Skip to content
Past Exams

2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions)

2019 ATI RN Medsurg Proctored Exam with Answers is a proven way to improve exam performance with real test questions.

Preview · 14 of 46 pages

100%

  1. Page 1

    2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions), page 1ATI PROCTOREDATI RNMEDSURG 2024/2025PROCTORED EXAMNEWUPDATE 2019 VERSION•Anurseisperformingavenipunctureonanolderadultclientwhoseveinsaredifficult.Whichofthefollowingactions should thenursetake?a.Applycoolcompressesb.Elevatetheclient’sextremityusingapillowc.Taptheskinaroundtheinsertionsited.Raisetheangleofthecatheterto30degreesabovetheinsertionsite•AnurseiscaringforaclientintheER followingamyocardialinfarction.whichofthefollowingactionsshouldthenurse anticipateifthe clientdevelopsasystole?a.Administeratropineb.Defibrillatewith200joulesc.Startsacontinuouslidocaineinfusiond.BeginCPR–firstlineofmedicalmanagementisCPRandACLS.

  2. Page 2

    2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions), page 2

  3. Page 3

    2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions), page 3•Anurseiscaringforaclientwithsevereburninjury.Thenurseshouldrecognizewhichofthefollowingclientfindingsasanindicationofhypovolemicshock?a.Potassium5.2mEq/Lb.Capillaryrefill1.5secondsc.Urineoutput45mL/hrd.PaCO337mmHg•A critical care nurse is assessing a client who has a severe head injury. Inresponsetopainfulstimulitheclient doesnotopenhereyes,displaysdecerebrate posturing, and makes incomprehensible sounds.WhichofthefollowingGlasgowcomascalescores shouldthe nurseassign theclient?a.2b.5c.10d.13•A nurse is teaching a client who has heart failure aboutself-managementtechniques. Which of thefollowingstatements bytheclientindicatesanunderstandingoftheteaching?

  4. Page 4

    2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions), page 4a.Iwillkeepanexercisediaryb.Iwilltakeibuprofenfor mildpain

  5. Page 5

    2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions), page 5c.Iwillexpectswellinginmyfeet andankled.Iwillweighmyselfeveryother day•Anurseisprovidingdischargeteachingforaclientwhohasnewtracheostomy.Whichofthefollowingstatementsbythe clientindicates anunderstandingoftheteachinga.I’llinserttheobturatoraftercleaningmystomab.I’llcutaslitinaclean gauzepadtouseasastomadressingc.I’llcleansethecannulawithhalfstrengthhydrogenperoxided.I’llremovethesoiledtracheostomytiespriortocleaningmystoma•A nurseiscaringforaclientwhohasasealedradiationimplantwhichofthefollowingactionsshouldthenursetake?a.Limitfamilymembervisitsto30minperday–pg.583➢Limitvisitorsto30-minvisits,andhavevisitorsmaintain6feetdistancefromthesourceb.Givethedosimeterbadgetotheoncomingnurseattheendoftheshiftc.Applysecondpairofglovesbeforetouchingtheclients implant ifitdislodgesd.Removesoiledlinensfromtheroomaftereachchange•Anurseisreviewing themedicalrecordofaclientwhohaspneumonia.Whichofthefollowingserumlaboratoryvaluesshouldthenurseexpect?a.WBCcount15,000/mm

  6. Page 6

    2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions), page 6b.Hematocrit35%c.Sodium130mg/dld.BUN8mg/dl•Anurse isplanningcare fora client whohasanewlyimplantedarteriovenousgraftintheright arm.Whichofthefollowingactionsshouldthenurseinclude in the plan ofcare?a.Instructtheclienttoavoidliftingtherightarmfor72hrb.Checkbloodpressureintherightarmc.Palpatethesiteforthrilld.Insertasalinelockintoasite10 cm(4in)distaltothegraft•Anurseintheemergencydepartmentiscaringforaclientwhohasagunshotwoundtotheabdomen.whichofthefollowingshould thenurse takefirst?a.Checkthecolor ofthe client’sskin–Assessmentfirstb.Preparetheclient’sclothing

  7. Page 7

    2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions), page 7c.Removealltheclientsclothingd.Administeranopioidanalgesic

  8. Page 8

    2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions), page 8•Anurseisassessingaclientwhohasanarteriovenous(AV)fistulaintheleftforearm.Whichofthefollowingfindingsshouldthe nurseidentifyasanindicationofacomplicationatthevascularaccesssite?a.Presenceofpalpablethrillb.2+leftradialpulsec.Absenceofbruit–pg.367d.Dilatedappearanceof theAVsite•A nurse is caring for a client who is receiving continuous bladder irrigationfollowing a transurethralresection of the prostate. The client reports spasmsand the nurse observes decreased urinary output.Whichofthefollowingactionsshould thenursetake?a.Decreasetractiononthecatheterb.Removetheindwellingurinarycatheterc.Flushthecatheter manuallywith0.9%sodiumchlorided.Administeribuprofen400mgfor painrelief•A nurse is caring for a client who has contusion ofthe brainstem and reportsthirst. The client’s urinaryoutput was 4,000 mL over the past 24 hr. ThenurseshouldanticipateaprescriptionforwhichofthefollowingIVmedications?a.Desmopressin–pg.500➢Desmopressin,whichisasyntheticADH,oraqueousvasopressinadministeredintranasally,orally,orparenterally.Resultsinincreased water absorption from kidneysanddecreased urine

  9. Page 9

    2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions), page 9output.b.Epinephrinec.Furosemided.Nitroprusside•A nurse is preparing to administer daily medications to a client who isundergoing a procedure at 1000thatrequiresIVcontrastdye.Whichofthefollowingroutinemedicationstogiveat0800shouldthenursewithhold?a.Valproicacidb.Metformin–pg.530c.Metoprolold.FluticasoneStopMetforminfor48hrbeforeanytypeofelectiveradiographictestwithiodinatedcontrast dyeandrestart48hrafter(cancauselacticacidosisduetoacute kidneyinjury).

