ATI RN MEDSURG 2020/2021 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE Q&A WITH RATIONALES.
1 A nurse working in the emergency department is caring for a client who has a burn injury.
After securing the client's Airway which of the following interventions should the nurse
take first?
Cleanse the client wound
Administer Analgesic
medication Increase the
room temperature Start an
IV with a large bore needle
2 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?
Obtain ABG
values Perform
an ECG
Turn the client to his left side
Clamp the catheter
94.A nurse is providing discharge teaching to a client who has impaired immune system due to
chemotherapy. Which of the following information should the nurse include in the teaching?
Wash your perineal area 2 times each day with antimicrobial soap
Change the water in your drinking glass every 4 hours p.581 avoid fluids sitting
at room temp for longer than 1hr
Wash your toothbrush in the dishwasher once each month p.581 wash toothbrush daily in
dishwasher
Change your pet litter box daily p.581 avoid changing pet’s litter box
1 A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of the following findings should the nurse report to the surgeon?
a. Heart rate 90/min
b. Absent bowel sounds → normal findings after major bowel surgery; takes
several days to return to normal.
,ATI RN MEDSURG 2020/2021 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE Q&A WITH RATIONALES.
c. Hgb 8.2 g/dl
d. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin
increase ADH and keeps pt. on urinating
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen
several times daily for 3 years. Which of the following test should the nurse
monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools,
abd pain).
4. A nurse in the emergency department is assessing a client. Which of the following
actions should the nurse take first (Click on the “Exhibit” button for additional
information about the client. There are three tabs that contain separate categories of
data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansertron.
Rationale: No idea what the Exhibit is all about; wont be able to answer it.
,ATI RN MEDSURG 2020/2021 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE Q&A WITH RATIONALES.
5. A nurse is contacting the provider for a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions should
the nurse anticipate?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous
dexamethasone Rationale:ATI
pg. 27
6. A nurse is admitting a client who reports chest pain and has been placed on a telemetry
monitor. Which of the following should the nurse analyze to determine whether the
client is experiencing a myocardial infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
7. A nurse is teaching a client who has ovarian cancer about skin care following radiation
treatment. Which of the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it
, ATI RN MEDSURG 2020/2021 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE Q&A WITH RATIONALES.
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around
the radiation site Rationale: pg. 584. Dry the area thoroughly
using patting motions.
8. A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and distended
jugular veins. The nurse should anticipate administering which of the following
prescribed medications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide
Rationale: S/S may indicate fluid retention or heart failure. It is important to administer
diuretics to prevent cardiovascular/respiratory distress.
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the
treatment of hypomagnesemia. Which of the following findings indicates
effectiveness of the medication?
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel sounds
d. Blood pressure 90/50 mm Hg
Rationale: ATI p. 494: s/s of hypomagnesemia consist of hypoactive bowel sounds,
constipation, paralytic ileus. So effectiveness would indicate opposite of this
10. A nurse is reviewing a client’s ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21
mEq/L. The nurse should recognize these findings as indication of which of the
following conditions?
a. Metabolic acidosis
EXAM- LATEST 100% CORRECT STUDY
GUIDE Q&A WITH RATIONALES.
1 A nurse working in the emergency department is caring for a client who has a burn injury.
After securing the client's Airway which of the following interventions should the nurse
take first?
Cleanse the client wound
Administer Analgesic
medication Increase the
room temperature Start an
IV with a large bore needle
2 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?
Obtain ABG
values Perform
an ECG
Turn the client to his left side
Clamp the catheter
94.A nurse is providing discharge teaching to a client who has impaired immune system due to
chemotherapy. Which of the following information should the nurse include in the teaching?
Wash your perineal area 2 times each day with antimicrobial soap
Change the water in your drinking glass every 4 hours p.581 avoid fluids sitting
at room temp for longer than 1hr
Wash your toothbrush in the dishwasher once each month p.581 wash toothbrush daily in
dishwasher
Change your pet litter box daily p.581 avoid changing pet’s litter box
1 A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of the following findings should the nurse report to the surgeon?
a. Heart rate 90/min
b. Absent bowel sounds → normal findings after major bowel surgery; takes
several days to return to normal.
,ATI RN MEDSURG 2020/2021 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE Q&A WITH RATIONALES.
c. Hgb 8.2 g/dl
d. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin
increase ADH and keeps pt. on urinating
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen
several times daily for 3 years. Which of the following test should the nurse
monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools,
abd pain).
4. A nurse in the emergency department is assessing a client. Which of the following
actions should the nurse take first (Click on the “Exhibit” button for additional
information about the client. There are three tabs that contain separate categories of
data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansertron.
Rationale: No idea what the Exhibit is all about; wont be able to answer it.
,ATI RN MEDSURG 2020/2021 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE Q&A WITH RATIONALES.
5. A nurse is contacting the provider for a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions should
the nurse anticipate?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous
dexamethasone Rationale:ATI
pg. 27
6. A nurse is admitting a client who reports chest pain and has been placed on a telemetry
monitor. Which of the following should the nurse analyze to determine whether the
client is experiencing a myocardial infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
7. A nurse is teaching a client who has ovarian cancer about skin care following radiation
treatment. Which of the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it
, ATI RN MEDSURG 2020/2021 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE Q&A WITH RATIONALES.
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around
the radiation site Rationale: pg. 584. Dry the area thoroughly
using patting motions.
8. A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and distended
jugular veins. The nurse should anticipate administering which of the following
prescribed medications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide
Rationale: S/S may indicate fluid retention or heart failure. It is important to administer
diuretics to prevent cardiovascular/respiratory distress.
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the
treatment of hypomagnesemia. Which of the following findings indicates
effectiveness of the medication?
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel sounds
d. Blood pressure 90/50 mm Hg
Rationale: ATI p. 494: s/s of hypomagnesemia consist of hypoactive bowel sounds,
constipation, paralytic ileus. So effectiveness would indicate opposite of this
10. A nurse is reviewing a client’s ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21
mEq/L. The nurse should recognize these findings as indication of which of the
following conditions?
a. Metabolic acidosis
