ATI Medical Surgical Nursing Proctored Exam With Answers (100 Solved Questions)

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med surg ati proctored exam (Sent)1.A nurse in an emergency department is preparing toperform an ocular irrigation for a client. Which of thefollowing actions should the nurse plan to take?a. Assess the client's visual acuity prior to irrigationb. Have the client turn their head toward the unaffect-ed eyec. Hold the irrigator syringe 3.81 cm (1.5 in) above theeyed. Perform the irrigation with sterile water for irriga-tiond. Perform the irri-gation with sterilewater for irrigation2.A nurse is preparing to administer lactated ringer'svia continuous IV infusion at 200 ml/hr. The IV tubinghas a drop factor of 10 drops/ml. How many gtt/minshould the nurse set the IV pump to administer?Round to near whole number33 gtt/min3.A nurse is providing discharge teaching to a clientwho has a new prescription for sublingual nitroglyc-erin. Which of the following client statements indi-cates an understanding of the teaching?a. I can keep my medications for 1 year before replac-ing itb. I should lie down when I take this medicationc. I should discontinue this medication if I develop aheadached. I can take up to five tablets in 15 minutes beforeseeking medical attentionb. I should lie downwhen I take thismedication4.A nurse is providing discharge teaching to an old-er adult client following a left total hip arthroplasty.Which of the following instructions should the nurseinclude in the teaching?a. Clean the incision daily with hydrogen peroxideb. You can cross your legs the ankles when sittingdownc. You should use an incentive spirometer every 8hoursd. Install a raised toilet seat in your bathroomd. Install a raisedtoilet seat in yourbathroom1 / 25

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5.A nurse is planning care for a client following a car-diac catheterization. Which of the following actionsshould the nurse take?a. Keep the client on bed rest for 24 hoursb. Limit the client's fluid intake to 1 l per dayc. Maintain the client's affected extremity in extensiond. Change the client's dressing every 8 hourc. Maintain theclient's affectedextremity in exten-sion6.A nurse is caring for a client who has a lower extrem-ity fracture and a prescription for crutches. Whichof the following client statements indicates that theclient is adapting to their role change?a. I will need to have my partner take over shoppingfor groceries and cooking the meals for usb. These crutches will make it impossible to care formy childc. I feel bad that I have to ask my partner to keep thehouse cleand. Its going to be difficult to tell my parents I cant takethem to their appointments anymorea. I will need tohave my partnertake over shop-ping for groceriesand cooking themeals for us7.A nurse is caring for a client who has gastroenteritis.Which of the following assessment findings shouldthe nurse recognize as an indication that the client isexperiencing dehydration?a. Pitting, dependent edemab. Distended jugular veinsc. Increased BPd. Decreased BPd. Decreased BP8.A nurse is caring for a client who has a contusion ofthe brainstem and reports thirst. The client's urinaryoutput was 4,000 ml over the past 24 hour. The nurseshould anticipate a prescription for which of the fol-lowing IV medication?a. Desmopressinb. Epinephrinec. Furosemided. Nitroprussidea. Desmopressin2 / 25

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9.A nurse in a clinic receives a phone call from a clientwho recently started therapy with an ACE inhibitorand reports a nagging dry cough.Which of the follow-ing responses by the nurse is appropriate?a. "your cough may require that you stop or changeyour medication"b. "Increasing your daily fluid intake may eliminateyour cough"c. "sucking on lozenge may reduce the frequency ofyour cough"d. You cough should go away in time"a. "your coughmay require thatyou stop orchange your med-ication"10.A nurse is taking an admission history from a clientwho reports Raynaud's disease. Which of the follow-ing assessment findings should the nurse identify asa potential trigger for exacerbationsof Raynaud's?a. Eating a strict vegetarian dietb. A history of herpes zosterc. Taking amiodipine for hypertensiond. Using a nicotine transdermal patchd. Using a nicotinetransdermal patch11.A nurse is caring for a client who has a central venousaccess device and notes the tubing has become dis-connected. The client develops dyspnea and tachy-cardia. Which of the followingactions should the nurse take first?a. Perform an ECGb. Obtain ABG valuesc. Turn the client to his left sided. Clamp the catheterd. Clamp thecatheter12.A nurse is completing an assessment of an olderadult client and notes reddened areas over the bonyprominences, but the client's skin is intact. Which ofthe following interventions should the nurse includein the plan of care?a. Turn and reposition the client every 4 hrb. Apply an occlusive dressingc. Support bonyprominences withpillows3 / 25

