ATI Med-Surg Proctored Exam
(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
, - 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 collecting data from a client who has emphysema. Which of the following findings should the nurse
expect? (Select all that apply.)
1) Dyspnea
2) Barrel chest
3) Clubbing of the fingers
4) Shallow respirations
INCORRECT
5) Bradycardia
Answer Rationale:
Dyspnea is correct. Dyspnea is experienced by clients who have emphysema due to inadequate oxygen exchange
in the lungs.
Barrel chest is correct. The lungs of clients who have emphysema lose their elasticity, and the diaphragm becomes
permanently flattened by overdistention of the lungs. The muscles of the rib cage also become rigid, and the ribs
flare outward. This produces the barrel chest typical of emphysema clients.
Clubbing of the fingers is correct. Air is trapped in the lungs due to their lack of elasticity, which decreases
oxygenation. Clubbing results from these chronic low blood-oxygen levels.
Shallow respirations is correct. Clients who have emphysema lose lung elasticity; consequently, respirations
become increasingly shallow and more rapid.
Bradycardia is incorrect. The heart rate will increase as the heart tries to compensate for less oxygen being
delivered to the tissues.
2. A nurse is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should
the nurse expect to observe? (Select all that apply.)
1) Buffalo hump
2) Purple striations
(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
, - 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 collecting data from a client who has emphysema. Which of the following findings should the nurse
expect? (Select all that apply.)
1) Dyspnea
2) Barrel chest
3) Clubbing of the fingers
4) Shallow respirations
INCORRECT
5) Bradycardia
Answer Rationale:
Dyspnea is correct. Dyspnea is experienced by clients who have emphysema due to inadequate oxygen exchange
in the lungs.
Barrel chest is correct. The lungs of clients who have emphysema lose their elasticity, and the diaphragm becomes
permanently flattened by overdistention of the lungs. The muscles of the rib cage also become rigid, and the ribs
flare outward. This produces the barrel chest typical of emphysema clients.
Clubbing of the fingers is correct. Air is trapped in the lungs due to their lack of elasticity, which decreases
oxygenation. Clubbing results from these chronic low blood-oxygen levels.
Shallow respirations is correct. Clients who have emphysema lose lung elasticity; consequently, respirations
become increasingly shallow and more rapid.
Bradycardia is incorrect. The heart rate will increase as the heart tries to compensate for less oxygen being
delivered to the tissues.
2. A nurse is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should
the nurse expect to observe? (Select all that apply.)
1) Buffalo hump
2) Purple striations
