ATI
ATI MED-SURG
PROCTORED EXAM
PRACTICE QUESTIONS
WITH ANSWERS (73
Q/A)
GRADED A
100%
, MED-SURG EXAM
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse
determines that teaching has been effective when the client identifies which of the
following manifestations of hypoglycemia? (Select all that apply.)
INCORRECT
1) Polyuria
2) Blurry vision
3) Tachycardia
INCORRECT
4) Polydipsia
5) Sweating
Answer Rationale:
Polyuria is incorrect. Hyperglycemia causes polyuria.
Blurry vision is correct. Manifestations of hypoglycemia include blurry vision,
tremors, anxiety, irritability, headache, and hypotension.
Tachycardia is correct. Manifestations of hypoglycemia include tachycardia, tremors,
anxiety, irritability, headache, and hypotension.
Polydipsia is incorrect. Hyperglycemia causes polydipsia.
Sweating is correct. Manifestations of hypoglycemia include sweating, tremors,
anxiety, irritability, headache, and hypotension.
6. A nurse is collecting data from a client who has an exacerbation of gout. Which of the
following findings should the nurse expect? (Select all that apply.)
1) Edema
,2) Erythema
3) Tophi
4) Tight skin
INCORRECT
5) Symmetrical joint pain
Answer Rationale:
Edema is correct. Swelling over the affected joints is a classic manifestation of gout.
Erythema is correct. Redness over the affected joints is a classic manifestation of
gout.
Tophi is correct. Tophi are a classic manifestation of gout. They are nodules that form
in subcutaneous tissue due to the accumulation of urate crystals.
Tight skin is correct. Tight skin over the affected joints is a classic manifestation of
gout.
Symmetrical joint pain is incorrect. Symmetrical joint pain is a manifestation of
rheumatoid arthritis, not gout.
7. A nurse is assisting in the plan of care for a client who had surgery for a bowel
obstruction. The client has a nasogastric tube in place. Which of the following actions
should the nurse include in the client's plan of care? (Select all that apply.)
1) Perform leg exercises every 2 hr.
2) Encourage hourly use of an incentive spirometer while awake.
3) Document the color, consistency, and amount of nasogastric drainage.
INCORRECT
4) Irrigate the nasogastric tube every 4 to 8 hr.
INCORRECT
5) Maintain bed rest for 48 hr following surgery.
Answer Rationale:
1. A nurse is collecting data from a client who has emphysema. Which of the following
findings should the nurse expect? (Select all that apply.)
1) Dyspnea
2) Barrel chest
3) Clubbing of the fingers
4) Shallow respirations
INCORRECT
5) Bradycardia
, Answer Rationale:
Dyspnea is correct. Dyspnea is experienced by clients who have emphysema due to
inadequate oxygen exchange in the lungs.
Barrel chest is correct. The lungs of clients who have emphysema lose their
elasticity, and the diaphragm becomes permanently flattened by overdistention of the
lungs. The muscles of the rib cage also become rigid, and the ribs flare outward. This
produces the barrel chest typical of emphysema clients.
Clubbing of the fingers is correct. Air is trapped in the lungs due to their lack of
elasticity, which decreases oxygenation. Clubbing results from these chronic low blood-
oxygen levels.
Shallow respirations is correct. Clients who have emphysema lose lung elasticity;
consequently, respirations become increasingly shallow and more rapid.
Bradycardia is incorrect. The heart rate will increase as the heart tries to
compensate for less oxygen being delivered to the tissues.
2. 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.)
1) Buffalo hump
2) Purple striations
3) Moon face
INCORRECT
4) Tremors
INCORRECT
5) Obese extremities
Answer Rationale:
Buffalo hump is correct. Cushing's syndrome is a disease caused by an increased
production of cortisol or by excessive use of corticosteroids. Buffalo hump, a collection
of fat between the shoulders, is a common manifestation of Cushing's syndrome.Purple
striations is correct. Purple striations on the skin of the abdomen, thighs, and breasts
are a common manifestation of Cushing's syndrome. This is due to the collection of
body fat in these areas.Moon face is correct. Moon face is a common manifestation of
Cushing's syndrome. Clients who have this manifestation present with a round, red, full
face.Tremors is incorrect. Tremors are not a common finding of Cushing's
syndrome.Obese extremities is incorrect. Clients who have Cushing's syndrome
have truncal obesity, a protuberant abdomen, with thin extremities, which is due to an
alteration in protein metabolism.
3. 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.)
1) Encourage fluid intake.
2) Monitor the puncture site for hematoma.
INCORRECT
3) Insert a urinary catheter.
