ATI 2020 proctored MedSurg Latest
Updates 2023
A nurse is reinforcing teaching with a client who has HIV and is being discharged to
home. Which of the following instructions should the nurse include in the teaching?
Take Temperature once a day
Wash armpits
Change litter boxes while wearing gloves - ANSWERS---Take temperature once a day
A nurse is caring for a client who is postoperative following a tracheostomy, and has
copious and tenacious secretions. Which of the following is an acceptable method for
the nurse to use to thin this client's secretions?
Provide humidified oxygen
Perform Chest physiotherapy - ANSWERS---Provide humidified oxygen
Following admission, a client with a vascular occlusion of the right lower extremity calls
the nurse and reports difficulty sleeping because of cold feet. Which of the following
nursing actions should the nurse take to promote the client's comfort?
Rub the clients feet briskly
,Obtain a pair of slipper socks for the client - ANSWERS---Obtain a pair of slipper socks
for the client
A nurse is caring for a client is who is 4 hr postoperative following a transurethral
resection of the prostate (TURP). Which of the following is the priority finding for the
nurse report to the provider?
Pain Level of 4
Thick, red-colored urine - ANSWERS---Thick, red-colored urine
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a
prescription for a hypothermia blanket. The nurse should monitor the client for which of
the following adverse effects of the hypothermia blanket?
Shivering
Infection
Burns - ANSWERS---Shivering
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes
mellitus. Which of the following statements by the client indicates an understanding of
the teaching?
"I will increase intensity of the exercise if my urine is positive for ketones."
I will exercise 2 times a week - ANSWERS---"I will not exercise if my urine is positive for
ketones."
A nurse notes a small section of bowel protruding from the abdominal incision of a client
who is postoperative. After calling for assistance, which of the following actions should
the nurse take first?
Cover the client's wound with a moist, sterile dressing
Have client lay supine with knees fixed - ANSWERS---Cover the client's wound with a
moist, sterile dressing
A nurse is collecting data from a client who has alcohol use disorder and is experiencing
metabolic acidosis. Which of the following manifestations should the nurse expect?
Hyperventilation
High blood pressure - ANSWERS---Hyperventilation
A nurse is reinforcing discharge teaching with a client following a cataract extraction.
Which of the following should the nurse include in the teaching?
Avoid bending at the waist
Stand up fast - ANSWERS---Avoid bending at the waist
A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg
daily. The client refuses breakfast and reports nausea. Which of the following actions
should the nurse take first?
Get scheduled medications
Check the clients vital signs - ANSWERS---Check the client's vital signs
, A nurse is caring for a client who is 3 days postoperative following a cholecystectomy.
The nurse suspects the client's wound is infected because the drainage from the
dressing is yellow and thick. Which of the following findings should the nurse report as
the type of drainage found?
Purulent
Ketones - ANSWERS---Purulent
A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To
prevent postoperative complications which of the following actions should be reinforced
during the teaching?
Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises
Provide deep breathing exercises - ANSWERS---Administer an opioid analgesic to the
client 30 min prior to initiating CPM exercises
A nurse is collecting data from a client who has emphysema. Which of the following
findings should the nurse expect? (Select all that apply.)
Dyspnea, Barrel chest, Clubbing of the fingers, Shallow respirations , hypotension -
ANSWERS---Dyspnea, Barrel chest, Clubbing of the fingers, Shallow respirations
A nurse is caring for a client who sustained a basal skull fracture. When performing
morning hygiene care, the nurse notices a thin stream of clear drainage coming from
out of the client's right nostril. Which of the following actions should the nurse take first?
Test the drainage for glucose
Administer insulin - ANSWERS---Test the drainage for glucose
A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should
recognize that the client is at risk for autonomic dysreflexia. Which of the following
interventions should the nurse take to prevent autonomic dysreflexia?
Prevent bladder distention
Administer opioids - ANSWERS---Prevent bladder distention
A nurse is caring for a client who is being evaluated for endometrial cancer. Which of
the following findings should the nurse expect the client to report?
Thrombocytopenia
Abnormal vaginal bleeding - ANSWERS---Abnormal vaginal bleeding
A nurse is caring for a client following an open reduction and internal fixation of a
fractured femur. Which of the following findings is the nurse's priority?
Documenting the findings
Altered level of consciousness - ANSWERS---Altered level of consciousness
A nurse is assisting in the care of a client who is 2 hours postoperative following a
wedge resection of the left lung and has a chest tube to suction. Which of the following
is the priority finding the nurse should report to the provider?
