MED SURG ATI PROCTORED EXAM COMPLETE QUESTIONS
WITH VERIFIED ANSWERS
A nurse in an emergency department is preparing to perform an ocular irrigation
for a client. Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation - CORRECT ANSWERS-d.
Perform the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at
200 ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many gtt/min
should the nurse set the IV pump to administer? Round to near whole number -
CORRECT ANSWERS-33 gtt/min
A nurse is providing discharge teaching to a client who has a new prescription
for sublingual nitroglycerin. Which of the following client statements indicates
an understanding of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
d. I can take up to five tablets in 15 minutes before seeking medical attention -
CORRECT ANSWERS-b. I should lie down when I take this medication
,A nurse is providing discharge teaching to an older adult client following a left
total hip arthroplasty. Which of the following instructions should the nurse
include in the teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom - CORRECT ANSWERS-d. Install a
raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. Which of
the following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
d. Change the client's dressing every 8 hour - CORRECT ANSWERS-c. Maintain the
client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a
prescription for crutches. Which of the following client statements indicates that
the client is adapting to their role change?
a. I will need to have my partner take over shopping for groceries and cooking
the meals for us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. Its going to be difficult to tell my parents I cant take them to their
appointments anymore - CORRECT ANSWERS-a. I will need to have my partner take
over shopping for groceries and cooking the meals for us
,A nurse is caring for a client who has gastroenteritis. Which of the following
assessment findings should the nurse recognize as an indication that the client is
experiencing dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP - CORRECT ANSWERS-d. Decreased BP
A nurse is caring for a client who has a contusion of the brainstem and reports
thirst. The client's urinary output was 4,000 ml over the past 24 hour. The nurse
should anticipate a prescription for which of the following IV medication?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside - CORRECT ANSWERS-a. Desmopressin
A nurse in a clinic receives a phone call from a client who recently started
therapy with an ACE inhibitor and reports a nagging dry cough. Which of the
following responses by the nurse is appropriate?
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time" - CORRECT ANSWERS-a. "your cough may
require that you stop or change your medication"
, A nurse is taking an admission history from a client who reports Raynaud's
disease. Which of the following assessment findings should the nurse identify as
a potential trigger for exacerbations
of Raynaud's?
a. Eating a strict vegetarian diet
b. A history of herpes zoster
c. Taking amiodipine for hypertension
d. Using a nicotine transdermal patch - CORRECT ANSWERS-d. Using a nicotine
transdermal patch
A nurse is caring for a client who has a central venous access device and notes
the tubing has become disconnected. The client develops dyspnea and
tachycardia. Which of the following
actions should the nurse take first?
a. Perform an ECG
b. Obtain ABG values
c. Turn the client to his left side
d. Clamp the catheter - CORRECT ANSWERS-d. Clamp the catheter
A nurse is completing an assessment of an older adult client and notes reddened
areas over the bony prominences, but the client's skin is intact. Which of the
following interventions should the nurse include in the plan of care?
a. Turn and reposition the client every 4 hr
b. Apply an occlusive dressing
c. Support bony prominences with pillows
d. Massage the reddened areas three times a day - CORRECT ANSWERS-c. Support
bony prominences with pillows
WITH VERIFIED ANSWERS
A nurse in an emergency department is preparing to perform an ocular irrigation
for a client. Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation - CORRECT ANSWERS-d.
Perform the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at
200 ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many gtt/min
should the nurse set the IV pump to administer? Round to near whole number -
CORRECT ANSWERS-33 gtt/min
A nurse is providing discharge teaching to a client who has a new prescription
for sublingual nitroglycerin. Which of the following client statements indicates
an understanding of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
d. I can take up to five tablets in 15 minutes before seeking medical attention -
CORRECT ANSWERS-b. I should lie down when I take this medication
,A nurse is providing discharge teaching to an older adult client following a left
total hip arthroplasty. Which of the following instructions should the nurse
include in the teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom - CORRECT ANSWERS-d. Install a
raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. Which of
the following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
d. Change the client's dressing every 8 hour - CORRECT ANSWERS-c. Maintain the
client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a
prescription for crutches. Which of the following client statements indicates that
the client is adapting to their role change?
a. I will need to have my partner take over shopping for groceries and cooking
the meals for us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. Its going to be difficult to tell my parents I cant take them to their
appointments anymore - CORRECT ANSWERS-a. I will need to have my partner take
over shopping for groceries and cooking the meals for us
,A nurse is caring for a client who has gastroenteritis. Which of the following
assessment findings should the nurse recognize as an indication that the client is
experiencing dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP - CORRECT ANSWERS-d. Decreased BP
A nurse is caring for a client who has a contusion of the brainstem and reports
thirst. The client's urinary output was 4,000 ml over the past 24 hour. The nurse
should anticipate a prescription for which of the following IV medication?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside - CORRECT ANSWERS-a. Desmopressin
A nurse in a clinic receives a phone call from a client who recently started
therapy with an ACE inhibitor and reports a nagging dry cough. Which of the
following responses by the nurse is appropriate?
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time" - CORRECT ANSWERS-a. "your cough may
require that you stop or change your medication"
, A nurse is taking an admission history from a client who reports Raynaud's
disease. Which of the following assessment findings should the nurse identify as
a potential trigger for exacerbations
of Raynaud's?
a. Eating a strict vegetarian diet
b. A history of herpes zoster
c. Taking amiodipine for hypertension
d. Using a nicotine transdermal patch - CORRECT ANSWERS-d. Using a nicotine
transdermal patch
A nurse is caring for a client who has a central venous access device and notes
the tubing has become disconnected. The client develops dyspnea and
tachycardia. Which of the following
actions should the nurse take first?
a. Perform an ECG
b. Obtain ABG values
c. Turn the client to his left side
d. Clamp the catheter - CORRECT ANSWERS-d. Clamp the catheter
A nurse is completing an assessment of an older adult client and notes reddened
areas over the bony prominences, but the client's skin is intact. Which of the
following interventions should the nurse include in the plan of care?
a. Turn and reposition the client every 4 hr
b. Apply an occlusive dressing
c. Support bony prominences with pillows
d. Massage the reddened areas three times a day - CORRECT ANSWERS-c. Support
bony prominences with pillows
