PN MED SURG PROCTORED /ATI PN MEDICAL SURGICAL EXAM
ACTUAL EXAM
1. A nurse is reviewing the medical record of a client who has a prescription for
morphine. Which of the following findings should the nurse report to the provider?:
Urinary retention
2. A nurse is caring for a client who is at risk for developing pressure ulcers. Which of
the following actions should the nurse take?: Position pillows between the bony
prominences
3. A nurse is caring for a client who is postoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take first?: Stop the medication infusion
4. A nurse is reinforcing teaching with a client who has gonorrhea. Which of the
following information should the nurse include?: You are at risk for infertility with this
infection, regardless of treatment
5. A nurse is examining a clients IV site and notes a red line up his arm. The client
reliant a throbbing, burning pain at the IV site. The nurse should identify that the clients
manifestations indicate which of the following complications?: Thrombophlebitis
6. A nurse is reinforcing teaching with an adolescent client regarding testicular self
examination. Which of the following statements by the client demonstrates an
undertsmdibg of the teaching?: I understand that testicular cancer is painless
7. A nurse in a long term care facility is collecting data from a client who reports
fullness in the rectum and abdominal cramping. Which of the following findings should
indicate to the nurse that the client might have a fecal impaction?: Small liquid stools
8. A nurse in an oncology is reinforcing teaching about Mohs surgery with a
client who has skin cancer. Which of the following information should the nurse
,include in the teaching?: Mohs surgery is a horizontal shaving of thin layers of the tumor
9. A nurse is reinforcing teaching about GERd with a client. Which of the following
statements by the client indicates an understanding of the teaching?: I should wait at
least 2 hours after eating before going to bed
10 A nurse is assisting with the care of a care who is reconciled 0.9 % sodium chloride
by continuous IV infusion. The client report pain and swelling at the IV site. In which
order should the nurse perform that following steps?: Check the
IV site, stop the infusion, withdraw the IV catheter, elevate the affected arm, notify the
charge nurse
11. A nurse is contributing to the plan of care for an older adult client who is at risk for
osteoporosis. Which of the following interventions should the nurse include to
prevent bone loss?: Encourage weight bearing exercises
12. A nurse is assisting with the care of a client who has a cardiac catheterization via
the right femoral artery. Which of the following actions should the nurse
take to prevent lost procedure complications?: Monitor the insertion site for bleeding is
correct, maintain the pressure dressing, check the clients peripheral pulses
13. A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty.
The client is exhibiting hypotension,tachycardia, and tachypnea. The nurse should
recognize these findings indicate which of the following complications?: Pulmonary
embolism
14. A nurse is reinforcing discharge teaching with a client who has hearing loss. Which
of the following actions should the nurse take when communication with the client?:
Rephrase client instructions when not understood
, PN MED SURG PROCTORED /ATI PN MEDICAL SURGICAL EXAM
ACTUAL EXAM
15. A nurse is caring for a client who is postoperative and has an epidural infusion.
Which of the following findings should the nurse recognize as the priority?: Dyspnea
16. A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client
who has an INR of 4. Available is phytonadione 10 mg/ml. How many ml should the
nurse administer?: 0.7
17. A nurse is reinforcing teaching with a client who has multiple sclerosis and a new
prescription for baclofen. Which of the following instructions should the nurse include
in the teaching?: Avoid stopping this medication suddenly
18. A nurse is planning to implement droplet precautions for a client who has
manifestation of pertussis. Which of the following interventions should the nurse include
