ATI_Med_Surg_Proctored_Exam_Latest.
RN ADULT MEDICAL SURGICAL 2019
1. A nurse is assessing a client who has a diagnosis on colon cancer which of the
following should the nurse expect?
a. Steatorrhea
b. Elevated
hemoglobin c.
Hematochezia
d. Weight gain
2. A nurse is assessing a client admitted with peripheral vascular disease. Which of the
following findings indicates a venous vascular disorder?
a. An ulcer at the tip of a toe
b. Hair loss distal to the client’s calves
c. Leg pain at rest
d. Edema of the ankle
3. A nurse is assessing a client who has pericarditis. In which of the following areas of the
client’s chest should the nurse place the stethoscope to best hear a pericardial friction
rub? (select HOT spot)
Answer: D
4. A nurse is caring for a client who has a chest tube. The client asks why the fluid in
the water-seal chamber rises and falls. Which of the following statements should the
nurse make?
a. “This means your lung is fully expanded “
b. “This indicates a possible leak”
c. “Suction pressure that is too high causes
this” d. “Your breathing pattern causes this”
,ATI_Med_Surg_Proctored_Exam_Latest.
– page 111
5. A community health nurse is reviewing home care instructions with an older adult client
who has a new diagnosis of heart failure. Which of the following is the priority topic for
the nurse to review with the client?
a. Daily sodium restriction
b. Daily exercise routine
,ATI_Med_Surg_Proctored_Exam_Latest.
c. Changes in weight
d. Fluid intake record
6. A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation
(TENS) unit. Which of the following statements should the nurse include?
a. “Apply lotion to the site prior to attaching the electrodes”
b. “This device requires access to a 220-volt outlet”
c. “This device delivers heat via electrodes that are attached to the
affected area” d. “Adjust the dial until you feel a ‘pins and needles’
sensation” – page 648
7. A nurse is providing teaching to a client who is postoperative following a total hip
arthroplasty. Which of the following statements should the nurse make?
a. “Use raised toilet seat to maintain your hips above the knees” – page 455
b. “Twist at the waist when standing from a seated position”
c. “Move your stronger leg first when using a walker”
d. “Apply a heating pad to the operative hip to decrease pain”
8. A nurse finds a client in bed, unresponsive and breathing. Which of the following
action should the nurse take first?
a. Establish IV access
b. Apply blood pressure cuff
c. Palpate for the client’s carotid pulse
d. Initiate cardiac monitoring for the client
9. A nurse is caring who is experiencing a hypertensive crisis. Which of the following
actions should the nurse take?
a. Initiate IV dopamine infusion
b. Perform neurological assessments
c. Place the client supine
d. Begin an IV bolus of lactated ringer’s
10.A nurse is providing discharge teaching about blood sugar monitoring for a client
who has a new diagnosis of type 2 diabetes mellitus. The nurse should instruct the
client to obtain which of the following supplies?
a. Sterile lancets
b. Compression stockings
c. Hand mirror
d. Toenail clippers
11.A nurse is completing discharge teaching who has a peripherally inserted central catheter
(PICC) line in the left arm. Which of the following instructions should the nurse include in
the teaching?
a. Do not elevate the arm above the level of the heart
b. Change the catheter dressing daily
c. Use 10-mL syringe to flush line – page 176
d. Clean the insertion site using 20- mL of hydrogen peroxide
12.A nurse is preparing naloxone 10 mcg/kg via IV bolus to a client who weights 220 lbs.
The amount available is 0.4 mg/mL. How many mL should the nurse administer?
(round to the nearest tenth)
2.5 mL
, ATI_Med_Surg_Proctored_Exam_Latest.
13.A nurse is caring for a client who has a sealed radiation implant. Which of the following
actions should the nurse take?
a. Remove soiled linens from the room after each change
b. Give the dosimeter badge to the oncoming nurse at the end of the shift
c. Apply a second pair of gloves before touching the client’s implant if
it dislodges d. Limit family member visits to 30 min per day Page 605
RN ADULT MEDICAL SURGICAL 2019
1. A nurse is assessing a client who has a diagnosis on colon cancer which of the
following should the nurse expect?
a. Steatorrhea
b. Elevated
hemoglobin c.
