2019 ATI RN Proctored Exam with Answers (87 Solved Questions)

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ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2019WITH NGN QUESTIONS/A+ GRADE1.A nurse is assessing for compartmentsyndrome in a patient who has a short leg cast. Whichof thefollowing findingsshould the nurseidentifyas amanifestation ofthiscondition?•Boundingpedalpulse•Capillaryrefilllessthan2seconds•Painthatincreaseswithpassivemovement•Areasofwarmth onthecast2.A nurse is providing teaching to a patient whohas a severe form of stage II Lyme disease.Whichofthe following statementsmade bythepatient reflectsanunderstandingoftheteaching?•"Iwill needtotakeantibioticsfor1year"•"Mypartnerwillneed totakeanantiviralmedication"•"MyjointsachebecauseIhaveLymedisease"•"IwillbruiseeasilybecauseIhaveLymedisease"3.A nurse is preparing to administerphenytoin 600 mg PO daily to a patient. The amountavailableisoralsolution125mg/5mL.How manymLshould thenurseadminister?24A nurse is caring for a patient whohas an arterial line. Which of the following actions shouldthenursetake?•Flushthelinebeforeadministeringantibiotics•PositionthepatientinTrendelenburgtoobtainmeasurements•Havethepatientbeardownwhenreadingsareobtained•Placeapressurebagaroundtheflushsolutionsolution4.A nurse is updating the plan of care for a patient whois receiving chemotherapy. Which ofthefollowing findings should thenurseidentify as thepriority?•Reportofsorethroat•Reportofmemoryloss•Alopecia•Mucositis5.A nurse is reviewing the medicalrecord of a patient who has systemic lupus erthematosus(SLE).Whichof thefollowing findings should thenurseexpect?•Facialbutterflyrash•Bradycardia•Esophagitis•Interstitialfibrosis6.Anurse isplanningcareforapatientwhoispostoperativefollowing aparathyroidectomy.Whichofthefollowingactionsshould thenurseidentifyas thepriority?•Usepillowstosupportthepatient'sheadandneck•Offeropioidmedication

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•Placeatracheostomy trayatthe bedside•Placethepatientinsemi-Fowler'sposition7.A nurse is assessing a patient whohas diabetes insipidus. Which of the following findingsshouldthe nurseexpect?•Lowurinespecificgravity•Hypertension•Boundingperipheralpulses•Hyperglycemia8.Anurseisproviding teachingtoapatientwhohasstageIIcervicalcancerandisscheduledforbrachytherapy.Whichofthefollowing instructionsshould thenurseinclude?•"Youwillhaveanimplantplacedtwiceeachmonthforthedurationofthetreatment"•"Youshouldremainatleast6feetawayfromothersbetweentreatments"•"Youshouldexpecttohavebloodinyoururineforafewdaysaftertreatment"•"Youwillneedtostaystillinthebedduringeachtreatmentsession"9.A nurse is planning care fora patient who is scheduled for a thoracentesis. Which of thefollowinginterventionsshouldthenurseincludeintheplan?•Encouragethepatienttotakedeepbreathsafterthe procedure•Assistthepatienttohold theirarmsupduringthe procedure•InstructthepatienttoremainNPOaftermidnightpriortotheprocedure•Keepthe patientonbedrest for8hrfollowingthe procedure10.A nurse is caring for a patient whois receiving a blood transfusion. The patient becomesrestless,dyspneic, and has crackles noted to the lung bases. Which of the following actionsshould thenurseanticipatetaking?•Administeranantihistamine•Slowthe infusionrate•Givethepatientacorticosteriod•Elevatethepatient'slowerextremities11.A nurse is providing teaching toa patient who has end-stage kidney disease and is waitingfor akidney transplant.Which of thefollowing informationshould thenurseprovide?•Kidneydonationmustcomefrom aliving donor•Immunosuppressivetherapyisnecessaryuntilthedonatedkidneybeginsproducingurine•Hemodialysisissometimesrequiredfollowingsurgery•Kidneytransplantrecipientscanresumetheirregulardietfollowingsurgery12.A nurse is caring for a patientwho has hypothyroidism. Which of the followingmanifestationsshouldthenurseexpect?•Constipation•Insomnia•Tachycardia•Diaphoresis

