ATI MED-SURG PROCTORED EXAM QUESTIONS AND ANSWERS WITH 100% NEW REVISED
UPDATE
A nurse is caring for client who has Cushing's disease. Which of the following actions
should the nurse take first? (Click on the Exhibit button below for additional
information about the client. There are three tabs that contain separate categories of
data.) 1.Auscultate the client's lung sounds
2.Check the client's medication administration record for antihypertensive medications
3.Determine the need for further glucose monitoring
4. Verify the client's understanding of sodium restriction - ANSWERS-3.Determine
the need for further glucose monitoring
A nurse is caring for four clients. Which of the following clients is at risk for developing
metabolic alkalosis?
a. A client who is receiving continuous gastric suctioning b. A client who has aspiration
pneumonia
c. A client who is experiencing an opioid overdose- respiratory acidosis.
d. A client who has uncontrolled diabetes mellitus - ANSWERS-a. A client who
is receiving continuous gastric suctioning
A nurse is caring who is experiencing a hypertensive crisis. Which of the following
actions should the nurse take? a) Initiate IV dopamine infusion
b) Perform neurological assessments
c) Place the client supine
d) Begin an IV bolus of lacted ringer's - ANSWERS-b) Perform
neurological assessments
A nurse is collecting a medical history from an older adult client who has
hypertension and new prescription of nadolol. Which of the following findings should
the nurse report to the provider? a. cataracts
b. GERD
c. Asthma
d. Hypothyroidism - ANSWERS-c. Asthma
A nurse is completing an admission assessment for a client. The nurse should expect
the provider to prescribe which of the following medications for the client? EXHIBIT
VITAL SIGNS: Temperature (98.3 F), HR (100/min), RR (20/min), BP (152/94mmHg)
a. Atorvastatin
b. Allopurinol
c. Metoprolol
d. levothyroxine - ANSWERS-c. Metoprolol
,A nurse is completing an assessment of an older adult client and notes reddened
areas over the bony prominences, but the client's skin is intact. Which of the following
interventions should the nurse include in the plan of care?
1. Massage the reddened areas three times daily
2. Turn and reposition the client every 4 hr.
3. Support bony prominences with pillows
4. Apply an occlusive dressing - ANSWERS-3.Support bony prominences with pillows
A Nurse is completing an assessment of an older adult client and notes reddened
areas over the bony prominences, but the client's skin is intact. Which of the following
interventions should the nurse include in the plan of care?
a) Apply an occlusive dressing b) turn and reposition the client every 4 hours
c) support bony prominences with pillows
d) massage Tourette in areas three times daily - ANSWERS-c) support
bony prominences with pillows
A nurse is completing discharge teaching who has a peripherally inserted central
catheter ( PICC) line in the left arm. Which of the following instructions should the
nurse include in the teaching?
a) Do not elevate the arm above the level of the heart
b) Change the catheter dressing daily
c) Use 10- mL syringe to flush line
d) Clean the insertion site using 20- mL of hydrogen peroxide - ANSWERS-a) Do
not elevate the arm above the level of the heart
A nurse is completing discharge teaching with a client who has a new diagnosis of
AIDS. Which of the following statements by the client indicates an understanding of the
teaching?
a) I will need to take my clothes to the dry cleaners to sterilize them
b) I will wipe up areas soiled with body fluids with alcohol and immediately disposed
of the trash (should be cleaned with bleach not alcohol)
c) I will be sure to wear gloves and wash my hands when I change my cat's litter box
d) I will increase the amount of fresh fruits and vegetables I consume - ANSWERS-c)
I will be sure to wear gloves and wash my hands when I change my cat's litter box
A nurse is discussing nutrition options with a client who has a new diagnosis of COPD.
Which of the following statements should the nurse take?
a) Plan to include high protein foods in each of your meals
b) increase your intake of vegetables such as broccoli and brussel sprouts
c) drink a glass of milk with each meal
d) consume three large meals throughout the day - ANSWERS-a) Plan to include
high protein foods in each of your meals
A nurse is monitoring a client who is receiving two units packed RBC's. Which of the
following manifestation indicates a hemolytic transfusion reaction?
a) back pain
,b) Hypertension
c) Chills
d) bradycardia - ANSWERS-a) back pain
A nurse is monitoring an older adult client who has an exacerbation of chronic
lymphocytic leukemia. The nurse notes petechiae on the client's skin.
