Updated NEW!! ATI Med-Surg Proctored
Exam 2019/ Med Surg ATI Proctored Exam
2019 Updated 2023-2024 with
COMPREHENSIVE Q&A
Respiratory Alkalosis S/S --------- Correct Answer -------- lethargy
lightheadedness
confusion
tachycardia
dysrhythmias related to hypokalemia
nausea
vomiting
epigastric pain
numbness and tingling of the extremities
hyperventilation (tachypnea)
A nurse is contributing to the plan of care for an older adult client who is at risk for
Osteoporosis. Which intervention should the nurse include to prevent bone loss? ---------
Correct Answer -------- Encourage weight bearing exercises (such as walking because it
can help maintain bone mass by reducing bone demineralization, thus helping to
prevent osteoporosis.)
A nurse is caring for a client who has meningococal pneumonia. Which of the following
personal protective equipment should the nurse use? --------- Correct Answer --------
Mask (this disease requires droplet precautions)
A nurse is reinforcing teaching with a client who is taking insulin Glargine. What
information should the nurse include in the teaching? --------- Correct Answer -------- This
type of insulin should be given at the same time everyday. (It is released over a 24hr
period)
A home health nurse is reinforcing teaching with a client about preventing complications
of peripheral vascular disease. What statement by the client indicates that they are
adhering to the nurse's instructions? --------- Correct Answer -------- "I don't cross my
legs anymore".
A nurse is caring for a client who has a methicillin-resistant Staphlococcus aureus
(MRSA) infections in a surgical wound. What information should the nurse plan to share
with visitors? --------- Correct Answer -------- Visitors must don a gown & gloves prior to
entering the client's room.
, A nurse is reinforcing teaching with a client who has heart failure and a new prescription
for hydrochlorothiazide. What should the client report to the provider? --------- Correct
Answer -------- Onset of nausea
A nurse is reinforcing discharge teaching with a client who has hearing loss. What
action should the nurse take when communicating with the client? --------- Correct
Answer -------- Rephrase client instructions when not understood.
A nurse is caring for a client who is 1 day post operative following a hip arthroplasty.
The client is exhibiting hypotension, tachycardia, & tacky-nearly. The nurse should
recognize these findings as what complication? --------- Correct Answer --------
Pulmonary Embolism
A nurse is monitoring a client who recently had a cast placed on the right lower
extremity for a bone fracture. What finding should the nurse recognize as abnormal? ----
----- Correct Answer -------- Lack of sensation between the first and second toes
A nurse reinforcing teaching with a client who has systemic lupus erythematosus (SLE)
and is to begin taking methylprednisolone orally. What should the nurse include in the
teaching? --------- Correct Answer -------- Limit contact with large groups of people
A nurse is caring for a client who is 24hr postoperative following abdominal surgery &
has an NG tube. What action should the nurse plan to take to decrease the risk of
postoperative complications? --------- Correct Answer -------- Encourage the client to use
an incentive spirometer every hour while awake
A nurse is collecting data from a client who has chronic kidney disease with
hyperkalemia. What finding should the nurse expect related to hyperkalemia? ---------
Correct Answer -------- Bradycardia
A nurse is assisting in the care of a client who has manifestations of sepsis. What
provider prescriptions should the nurse implement first? --------- Correct Answer --------
Initiate oxygen at 4 L/min via nasal cannula
A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I
don't think I can go on any longer." What response should the nurse make? ---------
Correct Answer -------- "Tell me more about the way you are feeling."
A nurse is collecting data from a client who has hypokalemia. What finding should the
nurse identify as the priority? --------- Correct Answer -------- Dysrhythmia
A nurse is caring for a client who is in Buck's traction. What intervention should the
nurse perform to reduce skin breakdown? --------- Correct Answer -------- Keep the skin
dry and free of perspiration
Exam 2019/ Med Surg ATI Proctored Exam
2019 Updated 2023-2024 with
COMPREHENSIVE Q&A
Respiratory Alkalosis S/S --------- Correct Answer -------- lethargy
lightheadedness
confusion
tachycardia
dysrhythmias related to hypokalemia
nausea
vomiting
epigastric pain
numbness and tingling of the extremities
hyperventilation (tachypnea)
A nurse is contributing to the plan of care for an older adult client who is at risk for
Osteoporosis. Which intervention should the nurse include to prevent bone loss? ---------
Correct Answer -------- Encourage weight bearing exercises (such as walking because it
can help maintain bone mass by reducing bone demineralization, thus helping to
prevent osteoporosis.)
A nurse is caring for a client who has meningococal pneumonia. Which of the following
personal protective equipment should the nurse use? --------- Correct Answer --------
Mask (this disease requires droplet precautions)
A nurse is reinforcing teaching with a client who is taking insulin Glargine. What
information should the nurse include in the teaching? --------- Correct Answer -------- This
type of insulin should be given at the same time everyday. (It is released over a 24hr
period)
A home health nurse is reinforcing teaching with a client about preventing complications
of peripheral vascular disease. What statement by the client indicates that they are
adhering to the nurse's instructions? --------- Correct Answer -------- "I don't cross my
legs anymore".
A nurse is caring for a client who has a methicillin-resistant Staphlococcus aureus
(MRSA) infections in a surgical wound. What information should the nurse plan to share
with visitors? --------- Correct Answer -------- Visitors must don a gown & gloves prior to
entering the client's room.
, A nurse is reinforcing teaching with a client who has heart failure and a new prescription
for hydrochlorothiazide. What should the client report to the provider? --------- Correct
Answer -------- Onset of nausea
A nurse is reinforcing discharge teaching with a client who has hearing loss. What
action should the nurse take when communicating with the client? --------- Correct
Answer -------- Rephrase client instructions when not understood.
A nurse is caring for a client who is 1 day post operative following a hip arthroplasty.
The client is exhibiting hypotension, tachycardia, & tacky-nearly. The nurse should
recognize these findings as what complication? --------- Correct Answer --------
Pulmonary Embolism
A nurse is monitoring a client who recently had a cast placed on the right lower
extremity for a bone fracture. What finding should the nurse recognize as abnormal? ----
----- Correct Answer -------- Lack of sensation between the first and second toes
A nurse reinforcing teaching with a client who has systemic lupus erythematosus (SLE)
and is to begin taking methylprednisolone orally. What should the nurse include in the
teaching? --------- Correct Answer -------- Limit contact with large groups of people
A nurse is caring for a client who is 24hr postoperative following abdominal surgery &
has an NG tube. What action should the nurse plan to take to decrease the risk of
postoperative complications? --------- Correct Answer -------- Encourage the client to use
an incentive spirometer every hour while awake
A nurse is collecting data from a client who has chronic kidney disease with
hyperkalemia. What finding should the nurse expect related to hyperkalemia? ---------
Correct Answer -------- Bradycardia
A nurse is assisting in the care of a client who has manifestations of sepsis. What
provider prescriptions should the nurse implement first? --------- Correct Answer --------
Initiate oxygen at 4 L/min via nasal cannula
A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I
don't think I can go on any longer." What response should the nurse make? ---------
Correct Answer -------- "Tell me more about the way you are feeling."
A nurse is collecting data from a client who has hypokalemia. What finding should the
nurse identify as the priority? --------- Correct Answer -------- Dysrhythmia
A nurse is caring for a client who is in Buck's traction. What intervention should the
nurse perform to reduce skin breakdown? --------- Correct Answer -------- Keep the skin
dry and free of perspiration
