COMPLETE SOLUTIONS FOR MEDICAL
SURGICAL PROCTORED ATI EXAM
An older adult is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration? - CORRECT ANSWER -Urine Specific gravity 1.045
A urine specific gravity greater than 1.030 indicates a decrease in urine volume and an increase in
osmolarity, which is a manifestation of hypertonic dehydration.
A nurse in a community clinic is caring for a client who reports an increase in the frequency of
migraine headaches. To help reduce the risk for migraine headaches, which of the following foods
should the nurse recommend the client avoid? - CORRECT ANSWER -Aged cheese
Foods that contain tyramine, such as aged cheese and sausage, can trigger migraine headaches.
A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous
diversion procedure to establish a ureterostomy. Which of the following statements should the
nurse include in the teaching? - CORRECT ANSWER -"You should cut the opening of the skin barrier
one-eight inch wider than the stoma."
The client should cut the opening of the skin barrier 0.3 cm (1/8in) wider than the stoma to minimize
irritation of the skin from exposure to urine.
A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The
nurse should instruct the client that which of the following supplements can interfere with the
effectiveness of the medication? - CORRECT ANSWER -Calcium
,Calcium limits the development of osteoporosis in clients who are postmenopausal and works as an
antacid. Calcium supplements can interfere with the metabolism of a number of medications,
including levothyroxine. The nurse should instruct the client to avoid taking calcium within 4 hr of
levothyroxine administration.
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV
contrast agent. The nurse should identify that which of the following findings requires further
assessment? - CORRECT ANSWER -History of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye used during
the procedure. Other conditions that can result in a reaction to contrast media include allergies
to foods, such as shellfish, eggs, milk, and chocolate.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following
findings should the nurse identify as a component of Cushing's triad? - CORRECT ANSWER -
Bradycardia
A client who has increased intracranial pressure from a traumatic brain injury can develop
bradycardia, which is one component of Cushing's triad. The other components of Cushing's triad
are severe hypertension and a widened pulse pressure.
A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure
injury. Which of the following actions should the nurse take? - CORRECT ANSWER -Use a 30-mL
syringe
The nurse should use a 30-mL to 60-mL syringe with an 18- or 19- gauge catheter to deliver the
ideal pressure of 8 pounds per square inch (psi) when irrigating a wound. To maintain healthy
granulation tissue, the wound irrigation should be delivered at between 4 and 15 psi.
A nurse in an emergency department is reviewing the provider's prescriptions for a client who
sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the
expect? - CORRECT ANSWER -Administer an opioid analgesic to the client.
,The nurse should expect a prescription for an opioid analgesic to promote comfort following a
rattlesnake bite.
A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse
should postpone the testing and report to the provider which of the following findings? (Click on the
"Exhibit" button for additional information about the client). - CORRECT ANSWER -Current
medications
The nurse should review the client's medication record and identify medications, including ACE
inhibitors, beta blockers, theophylline, nifedipine, and glucocorticoids, such as prednisone, that can
alter the allergy skin test results. These medications can diminish the client's reaction to the
allergens. The nurse should notify the provider and instruct the client to discontinue prednisone for
2 weeks before allergy skin testing.
A nurse is a caring for a client who is on bed rest and has a new prescription for enoxaparin
subcutaneous. Which of the following actions should the nurse take? - CORRECT ANSWER -Inject the
medication into the anterolateral abdominal wall.
The nurse should inject the medication into the anterolateral or posterolateral abdominal wall to
enhance medication absorption and prevent hematoma formation.
A nurse is caring for a client who has a stage III pressure injury. Which if the following findings
contribute to delayed wound healing? - CORRECT ANSWER -Urine output 25 mL/hr
Urinary output reflects fluid status. Inadequate urine output can indicate dehydration, which can delay
wound healing.
A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The
client is to receive 2,000 kcal per day. The TPN solution has 500kcal/L. The IV pump should be set at
how many mL/hr? (Rounding to the nearest whole number.) - CORRECT ANSWER -167 mL/hr
, A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk,
which of the following dietary alterations should the nurse recommend? - CORRECT ANSWER -Add
cabbage to the diet.
To help reduce the risk for colorectal cancer, the client should consume a diet that is high in fiber,
low in fat, and low in refined carbohydrates. Brassica vegetables such as cabbage, cauliflower, and
broccoli, are high in fiber.
A nurse is caring for a client who has a prescription for silver sulfadiazine cream to be applied to
her burn wounds. The nurse should evaluate the client for which of the following laboratory
findings? - CORRECT ANSWER -Leukopenia
Transient leukopenia is an adverse effect of silver sulfadiazine.
A nurse is teaching a client with systemic erythematosus who has a new prescription for prednisone.
The nurse should instruct the client to monitor for which of the following adverse effects of this
medication? - CORRECT ANSWER -Infection
The nurse should instruct the client to avoid contact with people who are ill and monitor for
manifestations of an infection such as a fever or a sore throat. Prednisone can suppress the client's
immune response and mask the manifestations of an infection.
A nurse is providing preoperative teaching to a client who will undergo a total laryngectomy. Which
of the following statements indicates that the client understands the impact of the surgery? -
CORRECT ANSWER -"I understand that I will have a permanent tracheostomy after the surgery."
With a partial laryngectomy, the tracheostomy is temporary. This client will have a total
laryngectomy, so the tracheostomy will be permanent.
