ATI MED SURG PROCTORED EXAM
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse is developing a plan of care for a client who is returning from the
PACU following a left below-the-knee amputation. Which of the following
interventions should the nurse include in the plan?
a. Provide the client with a firm mattress
b. Wrap the client's residual limb with elastic bandage in a distal to
proximal direction
c. Place the client's residual limb in a dependent position when
possible
d. Keep the client in a supine position for 48 hours - ✔✔✔ Correct Answer
> a. Provide the client with a firm mattress
A nurse is instructing a client who has a new diagnosis of type 1 diabetes
mellitus about the sick-day rules. Which of the following statements by the
client indicates an understanding of the teaching?
a. "I will monitor my blood glucose every 8 hours"
b. "I will consume 250 grams of carbs daily while I'm sick"
1
,c. "I will not take my diabetes medications while I am sick"
d. "I will check urine for ketones if my blood glucose is greater than 240
mg/dl - ✔✔✔ Correct Answer > d. "I will check urine for ketones if my blood
glucose is greater than 240 mg/dl
A nurse is reviewing ABG results for a client who has COPD. Which of the
following findings should the nurse expect?
a. pH 7.38
b. PaO2 85 mm Hg
c. PaCO2 48 mm Hg
d. HCO3- 25 mEq/l - ✔✔✔ Correct Answer > c. PaCO2 48 mm Hg
A nurse is admitting a client to a medical unit following placement of a
permanent pacemaker. Which of the following findings requires further
assessment by the nurse?
a. Sneezing
b. Hiccups
c. Presence of a sharp spike prior to the QRS complex on the
ECG
d. Presence of intrinsic P waves following a QRS complex on the ECG -
✔✔✔ Correct Answer > b. Hiccups
2
,A nurse is caring for a client who experienced extensive burns to the arms and
torso. Which of the following actions should the nurse take regarding the
client's oral nutritional intake?
a. Adhere to scheduled meal times three times daily
b. Encourage the client to eat as many calories as possible
c. Limit the client's fluid intake to 1,500 ml/day
d. Avoid the use of supplemental feedings throughout the day -
✔✔✔ Correct Answer > b. Encourage the client to eat as many calories as
possible
A nurse is planning care for a client who is 1 day postoperative following an
open cholecystectomy. Which of the following interventions should the nurse
include in the plan of care?
a. Place pillows under the client's knees
b. Apply compression stockings to the lower extremities
c. Avoid use of anticoagulants
d. Discourage leg exercises while in bed - ✔✔✔ Correct Answer > b. Apply
compression stockings to the lower extremities
A nurse is caring for a client who has duodenal ulcer. Which of the following
actions should the nurse take? Exhibit
a. Restrict the client's fluid intake to 1,000 ml/day
b. Infuse packed RBCs
3
, c. Administer the client's naproxen prescription
d. Offer a snack before bedtime - ✔✔✔ Correct Answer > b. Infuse packed
RBCs
A nurse is assessing an older adult client at a health fair. Which of the following
statements by the client is the nurse's priority?
a. "I can't seem to get reading materials far enough away to see the words"
b. "I'm having more difficulty telling the difference between blues and
greens"
c. "I've noticed that there is a gray ring around the colored part of my eye"
d. "In the last day, I have had a severe headache and pain around my right
eye" - ✔✔✔ Correct Answer > d. "In the last day, I have had a severe headache
and pain around my right eye"
A nurse is caring for an adolescent client who has an acute kidney injury.
Which of the following laboratory findings should the nurse anticipate?
a. BUN 8 mg/dl
b. Hgb 20 g/dl
c. Potassium 6.8 mEq/l
d. Creatinine 0.4 mg/dl - ✔✔✔ Correct Answer > c. Potassium 6.8 mEq/l
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?
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ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse is developing a plan of care for a client who is returning from the
PACU following a left below-the-knee amputation. Which of the following
interventions should the nurse include in the plan?
a. Provide the client with a firm mattress
b. Wrap the client's residual limb with elastic bandage in a distal to
proximal direction
c. Place the client's residual limb in a dependent position when
possible
d. Keep the client in a supine position for 48 hours - ✔✔✔ Correct Answer
> a. Provide the client with a firm mattress
A nurse is instructing a client who has a new diagnosis of type 1 diabetes
mellitus about the sick-day rules. Which of the following statements by the
client indicates an understanding of the teaching?
a. "I will monitor my blood glucose every 8 hours"
b. "I will consume 250 grams of carbs daily while I'm sick"
1
,c. "I will not take my diabetes medications while I am sick"
d. "I will check urine for ketones if my blood glucose is greater than 240
mg/dl - ✔✔✔ Correct Answer > d. "I will check urine for ketones if my blood
glucose is greater than 240 mg/dl
A nurse is reviewing ABG results for a client who has COPD. Which of the
following findings should the nurse expect?
a. pH 7.38
b. PaO2 85 mm Hg
c. PaCO2 48 mm Hg
d. HCO3- 25 mEq/l - ✔✔✔ Correct Answer > c. PaCO2 48 mm Hg
A nurse is admitting a client to a medical unit following placement of a
permanent pacemaker. Which of the following findings requires further
assessment by the nurse?
a. Sneezing
b. Hiccups
c. Presence of a sharp spike prior to the QRS complex on the
ECG
d. Presence of intrinsic P waves following a QRS complex on the ECG -
✔✔✔ Correct Answer > b. Hiccups
2
,A nurse is caring for a client who experienced extensive burns to the arms and
torso. Which of the following actions should the nurse take regarding the
client's oral nutritional intake?
a. Adhere to scheduled meal times three times daily
b. Encourage the client to eat as many calories as possible
c. Limit the client's fluid intake to 1,500 ml/day
d. Avoid the use of supplemental feedings throughout the day -
✔✔✔ Correct Answer > b. Encourage the client to eat as many calories as
possible
A nurse is planning care for a client who is 1 day postoperative following an
open cholecystectomy. Which of the following interventions should the nurse
include in the plan of care?
a. Place pillows under the client's knees
b. Apply compression stockings to the lower extremities
c. Avoid use of anticoagulants
d. Discourage leg exercises while in bed - ✔✔✔ Correct Answer > b. Apply
compression stockings to the lower extremities
A nurse is caring for a client who has duodenal ulcer. Which of the following
actions should the nurse take? Exhibit
a. Restrict the client's fluid intake to 1,000 ml/day
b. Infuse packed RBCs
3
, c. Administer the client's naproxen prescription
d. Offer a snack before bedtime - ✔✔✔ Correct Answer > b. Infuse packed
RBCs
A nurse is assessing an older adult client at a health fair. Which of the following
statements by the client is the nurse's priority?
a. "I can't seem to get reading materials far enough away to see the words"
b. "I'm having more difficulty telling the difference between blues and
greens"
c. "I've noticed that there is a gray ring around the colored part of my eye"
d. "In the last day, I have had a severe headache and pain around my right
eye" - ✔✔✔ Correct Answer > d. "In the last day, I have had a severe headache
and pain around my right eye"
A nurse is caring for an adolescent client who has an acute kidney injury.
Which of the following laboratory findings should the nurse anticipate?
a. BUN 8 mg/dl
b. Hgb 20 g/dl
c. Potassium 6.8 mEq/l
d. Creatinine 0.4 mg/dl - ✔✔✔ Correct Answer > c. Potassium 6.8 mEq/l
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?
4
