ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2019 ACTUAL QUESTIONS WITH SOLUTIONS/A+ GRADE

A nurse is caring for a client who has hepatic encephalopathy that is being treated with
lactulose. the client is experiencing excessive stools. which of the following findings is
an adverse effect of the medication?
ANSW-hypokalemia
A nurse is caring for a client who has emphysema and is receiving mechanical
ventilation. the client appears anxious and restless, and the high-pressure alarm is
sounding. which of the following actions should the nurse take first?
ANSW-instruct the client to allow the machine to breathe for them
A nurse is teaching a client who has a family history of colorectal cancer. to help
mitigate this risk, which of the following dietary alterations should the nurse
recommend?
ANSW-add cabbage to the diet
A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. which of the following
neurological deficits should the nurse expect to find when assessing the client?
ANSW-visual spatial deficits
left hemianopsia
one-sided neglect
A nurse is caring for a client who has viral pneumonia. the client's pulse oximeter
readings have fluctuated between 79% and 88% for the last 30 min. which of the
following oxygen delivery systems should the nurse initiate to provide the highest
concentration of oxygen?
ANSW-nonrebreather mask
A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. the
client has dyspnea with a productive cough and is using accessory muscles to breathe.
which of the following actions should the nurse take first?
ANSW-place the client in high-fowler's position
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. which of the following precautions should the nurse include in the
plan of care to prevent a Pseudomonas aeruginosa infection.
ANSW-avoid placing plants or flowers in the client's room
An older adult client is brought to an emergency department by a family member. which
of the following assessment findings should cause the nurse to suspect that the client
has hypertonic dehydration?
ATI RN ADULT MEDICAL SURGICAL PROCTORED
EXAM 2019 ACTUAL QUESTIONS WITH
SOLUTIONS/A+ GRADE
ANSW-Urine specific gravity of 1.045
A nurse in an emergency department is reviewing the providers prescriptions for a client
who sustained a rattlesnake bite to the lower leg. which of the following prescriptions
should the nurse expect?
ANSW-administer an opioid analgesic to the client
A nurse is assessing a client who has had a suspected stroke. the nurse should place
the priority on which of the following findings?
ANSW-dysphagia
A nurse is teaching a young adult client how to perform testicular self-examination.
which of the following instructions should the nurse include?
ANSW-roll each testicle between the thumb and fingers
A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
prescription for metformin. which of the following statements by the client indicates an
understanding of the teaching?
ANSW-I should take this medication with a meal
A nurse is teaching a client who has venous insufficiency about self-care. which of the
following statements should the nurse identify as an indication that the client
understands the teaching?
ANSW-I will wear clean graduated compression stockings every day
A nurse is assessing a client who has acute cholecystitis. which of the following findings
is the nurse's priority?
ANSW-tachycardia
A nurse is reviewing the health record of a client who is scheduled for allergy skin
testing. the nurse should postpone the testing and report to the provider with if the
following findings?
ANSW-current medications
A nurse is caring for a group of clients. the nurse should plan to make a referral to
physical therapy for which of the following clients?
ANSW-a client who is receiving preoperative teaching for a right knee arthroplasty
A nurse is caring for a client who has DKA. which of the following laboratory findings
should the nurse expect?
ANSW-BUN 32 mg/dl
ATI RN ADULT MEDICAL SURGICAL PROCTORED
EXAM 2019 ACTUAL QUESTIONS WITH
SOLUTIONS/A+ GRADE
A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish a ureterostomy. which of the following
statements should the nurse include in the teaching
ANSW-you should cut the opening of the skin barrier one-eighth inch wider than the
stoma
A nurse is providing teaching for a female client who has recurrent urinary tract
infections. which fo the following information should the nurse include in the teaching?
ANSW-void before and after intercourse
A nurse and an assistive personnel are caring for a client who has bacterial meningitis.
the nurse should give the AP which of the following instructions?
ANSW-wear a mask
A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty.
which of the following actions should the nurse take?
ANSW-place a pillow between the client's legs
A nurse in a provider's office is assessing a client who has migraine headaches and is
taking feverfew to prevent headaches. the nurse should identify that which of the
following client medications interact with feverfew
ANSW-naproxen
A nurse is caring for a client who has pancreatitis. the nurse should expect which of the
following laboratory results to be below the expected reference range?
ANSW-calcium
A nurse is providing discharge instructions to a client following an upper gastrointestinal
series with barium contract. which of the following information should the nurse provide?
ANSW-increase fluid intake
A nurse is assessing a client who had extracorporeal shock wake lithotripsy (ESWL) 6
hr ago. which of the following findings should the nurse expect?
ANSW-stone fragments in the urine
A nurse is assessing a group of clients for indications of role changes. the nurse should
identify that which of the following clients is at risk for experiencing a role change?