  10. Page 10

    2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions), page 10•Anurseispreparingaclientwhoistoundergoathoracentesis.Thenurseshouldplacetheclientin whichofthefollowingpositions?a.Onheraffectedsidewithherheadloweredb.Inhigh-Fowler’spositionwithherarmsathersidec.Pronepositionwith her armsaboveherheadd.Uprightontheedgeofthebedleaningoverthebedside table•Anurseisteachingaclientabouttheuseofanincentivespirometer.Whichofthefollowinginstructionsshouldthenurse includeintheteaching?a.Positionthemouthpiece2.5cm(1in)fromthemouthb.Holdbreaths3to5secondsbeforeexhalingc.Placehandsontheupperabdomenduringinhalationd.Exhaleslowlythroughpursedlips•A nurse is caring for a client who is 2 days postoperative following abdominalsurgery and has aprescription for opioid analgesia. Which of the followingactions should the nurse implement to helpfacilitatethe client’s recovery?a.Provideanalgesicmedicationpriortophysicalactivitiesb.Informtheclienttomonitorforloosestoolswhiletakingopioidanalgesiac.Withholdanalgesicmedicationunlesstheclientreportspaind.Administernaloxoneiftheclient’srespiratoryrateisgreaterthan24/minGiveanalgesictorelievepainbeforegettinginvolvedinanyphysicalactivity

  11. Page 11

    2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions), page 11•Anurseispreparingtoassisttheproviderwiththoracentesisforaclientwhohasleftpleuraleffusion.Whichofthefollowinginterventionsisthepriorityforthe nurse?a.Describethesensationtheclientwillfeelduringtheprocedureb.Reinforcetheimportanceoflyingstillduringtheprocedurec.Administerasedativemedicationd.Determinewhether theclienthasanallergytolocalanesthetics-Assessment•Anurseisreviewingthemedicalrecordofaclientwhohasnephroticsyndrome.Whichofthefollowingfindingsshouldthenurseexpect?a.Decreasedserumlipidlevelsb.Proteinuriac.Hypoalbuminemiad.Decreasedcoagulation

  12. Page 12

    2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions), page 12Nephroticsyndromeisakidneydisordercharacterizedbymassiveproteinuria,hypoalbuminemia,edema,andelevatedserumlipids,anorexia, andpallor.

  13. Page 13

    2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions), page 13•Anurseisplanningcareforaclientfollowingacardiaccatheterization.Whichofthefollowingactionsshouldthenurse take?a.Limittheclient’sfluidintaketo1Lperdayb.Keeptheclientonbedrestfor24hrc.Changetheclient’sdressingevery8hrd.Maintaintheclient’saffectedextremityinextension•A nurse is caring for a clientwho has a traumatic brain injury. The client,who has been quiet andcooperative, becomes agitated and restless. Which ofthe following assessments should the nurse performfirst?a.Urinaryoutputb.Motorresponses–pg.75c.Bloodpressured.Bloodglucose•61.Anurseisprovidingdischargeteachingtoaclientwhohassystemiclupuserythematosus.Whichofthefollowingstatementsbytheclientindicatesanunderstandingof theteaching?(Selectallthatapply)a.IwilluseNSAIDStotreatachesandpains–pg.561b.Iwillusecosmeticswithoutmoisturizerc.Iwilldisinfectskinlesionswithrubbingalcohold.Iwillwearlongsleevewhenoutdoore.IwillincreasemyintakeofsodiumCLIENTEDUCATION

  14. Page 14

    2019 ATI RN Medsurg Proctored Exam with Answers (66 Solved Questions), page 14●●AvoidUVandprolongedsunexposure.Usesunscreenwhenoutsideandexposedtosunlight.●●Usemildproteinshampooandavoid harsh hairtreatments.●●Usesteroidcreamsforskinrash.●●Reportperipheralandperiorbitaledemapromptly.●●Reportevidenceofinfectionrelatedtoimmunosuppression.●●Avoidcrowds andindividualswho are sick,because illnesscanprecipitateanexacerbation.●●Educateclientofchildbearingage regardingrisksofpregnancywithlupusandtreatmentmedications•AnurseisreviewingthelaboratoryresultsofaclientwhohasCOPDandseveredyspnea.WhichofthefollowingABGvaluesshould thenurseexpect?a.PaCO250mmHgb.pH7.4c.PaO295mmHg

32 more pages in the full document

Unlock it once and it stays in your library, ready to chat with or turn into flashcards.

Unlock the full document

More Assessment Technologies Institute study materials

See all

Study this document with CramX

Once it is in your library, every tool can work from it.