ATI Med Surge Proctored Exam 2023, RN 2023 Adult
Medical Surgical ATI Proctored
A nurse is assisting with the care of a client who has a femur fracture and
is in skeletal traction. Which of the following actions should the nurse
take - ............ANSWER..........Ensure the client's weights are hanging
freely from the bed.
A nurse in a provider's office is reinforcing teaching with a client who has
anemia and has been taking ferrous gluconate for several weeks. Which
of the following instructions should the nurse include?
- ............ANSWER..........Take this medication between meals.
A nurse is preparing a plan of care for a client who is postoperative
following
a modified radical mastectomy. Which of the following invasive devices
should the nurse expect this client to have?
- ............ANSWER..........jackson-pratt drain
A nurse is caring for a client who had a left lower lobectomy to treat lung
cancer. Which of the following factors will have a significant impact on
the plan of care for this client? - ............ANSWER..........lung cancer
usually has metastasized before the client presents with symptoms
A nurse is reviewing the plan of care for a client who has cellulitis of the
leg. Which of the following interventions should the nurse recommend? -
............ANSWER..........Wash daily with an antibacterial soap.
,A nurse is reinforcing teaching with a client who is postoperative after
having an ileostomy established. Which of the following instructions
should the nurse include in the teaching? - ............ANSWER..........Avoid
medications in capsule or enteric form.
A nurse is caring for a client with severe burns to both lower extremities.
The client is scheduled for an escharotomy and wants to know what the
procedure involves. Which of the following statements is appropriate for
the nurse to make? - ............ANSWER.........."Large incisions will be
made in the burned tissue to improve circulation."
A nurse is collecting data from a client who has a possible cataract.
Which of the following manifestations should the nurse expect the client
to report? - ............ANSWER..........Decreased color perception
A nurse is contributing to the plan of care for a client who has an
intestinal obstruction and is receiving continuous gastrointestinal
decompression using a nasogastric tube. Which of the following
interventions should the nurse include in the plan of care?
- ............ANSWER..........Maintain the client in Fowler's position.
A nurse is caring for a client who has Cushing's syndrome. Which of the
following clinical manifestations should the nurse expect to observe?
(Select all that apply.) - ............ANSWER..........1) Buffalo hump 2)
Purple striations 3) Moon face
A nurse is caring for a client who is in the oliguric phase of acute kidney
injury. Which of the following actions should the nurse take?
- ............ANSWER..........Monitor intake and output hourly
,A nurse is reinforcing teaching about an esophagogastroduodenoscopy
with a client who has upper gastric pain. Which of the following
statements should the nurse include in the teaching?
- ............ANSWER.........."You will remain NPO for 8 hours before the
procedure."
A nurse is caring for a client who is difficult to arouse and very sleepy for
several hours following a generalized tonic-clonic seizure. Which of the
following descriptions should the nurse use when documenting this
finding in the medical record? - ............ANSWER..........Postictal phase
A nurse is reinforcing teaching with a client who reports right shoulder
pain following a laparoscopic cholecystectomy. Which of the following
statements should the nurse make? - ............ANSWER.........."The pain
will dissipate if you ambulate frequently."
A nurse is checking the suction control chamber of a client's chest tube
and notes that there is no bubbling in the suction control chamber. Which
of the following actions should the nurse take?
- ............ANSWER..........Verify that the suction regulator is on.
A nurse is assisting with the care of a client immediately following a
lumbar puncture. Which of the following actions should the nurse take?
(Select all that apply.) - ............ANSWER..........Encourage fluid intake.
2) Monitor the puncture site for hematoma.
A nurse is assisting with the care of a client who is postoperative
following surgical repair of a fractured mandible. The client's jaw is
wired shut to repair and stabilize the fracture. The nurse should recognize
, which of the following is the priority action?
- ............ANSWER..........Prevent aspiration.
A nurse is collecting data from a client who has scleroderma. Which of
the following findings should the nurse expect?
- ............ANSWER..........Hardened skin
A nurse is caring for an older adult client who has dysphagia and left-
sided weakness following a stroke. Which of the following actions should
the nurse take? - ............ANSWER..........Add thickener to fluids.
A nurse is caring for a client who has partial-thickness and full-thickness
burns of his head, neck, and chest. The nurse should recognize which of
the following is the priority risk to the client?
- ............ANSWER..........Airway obstruction
A nurse is reinforcing teaching with a client who is newly diagnosed with
myasthenia gravis and is to start taking neostigmine. Which of the
following instructions should the nurse include in the teaching?
- ............ANSWER..........1) Take the medication 45 minutes before
eating.
A nurse is caring for a client who is 12 hours postoperative following a
transurethral resection of the prostate (TURP) and has a 3-way urinary
catheter with continuous irrigation. The nurse notes there has not been
any urinary output in the last hour. Which of the following actions should
the nurse perform first? - ............ANSWER..........Notify the provider..