ANSW-a client who has multiple sclerosis and is experiencing progressive difficulty
ambulating
ATI RN ADULT MEDICAL SURGICAL PROCTORED
EXAM 2019 ACTUAL QUESTIONS WITH
SOLUTIONS/A+ GRADE
a nurse is caring for a client who has a new diagnosis of hyperthyroidism. which of the
following is the priority assessment finding that the nurse should report to the provider?
ANSW-blood pressure 170/80 mm Hg
a nurse is providing discharge instructions to a client who has a partial-thickness burn
on the hand. which of the following instructions should the nurse include?
ANSW-wrap fingers with individual dressings
a nurse is providing teaching to a client who is receiving chemotherapy and has a new
prescription for epoetin alfa. which of the following client statements indicates an
understanding of the teaching?
ANSW-I will monitor my blood pressure while taking this medication
a nurse is providing discharge teaching to a client who has heart failure and a new
prescription for a potassium-sparing diuretic. which of the following information should
the nurse include in the teaching?
ANSW-try to walk at least three times per week for exercise
a nurse is caring for a client who has HIV. which of the following findings indicates a
positive response to the prescribed HIV treatment?
ANSW-decreased viral load
a nurse is caring for a client who is postoperative following a total hip arthroplasty.
which of the following laboratory values should the nurse report to the provider?
ANSW-Hgb 8 g/dL
a nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago.
which of the following actions should the nurse take?
ANSW-check that one finger fits between the cast and the leg
a nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. which of the following statements by the client indicates
and understanding of the teaching?
ANSW-I am taking this medication to increase my energy level
a nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney
disease (ESKD). the client reports muscle cramps and a tingling sensation in their
hands. which of the following medications should the nurse plan to administer?
ANSW-calcium carbonate
a nurse in a community clinic is caring for a client who reports an increase in the
frequency of migraine headaches. to help reduce the risk for migraine headaches,
ATI RN ADULT MEDICAL SURGICAL PROCTORED
EXAM 2019 ACTUAL QUESTIONS WITH
SOLUTIONS/A+ GRADE
which of the following foods should the nurse recommend the client avoid? ANSW-aged
cheese
a nurse is providing teaching to a female client who has a history of urinary tract
infections (UTIs). which of the following information should the nurse include in the
teaching?
ANSW-take daily cranberry supplements
a nurse is performing a dressing change for a client who is recovering from a
hemicolectomy. when removing the dressing, the nurse notes that a large part of the
bowel is protruding through the abdomen. which of the following actions should the
nurse first take?
ANSW-call for help
a nurse is preparing to administer a unit of packed RBCs to a client. which of the
following actions should the nurse take?
ANSW-remain with the client for the first 15 min of the infusion
a nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus.
which of the following client statements indicates the client is successfully coping with
the change?
ANSW-I used to never worry about my feet. now, I inspect my feet every day with a
mirror
a nurse is caring for a client who has a closed head injury and has an intravascular
catheter placed. which of the following findings indicate that the client is experiencing
increased intracranial pressure (ICP)?
ANSW-sleepiness exhibited by the client
widening pulse pressure
decerebrate posturing
a nurse is planning to provide discharge teaching for the family of an older adult client
who has hemianopsia and is at risk for falls. which of the following instructions should
the nurse include?
ANSW-remind the client to scan their complete range of vision during ambulation
a nurse in an emergency department is caring for a client who reports visiting and
diarrhea for the past 3 days. which of the following findings should indicate to the nurse
that the client is experiencing fluid volume deficit?
ANSW-heart rate 110/min
ATI RN ADULT MEDICAL SURGICAL PROCTORED
EXAM 2019 ACTUAL QUESTIONS WITH
SOLUTIONS/A+ GRADE
a nurse is caring for a client who is on bed rest and has a new prescription for
enoxaparin subcutaneous. which of the following actions should the nurse take?
ANSW-inject the medication into the anterolateral abdominal wall
a nurse in a provider's office is caring for a client who requests sildenafil to treat erectile
dysfunction. which of the following statements should the nurse take?
ANSW-you will not be able to use sildenafil if you are taking nitroglycerin
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?
ANSW-it's like a curtain closed over my eye
a nurse is providing teaching to an older adult client who has cancer and a new
prescription for an opioid analgesic for pain management. which of the following
information should the nurse include in the teaching?
ANSW-you should void every 4 hours to decrease the risk of urinary retention
a nurse is assessing a client following the administration of magnesium sulfate 1 g IV
bolus. for which of the following adverse effects should the nurse monitor?
ANSW-respiratory paralysis
a nurse is assessing a male client for an inguinal hernia. which of the following areas
should the nurse palpate to verify that the client has an inguinal hernia?
ANSW-C