ATI RN MEDSURG 2021/2022 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
1.A nurse is assessing a client who is 12hr postoperative
following a colon resection. Which of the following findings
should the nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery;
takes several days to return to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
A nurse is preparing to administer fresh frozen plasma to a client . Which of
the following actions should the nurse take? (Chapter 92 page 606 med
surge ati pdf 10.0)
Administer the plasma immediately after thawing (Blood must be warm, you
also have a 30 minute window to give it so bacteria doesn’t grow. So it
doesn’t necessarily have to be right away.)
Transfuse the plasma over 4 hour (Can be in 2 to 4 hours)
Hold the transfusion if the client is actively bleeding (YOU HAVE TO
GIVE IT. That’s the whole point! The patient is losing blood so you have
to replace it. We give fresh frozen plasma because he or she may have
clotting deficiencies)
Administer the transfusion through a 24 gauge saline lock (Has to be a 18 or 20
ATI RN MEDSURG 2021/2022 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
,ATI RN MEDSURG 2021/2022 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
gauge)
A nurse is assessing the pain status of a group of clients. Which of the
following findings indicate a client is experiencing referred pain? (page 30)
A client who has angina reports substernal chest pain
A client who has pancreatitis reports pain in the left shoulder - referred pain
is pain that is felt in ANOTHER PLACE THAT IS NOT IN THE SAME
AREA AS WHERE THE PAIN SHOULD BE FELT. THE PAIN IS FELT
SOMEWHERE ELSE
A client who is postoperative reports incisional pain
A client who has peritonitis reports generalized abdominal pain
A nurse is caring for a client who has just returned from surgery with an
external fixator to the left tibia. Which of the following assessments findings
requires immediate intervention by the nurse? (p .456 MS ATI PDF
10.0 chapter 71)
The client reports a pain level of 7 on a scale from 0 -10 at the operative site.
(This foo just came from surgery so pain is normal for post op patients for first
couple of hours.)
The clients capillary refill in the left toe is 6 seconds sxs of compartment
syndrome. ABCs are compromised. (Cap refill should be below 3
seconds. This is sxs for compartment syndrome. Untreated can lead to
ATI RN MEDSURG 2021/2022 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
,ATI RN MEDSURG 2021/2022 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
necrosis.)
The client has an oral temperature of 38.3 (100.9 F) (I wouldn’t pick this
because i always see temp 101 as a priority from previous rationales with
other atis.)
The client has 100 ml of blood in the closed suction drained. (I believe this is
normal for post-op patients.)
A nurse is assessing a clients who reports numbness and tingling of his toes
and exhibits a positive TROUSSEAU. Which of the following electrolyte
imbalance should the nurse suspect? (ch 44 page 277 MS ATI PDF 10.0)
Hypoatremia
Hyperchlore
mia
Hypermagne
semia
Hypocalcemia (low calcium = low ca causes increased firing = spasms.
Learned this is LVN school.)
A nurse is admitting a client who reports chest pain and has been placed on
a telemetry monitor. Which of the following should the nurse analyze to
determine whether the client is experiencing a myocardial infarction?
a. PR interval
b. QRS duration
ATI RN MEDSURG 2021/2022 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
, ATI RN MEDSURG 2021/2022 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
c. T wave
d. ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
A home health nurse is teaching a clients how to care for a peripherally
central catheter in his right arm. Which of the following statements
should the nurse include in the teaching?
(Chapter 27 cardiovascular diagnostics and therapeutic procedures p. 165 MS
ATI PDF 10.0)
Change the transparent dressing over the insertion site every 48 hours -
transparent dressing can be up to 7 days Clean the insertion site with mild soap
and water - when showering, must insertion site must be covered !!!!!
No water can be in it .
Measure your right arm circumference once weekly- does not say in the chapter
Use a 10 milliliter syringe when flushing the catheter - flush with 10 ml NS
b4 and after med administration
A nurse is caring for a client who has a central venous access device.
Which of the following assessment findings should the nurse report to
the provider?