1.Institute bleeding precautions
2.Determine the client's blood type
3.Avoid administering IV pain medication
4.Implement airborne precautions - ANSWERS-1.Institute bleeding precautions
A nurse is monitoring an older adult client who has an extrapolation of chronic
lymphocytic leukemia. The nurse notes patikayy on the client's skin which of the
following actions should the nurse take?
a) Determine the client's blood type
b) avoid administering IV pain medication
c) Implement airborne precautions
d) Institute bleeding precautions - ANSWERS-d) Institute bleeding precautions
A nurse is planning a staff education session about hepatitis A. Which of the following
information should the nurse include?
a) Immunization for Hepatitis A is recommended prior to travel to high-risk areas
b) the incubation. Of hepatitis A is 5 to 10 days
c) hepatitis A is transmitted is Through Blood to blood exposure
d) clients who have Hepatitis A require a broad-spectrum antibiotic - ANSWERS-
a) Immunization for Hepatitis A is recommended prior to travel to high-risk areas
A nurse is planning care for a client who has a central venous access device for
intermittent infusions. Which of the following actions should the nurse include in the
plan of care?
a) Flush a catheter using a 10 mL syringe
b) Use clean technique when changing the dressing
c) Cleanse the site with Provo dine iodine
d) Change the dressing every 24 hours - ANSWERS-a) Flush a catheter using a 10
mL syringe
A nurse is planning care for a client who has a full-thickness burns on the lower
extremities. Which of the following interventions should the nurse include?
a) Limit visitation time for client's children to 40 minutes per day
b) clean the equipment in the client's room once per week
c) provide a diet of fresh fruits and vegetable for the client
d) apply new gloves when alternating between wound care sites - ANSWERS-d)
apply new gloves when alternating between wound care sites
A nurse is planning care for a client who has left-sided hemiplegia following a stroke
which of the following actions should the nurse include in the plan of care?
, a) Place a plate guard on the client's meal tray
b) position the bedside table on the client's left side
c) remind the client to use a cane on his left side while ambulating
d) provide the client with a short handled Reacher - ANSWERS-a) Place a plate
guard on the client's meal tray
A nurse is planning care for a client who has status epilepticus. Which of the following
interventions is the nurses priority to include?
a) Administer phenytoin IV bolus to the client
b) provide the client oxygen at 6 L / min using a nasal cannula c) turn the client to the
lateral position during seizure activity d) administer diazepam intravenously to the
client
- ANSWERS-c) turn the client to the lateral position during seizure activity
A nurse is planning care for a client who has upper gastrointestinal bleeding due to a
peptic ulcer. Which of the following actions should the nurse plan to take?
a) Provide ketorolac for abdominal pain
b) Administer nitroprusside IV based on the client's weight
c) Insert a large bore nasogastric tube
d) Ensure that the client has a 22- gauge iv line in place - ANSWERS-c) Insert a
large bore nasogastric tube
A nurse is planning care for an older adult client who has Meniere's disease. Which of
the following interventions should the nurse include in the plan?
a) Perform range of motion exercises to the client's neck every 4 hours
b) limited clients fluid intake to 1500 ml / day
c) administer aspirin if the client reports a headache
d) encourage the client to change position slowly - ANSWERS-d) encourage the
client to change position slowly
A nurse is planning the discharge of a client who had an ischemic stroke. The nurse
should ensure that the client is discharged with which of the following types of
pharmacologic therapy?
