
this as a sign of which of the following electrolyte imbalance?
- Hypocalcemia
34. A nurse in a provider office is caring for a client who has total vision loss and is
the handler of a service dog. which of the following actions should the nurse take
to show consideration for the client and the service animal?
- Consult the client before approaching the dog.
35. A nurse is reviewing medications taken at home with a client who has angina.
which of the following statements by the client indicates an understanding of the
teaching?
- I should lie down before taking a dose of isosorbide dinitrate
36. A nurse in the post anesthesia care unit is assessing a client following an
appendectomy and finds a 2 cm (3/4 in) area of blood on the postoperative
dressing. which of the following actions should the nurse take?
- Apply pressure
37.A nurse is caring for a client who is receiving mechanical ventilation. which of the
following interventions should the nurse implement?
- Provide oral care every 2 hr
38.A nurse is planning care for a client who has full thickness burns on the lower
extremities. Which of the following interventions should the nurse include?
- Apply new gloves when alternating between wound care sites.
39. A nurse is providing teaching for a client who has tuberculosis and a new
prescription for pyrazinamide. The nurse should instruct the client to notify the
provider if which of the following adverse effects occurs?
- Jaundice
40. A nurse is planning care for a client who has left-side hemiplegia following a
stroke. which of the following actions should the nurse include in the plan of
care?
- Place a plate guard on the client's meal tray
41.A nurse is performing an ear irrigation for a client. Which of the following actions
should the nurse take?
- Point the tip of the syringe toward the top of the ear canal
42.A nurse is caring for a client who has a history of chemotherapy-induced nausea
and vomiting. Which of the following medications should the nurse administer
prior to chemotherapy?
- Ondansetron
43.A nurse is preparing to discharge a client who has a halo device and is reviewing
new prescriptions from the provider. The nurse should clarify which of the
following prescriptions with the provider?
- May operate a motor vehicle when no longer taking analgesics
44.A nurse is providing discharge teaching to a client who has tuberculosis. Which
of the following information should the nurse include in the teaching?
- You will return in 2 weeks to provide a sputum specimen.
45.A nurse is assessing a client who has left-sided heart failure. Which of the
following findings should the nurse expect?
- Frothy sputum