(P.166 MS ATI PDF 10.0)
RBC count of 4.7 million/mm 3
ATI RN MEDSURG 2021/2022 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
1.A nurse is assessing a client who is 12hr postoperative
following a colon resection. Which of the following findings
should the nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery;
takes several days to return to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
A nurse is preparing to administer fresh frozen plasma to a client . Which of
the following actions should the nurse take? (Chapter 92 page 606 med
surge ati pdf 10.0)
Administer the plasma immediately after thawing (Blood must be warm, you
also have a 30 minute window to give it so bacteria doesn’t grow. So it
doesn’t necessarily have to be right away.)
Transfuse the plasma over 4 hour (Can be in 2 to 4 hours)
Hold the transfusion if the client is actively bleeding (YOU HAVE TO
GIVE IT. That’s the whole point! The patient is losing blood so you have
to replace it. We give fresh frozen plasma because he or she may have
clotting deficiencies)
Administer the transfusion through a 24 gauge saline lock (Has to be a 18 or 20
ATI RN MEDSURG 2021/2022 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
,ATI RN MEDSURG 2021/2022 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
gauge)
A nurse is assessing the pain status of a group of clients. Which of the
following findings indicate a client is experiencing referred pain? (page 30)
A client who has angina reports substernal chest pain
A client who has pancreatitis reports pain in the left shoulder - referred pain
is pain that is felt in ANOTHER PLACE THAT IS NOT IN THE SAME
AREA AS WHERE THE PAIN SHOULD BE FELT. THE PAIN IS FELT
SOMEWHERE ELSE
A client who is postoperative reports incisional pain
A client who has peritonitis reports generalized abdominal pain
A nurse is caring for a client who has just returned from surgery with an
external fixator to the left tibia. Which of the following assessments findings
requires immediate intervention by the nurse? (p .456 MS ATI PDF
10.0 chapter 71)
The client reports a pain level of 7 on a scale from 0 -10 at the operative site.
(This foo just came from surgery so pain is normal for post op patients for first
couple of hours.)
The clients capillary refill in the left toe is 6 seconds sxs of compartment
syndrome. ABCs are compromised. (Cap refill should be below 3
seconds. This is sxs for compartment syndrome. Untreated can lead to
ATI RN MEDSURG 2021/2022 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
,ATI RN MEDSURG 2021/2022 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
necrosis.)
The client has an oral temperature of 38.3 (100.9 F) (I wouldn’t pick this
because i always see temp 101 as a priority from previous rationales with
other atis.)
The client has 100 ml of blood in the closed suction drained. (I believe this is
normal for post-op patients.)
A nurse is assessing a clients who reports numbness and tingling of his toes
and exhibits a positive TROUSSEAU. Which of the following electrolyte
imbalance should the nurse suspect? (ch 44 page 277 MS ATI PDF 10.0)
Hypoatremia
Hyperchlore
mia
Hypermagne
semia
Hypocalcemia (low calcium = low ca causes increased firing = spasms.
Learned this is LVN school.)
A nurse is admitting a client who reports chest pain and has been placed on
a telemetry monitor. Which of the following should the nurse analyze to
determine whether the client is experiencing a myocardial infarction?
a. PR interval
b. QRS duration
ATI RN MEDSURG 2021/2022 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
, ATI RN MEDSURG 2021/2022 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
c. T wave
d. ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
A home health nurse is teaching a clients how to care for a peripherally
central catheter in his right arm. Which of the following statements
should the nurse include in the teaching?
(Chapter 27 cardiovascular diagnostics and therapeutic procedures p. 165 MS
ATI PDF 10.0)
Change the transparent dressing over the insertion site every 48 hours -
transparent dressing can be up to 7 days Clean the insertion site with mild soap
and water - when showering, must insertion site must be covered !!!!!
No water can be in it .
Measure your right arm circumference once weekly- does not say in the chapter
Use a 10 milliliter syringe when flushing the catheter - flush with 10 ml NS
b4 and after med administration
A nurse is caring for a client who has a central venous access device.
Which of the following assessment findings should the nurse report to
the provider?
(P.166 MS ATI PDF 10.0)
RBC count of 4.7 million/mm 3
ATI RN MEDSURG 2021/2022 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES
