2023-2024 ATI Med Surg Proctored Exam with Answers (61 Solved Questions)

Preview (9 of 28 Pages)

100%

2023-2024 ATI Med Surg Proctored Exam with Answers (61 Solved Questions) - Page 1 preview image

Loading page ...

ATI Med Surg Proctored Exam Questions & AnswersSpring 2023-2024A nurse is caring for a client who experienced a traumatic head injury and has an intraventricularcatheter (Ventriculostomy) for ICP monitoring. The nurse should monitor the client for which of thefollowing complications related to the ventriculostomy?:a.Headacheb.Infectionc.Aphasiad.Hypertension (Correct Answer) -✅b. InfectionMonitor for infection and use strict asepsis to avoid life-threatening meningitis.A nurse is providing education to a client who is to undergo an EEG the next day. Which of the followinginfo should the nurse include in the teaching?a."Do not wash your hair the morning of the procedure."b."Try and stay awake most of the night prior to the procedure."c."The procedure will take approximately 15 mins."d."You will need to lie flat for 4 hours after the procedure." (Correct Answer) -✅b. "Try and stayawake most of the night prior to the procedure."Tell the client to remain awake to provide cranial stress and increase the possibility of abnormalelectrical activityA nurse is caring for a client who is postprocedural following a lumbar puncture and reports a throbbingheadache when sitting upright. Which of the following actions should the nurse take? SATA.lOMoARcPSD|13778330

2023-2024 ATI Med Surg Proctored Exam with Answers (61 Solved Questions) - Page 2 preview image

Loading page ...

2023-2024 ATI Med Surg Proctored Exam with Answers (61 Solved Questions) - Page 3 preview image

Loading page ...

a.Use the GCS scale to assess the clientb.Assist the client into a supine positionc.Administer an opioid analgesicd.Encourage the client to increase PO fluid intakee.Instruct the client to perform coughing and deep breathing (Correct Answer) -✅B, DA nurse is caring for a client who has continuous bladder irrigation following a transurethral resection ofthe prostate (TURP). Which of the following findings should the nurse report to the provider?a Output equal to the instilled irrigateb.Client reports bladder spasmsc.Viscous urinary output with clotsd.Reports of strong urge to urinate (Correct Answer) -✅c. Viscous urinary output with clotsUrine that is bright red with clots is an indication of arterial bleeding.A nurse is monitoring the ECG of a client who has hypocalcemia. Which of the following findings shouldthe nurse expect?a.Flattened T wavesb.Prolonged QT intervalsc.Shortened QT intervalsd Widened QRS complexes (Correct Answer) -✅b. Prolonged QT intervalsManifestations of hypocalcemia include tingling, numbness, tetany, seizures, prolonged QT intervals,and laryngospasm.lOMoARcPSD|13778330

2023-2024 ATI Med Surg Proctored Exam with Answers (61 Solved Questions) - Page 4 preview image

Loading page ...

A nurse is preparing a client who has a brain tumor for a CT scan. Which of the following factors affectsthe manner in which the nurse will prepare the client for the scan?a.No food or fluids consumed for 4 hoursb.Difficulty recalling recent eventsc.Development of hives while eating shrimpd.Paresthesia in both hands (Correct Answer) -✅c. Development of hives while eating shrimpShellfish allergy is contraindication of use of contrast media during a CT scan.A nurse is preparing an in-service program about the stages of acute kidney injury. Which of thefollowing pieces of info should the nurse include about prerenal azotemia?a.Prerenal azotemia begins prior to the onset of symptomsb.Interference with renal perfusion causes renal azotemiac.Prerenal azotemia is irreversible, even in early stagesd.Infections and tumors cause prerenal azotemia (Correct Answer) -✅b. Interference with renalperfusion causes prerenal azotemia.Prerenal = interference with renal perfusion, such as from heart failure or hypovolemic shock.A nurse is teaching a client who has CAD about the difference between angina pectoris and MI. Which ofthe following should the nurse identify as indications of MI? SATA.a.N/Vb.Diaphoresis and dizzinessc.Chest and left arm pain that subsides with restd.Anxiety and feelings of doomlOMoARcPSD|13778330

