ATI MED SURG PROCTORED 2019 EXAM-STUDY GUIDE
100 Q & A(All Answers are Correct)
1 A nurse is assessing for early signs of compartment syndrome for a client who has a
short-leg fiberglass cast. Which of the following findings should the nurse expect?
ACapillary refill less than 2 seconds
B.Bounding distal pulses
C.Intense pain with movement
D. Erythema of the toes
2 A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the
following manifestations indicates a hemolytic transfusion reaction?
A. Chills? (think fever, you get cold when your body is hot)
B. Hypertension
C.Bradycardia
D.Back pain
3 A nurse is caring for a client who had a total hip arthroplasty. Which of the following
actions should the nurse take to prevent hip dislocation?
A. Remove the wedge device when turning
B. Place two bed pillows between the legs when in bed
C. Encourage the client to lean forward when attempting to stand
D. Elevate the knees higher than the hips when sitting
4 A nurse is assessing a client who is preoperative and reports an allergy to bananas.
The nurse should recognize that the client is at risk for an allergic cross-reactivity to
which of the following substances
A.Povidone-iodine
B.Adhesive tape
C.Latex
D. Anesthetics
5 A nurse is teaching a client about the use of an incentive spirometer. Which of the
following instructions should the nurse include in the teaching?
APlace hands on the upper abdomen during inhalation.
B.Position the mouthpiece 2.5 cm (1 in) from the mouth
C. Exhale slowly through pursed lips
D. Hold breaths about 3 to 5 seconds before exhaling
6 A nurse is caring for a client who arrives at the emergency department and reports
vomiting and diarrhea for the past 3 days. The client's serum potassium level is
2.8mEqttiL. Which of the following interventions should the nurse implement first?
Priority question remember, what can I do first, you can start a K+ drip without knowing
how their heart is affected.
A. Check the clients hand grasps
, ATI MED SURG PROCTORED 2019 EXAM-STUDY GUIDE
100 Q & A(All Answers are Correct)
B. Administer an IV potassium drip
C.Listen to the client's bowel sounds
, ATI MED SURG PROCTORED 2019 EXAM-STUDY GUIDE
100 Q & A(All Answers are Correct)
D. Initiate cardiac monitoring for the clients This is a priority!!!
7 A nurse is preparing to administer peritoneal dialysis to a client. Which of the following
actions should the nurse take?
A. Chill the dialysate before administration
B. Hang the drainage bag below the client's abdomen
C. Place the client in high-Fowlers position
DUse clean technique to access the catheter
8 A nurse is preforming a cranial nerve assessment on a client following a head injury.
Which of the following findings should the nurse expect if the client has impaired
function of the vestibulocochlear nerve (cranial nerve VIII)?
A. Inability to smell
B. loss of peripheral vision
C. Disequilibrium with movement
D. Deviation of the tongue from midline
9 A nurse is planning care for a client who is one day postoperative Following an open
cholecystectomy. Which of the following interventions should the nurse include in the
plan of care?
Place pillows under the clients knees
B.Avoid use of anticoagulants
C.Discourage leg exercises while in bed
D.apply compression stockings to the lower extremities
10 A nurse is caring for a male client who has an exacerbation of heart failure. Which of
the following prescriptions should the nurse expect to receive from the provider? (click
on the "exhibit" button for additional information about the client. There are 3 tabs that
contain separate categories of data.)
A. Atropine 1mg IV bolus every 5 min up to 3 mg ?
B. Adenosine 6mg rapid IV bolus now
C.Verapamil 80 mg PO TID
D.Furosemide 40 mg IV bolus every 6 hr.
11 A nurse is providing a discharge teaching to a client following a modified left radical
mastectomy with breast expander. Which of the following statements by the client
indicates an understanding of the teaching?
"I will keep my left arm flexed at the elbow as much as possible" ?