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c. Support bony prominences with pillowsd. Massage the reddened areas three times a day13.A home health nurse is making an initial visit to aclient who has multiple sclerosis.Which of the follow-ing actions is the priority for the nurse to take?a. Discuss recommendations for eating and swallow-ing techniquesb. List strategies for family coping when dealing withpossible role changesc. Review the use of adaptive grooming devices topromote client independenced. Give the client information about the local nationalmultiple sclerosis societya. Discuss rec-ommendations foreating and swal-lowing techniques14.A nurse in the emergency department is assessinga client. Which of the following actions should thenurse take first? Exhibita. Obtain a sputum sample for cultureb. Administer ondansetronc. Initiate airborne precautionsd. Prepare the client for a chest x-rayc. Initiate airborneprecautions15.A nurse is reviewing the medical record of a client toidentify risk factors for colorectal cancer. The nurseshould identify which of the following findings asincreasing the client's risk?a. History of Crohn's diseaseb. BMI of 24c. Diet high in fiberd. Age 46 yearsa. History ofCrohn's disease16.A nurse is caring for a client who is scheduled for amastectomy. The client tells the nurse, "I'm not sure Iwant to have a mastectomy." Which of the followingstatements should the nurse make?a. "I can give you a list of other people who had thesame procedure"b. "You will be cancer-free if you have the procedure"c. "I can give you additional information about thec. "I can giveyou additional in-formation aboutthe procedure"4 / 25

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procedure"d. "You should should get a second opinion regardingthe procedure"17.A nurse is preparing to administer a unit of packedRBCs to a client who is anemic. Identify the sequenceof steps the nurse should follow.e. Remain with the client for the first 15 to 30 min ofthe infusiona. Obtain venous access using 19-gauge needlec. Verify blood compatibility with another nursed. Initiate transfusion of the unit of packed RBCsb. Obtain the unit of packed RBCs from blood banka. Obtain ve-nous access using19-gauge needleb. Obtain the unitof packed RBCsfrom blood bankc. Verify bloodcompatibility withanother nursed. Initiate transfu-sion of the unit ofpacked RBCse. Remain with theclient for the first15 to 30 min of theinfusion18.A nurse is preparing a teaching plan for a client whohas mucositis related to chemotherapy treatment.Which of the following instructions should the nurseinclude?a. "rinse your mouth with hydrogen peroxide"b. "brush your teeth for 60 seconds twice daily"c. "wear your dentures only during meals"d. "floss your teeth following each meals"d. "floss yourteeth followingeach meals"19.A critical care nurse is assessing a client who hassevere head injury. In response to painful stimuli,the client does not open her eyes, displays de-cerebrate posturing, and makes incomprehensiblesounds. Which of the following Glasgow Coma Scalescores should the nurse assign the client?a. 5b. 2a. 55 / 25

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c. 13d. 1020.A nurse is providing discharge teaching to a clientwho has heart failure and instructs him to limit sodi-um intake to 2 g per day. Which of the following state-ments by the client indicates an understanding of theteaching?a. "I can season my foods with garlic and onion salts"b. "I can have mayonnaise on my sandwiches"c. "I can have a frozen fruit juice bar for dessert"d. "I can drink vegetable juice with a meal"c. "I can have afrozen fruit juicebar for dessert"21.A nurse is preparing to perform ocular irrigation fora client following chemical splash to the eye. Whichof the following actions should the nurse plan to takefirst?a. Instill 0.9% sodium chloride solution into the affect-ed eyeb. Administer proparacaine eyedrops into the affect-ed eyec. Collect information about the irritant that causedthe injuryc. Collect informa-tion about the ir-ritant that causedthe injury22.A nurse is assessing a client following extubationfrom a ventilator. For which of the following findingsshould the nurse intervene immediately?a. Rhonchib. SaO2 92%c. Sore throatd. Stridord. Stridor23.A nurse is reviewing the laboratory reports of a clientwho has acute pancreatitis. Which of the followingfindings should the nurse expect?a. Elevated serum calciumb. Elevated blood glucosec. Decreased serum amylased. Decreased erythrocyte sedimentation rateb. Elevated bloodglucose6 / 25

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24.A nurse is reviewing the medical record of a clientwho has diabetes insipidus. Which of the followingfindings should the nurse expect?a. Hypothermiab. Urine specific gravity 1.001 (<1.005)c. Elevated blood pressured. BUN 15 mg/dlb. Urine specif-ic gravity 1.001(<1.005)25.A nurse is planning care for a client who has pul-monary embolism. Which of the following interven-tions should the nurse include?a. Initiate a continuous IV heparin infusionb. Instruct the client to massage the lower extremitiesc. Position the client on the left sided. Measure vital signs every 4 houra. Initiate a con-tinuous IV heparininfusion26.A nurse is providing discharge teaching to a clientwho is recovering from a sickle cell crisis. Which ofthe following instructions should the nurse include?a. Avoid extremely hot or cold temperaturesb. Limit fluids to 1.5 L per dayc. Limit alcohol intake to one drink per dayd. Avoid getting a flu vaccinationa. Avoid extremelyhot or cold temper-atures27.A nurse in the emergency department is caring fora client who is in hypovolemic shock. Which of thefollowing actions should the nurse take first?a. Obtain a blood specimen for type and crossmatchb. Insert a large-bore IV catheterc. Administer IV therapyd. Monitor urine outputb. Insert alarge-bore IVcatheter28.A nurse is caring for a client who has an arteriove-nous graft. Which of the following findings indicatesadequate circulation of the graft?a. Dilated appearance of the graftb. Absence of a bruitc. Normotensive blood pressured. Palpable thrilld. Palpable thrill7 / 25

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