Determine the patency of the tubing.
Medical Surgical ATI Proctored
A nurse is assisting with the care of a client who has a femur fracture and
is in skeletal traction. Which of the following actions should the nurse
take - ............ANSWER..........Ensure the client's weights are hanging
freely from the bed.
A nurse in a provider's office is reinforcing teaching with a client who has
anemia and has been taking ferrous gluconate for several weeks. Which
of the following instructions should the nurse include?
- ............ANSWER..........Take this medication between meals.
A nurse is preparing a plan of care for a client who is postoperative
following
a modified radical mastectomy. Which of the following invasive devices
should the nurse expect this client to have?
- ............ANSWER..........jackson-pratt drain
A nurse is caring for a client who had a left lower lobectomy to treat lung
cancer. Which of the following factors will have a significant impact on
the plan of care for this client? - ............ANSWER..........lung cancer
usually has metastasized before the client presents with symptoms
A nurse is reviewing the plan of care for a client who has cellulitis of the
leg. Which of the following interventions should the nurse recommend? -
............ANSWER..........Wash daily with an antibacterial soap.
,A nurse is reinforcing teaching with a client who is postoperative after
having an ileostomy established. Which of the following instructions
should the nurse include in the teaching? - ............ANSWER..........Avoid
medications in capsule or enteric form.
A nurse is caring for a client with severe burns to both lower extremities.
The client is scheduled for an escharotomy and wants to know what the
procedure involves. Which of the following statements is appropriate for
the nurse to make? - ............ANSWER.........."Large incisions will be
made in the burned tissue to improve circulation."
A nurse is collecting data from a client who has a possible cataract.
Which of the following manifestations should the nurse expect the client
to report? - ............ANSWER..........Decreased color perception
A nurse is contributing to the plan of care for a client who has an
intestinal obstruction and is receiving continuous gastrointestinal
decompression using a nasogastric tube. Which of the following
interventions should the nurse include in the plan of care?
- ............ANSWER..........Maintain the client in Fowler's position.
A nurse is caring for a client who has Cushing's syndrome. Which of the
following clinical manifestations should the nurse expect to observe?
(Select all that apply.) - ............ANSWER..........1) Buffalo hump 2)
Purple striations 3) Moon face
A nurse is caring for a client who is in the oliguric phase of acute kidney
injury. Which of the following actions should the nurse take?
- ............ANSWER..........Monitor intake and output hourly
,A nurse is reinforcing teaching about an esophagogastroduodenoscopy
with a client who has upper gastric pain. Which of the following
statements should the nurse include in the teaching?
- ............ANSWER.........."You will remain NPO for 8 hours before the
procedure."
A nurse is caring for a client who is difficult to arouse and very sleepy for
several hours following a generalized tonic-clonic seizure. Which of the
following descriptions should the nurse use when documenting this
finding in the medical record? - ............ANSWER..........Postictal phase
A nurse is reinforcing teaching with a client who reports right shoulder
pain following a laparoscopic cholecystectomy. Which of the following
statements should the nurse make? - ............ANSWER.........."The pain
will dissipate if you ambulate frequently."
A nurse is checking the suction control chamber of a client's chest tube
and notes that there is no bubbling in the suction control chamber. Which
of the following actions should the nurse take?
- ............ANSWER..........Verify that the suction regulator is on.
A nurse is assisting with the care of a client immediately following a
lumbar puncture. Which of the following actions should the nurse take?
(Select all that apply.) - ............ANSWER..........Encourage fluid intake.
2) Monitor the puncture site for hematoma.
A nurse is assisting with the care of a client who is postoperative
following surgical repair of a fractured mandible. The client's jaw is
wired shut to repair and stabilize the fracture. The nurse should recognize
, which of the following is the priority action?
- ............ANSWER..........Prevent aspiration.
A nurse is collecting data from a client who has scleroderma. Which of
the following findings should the nurse expect?
- ............ANSWER..........Hardened skin
A nurse is caring for an older adult client who has dysphagia and left-
sided weakness following a stroke. Which of the following actions should
the nurse take? - ............ANSWER..........Add thickener to fluids.
A nurse is caring for a client who has partial-thickness and full-thickness
burns of his head, neck, and chest. The nurse should recognize which of
the following is the priority risk to the client?
- ............ANSWER..........Airway obstruction
A nurse is reinforcing teaching with a client who is newly diagnosed with
myasthenia gravis and is to start taking neostigmine. Which of the
following instructions should the nurse include in the teaching?
- ............ANSWER..........1) Take the medication 45 minutes before
eating.
A nurse is caring for a client who is 12 hours postoperative following a
transurethral resection of the prostate (TURP) and has a 3-way urinary
catheter with continuous irrigation. The nurse notes there has not been
any urinary output in the last hour. Which of the following actions should
the nurse perform first? - ............ANSWER..........Notify the provider..
Determine the patency of the tubing.