a) Opioid analgesic
b) Anticonvulsant
c) anti thrombotic
d) diuretic - ANSWERS-c) anti thrombotic
A nurse is planning to teach a client whose provider has prescribed a low purine
diet. The nurse should plan to instruct the client that he can include which of the
following Foods in his diet (select all that apply)
a) Sardines
b) Nuts
c) Apricots
d) liver
e) scallops - ANSWERS-b) Nuts
c) Apricots
UPDATE
A nurse is caring for client who has Cushing's disease. Which of the following actions
should the nurse take first? (Click on the Exhibit button below for additional
information about the client. There are three tabs that contain separate categories of
data.) 1.Auscultate the client's lung sounds
2.Check the client's medication administration record for antihypertensive medications
3.Determine the need for further glucose monitoring
4. Verify the client's understanding of sodium restriction - ANSWERS-3.Determine
the need for further glucose monitoring
A nurse is caring for four clients. Which of the following clients is at risk for developing
metabolic alkalosis?
a. A client who is receiving continuous gastric suctioning b. A client who has aspiration
pneumonia
c. A client who is experiencing an opioid overdose- respiratory acidosis.
d. A client who has uncontrolled diabetes mellitus - ANSWERS-a. A client who
is receiving continuous gastric suctioning
A nurse is caring who is experiencing a hypertensive crisis. Which of the following
actions should the nurse take? a) Initiate IV dopamine infusion
b) Perform neurological assessments
c) Place the client supine
d) Begin an IV bolus of lacted ringer's - ANSWERS-b) Perform
neurological assessments
A nurse is collecting a medical history from an older adult client who has
hypertension and new prescription of nadolol. Which of the following findings should
the nurse report to the provider? a. cataracts
b. GERD
c. Asthma
d. Hypothyroidism - ANSWERS-c. Asthma
A nurse is completing an admission assessment for a client. The nurse should expect
the provider to prescribe which of the following medications for the client? EXHIBIT
VITAL SIGNS: Temperature (98.3 F), HR (100/min), RR (20/min), BP (152/94mmHg)
a. Atorvastatin
b. Allopurinol
c. Metoprolol
d. levothyroxine - ANSWERS-c. Metoprolol
,A nurse is completing an assessment of an older adult client and notes reddened
areas over the bony prominences, but the client's skin is intact. Which of the following
interventions should the nurse include in the plan of care?
1. Massage the reddened areas three times daily
2. Turn and reposition the client every 4 hr.
3. Support bony prominences with pillows
4. Apply an occlusive dressing - ANSWERS-3.Support bony prominences with pillows
A Nurse is completing an assessment of an older adult client and notes reddened
areas over the bony prominences, but the client's skin is intact. Which of the following
interventions should the nurse include in the plan of care?
a) Apply an occlusive dressing b) turn and reposition the client every 4 hours
c) support bony prominences with pillows
d) massage Tourette in areas three times daily - ANSWERS-c) support
bony prominences with pillows
A nurse is completing discharge teaching who has a peripherally inserted central
catheter ( PICC) line in the left arm. Which of the following instructions should the
nurse include in the teaching?
a) Do not elevate the arm above the level of the heart
b) Change the catheter dressing daily
c) Use 10- mL syringe to flush line
d) Clean the insertion site using 20- mL of hydrogen peroxide - ANSWERS-a) Do
not elevate the arm above the level of the heart
A nurse is completing discharge teaching with a client who has a new diagnosis of
AIDS. Which of the following statements by the client indicates an understanding of the
teaching?
a) I will need to take my clothes to the dry cleaners to sterilize them
b) I will wipe up areas soiled with body fluids with alcohol and immediately disposed
of the trash (should be cleaned with bleach not alcohol)
c) I will be sure to wear gloves and wash my hands when I change my cat's litter box
d) I will increase the amount of fresh fruits and vegetables I consume - ANSWERS-c)
I will be sure to wear gloves and wash my hands when I change my cat's litter box
A nurse is discussing nutrition options with a client who has a new diagnosis of COPD.
Which of the following statements should the nurse take?
a) Plan to include high protein foods in each of your meals
b) increase your intake of vegetables such as broccoli and brussel sprouts
c) drink a glass of milk with each meal
d) consume three large meals throughout the day - ANSWERS-a) Plan to include
high protein foods in each of your meals
A nurse is monitoring a client who is receiving two units packed RBC's. Which of the
following manifestation indicates a hemolytic transfusion reaction?
a) back pain
,b) Hypertension
c) Chills
d) bradycardia - ANSWERS-a) back pain
A nurse is monitoring an older adult client who has an exacerbation of chronic
lymphocytic leukemia. The nurse notes petechiae on the client's skin.
