ATI MEDSURG PROCTORED EXAM | 2022
ATI MEDSURG PROCTORED EXAM | 2022
1. A nurse is caring for a client who is receiving chemotherapy and requests
information about acupuncture to relieve some of the side effects. which
of the following findings should the nurse identify as a contraindication to
receiving this alternative therapy?:
Lymphedema
2. A nurse is preparing to administer lactated Ringer's via continuos 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 ump to administer?:
33
3. A nurse is providing discharge teaching to a client who has a new prescrip-
tion for sublingual nitroglycerin. Which of the following client statements
indicates an understanding of the teaching?:
I should lie down when I take this medication
4. A nurse is providing discharge teaching to an older adult client following
total hip arthroplasty. Which of the following instructions should the nurse
include in the teaching.:
Install a raised toilet seat in your bathroom
5. A nurse is planning care for a client following a cardiac catheterization.
which of the following actions should the nurse take.:
Maintain the client's affected extremity in extension
6. 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?:
I will need to have my partner take over shopping for groceries and cooking the
meals for us
,ATI MEDSURG PROCTORED EXAM | 2022
7. A nurse is providing teaching to a client who has an impaired immune
system due to chemotherapy. which of the following information should the
nurse include in the teaching?:
Change your pet's litter box daily
8. a nurse is caring for a client who has a contusion and reports thirst. The
client's urinary output was 4,000 ml over past 24 hr. the nurse should antici-
pate a prescription for which of the following IV medications?:
Desmopressin
9. A nurse in a clinic receives a phone call from a client who recently started
therapy with an ACE inhibitor and reports nagging dry cough. Which of the
following responses by the
nurse is appropriate?:
Sucking on a lozenge may reduce the frequency of your cough
10. A nurse is taking an admission history from a client who reports Ray-
naud's disease. Which of the following assessment findings should the
nurse identify as a parenteral trigger for exacerbation of Raynaud's?:
Using nicotine transdermal patch
, ATI MEDSURG PROCTORED EXAM | 2022
11. A nurse is caring for a client who has a central venous 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 pressure change during tubing changes can lead to an air embolism, clamp
the catheter immediately and place the client on his left side in trendelenburg
position to
trap air.
12. A nurse is completing an assessment of an older client and notes red-
dened 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?:
Support bony prominences with pillows
13. A nurse in the emergency department is assessing a client. which of
the following actions should the nurse take first? (click on rhe "exhibit"
button for additional information about the client:
Initiate airborne precautions
15. A nurse is reviewing the medical record of a client to identify factors for
colorectal cancer. The nurse should identify which of the following findings
as increasing the client's risk?:
Historyof Crohn's disease
16. A nurse is caring for a client who is scheduled for a mastectomy. The
client tells the nurse, "I'm not sure I want to have a mastectomy." Which of
the following statements should the nurse make?:
I can give you additional information about the procedure
17. A nurse is preparing to administer a unit of packed RBCs to a client who
is anemic. Identify the sequence of steps the nurse should follow.:
ATI MEDSURG PROCTORED EXAM | 2022
1. A nurse is caring for a client who is receiving chemotherapy and requests
information about acupuncture to relieve some of the side effects. which
of the following findings should the nurse identify as a contraindication to
receiving this alternative therapy?:
Lymphedema
2. A nurse is preparing to administer lactated Ringer's via continuos 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 ump to administer?:
33
3. A nurse is providing discharge teaching to a client who has a new prescrip-
tion for sublingual nitroglycerin. Which of the following client statements
indicates an understanding of the teaching?:
I should lie down when I take this medication
4. A nurse is providing discharge teaching to an older adult client following
total hip arthroplasty. Which of the following instructions should the nurse
include in the teaching.:
Install a raised toilet seat in your bathroom
5. A nurse is planning care for a client following a cardiac catheterization.
which of the following actions should the nurse take.:
Maintain the client's affected extremity in extension
6. 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?:
I will need to have my partner take over shopping for groceries and cooking the
meals for us
,ATI MEDSURG PROCTORED EXAM | 2022
7. A nurse is providing teaching to a client who has an impaired immune
system due to chemotherapy. which of the following information should the
nurse include in the teaching?:
Change your pet's litter box daily
8. a nurse is caring for a client who has a contusion and reports thirst. The
client's urinary output was 4,000 ml over past 24 hr. the nurse should antici-
pate a prescription for which of the following IV medications?:
Desmopressin
9. A nurse in a clinic receives a phone call from a client who recently started
therapy with an ACE inhibitor and reports nagging dry cough. Which of the
following responses by the
nurse is appropriate?:
Sucking on a lozenge may reduce the frequency of your cough
10. A nurse is taking an admission history from a client who reports Ray-
naud's disease. Which of the following assessment findings should the
nurse identify as a parenteral trigger for exacerbation of Raynaud's?:
Using nicotine transdermal patch
, ATI MEDSURG PROCTORED EXAM | 2022
11. A nurse is caring for a client who has a central venous 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 pressure change during tubing changes can lead to an air embolism, clamp
the catheter immediately and place the client on his left side in trendelenburg
position to
trap air.
12. A nurse is completing an assessment of an older client and notes red-
dened 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?:
Support bony prominences with pillows
13. A nurse in the emergency department is assessing a client. which of
the following actions should the nurse take first? (click on rhe "exhibit"
button for additional information about the client:
Initiate airborne precautions
15. A nurse is reviewing the medical record of a client to identify factors for
colorectal cancer. The nurse should identify which of the following findings
as increasing the client's risk?:
Historyof Crohn's disease
16. A nurse is caring for a client who is scheduled for a mastectomy. The
client tells the nurse, "I'm not sure I want to have a mastectomy." Which of
the following statements should the nurse make?:
I can give you additional information about the procedure
17. A nurse is preparing to administer a unit of packed RBCs to a client who
is anemic. Identify the sequence of steps the nurse should follow.: