ATI MEDICAL SURGERY PROCTORED EXAM 2022

(CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM AND OTHER ATI EXAMS) 1) A nurse is collecting data from a client who was admitted with a Glasgow Coma Scale of 3. Which of the following findings should the nurse expect? - Nonresponsive Commands 2) A nurse is collecting data from a client who has coronary artery disease. Which of the following manifestations should the nurse identify as an indication that the client has angina - Chest Discomfort Radiated - Pain lasting less that 15mins - Pain that is relieved with rest 3) A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to see first? - A client who has diabetes mellitus with diaphoretic 4) A nurse is reinforcing teaching with a young adult client about testicular self-examination. Which of the following instructions should the nurse include? - Examine your testicles after a warm shower 5) A nurse is collecting data from a client who has tuberculosis and started combination therapy 2months ago. Which of the following diagnostic results indicates that the client is adhering to the medication regimen. - A negative sputum culture 6) A nurse is collecting data from a client who has bacterial meningitis. Which of the following findings should the nurse expect? - Severe Headache 7) A nurse is reinforcing with a client who has pernicious anemia. Which of the following statements by the client indicated an understanding of the teaching - I will be able to switch to a nasal form of cyanocobalamin when my levels stabilize 8) A nurse is reinforcing teaching with a male client who has right sided hemiparesis about preforming ADL’s. Which of the following instructions should the nurse include in the teaching ATI MEDICAL SURGERY PROCTORED EXAM 2022 - Comb your hair with the unaffected arm 9) A nurse is reinforcing discharge teaching with a client who has COPD and reports episodes of dyspnea. Which of the following instructions should the nurse include? - Used the pursed lip breathing technique 10) A nurse is reinforcing teaching with a client who has varicose veins of the right lower extremity. Which of the following instructions should the nurse include in the teaching - Apply elastic support hoes before getting out of bed in the morning A nurse is reinforcing pre-operative teaching for a client who is scheduled for surgery and is to take hydroxyzine preoperatively. Which of the following effects of the medication should the nurse include in the teaching? (Select all that apply.) 1) Decreasing anxiety 2) Controlling emesis INCORRECT 3) Relaxing skeletal muscles INCORRECT 4) Preventing surgical site infections 5) Reducing the amount of narcotics needed for pain relief Answer Rationale: Decreasing anxiety is correct. The nurse should include that hydroxyzine is an effective antianxiety agent and is used to decrease anxiety in surgical clients as well as in persons with moderate anxiety. Controlling emesis is correct. The nurse should include that hydroxyzine is an effective antiemetic and is used to control nausea and vomiting in pre- and postoperative clients. Relaxing skeletal muscles is incorrect. The nurse should recognize benzodiazepines, such as diazepam (Valium), are used to produce skeletal muscle relaxation. Preventing surgical site infections is incorrect. The nurse should instruct the client that antibiotics administered prior to surgery are used to diminish the risk of surgical site infections; hydroxyzine, an antiemetic, does not have any effect on bacteria. Reducing the amount of narcotics needed for pain relief is correct. Hydroxyzine increases the effects of narcotic pain medications. The nurse should instruct the client that when it is used for surgical clients, narcotic requirements may be significantly reduced. 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