2023-2024 ATI Med Surg Proctored Exam with Answers (61 Solved Questions) - Page 5 preview image

Loading page ...

e.Bounding pulse and bradypnea (Correct Answer) -✅A, B, DA nurse is reviewing the lab results of a lumbar puncture for a client who has manifestations of bacterialmeningitis. Which of the following findings should the nurse expect?a.Elevated glucoseb.Elevated proteinc.Presence of RBCsd.Presence of D-dimer (Correct Answer) -✅b. Elevated proteinManifestations of bacterial meningitis include increase protein in the CSF, decreased glucose. RBCs canindicate bleeding, however, WBCs are what indicates bacterial meningitis.A nurse is providing teaching to a client who has a new diagnosis of myasthenia gravis (MG). Which ofthe following pieces of information should the nurse include?A.Use enemas to treat constipation caused by daily medicationsB.Take a hot bath when muscles acheC.Eat a low-calorie dietD.Set an alarm to ensure medication dosages are taken on time (Correct Answer) -✅D. Set an alarmto ensure medication dosages are taken on timeThe nurse should instruct the client to take medication dosages on time to maintain a therapeutic bloodlevel. Dosages should not be missed or postponed because this can cause an exacerbation of thedisease.A nurse is teaching a client who has a new diagnosis of primary open-angle glaucoma (POAG). Which ofthe following pieces of information should the nurse include in the teaching? (Select all that apply.)lOMoARcPSD|13778330

2023-2024 ATI Med Surg Proctored Exam with Answers (61 Solved Questions) - Page 6 preview image

Loading page ...

A.Lost vision can improve with eye drops.B.Administer eye drops as needed for vision loss.C.Glasses will be necessary to correct the accompanying presbyopia.D.Driving can be dangerous due to the loss of peripheral vision.E.Laser surgery can help reestablish the flow of aqueous humor. (Correct Answer) -✅D. Driving canbe dangerous due to the loss of peripheral vision.E. Laser surgery can help reestablish the flow of aqueous humor.A nurse is assessing a client who has a fractured left femur and is in skeletal traction. Which of thefollowing findings should the nurse report to the provider?A.Ecchymosis of the thighB.Serous drainage at the pin siteC.Chest petechiaeD.Muscle spasms in the left leg (Correct Answer) -✅C. Chest petechiaeThe nurse should identify chest petechiae as an indication of fat embolism syndrome. Clients who havefractures of the long bones such as the femur are at increased risk of fat emboli. Fat emboli typicallyoccur 12 to 48 hours after the injury when fat droplets from the marrow enter into the systemiccirculation and are deposited in the lungs. The nurse should immediately notify the provider becausethe client could progress to acute respiratory failure.A nurse is assessing a client who has Kaposi's sarcoma. Which of the following findings should the nurseexpect?A.Nonproductive cough, fever, and shortness of breathlOMoARcPSD|13778330

2023-2024 ATI Med Surg Proctored Exam with Answers (61 Solved Questions) - Page 7 preview image

Loading page ...

B.Lesions on the retina that produce blurred visionC.Onset of progressive dementiaD.Reddish-purple skin lesions (Correct Answer) -✅D. Reddish-purple skin lesionsKaposi's sarcoma is commonly associated with AIDS and manifests as hyperpigmented multicentriclesions that can be firm, flat, raised, or nodular. Following a biopsy, the lesions are treated withradiation and/or chemotherapy.A nurse is completing an assessment for a client who has a history of unstable angina. Which of thefollowing findings should the nurse expect?A.Chest pain is relieved soon after resting.B.Nitroglycerin relieves chest pain.C.Physical exertion does not precipitate chest pain.D.Chest pain lasts for longer than 15 min. (Correct Answer) -✅D. Chest pain lasts for longer than 15min.A client who has unstable angina will have chest pain lasting longer than 15 minutes. This is due toreduced blood flow in a coronary artery from atherosclerotic plaque and thrombus formation causingpartial arterial obstruction or from an artery spasm.Incorrect Answers:A.A client who has unstable angina will have chest pain even while resting because of insufficient bloodflow to the coronary arteries and a decreased oxygen supply. Chest pain at rest is a condition calledvariant(Prinzmetal's) angina and is caused by an arterial spasm.B.A client who has unstable angina will have minimal, if any, relief of chest pain with nitroglycerin.lOMoARcPSD|13778330

2023-2024 ATI Med Surg Proctored Exam with Answers (61 Solved Questions) - Page 8 preview image

Loading page ...