ATI MED-SURG
PROCTORED EXAM
PRACTICE QUESTIONS
WITH ANSWERS (73
Q/A)
GRADED A
100%
, MED-SURG EXAM
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse
determines that teaching has been effective when the client identifies which of the
following manifestations of hypoglycemia? (Select all that apply.)
INCORRECT
1) Polyuria
2) Blurry vision
3) Tachycardia
INCORRECT
4) Polydipsia
5) Sweating
Answer Rationale:
Polyuria is incorrect. Hyperglycemia causes polyuria.
Blurry vision is correct. Manifestations of hypoglycemia include blurry vision,
tremors, anxiety, irritability, headache, and hypotension.
Tachycardia is correct. Manifestations of hypoglycemia include tachycardia, tremors,
anxiety, irritability, headache, and hypotension.
Polydipsia is incorrect. Hyperglycemia causes polydipsia.
Sweating is correct. Manifestations of hypoglycemia include sweating, tremors,
anxiety, irritability, headache, and hypotension.
6. A nurse is collecting data from a client who has an exacerbation of gout. Which of the
following findings should the nurse expect? (Select all that apply.)
1) Edema
,2) Erythema
3) Tophi
4) Tight skin
INCORRECT
5) Symmetrical joint pain
Answer Rationale:
Edema is correct. Swelling over the affected joints is a classic manifestation of gout.
Erythema is correct. Redness over the affected joints is a classic manifestation of
gout.
Tophi is correct. Tophi are a classic manifestation of gout. They are nodules that form
in subcutaneous tissue due to the accumulation of urate crystals.
Tight skin is correct. Tight skin over the affected joints is a classic manifestation of
gout.
Symmetrical joint pain is incorrect. Symmetrical joint pain is a manifestation of
rheumatoid arthritis, not gout.
7. A nurse is assisting in the plan of care for a client who had surgery for a bowel
obstruction. The client has a nasogastric tube in place. Which of the following actions
should the nurse include in the client's plan of care? (Select all that apply.)
1) Perform leg exercises every 2 hr.
2) Encourage hourly use of an incentive spirometer while awake.
3) Document the color, consistency, and amount of nasogastric drainage.
INCORRECT
4) Irrigate the nasogastric tube every 4 to 8 hr.
INCORRECT
5) Maintain bed rest for 48 hr following surgery.
Answer Rationale:
1. A nurse is collecting data from a client who has emphysema. Which of the following
findings should the nurse expect? (Select all that apply.)
1) Dyspnea
2) Barrel chest
3) Clubbing of the fingers
4) Shallow respirations
INCORRECT
5) Bradycardia
, Answer Rationale:
Dyspnea is correct. Dyspnea is experienced by clients who have emphysema due to
inadequate oxygen exchange in the lungs.
Barrel chest is correct. The lungs of clients who have emphysema lose their
elasticity, and the diaphragm becomes permanently flattened by overdistention of the
lungs. The muscles of the rib cage also become rigid, and the ribs flare outward. This
produces the barrel chest typical of emphysema clients.
Clubbing of the fingers is correct. Air is trapped in the lungs due to their lack of
elasticity, which decreases oxygenation. Clubbing results from these chronic low blood-
oxygen levels.
Shallow respirations is correct. Clients who have emphysema lose lung elasticity;
consequently, respirations become increasingly shallow and more rapid.
Bradycardia is incorrect. The heart rate will increase as the heart tries to
compensate for less oxygen being delivered to the tissues.
2. 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.)
1) Buffalo hump
2) Purple striations
3) Moon face
INCORRECT
4) Tremors
INCORRECT
5) Obese extremities
Answer Rationale:
Buffalo hump is correct. Cushing's syndrome is a disease caused by an increased
production of cortisol or by excessive use of corticosteroids. Buffalo hump, a collection
of fat between the shoulders, is a common manifestation of Cushing's syndrome.Purple
striations is correct. Purple striations on the skin of the abdomen, thighs, and breasts
are a common manifestation of Cushing's syndrome. This is due to the collection of
body fat in these areas.Moon face is correct. Moon face is a common manifestation of
Cushing's syndrome. Clients who have this manifestation present with a round, red, full
face.Tremors is incorrect. Tremors are not a common finding of Cushing's
syndrome.Obese extremities is incorrect. Clients who have Cushing's syndrome
have truncal obesity, a protuberant abdomen, with thin extremities, which is due to an
alteration in protein metabolism.
3. 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.)
1) Encourage fluid intake.
2) Monitor the puncture site for hematoma.
INCORRECT
3) Insert a urinary catheter.