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13.A nurse is providing preoperative teaching fora patient who is scheduled for amastectomy.Whichof thefollowingstatements shouldthenursemake?•"Youshouldacceptyourbodyimagechangebeforedischarge"•"Itisimportantforyoutolookattheincisionalsitewhenthe dressingsare removed"•"Iwillreferyouto communityresourcesthatcanprovidesupport"•"Thescarwillremainredandraisedformanyyearsaftersurgery"14.Anurseiscaringforapatient whohadanephrostomy tubeinserted 12hrago.Which ofthefollowing findings should thenursereporttotheprovider?•Thepatient'surinaryoutputhasincreased•Thepatientreportsbackpain•Thepatient'surinecolorisredtinged•Thepatient'sBUNis18mg/dL15.Anurseisteaching afamilyabout thecareofapatient whohasanewdiagnosisofAlzheimer'sdisease.Whichofthe following informationshouldthe nurse include intheteaching?•Positiontabletopclockswithmulti-coloredbackgroundsthroughoutthehome•Explainhowto completea taskwhilehavingthepatientdothe task•Placeacalendar onthewall withdaysandweeksincluded•Createcompleteoutfitsandallowthepatienttoselect oneeachday16.A nurse is caring for a patient who has breast cancer and tells the nurse that they would liketohaveacupunturebecauseitprovidesgreaterreliefthanpainmedication.Whichofthefollowingstatementsshouldthenursemake?•"Acupunctureisnotanapprovedtreatmentforcancerpain"•"Icanspeaktotheprovideraboutincorporatingacupunctureintoyourtreatmentplan"•"Iwill asktheprovidertoprescribeastrongermedication tohelpeaseyourpain"•"Icancontactafamilymemberorspiritual advisorforyoutospeak with"17.Anurseiscaringforapatient followingextubationofanedotrachealtube 10minago.Whichofthe followingfindingsshould thenursereporttotheproviderimmediately?•Stridor•Oralsecretions•Hoarseness•Sorethroat18.A nurse is reviewing the laboratory findings of a patient who developed chest pain 6 hrago. Thenurseshouldidentifywhichofthefollowingfindingsasanindicationofamyocardialinfarction(MI)?•Creatinekinase(CK-MB)85mg/dL•High-densitylipoprotein(HDL)65mg/dL•Alanineaminotransferase(ALT)28units/L•TroponinI8ng/mL

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19.A nurse is preparing to administera blood transfusion to a patient who has anemia. Whichof thefollowing actions shouldthenursetakefirst?•Obtainthepatient'svitalsigns•Describethebloodtransfusionprocedure tothepatient•Checkforthetype andnumber ofunitsofbloodtoadminister•InitiateaperipheralIVline20.A nurse is reviewing the laboratoryresults of a patient who has aplastic anemia. Which ofthefollowing findings indicates apotential complication?•RBCcount5.2million/mm^3•WBCcount 2,000/mm^3•Platelets380,000/mm^3•Potassium4mEq/L21.A nurse is providing discharge teachingto a patient who is postoperative following amodifiedradicalmastectomy.Whichofthe followinginstructionsshouldthenurseinclude?•Flextheaffectedarmwhenambulating•Numbnesscanoccuralongtheinsideoftheaffectedarm•Beginactiverange-of-motionexercises1dayaftersurgery•DressinclothingthatfitssnuglyB.Numbnesscanoccuralongtheinsideoftheaffectedarm22.A nurse is preparing to present a program about prevention of atherosclerosis at a health far.Which of the following recommendations should the nurse plan to include? (Select all thatapply.)•Followasmokingcessationprogram•Maintainanappropriateweight•Eatalow-fatdiet•Increasefluidintake•Decreaseintakeofcomplexcarbohydrates23.A nurse is caring for a patient who has homonymoushemianopsia as a result of astroke. Toreduce the risk of falls when ambulating, the nurse should provide which ofthe followinginstructionstothepatient?•"Wearaneyepatchoveroneeye"•"Makesureto haveastaff memberwalkonyourstrongerside"•"Scantheenvironment byturningyourheadfromsidetoside"•"Makesuretolook atyourfeetwhile walking"24.A nurse is caring for a patientwho has a pneumothorax and a closed-chest drainage system.Whichof the following findings isan indication of lung re-expansion?•Thechest tubeisdrainingserosanguineousfluidat 65mL/hr•Thepatienttolerates gentlemilkingofthetubing•Bubblinginthewatersealchamberhasceased

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