C.A client who has unstable angina will report chest pain or discomfort with exertion, which can limitthe client's activity.A nurse is assessing a client with a closed head injury who has received mannitol for manifestations ofincreased intracranial pressure (ICP). Which of the following findings indicates that the medication ishaving a therapeutic effect?A.The client's serum osmolarity is 310 mOsm/L.B.The client's pupils are dilated.C.The client's heart rate is 56/min.D.The client is restless. (Correct Answer) -✅A. The client's serum osmolarity is 310 mOsm/L.Mannitol is an osmotic diuretic used to reduce cerebral edema by drawing water out of the brain tissue.A serum osmolarity of 310 mOsm/L is desired. A decrease in cerebral edema should result in a decreasein ICP.A nurse is planning care for a client who has AIDS and has developed stomatitis. Which of the followinginterventions should the nurse include in the plan of care?A.Rinse the mouth with chlorhexidine solution every 2 hrB.Limit fluid intake with mealsC.Provide oral hygiene with a firm-bristled toothbrush after each mealD.Avoid salty foods (Correct Answer) -✅D. Avoid salty foodsStomatitis is an inflammation of the mucosa of the mouth, usually with ulcerations. Foods that are spicy,acidic, or salty should be avoided to prevent further irritation and damage to the oral mucosa.lOMoARcPSD|13778330

2023-2024 ATI Med Surg Proctored Exam with Answers (61 Solved Questions) - Page 9 preview image

Loading page ...

A nurse is caring for a client who had a left lower lobectomy to treat lung cancer. Which of the followingfactors will have a significant impact on the plan of care for this client?A.The client will need intensive smoking-cessation education.B.After surgery, the prognosis for clients with lung cancer is usually good.C.Lung cancer usually has metastasized before the client presents with symptoms.D.Oxygen therapy is ineffective following a lobectomy. (Correct Answer) -✅C. Lung cancer usually hasmetastasized before the client presents with symptoms.The nurse should be aware that lung cancer is usually at an advanced stage before the client has anymanifestations. This has implications for both short-term and long-term care options for the client.A nurse is examining the ECG of a client who has hyperkalemia. Which of the following ECG changesshould the nurse expect?A.Elevated ST segmentsB.Absent P wavesC.Depressed ST segmentsD.Varying PP intervals (Correct Answer) -✅A. Elevated ST segmentsElevated ST segments can indicate hyperkalemia and pericarditis.A nurse is caring for a client during the first 72 hr following a cerebrovascular accident (CVA). Which ofthe following actions should the nurse take?A.Turn the client's head to the side with the head of the bed elevated 60°B.Place the head of the bed flat with pillows under the client's neck and feetlOMoARcPSD|13778330

Preview Mode

This document has 28 pages. Sign in to access the full document!

Report

Study Now!

Document Details

Related Documents

ATI TEAS Prep Plus: 2 Practice Tests + Proven Strategies [Excluded Online Resource] (Kaplan Test Prep) (2019)

2023 NGN ATI RN Med Surg Proctored Exam with Answers (240 Solved Questions)

2019 ATI RN Maternal Newborn with Answers (70 Solved Questions)

2023 NGN ATI RN Comprehensive Predictor Retake Exam with Answers (177 Solved Questions)

2013 ATI RN Proctored Pharmacology Form B with Answers (70 Solved Questions)

2023 ATI Nutrition Proctored Exam with Answers (121 Solved Questions)

ATI RN Maternal Newborn NGN Proctored Exam with Answers (250 Solved Questions)

ATI Pharmacology Proctored Test Bank with Answers (313 Solved Questions)

2022-2023 ATI Leadership Proctored Focus Practice Exam with Answers (63 Solved Questions)

2024 ATI RN Predictor Practice Exam with Answers (136 Solved Questions)

Company

Explore

Study Tools