2019 ATI Medical Surgical Proctored Exam with Answers (100 Solved Questions)

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ATI MED SURG PROCTORED 2019 EXAM-STUDY GUIDE100 Q & A(All Answers are Correct)1 A nurse is assessing for early signs of compartment syndrome for a client who has ashort-leg fiberglass cast. Which of the following findings should the nurse expect?ACapillary refill less than 2 secondsB.Bounding distal pulsesC.Intense pain with movementD. Erythema of the toes2 A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of thefollowing manifestations indicates a hemolytic transfusion reaction?A.Chills?(thinkfever,yougetcoldwhenyourbodyishot)B.HypertensionC.BradycardiaD.Back pain3 A nurse is caring for a client who had a total hip arthroplasty. Which of the followingactions should the nurse take to prevent hip dislocation?A.Remove the wedge device when turningB.PlacetwobedpillowsbetweenthelegswheninbedC. Encourage the client to lean forward when attempting to standD.Elevate the knees higher than the hips when sitting4 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 towhich of the following substancesA.Povidone-iodineB.Adhesive tapeC.LatexD. Anesthetics5 A nurse is teaching a client about the use of an incentive spirometer. Which of thefollowing instructions should the nurse include in the teaching?APlace hands on the upper abdomen during inhalation.B.Position the mouthpiece 2.5 cm (1 in) from the mouthC. Exhale slowly through pursed lipsD. Hold breaths about 3 to 5 seconds before exhaling6 A nurse is caring for a client who arrives at the emergency department and reportsvomiting and diarrhea for the past 3 days. The client's serum potassium level is2.8mEqttiL. Which of the following interventions should the nurse implement first?Priority question remember, what can I do first, you can start a K+ drip without knowinghow their heart is affected.A. Check the clients hand grasps

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B. Administer an IV potassium dripC.Listen to the client's bowel sounds

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D.InitiatecardiacmonitoringfortheclientsThisisapriority!!!7 A nurse is preparing to administer peritoneal dialysis to a client. Which of the followingactions should the nurse take?A. Chill the dialysate before administrationB.Hangthedrainagebagbelowtheclient'sabdomenC. Place the client in high-Fowlers positionDUse clean technique to access the catheter8 A nurse is preforming a cranial nerve assessment on a client following a head injury.Which of the following findings should the nurse expect if the client has impairedfunction of the vestibulocochlear nerve (cranial nerve VIII)?A. Inability to smellB. loss of peripheral visionC.DisequilibriumwithmovementD.Deviation of the tongue from midline9 A nurse is planning care for a client who is one day postoperative Following an opencholecystectomy. Which of the following interventions should the nurse include in theplan of care?Place pillows under the clients kneesB.Avoid use of anticoagulantsC.Discourage leg exercises while in bedD.applycompressionstockingstothelowerextremities10 A nurse is caring for a male client who has an exacerbation of heart failure. Which ofthe following prescriptions should the nurse expect to receive from the provider? (clickon the "exhibit" button for additional information about the client. There are 3 tabs thatcontain separate categories of data.)A.Atropine 1mgIVbolusevery5minupto3mg?B.Adenosine 6mg rapid IV bolus nowC.Verapamil 80 mg PO TIDD.Furosemide 40 mg IV bolus every 6 hr.11 A nurse is providing a discharge teaching to a client following a modified left radicalmastectomy with breast expander. Which of the following statements by the clientindicates an understanding of the teaching?"I will keep my left arm flexed at the elbow as much as possible" ?"Ishouldexpectlessthan25mLofsecretionsperdayinthedrainagedevices""I will perform strength building arm exercises using a 15 pound weight"" I will have to wait 2 months before additional saltine can be added to my breastexpander"

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12 A nurse is teaching a client about using a metered-dose rescue inhaler. Which of thefollowing statements should the nurse include I the first teaching?

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"Do not shake your inhaler before use""ExhaleFullybeforebringingtheinhalertoyourlips""Use Peroxide to clean the mouthpiece of your inhaler""Depressthecanisterafteryouinhale"13 A nurse is caring for a client who has been receiving total parental nutrition (TPN) for1 week. For which of the following findings should the nurse notify the provider?A.Calciumlevel11.5mgttidLB.Serum albumin level 3.9gttidlC.Output 200 mL more than intake over the past 12 hr.D.Fasting blood glucose level 105 mgttidL14 A nurse is preparing to discharge a client who has a halo device and is reviewingnew prescriptions from the provider. The nurse should clarify which of the followingprescriptions with the provider?A. Take tub baths instead of showersB.May place a small pillow under the head while sleepingC.MayoperateamotorvehiclewhennolongertakinganalgesicscorrectD.Increase intake of fiber-rich foods15 A nurse is setting up a sterile field before preforming a dressing change on a clientwho ispostoperative. Which of the following actions should the nurse plan to take tomaintain the sterile field? (Select all that apply) a,b,cA.Grasp 2.5 cm (1 in) of the outer edge to open the surgical wrapBOpenthefirstflapofthesterilepackagetowardthenurse'sbodyC.Place a surgical pack with a sterile drape on the work surfaceD.Selectaworksurfaceatthenurse'swaist levelthisiswrongE.Apply sterile16 A nurse is an emergency department is preparing a client for emergency surgery.The clients blood alcohol level is 180mgttidl. Which of the following actions is thenurse's priority?A.Obtain consent for surgery ? cannot consent if intoxicatedB. Insert an indwelling urinary catheterC. Insert an NG tubeD.Applyantembolicstoking's17 A nurse is assessing a client who has increased intracranial pressure. The nurseshould recognizethat which of the first sign of deteriorating neurological status?A.Pupillary dilationB.•Cheyne-Strokes respirationsC. Decorticate posturingD.AlteredlevelofConsciousness

