ATI MEDICAL SURGICAL PROCTORED
EXAMS
2019 – 2021 PAPERS
, ATI Medical Surgical Proctored Exam Form B
A nurse is caring for a client who is having a seizure. Which of the following interventions in the nurse’s
priority?
Turn the client to the side
A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for
which of the following clients?
A client who is receiving preoperative teaching for a right knew arthroplasty
A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse
should postpone the testing and report to the provider which of the following findings?
Current medications
A home health nurse is assigned to a client who was recently discharged from a rehabilitation
center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits
should the nurse expect to find when assessing the client? (SATA)
Visual spatial deficits
Left hemianopsia
One-sided neglect
A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the
following actions should the nurse take?
Place a pillow between the client’s legs
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the
following items at the client’s bedside table?
Suction machine
A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous
diversion procedure to establish a ureterostomy. Which of the following statements should the nurse
include in the teaching?
You should cut the opening of the skin barrier one-eighth inch wider than the stoma
A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for
the past 3days. Which of the following findings should indicate to the nurse that the client is
experiencing fluid volume deficit?
Heart rate 110
A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant
to treat endometrial cancer. Which of the following actions should the nurse include in the client’s
plan of care?
Wear a lead apron while providing care to the client
A nurse is planning to provide discharge teaching for the family of an older adult client who has
hemianopsia and is at risk for falls. Which of the following instructions should the nurse include?
Remind the client to scan their complete range of vision during ambulation
A nurse is planning care to decrease psychosocial health issues for a client who is starting
dialysis treatments for chronic kidney disease. Which of the following interventions should the
,nurse include in the plan?
Tell the client that it is possible to return to similar previous levels of activity
A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed.
Which of the following findings indicate that the client is experiencing increased intracranial
pressure? (SATA)
Sleepiness exhibited by
the clientWidening
pulse pressure
Decerebrate posturing
An older adult client is brought to an emergency department by a family member. Which od the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration?
Urine specific gravity 1.045
A nurse is caring for client who has a prescription for enalapril. The nurse should identify which of the
following findings as an adverse effect of the medication?
Orthostatic hypotension
A nurse in a provider’s office is caring for a client who requests sildenafil to treat erectile dysfunction.
Which ofthe following statements should the nurse make?
You will not be able to use sildenafil if you are taking nitro
A nurse is planning care for a client who has extensive burn injuries and is immunocompromised.
Which of the following precautions should the nurse include in the plan of care to prevent a
pseudomonas aeruginosa infection?
Avoid placing plants or flowers in the clients room
A nurse is teaching a class about client rights. Which of the following instructions should the nurse
include?
A client should sign an informed consent before receiving a placebo during a research trial
A nurse is caring for a client who is receiving morphine for daily dressing changes. The client tells the
nurse, “I don’t want any more morphine because I don’t want to get addicted”. Which of the
following actions should the nurse take?
Instruct the client on alternative therapies for pain reduction
A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion.
Which of the following prescribed medications should the nurse instruct the client to withhold for
48hr prior to cardioversion?
Dig
A nurse is caring for a client 1 hr following a cardiac cath. The nurse notes the formation of a hematoma
at the insertion site and a decreased pulse rate in the affected extremity. Which of the following
interventions is the nurse’s priority?
Apply firm pressure to the insertion site
A nurse is assessing a client who has Graves’ disease. Which of the following images should
indicate to the nurse that the client has
exophthalmos?
, A nurse is caring for a client who has a stage III pressure injury. Which of the following
findings contributes to delayed wound healing?
Urine output 25ml/hr
A nurse is providing teaching to a client who is receiving chemo and has a new prescription for
epoetin alfa. Which of the following statements indicated an understanding of the teaching?
I will monitor my blood pressure while taking this medication
A nurse is providing discharge instructions to a client following an upper gastrointestinal series
with barium contrast. Which of the following information should the nurse provide?
Increase fluid intake
A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurses
priority?
Tachycardia
A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk,
which of the following dietary alterations should the nurse recommend?
Add cabbage to the diet
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client appears anxious and restless, and the high-pressure alarm is sounding. Which of the
following actions should the nurse take first?
Instruct the client to allow the machine to breathe for them
A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy.
Which of the following actions should the nurse take?
Demonstrate ways to deep breathe and cough
A nurse and an assistive personnel are caring for a client who has bacterial meningitis. The nurse should
give the AP which of the following instructions?
Wear a mask
A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions
should thenurse take?
Remain with the client for the first 15 min of the infusion
A nurse is providing teaching to a client who has chronic kidney disease and a new prescription
for erythropoietin. Which of the following statements by the client indicates an understanding of
the teaching? I am taking this medication to increase my energy level
A nurse is caring for a client who has hepatic encephalopathy that is being treating with lactulose. The
client is experiencing excessive stools. Which of the following findings is an adverse effect of this
medication?
