2019 Answers/ ATI RN Med-Surg Proctored
Exam 2019 Updated 2023-2024 with All Q&A
A nurse is caring for a client who has partial-thickness and full-thickness burns of his
head, neck, and chest. The nurse should recognize which of the following is the priority
risk to the client? ---------- Correct Answer -------- Airway obstruction
A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia
gravis and is to start taking neostigmine. Which of the following instructions should the
nurse include in the teaching? ---------- Correct Answer -------- 1) Take the medication 45
minutes before eating.
A nurse is caring for a client who is 12 hours postoperative following a transurethral
resection of the prostate (TURP) and has a 3-way urinary catheter with continuous
irrigation. The nurse notes there has not been any urinary output in the last hour. Which
of the following actions should the nurse perform first? ---------- Correct Answer --------
Notify the provider.. Determine the patency of the tubing.
A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses
fear about the procedure and asks the nurse if the biopsy will hurt. Which of the
following responses should the nurse make? ---------- Correct Answer -------- "The biopsy
can be uncomfortable, but we will try to keep you as comfortable as possible."
A nurse is assisting with planning care for a client who is recovering from a left-
hemispheric stroke. Which of the following interventions should the nurse include in the
plan? ---------- Correct Answer -------- Re-establish communication.
A nurse is assisting with the care of a client who has diabetes insipidus. The nurse
should monitor the client for which of the following manifestations? ---------- Correct
Answer -------- Hypotension
A nurse is reinforcing teaching with a client who has HIV and is being discharged to
home. Which of the following instructions should the nurse include in the teaching? ------
---- Correct Answer -------- Take temperature once a day
A nurse is caring for a client who is postoperative following a tracheostomy, and has
copious and tenacious secretions. Which of the following is an acceptable method for
the nurse to use to thin this client's secretions? ---------- Correct Answer -------- Provide
humidified oxygen.
Following admission, a client with a vascular occlusion of the right lower extremity calls
the nurse and reports difficulty sleeping because of cold feet. Which of the following
, nursing actions should the nurse take to promote the client's comfort? ---------- Correct
Answer -------- Obtain a pair of slipper socks for the client.
A nurse is caring for a client is who is 4 hr postoperative following a transurethral
resection of the prostate (TURP). Which of the following is the priority finding for the
nurse report to the provider? ---------- Correct Answer -------- Thick, red-colored urine
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a
prescription for a hypothermia blanket. The nurse should monitor the client for which of
the following adverse effects of the hypothermia blanket? ---------- Correct Answer --------
Shivering
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes
mellitus. Which of the following statements by the client indicates an understanding of
the teaching? ---------- Correct Answer -------- "I will not exercise if my urine is positive for
ketones."
A nurse notes a small section of bowel protruding from the abdominal incision of a client
who is postoperative. After calling for assistance, which of the following actions should
the nurse take first? ---------- Correct Answer -------- Cover the client's wound with a
moist, sterile dressing.
A nurse is collecting data from a client who has alcohol use disorder and is experiencing
metabolic acidosis. Which of the following manifestations should the nurse expect? ------
---- Correct Answer -------- Hyperventilation
A nurse is reinforcing discharge teaching with a client following a cataract extraction.
Which of the following should the nurse include in the teaching? ---------- Correct Answer
-------- Avoid bending at the waist
A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg
daily. The client refuses breakfast and reports nausea. Which of the following actions
should the nurse take first? ---------- Correct Answer -------- Check the client's vital signs.
A nurse is caring for a client who is 3 days postoperative following a cholecystectomy.
The nurse suspects the client's wound is infected because the drainage from the
dressing is yellow and thick. Which of the following findings should the nurse report as
the type of drainage found? ---------- Correct Answer -------- Purulent
A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To
prevent postoperative complications which of the following actions should be reinforced
during the teaching? ---------- Correct Answer -------- Administer an opioid analgesic to
the client 30 min prior to initiating CPM exercises.