"I should expect less than 25 mL of secretions per day in the drainage devices"
"I will perform strength building arm exercises using a 15 pound weight"
" I will have to wait 2 months before additional saltine can be added to my breast
expander"
100 Q & A(All Answers are Correct)
1 A nurse is assessing for early signs of compartment syndrome for a client who has a
short-leg fiberglass cast. Which of the following findings should the nurse expect?
ACapillary refill less than 2 seconds
B.Bounding distal pulses
C.Intense pain with movement
D. Erythema of the toes
2 A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the
following manifestations indicates a hemolytic transfusion reaction?
A. Chills? (think fever, you get cold when your body is hot)
B. Hypertension
C.Bradycardia
D.Back pain
3 A nurse is caring for a client who had a total hip arthroplasty. Which of the following
actions should the nurse take to prevent hip dislocation?
A. Remove the wedge device when turning
B. Place two bed pillows between the legs when in bed
C. Encourage the client to lean forward when attempting to stand
D. Elevate the knees higher than the hips when sitting
4 A nurse is assessing a client who is preoperative and reports an allergy to bananas.
The nurse should recognize that the client is at risk for an allergic cross-reactivity to
which of the following substances
A.Povidone-iodine
B.Adhesive tape
C.Latex
D. Anesthetics
5 A nurse is teaching a client about the use of an incentive spirometer. Which of the
following instructions should the nurse include in the teaching?
APlace hands on the upper abdomen during inhalation.
B.Position the mouthpiece 2.5 cm (1 in) from the mouth
C. Exhale slowly through pursed lips
D. Hold breaths about 3 to 5 seconds before exhaling
6 A nurse is caring for a client who arrives at the emergency department and reports
vomiting and diarrhea for the past 3 days. The client's serum potassium level is
2.8mEqttiL. Which of the following interventions should the nurse implement first?
Priority question remember, what can I do first, you can start a K+ drip without knowing
how their heart is affected.
A. Check the clients hand grasps
, ATI MED SURG PROCTORED 2019 EXAM-STUDY GUIDE
100 Q & A(All Answers are Correct)
B. Administer an IV potassium drip
C.Listen to the client's bowel sounds
, ATI MED SURG PROCTORED 2019 EXAM-STUDY GUIDE
100 Q & A(All Answers are Correct)
D. Initiate cardiac monitoring for the clients This is a priority!!!
7 A nurse is preparing to administer peritoneal dialysis to a client. Which of the following
actions should the nurse take?
A. Chill the dialysate before administration
B. Hang the drainage bag below the client's abdomen
C. Place the client in high-Fowlers position
DUse clean technique to access the catheter
8 A nurse is preforming a cranial nerve assessment on a client following a head injury.
Which of the following findings should the nurse expect if the client has impaired
function of the vestibulocochlear nerve (cranial nerve VIII)?
A. Inability to smell
B. loss of peripheral vision
C. Disequilibrium with movement
D. Deviation of the tongue from midline
9 A nurse is planning care for a client who is one day postoperative Following an open
cholecystectomy. Which of the following interventions should the nurse include in the
plan of care?
Place pillows under the clients knees
B.Avoid use of anticoagulants
C.Discourage leg exercises while in bed
D.apply compression stockings to the lower extremities
10 A nurse is caring for a male client who has an exacerbation of heart failure. Which of
the following prescriptions should the nurse expect to receive from the provider? (click
on the "exhibit" button for additional information about the client. There are 3 tabs that
contain separate categories of data.)
A. Atropine 1mg IV bolus every 5 min up to 3 mg ?
B. Adenosine 6mg rapid IV bolus now
C.Verapamil 80 mg PO TID
D.Furosemide 40 mg IV bolus every 6 hr.
11 A nurse is providing a discharge teaching to a client following a modified left radical
mastectomy with breast expander. Which of the following statements by the client
indicates an understanding of the teaching?
"I will keep my left arm flexed at the elbow as much as possible" ?
"I should expect less than 25 mL of secretions per day in the drainage devices"
"I will perform strength building arm exercises using a 15 pound weight"
" I will have to wait 2 months before additional saltine can be added to my breast
expander"