1.Institute bleeding precautions
2.Determine the client's blood type
3.Avoid administering IV pain medication
4.Implement airborne precautions - ANSWERS-1.Institute bleeding precautions
A nurse is monitoring an older adult client who has an extrapolation of chronic
lymphocytic leukemia. The nurse notes patikayy on the client's skin which of the
following actions should the nurse take?
a) Determine the client's blood type
b) avoid administering IV pain medication
c) Implement airborne precautions
d) Institute bleeding precautions - ANSWERS-d) Institute bleeding precautions
A nurse is planning a staff education session about hepatitis A. Which of the following
information should the nurse include?
a) Immunization for Hepatitis A is recommended prior to travel to high-risk areas
b) the incubation. Of hepatitis A is 5 to 10 days
c) hepatitis A is transmitted is Through Blood to blood exposure
d) clients who have Hepatitis A require a broad-spectrum antibiotic - ANSWERS-
a) Immunization for Hepatitis A is recommended prior to travel to high-risk areas
A nurse is planning care for a client who has a central venous access device for
intermittent infusions. Which of the following actions should the nurse include in the
plan of care?
a) Flush a catheter using a 10 mL syringe
b) Use clean technique when changing the dressing
c) Cleanse the site with Provo dine iodine
d) Change the dressing every 24 hours - ANSWERS-a) Flush a catheter using a 10
mL syringe
A nurse is planning care for a client who has a full-thickness burns on the lower
extremities. Which of the following interventions should the nurse include?
a) Limit visitation time for client's children to 40 minutes per day
b) clean the equipment in the client's room once per week
c) provide a diet of fresh fruits and vegetable for the client
d) apply new gloves when alternating between wound care sites - ANSWERS-d)
apply new gloves when alternating between wound care sites
A nurse is planning care for a client who has left-sided hemiplegia following a stroke
which of the following actions should the nurse include in the plan of care?
, a) Place a plate guard on the client's meal tray
b) position the bedside table on the client's left side
c) remind the client to use a cane on his left side while ambulating
d) provide the client with a short handled Reacher - ANSWERS-a) Place a plate
guard on the client's meal tray
A nurse is planning care for a client who has status epilepticus. Which of the following
interventions is the nurses priority to include?
a) Administer phenytoin IV bolus to the client
b) provide the client oxygen at 6 L / min using a nasal cannula c) turn the client to the
lateral position during seizure activity d) administer diazepam intravenously to the
client
- ANSWERS-c) turn the client to the lateral position during seizure activity
A nurse is planning care for a client who has upper gastrointestinal bleeding due to a
peptic ulcer. Which of the following actions should the nurse plan to take?
a) Provide ketorolac for abdominal pain
b) Administer nitroprusside IV based on the client's weight
c) Insert a large bore nasogastric tube
d) Ensure that the client has a 22- gauge iv line in place - ANSWERS-c) Insert a
large bore nasogastric tube
A nurse is planning care for an older adult client who has Meniere's disease. Which of
the following interventions should the nurse include in the plan?
a) Perform range of motion exercises to the client's neck every 4 hours
b) limited clients fluid intake to 1500 ml / day
c) administer aspirin if the client reports a headache
d) encourage the client to change position slowly - ANSWERS-d) encourage the
client to change position slowly
A nurse is planning the discharge of a client who had an ischemic stroke. The nurse
should ensure that the client is discharged with which of the following types of
pharmacologic therapy?
a) Opioid analgesic
b) Anticonvulsant
c) anti thrombotic
d) diuretic - ANSWERS-c) anti thrombotic
A nurse is planning to teach a client whose provider has prescribed a low purine
diet. The nurse should plan to instruct the client that he can include which of the
following Foods in his diet (select all that apply)
a) Sardines
b) Nuts
c) Apricots
d) liver
e) scallops - ANSWERS-b) Nuts
c) Apricots