Abdomen is distended
Normal respiration's - ANSWERS---Abdomen is distended
Updates 2023
A nurse is reinforcing teaching with a client who has HIV and is being discharged to
home. Which of the following instructions should the nurse include in the teaching?
Take Temperature once a day
Wash armpits
Change litter boxes while wearing gloves - ANSWERS---Take temperature once a day
A nurse is caring for a client who is postoperative following a tracheostomy, and has
copious and tenacious secretions. Which of the following is an acceptable method for
the nurse to use to thin this client's secretions?
Provide humidified oxygen
Perform Chest physiotherapy - ANSWERS---Provide humidified oxygen
Following admission, a client with a vascular occlusion of the right lower extremity calls
the nurse and reports difficulty sleeping because of cold feet. Which of the following
nursing actions should the nurse take to promote the client's comfort?
Rub the clients feet briskly
,Obtain a pair of slipper socks for the client - ANSWERS---Obtain a pair of slipper socks
for the client
A nurse is caring for a client is who is 4 hr postoperative following a transurethral
resection of the prostate (TURP). Which of the following is the priority finding for the
nurse report to the provider?
Pain Level of 4
Thick, red-colored urine - ANSWERS---Thick, red-colored urine
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a
prescription for a hypothermia blanket. The nurse should monitor the client for which of
the following adverse effects of the hypothermia blanket?
Shivering
Infection
Burns - ANSWERS---Shivering
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes
mellitus. Which of the following statements by the client indicates an understanding of
the teaching?
"I will increase intensity of the exercise if my urine is positive for ketones."
I will exercise 2 times a week - ANSWERS---"I will not exercise if my urine is positive for
ketones."
A nurse notes a small section of bowel protruding from the abdominal incision of a client
who is postoperative. After calling for assistance, which of the following actions should
the nurse take first?
Cover the client's wound with a moist, sterile dressing
Have client lay supine with knees fixed - ANSWERS---Cover the client's wound with a
moist, sterile dressing
A nurse is collecting data from a client who has alcohol use disorder and is experiencing
metabolic acidosis. Which of the following manifestations should the nurse expect?
Hyperventilation
High blood pressure - ANSWERS---Hyperventilation
A nurse is reinforcing discharge teaching with a client following a cataract extraction.
Which of the following should the nurse include in the teaching?
Avoid bending at the waist
Stand up fast - ANSWERS---Avoid bending at the waist
A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg
daily. The client refuses breakfast and reports nausea. Which of the following actions
should the nurse take first?
Get scheduled medications
Check the clients vital signs - ANSWERS---Check the client's vital signs
, A nurse is caring for a client who is 3 days postoperative following a cholecystectomy.
The nurse suspects the client's wound is infected because the drainage from the
dressing is yellow and thick. Which of the following findings should the nurse report as
the type of drainage found?
Purulent
Ketones - ANSWERS---Purulent
A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To
prevent postoperative complications which of the following actions should be reinforced
during the teaching?
Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises
Provide deep breathing exercises - ANSWERS---Administer an opioid analgesic to the
client 30 min prior to initiating CPM exercises
A nurse is collecting data from a client who has emphysema. Which of the following
findings should the nurse expect? (Select all that apply.)
Dyspnea, Barrel chest, Clubbing of the fingers, Shallow respirations , hypotension -
ANSWERS---Dyspnea, Barrel chest, Clubbing of the fingers, Shallow respirations
A nurse is caring for a client who sustained a basal skull fracture. When performing
morning hygiene care, the nurse notices a thin stream of clear drainage coming from
out of the client's right nostril. Which of the following actions should the nurse take first?
Test the drainage for glucose
Administer insulin - ANSWERS---Test the drainage for glucose
A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should
recognize that the client is at risk for autonomic dysreflexia. Which of the following
interventions should the nurse take to prevent autonomic dysreflexia?
Prevent bladder distention
Administer opioids - ANSWERS---Prevent bladder distention
A nurse is caring for a client who is being evaluated for endometrial cancer. Which of
the following findings should the nurse expect the client to report?
Thrombocytopenia
Abnormal vaginal bleeding - ANSWERS---Abnormal vaginal bleeding
A nurse is caring for a client following an open reduction and internal fixation of a
fractured femur. Which of the following findings is the nurse's priority?
Documenting the findings
Altered level of consciousness - ANSWERS---Altered level of consciousness
A nurse is assisting in the care of a client who is 2 hours postoperative following a
wedge resection of the left lung and has a chest tube to suction. Which of the following
is the priority finding the nurse should report to the provider?
Abdomen is distended
Normal respiration's - ANSWERS---Abdomen is distended