when contributing?: Apply a mask on the client of transport is needed
19. A nurse is caring for an older adult client who has a reddened area over the sacrum.
Which of the following actions should the nurse take?: Minimize the time the head of
the bed is elevated
20. A nurse is collecting data from a client and noticed several skin lesions. Which of
the following findings should the nurse report as possible melanoma?: Irregular
borders
21. A nurse is reinforcing teaching with a client who is in a low sodium diet and asks
about how to improve the taste of bland food. Which of the following should the nurse
recommend?: Lemon juice
ACTUAL EXAM
1. A nurse is reviewing the medical record of a client who has a prescription for
morphine. Which of the following findings should the nurse report to the provider?:
Urinary retention
2. A nurse is caring for a client who is at risk for developing pressure ulcers. Which of
the following actions should the nurse take?: Position pillows between the bony
prominences
3. A nurse is caring for a client who is postoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take first?: Stop the medication infusion
4. A nurse is reinforcing teaching with a client who has gonorrhea. Which of the
following information should the nurse include?: You are at risk for infertility with this
infection, regardless of treatment
5. A nurse is examining a clients IV site and notes a red line up his arm. The client
reliant a throbbing, burning pain at the IV site. The nurse should identify that the clients
manifestations indicate which of the following complications?: Thrombophlebitis
6. A nurse is reinforcing teaching with an adolescent client regarding testicular self
examination. Which of the following statements by the client demonstrates an
undertsmdibg of the teaching?: I understand that testicular cancer is painless
7. A nurse in a long term care facility is collecting data from a client who reports
fullness in the rectum and abdominal cramping. Which of the following findings should
indicate to the nurse that the client might have a fecal impaction?: Small liquid stools
8. A nurse in an oncology is reinforcing teaching about Mohs surgery with a
client who has skin cancer. Which of the following information should the nurse
,include in the teaching?: Mohs surgery is a horizontal shaving of thin layers of the tumor
9. A nurse is reinforcing teaching about GERd with a client. Which of the following
statements by the client indicates an understanding of the teaching?: I should wait at
least 2 hours after eating before going to bed
10 A nurse is assisting with the care of a care who is reconciled 0.9 % sodium chloride
by continuous IV infusion. The client report pain and swelling at the IV site. In which
order should the nurse perform that following steps?: Check the
IV site, stop the infusion, withdraw the IV catheter, elevate the affected arm, notify the
charge nurse
11. A nurse is contributing to the plan of care for an older adult client who is at risk for
osteoporosis. Which of the following interventions should the nurse include to
prevent bone loss?: Encourage weight bearing exercises
12. A nurse is assisting with the care of a client who has a cardiac catheterization via
the right femoral artery. Which of the following actions should the nurse
take to prevent lost procedure complications?: Monitor the insertion site for bleeding is
correct, maintain the pressure dressing, check the clients peripheral pulses
13. A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty.
The client is exhibiting hypotension,tachycardia, and tachypnea. The nurse should
recognize these findings indicate which of the following complications?: Pulmonary
embolism
14. A nurse is reinforcing discharge teaching with a client who has hearing loss. Which
of the following actions should the nurse take when communication with the client?:
Rephrase client instructions when not understood
, PN MED SURG PROCTORED /ATI PN MEDICAL SURGICAL EXAM
ACTUAL EXAM
15. A nurse is caring for a client who is postoperative and has an epidural infusion.
Which of the following findings should the nurse recognize as the priority?: Dyspnea
16. A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client
who has an INR of 4. Available is phytonadione 10 mg/ml. How many ml should the
nurse administer?: 0.7
17. A nurse is reinforcing teaching with a client who has multiple sclerosis and a new
prescription for baclofen. Which of the following instructions should the nurse include
in the teaching?: Avoid stopping this medication suddenly
18. A nurse is planning to implement droplet precautions for a client who has
manifestation of pertussis. Which of the following interventions should the nurse include
when contributing?: Apply a mask on the client of transport is needed
19. A nurse is caring for an older adult client who has a reddened area over the sacrum.
Which of the following actions should the nurse take?: Minimize the time the head of
the bed is elevated
20. A nurse is collecting data from a client and noticed several skin lesions. Which of
the following findings should the nurse report as possible melanoma?: Irregular
borders
21. A nurse is reinforcing teaching with a client who is in a low sodium diet and asks
about how to improve the taste of bland food. Which of the following should the nurse
recommend?: Lemon juice