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18 A nurse is performing skin cancer screening on a group of clients. Which of thefollowing findings should the nurse Identify as an indication of melanoma?A.FlatlesionwithirregularbordersB.Raised lesion with a rolled borderC.Scaly lesion with the crusted appearanceD.Reddened lesion with dilated blood vessels19 A nurse is caring for a client who has diabetes insipidus. Which Of the followingmedications should the nurse plan to administer.A.LithiumB.DesmopressinC.Regular insulinD.Furosemide20 A nurse is preparing to assist with the insertion of a non-tunneled Central venouscatheter for a client who is malnourished. Which of the following actions should thenurse plan to take.A Cleanse the site with a hydrogen peroxide solutionB instruct the client to cough as the catheter is insertedC.Confirmthecorrectpositionof theline byobtainingabloodsampleD. place the head of the clienttis bed lower than the foot ???gloves before opening thepack21 A nurse is caring for a client who had an arterial revascularization of the lowerextremity. Which of the following is the priority action the nurse should plan to take aftercontacting the provider? (Click on the "Exhibit" button for additional information aboutthe client. There are three tabs that contain separate categories of data.) I cant see therest of information to help, but it's a priority questionA.Increase the insulin rate per protocol. ???B.Increase the heparin infusion rate per protocol.C.Change the PCA timing of the patient control bolus to every 15 min.D.Start an IV fluid bolus of 0.9% sodium chloride 500mL to infuse over 1hr22 A nurse is providing discharge teaching to a client who has chronic urinary tractinfections. The client has a prescription for ciprofloxacin 250 mg PO twice daily. Whichof the following instructions should the nurse include in the teaching?A.Monitor heart rate once dailv.B. Take a laxative to prevent constipation.C.Drink2to3Loffluidsdaily.D. Take an antacid 30 min before taking the medication.23 A nurse is providing discharge teaching for a client who has HIV. Which of thefollowing information is the priority for the nurse to review with the client?"List some ways you can cope with the stress of your illness"

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"Name a few things you will change about your diet."Tell me why it's important to have your CD4+ count checked"

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"Describeyourdailymedicationschedule.'24 A nurse is administering packed RBCs to a client. The client reports chills, lowerback pain, and nausea 10 min after the infusion begins. Which of the following actionsshould the nurse take first ?A.Stoptheinfusion.B.Collect a urine sample.C.Check the client's vital signs.D.Administer oxygen to the client.25 A nurse is preparing to assist the provider with a thoracentesis for a client who has aleft pleural effusion. Which of the following interventions is the priority for the nurse?AReinforce the importance of lying still during the procedure.B.Determinewhethertheclienthasaallergytolocalanesthetics.CAdminister a sedative medication.D.Describe the sensations the client will feel during the procedure.26 A nurse is caring for a client who has bladder cancer and a WBC count of 900ttimm3.Which of the following actions should the nurse take?A.Use contact isolation while providing care.B.Move the client to a negative pressure room.C.Apply pressure to venipuncture pressure room.D.Instructtheclienttoavoideatingrawfruit.27 A nurse is reviewing the medical record of a client who is 1 day postoperativefollowing an appendectomy. Which of the following findings should the nurse report tothe provider?A.Reports pain of 4 on a scale from 0 to 10 when coughingB.WBC count 8,400ttimm 3C.Serosanguineous exudate noted on dressing changeD.Hemoglobin10mgttidL28 A nurse is caring for a client who was admitted with nausea, vomiting, and possiblebowel obstruction. An Ng tube is placed and set to low intermittent suction. Which of thefollowing findings should the nurse report to the provider?A.The amount of drainage is gradually decreasing.B.The drainage is bright green in color with brown fecal material.C.Theclient'sabdomenbecomesdistendedandfirm.D. The client reports being extremely thirsty with a sore throat.29 A nurse is reviewing the medical record of a client who is scheduled for a CT scanwith a contrast media. Which of the following medications should the nurse instruct theclient to withhold for 48hr following the procedure?A.Carvedilol

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