Hematochezia
d. Weight gain
2. A nurse is assessing a client admitted with peripheral vascular disease. Which of the
following findings indicates a venous vascular disorder?
a. An ulcer at the tip of a toe
b. Hair loss distal to the client’s calves
c. Leg pain at rest
d. Edema of the ankle
3. A nurse is assessing a client who has pericarditis. In which of the following areas of the
client’s chest should the nurse place the stethoscope to best hear a pericardial friction
rub? (select HOT spot)
Answer: D
4. A nurse is caring for a client who has a chest tube. The client asks why the fluid in
the water-seal chamber rises and falls. Which of the following statements should the
nurse make?
a. “This means your lung is fully expanded “
b. “This indicates a possible leak”
c. “Suction pressure that is too high causes
this” d. “Your breathing pattern causes this”
,ATI_Med_Surg_Proctored_Exam_Latest.
– page 111
5. A community health nurse is reviewing home care instructions with an older adult client
who has a new diagnosis of heart failure. Which of the following is the priority topic for
the nurse to review with the client?
a. Daily sodium restriction
b. Daily exercise routine
,ATI_Med_Surg_Proctored_Exam_Latest.
c. Changes in weight
d. Fluid intake record
6. A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation
(TENS) unit. Which of the following statements should the nurse include?
a. “Apply lotion to the site prior to attaching the electrodes”
b. “This device requires access to a 220-volt outlet”
c. “This device delivers heat via electrodes that are attached to the
affected area” d. “Adjust the dial until you feel a ‘pins and needles’
sensation” – page 648
7. A nurse is providing teaching to a client who is postoperative following a total hip
arthroplasty. Which of the following statements should the nurse make?
a. “Use raised toilet seat to maintain your hips above the knees” – page 455
b. “Twist at the waist when standing from a seated position”
c. “Move your stronger leg first when using a walker”
d. “Apply a heating pad to the operative hip to decrease pain”
8. A nurse finds a client in bed, unresponsive and breathing. Which of the following
action should the nurse take first?
a. Establish IV access
b. Apply blood pressure cuff
c. Palpate for the client’s carotid pulse
d. Initiate cardiac monitoring for the client
9. A nurse is caring who is experiencing a hypertensive crisis. Which of the following
actions should the nurse take?
a. Initiate IV dopamine infusion
b. Perform neurological assessments
c. Place the client supine
d. Begin an IV bolus of lactated ringer’s
10.A nurse is providing discharge teaching about blood sugar monitoring for a client
who has a new diagnosis of type 2 diabetes mellitus. The nurse should instruct the
client to obtain which of the following supplies?
a. Sterile lancets
b. Compression stockings
c. Hand mirror
d. Toenail clippers
11.A nurse is completing discharge teaching who has a peripherally inserted central catheter
(PICC) line in the left arm. Which of the following instructions should the nurse include in
the teaching?
a. Do not elevate the arm above the level of the heart
b. Change the catheter dressing daily
c. Use 10-mL syringe to flush line – page 176
d. Clean the insertion site using 20- mL of hydrogen peroxide
12.A nurse is preparing naloxone 10 mcg/kg via IV bolus to a client who weights 220 lbs.
The amount available is 0.4 mg/mL. How many mL should the nurse administer?
(round to the nearest tenth)
2.5 mL
, ATI_Med_Surg_Proctored_Exam_Latest.
13.A nurse is caring for a client who has a sealed radiation implant. Which of the following
actions should the nurse take?
a. Remove soiled linens from the room after each change
b. Give the dosimeter badge to the oncoming nurse at the end of the shift
c. Apply a second pair of gloves before touching the client’s implant if
it dislodges d. Limit family member visits to 30 min per day Page 605