Hypokalemia
EXAMS
2019 – 2021 PAPERS
, ATI Medical Surgical Proctored Exam Form B
A nurse is caring for a client who is having a seizure. Which of the following interventions in the nurse’s
priority?
Turn the client to the side
A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for
which of the following clients?
A client who is receiving preoperative teaching for a right knew arthroplasty
A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse
should postpone the testing and report to the provider which of the following findings?
Current medications
A home health nurse is assigned to a client who was recently discharged from a rehabilitation
center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits
should the nurse expect to find when assessing the client? (SATA)
Visual spatial deficits
Left hemianopsia
One-sided neglect
A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the
following actions should the nurse take?
Place a pillow between the client’s legs
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the
following items at the client’s bedside table?
Suction machine
A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous
diversion procedure to establish a ureterostomy. Which of the following statements should the nurse
include in the teaching?
You should cut the opening of the skin barrier one-eighth inch wider than the stoma
A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for
the past 3days. Which of the following findings should indicate to the nurse that the client is
experiencing fluid volume deficit?
Heart rate 110
A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant
to treat endometrial cancer. Which of the following actions should the nurse include in the client’s
plan of care?
Wear a lead apron while providing care to the client
A nurse is planning to provide discharge teaching for the family of an older adult client who has
hemianopsia and is at risk for falls. Which of the following instructions should the nurse include?
Remind the client to scan their complete range of vision during ambulation
A nurse is planning care to decrease psychosocial health issues for a client who is starting
dialysis treatments for chronic kidney disease. Which of the following interventions should the
,nurse include in the plan?
Tell the client that it is possible to return to similar previous levels of activity
A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed.
Which of the following findings indicate that the client is experiencing increased intracranial
pressure? (SATA)
Sleepiness exhibited by
the clientWidening
pulse pressure
Decerebrate posturing
An older adult client is brought to an emergency department by a family member. Which od the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration?
Urine specific gravity 1.045
A nurse is caring for client who has a prescription for enalapril. The nurse should identify which of the
following findings as an adverse effect of the medication?
Orthostatic hypotension
A nurse in a provider’s office is caring for a client who requests sildenafil to treat erectile dysfunction.
Which ofthe following statements should the nurse make?
You will not be able to use sildenafil if you are taking nitro
A nurse is planning care for a client who has extensive burn injuries and is immunocompromised.
Which of the following precautions should the nurse include in the plan of care to prevent a
pseudomonas aeruginosa infection?
Avoid placing plants or flowers in the clients room
A nurse is teaching a class about client rights. Which of the following instructions should the nurse
include?
A client should sign an informed consent before receiving a placebo during a research trial
A nurse is caring for a client who is receiving morphine for daily dressing changes. The client tells the
nurse, “I don’t want any more morphine because I don’t want to get addicted”. Which of the
following actions should the nurse take?
Instruct the client on alternative therapies for pain reduction
A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion.
Which of the following prescribed medications should the nurse instruct the client to withhold for
48hr prior to cardioversion?
Dig
A nurse is caring for a client 1 hr following a cardiac cath. The nurse notes the formation of a hematoma
at the insertion site and a decreased pulse rate in the affected extremity. Which of the following
interventions is the nurse’s priority?
Apply firm pressure to the insertion site
A nurse is assessing a client who has Graves’ disease. Which of the following images should
indicate to the nurse that the client has
exophthalmos?
, A nurse is caring for a client who has a stage III pressure injury. Which of the following
findings contributes to delayed wound healing?
Urine output 25ml/hr
A nurse is providing teaching to a client who is receiving chemo and has a new prescription for
epoetin alfa. Which of the following statements indicated an understanding of the teaching?
I will monitor my blood pressure while taking this medication
A nurse is providing discharge instructions to a client following an upper gastrointestinal series
with barium contrast. Which of the following information should the nurse provide?
Increase fluid intake
A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurses
priority?
Tachycardia
A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk,
which of the following dietary alterations should the nurse recommend?
Add cabbage to the diet
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client appears anxious and restless, and the high-pressure alarm is sounding. Which of the
following actions should the nurse take first?
Instruct the client to allow the machine to breathe for them
A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy.
Which of the following actions should the nurse take?
Demonstrate ways to deep breathe and cough
A nurse and an assistive personnel are caring for a client who has bacterial meningitis. The nurse should
give the AP which of the following instructions?
Wear a mask
A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions
should thenurse take?
Remain with the client for the first 15 min of the infusion
A nurse is providing teaching to a client who has chronic kidney disease and a new prescription
for erythropoietin. Which of the following statements by the client indicates an understanding of
the teaching? I am taking this medication to increase my energy level
A nurse is caring for a client who has hepatic encephalopathy that is being treating with lactulose. The
client is experiencing excessive stools. Which of the following findings is an adverse effect of this
medication?
Hypokalemia
