Nursing ATI RN MEDSURG 2022/2023 PROCTORED EXAM-
LATEST 100% CORRECT STUDY GUIDE.Q&A WITH
RATIONALES.
RcPSD|999
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.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications
should the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH and
keeps pt. on urinating
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily
for 3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abd pain).
4. A nurse in the emergency department is assessing a client. Which of the following actions should the
nurse take first (Click on the “Exhibit” button for additional information about the client. There are
three tabs that contain separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansertron.
Rationale: No idea what the Exhibit is all about; wont be able to answer it.
5. A nurse is contacting the provider for a client who has cancer and is experiencing
breakthrough pain. Which of the following prescriptions should the nurse anticipate?
Nursing ATI RN MEDSURG 2022/2023 PROCTORED EXAM-
LATEST 100% CORRECT STUDY GUIDE.Q&A WITH
RATIONALES.
,Nursing ATI RN MEDSURG 2022/2023 PROCTORED EXAM-
LATEST 100% CORRECT STUDY GUIDE.Q&A WITH
RATIONALES.
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous
dexamethasone Rationale:ATI pg.
27
6. 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
c. T wave
d. ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
7. A nurse is teaching a client who has ovarian cancer about skin care following radiation treatment.
Which of the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it
Nursing ATI RN MEDSURG 2022/2023 PROCTORED EXAM-
LATEST 100% CORRECT STUDY GUIDE.Q&A WITH
RATIONALES.
, Nursing ATI RN MEDSURG 2022/2023 PROCTORED EXAM-
LATEST 100% CORRECT STUDY GUIDE.Q&A WITH
RATIONALES.
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around the
radiation site Rationale: pg. 584. Dry the area thoroughly using patting
motions.
8. A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the
client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should
anticipate administering which of the following prescribed medications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide
Rationale: S/S may indicate fluid retention or heart failure. It is important to administer diuretics to
prevent cardiovascular/respiratory distress.
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of
hypomagnesemia. Which of the following findings indicates effectiveness of the
medication?
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel sounds
d. Blood pressure 90/50 mm Hg
Rationale: ATI p. 494: s/s of hypomagnesemia consist of hypoactive bowel sounds, constipation, paralytic
ileus. So effectiveness would indicate opposite of this
10. A nurse is reviewing a client’s ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L. The nurse
should recognize these findings as indication of which of the following conditions?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Compensated respiratory alkalosis
d. Uncompensated respiratory acidosis
Rationale: because the HCO3 21 trying to compensate for respiratory alkalosis
11. A nurse is caring for a client who has a deep partial thickness burns over 15% of her body which
of the following labs should the nurse expect during the first 24 hours
A. Decreased BUN ELEVATED DT fluid loss
B. Hypoglycemia (High due to stress)
Nursing ATI RN MEDSURG 2022/2023 PROCTORED EXAM-
LATEST 100% CORRECT STUDY GUIDE.Q&A WITH
RATIONALES.
LATEST 100% CORRECT STUDY GUIDE.Q&A WITH
RATIONALES.
RcPSD|999
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.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications
should the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH and
keeps pt. on urinating
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily
for 3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abd pain).
4. A nurse in the emergency department is assessing a client. Which of the following actions should the
nurse take first (Click on the “Exhibit” button for additional information about the client. There are
three tabs that contain separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansertron.
Rationale: No idea what the Exhibit is all about; wont be able to answer it.
5. A nurse is contacting the provider for a client who has cancer and is experiencing
breakthrough pain. Which of the following prescriptions should the nurse anticipate?
Nursing ATI RN MEDSURG 2022/2023 PROCTORED EXAM-
LATEST 100% CORRECT STUDY GUIDE.Q&A WITH
RATIONALES.
,Nursing ATI RN MEDSURG 2022/2023 PROCTORED EXAM-
LATEST 100% CORRECT STUDY GUIDE.Q&A WITH
RATIONALES.
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous
dexamethasone Rationale:ATI pg.
27
6. 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
c. T wave
d. ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
7. A nurse is teaching a client who has ovarian cancer about skin care following radiation treatment.
Which of the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it
Nursing ATI RN MEDSURG 2022/2023 PROCTORED EXAM-
LATEST 100% CORRECT STUDY GUIDE.Q&A WITH
RATIONALES.
, Nursing ATI RN MEDSURG 2022/2023 PROCTORED EXAM-
LATEST 100% CORRECT STUDY GUIDE.Q&A WITH
RATIONALES.
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around the
radiation site Rationale: pg. 584. Dry the area thoroughly using patting
motions.
8. A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the
client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should
anticipate administering which of the following prescribed medications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide
Rationale: S/S may indicate fluid retention or heart failure. It is important to administer diuretics to
prevent cardiovascular/respiratory distress.
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of
hypomagnesemia. Which of the following findings indicates effectiveness of the
medication?
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel sounds
d. Blood pressure 90/50 mm Hg
Rationale: ATI p. 494: s/s of hypomagnesemia consist of hypoactive bowel sounds, constipation, paralytic
ileus. So effectiveness would indicate opposite of this
10. A nurse is reviewing a client’s ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L. The nurse
should recognize these findings as indication of which of the following conditions?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Compensated respiratory alkalosis
d. Uncompensated respiratory acidosis
Rationale: because the HCO3 21 trying to compensate for respiratory alkalosis
11. A nurse is caring for a client who has a deep partial thickness burns over 15% of her body which
of the following labs should the nurse expect during the first 24 hours
A. Decreased BUN ELEVATED DT fluid loss
B. Hypoglycemia (High due to stress)
Nursing ATI RN MEDSURG 2022/2023 PROCTORED EXAM-
LATEST 100% CORRECT STUDY GUIDE.Q&A WITH
RATIONALES.