A nurse is assessing a client who has systemic scleroderma. Which of the following findings should
the nurse expect? - CORRECT ANSWER -Finger contractures
SURGICAL PROCTORED ATI EXAM
An older adult is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration? - CORRECT ANSWER -Urine Specific gravity 1.045
A urine specific gravity greater than 1.030 indicates a decrease in urine volume and an increase in
osmolarity, which is a manifestation of hypertonic dehydration.
A nurse in a community clinic is caring for a client who reports an increase in the frequency of
migraine headaches. To help reduce the risk for migraine headaches, which of the following foods
should the nurse recommend the client avoid? - CORRECT ANSWER -Aged cheese
Foods that contain tyramine, such as aged cheese and sausage, can trigger migraine headaches.
A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous
diversion procedure to establish a ureterostomy. Which of the following statements should the
nurse include in the teaching? - CORRECT ANSWER -"You should cut the opening of the skin barrier
one-eight inch wider than the stoma."
The client should cut the opening of the skin barrier 0.3 cm (1/8in) wider than the stoma to minimize
irritation of the skin from exposure to urine.
A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The
nurse should instruct the client that which of the following supplements can interfere with the
effectiveness of the medication? - CORRECT ANSWER -Calcium
,Calcium limits the development of osteoporosis in clients who are postmenopausal and works as an
antacid. Calcium supplements can interfere with the metabolism of a number of medications,
including levothyroxine. The nurse should instruct the client to avoid taking calcium within 4 hr of
levothyroxine administration.
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV
contrast agent. The nurse should identify that which of the following findings requires further
assessment? - CORRECT ANSWER -History of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye used during
the procedure. Other conditions that can result in a reaction to contrast media include allergies
to foods, such as shellfish, eggs, milk, and chocolate.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following
findings should the nurse identify as a component of Cushing's triad? - CORRECT ANSWER -
Bradycardia
A client who has increased intracranial pressure from a traumatic brain injury can develop
bradycardia, which is one component of Cushing's triad. The other components of Cushing's triad
are severe hypertension and a widened pulse pressure.
A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure
injury. Which of the following actions should the nurse take? - CORRECT ANSWER -Use a 30-mL
syringe
The nurse should use a 30-mL to 60-mL syringe with an 18- or 19- gauge catheter to deliver the
ideal pressure of 8 pounds per square inch (psi) when irrigating a wound. To maintain healthy
granulation tissue, the wound irrigation should be delivered at between 4 and 15 psi.
A nurse in an emergency department is reviewing the provider's prescriptions for a client who
sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the
expect? - CORRECT ANSWER -Administer an opioid analgesic to the client.
,The nurse should expect a prescription for an opioid analgesic to promote comfort following a
rattlesnake bite.
A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse
should postpone the testing and report to the provider which of the following findings? (Click on the
"Exhibit" button for additional information about the client). - CORRECT ANSWER -Current
medications
The nurse should review the client's medication record and identify medications, including ACE
inhibitors, beta blockers, theophylline, nifedipine, and glucocorticoids, such as prednisone, that can
alter the allergy skin test results. These medications can diminish the client's reaction to the
allergens. The nurse should notify the provider and instruct the client to discontinue prednisone for
2 weeks before allergy skin testing.
A nurse is a caring for a client who is on bed rest and has a new prescription for enoxaparin
subcutaneous. Which of the following actions should the nurse take? - CORRECT ANSWER -Inject the
medication into the anterolateral abdominal wall.
The nurse should inject the medication into the anterolateral or posterolateral abdominal wall to
enhance medication absorption and prevent hematoma formation.
A nurse is caring for a client who has a stage III pressure injury. Which if the following findings
contribute to delayed wound healing? - CORRECT ANSWER -Urine output 25 mL/hr
Urinary output reflects fluid status. Inadequate urine output can indicate dehydration, which can delay
wound healing.
A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The
client is to receive 2,000 kcal per day. The TPN solution has 500kcal/L. The IV pump should be set at
how many mL/hr? (Rounding to the nearest whole number.) - CORRECT ANSWER -167 mL/hr
, A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk,
which of the following dietary alterations should the nurse recommend? - CORRECT ANSWER -Add
cabbage to the diet.
To help reduce the risk for colorectal cancer, the client should consume a diet that is high in fiber,
low in fat, and low in refined carbohydrates. Brassica vegetables such as cabbage, cauliflower, and
broccoli, are high in fiber.
A nurse is caring for a client who has a prescription for silver sulfadiazine cream to be applied to
her burn wounds. The nurse should evaluate the client for which of the following laboratory
findings? - CORRECT ANSWER -Leukopenia
Transient leukopenia is an adverse effect of silver sulfadiazine.
A nurse is teaching a client with systemic erythematosus who has a new prescription for prednisone.
The nurse should instruct the client to monitor for which of the following adverse effects of this
medication? - CORRECT ANSWER -Infection
The nurse should instruct the client to avoid contact with people who are ill and monitor for
manifestations of an infection such as a fever or a sore throat. Prednisone can suppress the client's
immune response and mask the manifestations of an infection.
A nurse is providing preoperative teaching to a client who will undergo a total laryngectomy. Which
of the following statements indicates that the client understands the impact of the surgery? -
CORRECT ANSWER -"I understand that I will have a permanent tracheostomy after the surgery."
With a partial laryngectomy, the tracheostomy is temporary. This client will have a total
laryngectomy, so the tracheostomy will be permanent.
A nurse is assessing a client who has systemic scleroderma. Which of the following findings should
the nurse expect? - CORRECT ANSWER -Finger contractures
