2023 ATI RN MEDSURG PROCTORED EXAM WITH 100% CORRECT
QUESTIONS AND VERIFIED ANSWERS
A nurse at a long-term care facility is assessing an older adult client. Which of the following findings
should the nurse identify as an indication that the client has recallmemory impairment?
a. Inability to state what he had for dinner last nightb.
Inability to Name the members of his family
c. Inability to count backwards from 10d.
Inability to state his current age
A nurse on an intensive care unit is planning care for a client who has increased intracranial pressure
following a head injury. Which of the following IV medicationsshould the nurse plan to administer?
a. Chlorpromazineb.
Dobutamine
c. Mannitold.
Propanol
. A nurse on a medical unit is planning care for a group of clients. Which of the followingclients should the
nurse attend to First?
A client who has thrombocytopenia and reports and nosebleed
A client who has chronic obstruction pulmonary disease and oxygen saturation of89%
A client who has multiple sclerosis and Ataxia and vertigo
A client who has left-sided paralysis and slurred speech from a prior stroke
A home care nurse is planning to use non pharmacological pain relief measures for an older client who
has severe chronic back pain. Which of the following guidelines shouldthe nurse use?
a. Use imagery with clients who have difficulty with focus and concentration
b. Pain relief from the use of heat and cold continues for several hours after removal ofthe stimulus
c. Discontinue opioids before trying non pharmacological methods of pain relief
d. Distraction changes the client's perception of pain but does not affect the cause
A nurse is caring for a client who has pneumothorax and a chest tube with closed waterseal drainage
system. Which of the following actions should the nurse take?
,a. Strip or clear the chest tube every 8 hoursb. Refill
the water chamber if the fluid is low c. Empty the
system at least every 8 hr
d. Change the chest to site dressing every 24 hour –
,A nurse is in an emergency department is reviewing a client's ECG reading. which of thefollowing findings
should the nurse identify as an indication that the client has first degree heart block?
Prolonged PR intervals
More p waves than QRS complexesc. Non
discernible p waves
d. No correlation between p and QRS waves
A nurse is preparing to administer a unit of packed rbc's to a client who is anemic.Identify the sequence
of steps the nurse should follow.
1. Obtain venous access using a 19 gauge needle
2.Obtain the unit of packed rbc's from Blood Bank align3. Verify
blood compatibility with another nurse
4. Initiate transfusion of the unit of packed rbc's
5. Remain with the client for the first 15 to 30 minutes of the infusion
. A nurse is teaching a client who is to begin chemotherapy about peripherally insertedCentral catheter.
which of the following statements should the nurse include in the teaching?
a. We will replace the PICC every month
b. We can draw blood samples from the PICC for diagnostic testc. We will
change the dressing daily
d. We can measure your blood pressure in either arm
A nurse is assessing a client who has Pyelonephritis and reports flank pain. which of thefollowing actions
should the nurse take?
a. Assist the client to a sitting positionb.
Percuss the side of tenderness first
c. Auscultate for a bruit over the coastal vertebral area
d. Thump the area of tenderness directly with a closed fist
A nurse is assessing a client who has acute kidney failure. Which of the followingfindings should the nurse
report to the provider?
a. Peripheral pulses 2 + bilaterally
b. Weight gain 1.1 kilogram to 2.4 pound in 24-hourc. Urine
specific gravity 1.045
d. Creatinine 0.8 milliliter
, A nurse is caring for an older adult client who is 72 hour postoperative following a total hip arthroplasty.
the client requires a PRN medication prior to ambulation. Which of the following medications should the
nurse anticipate administering?
a. Indomethacin
b. Meperidinec.
Naproxen d.
Oxycodone
A nurse is caring for a client who has Haemophilus Influenzae type B. which of thefollowing types of
isolation should the nurse implement?
a. Droplet b.
Contact c.
Airborne d.
Protective
A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the
following findings should the nurse include as an indication the client is nolonger infectious?
a. Mantoux skin test reveals and induration of less than 1mmb. Client no
longer coughing up blood tinged sputum
c. Positive quantiferon TB gold test
d. Negative sputum culture for acid fast bacillus
. A nurse working in the emergency department is caring for a client who has a burn injury. After
securing the client's Airway which of the following interventions should thenurse take first?
a. Cleanse the client wound
b. Administer Analgesic medicationc.
Increase the room temperature
d. Start an IV with a large bore needle
A nurse is caring for a client who has a central venous access device and notes the tubing has become
disconnected. The client develops dyspnea and tachycardia. Whichof the following actions should the
nurse take first?
a. Obtain ABG valuesb.
Perform an ECG
c. turn the client to his left sided.
Clamp the catheter
QUESTIONS AND VERIFIED ANSWERS
A nurse at a long-term care facility is assessing an older adult client. Which of the following findings
should the nurse identify as an indication that the client has recallmemory impairment?
a. Inability to state what he had for dinner last nightb.
Inability to Name the members of his family
c. Inability to count backwards from 10d.
Inability to state his current age
A nurse on an intensive care unit is planning care for a client who has increased intracranial pressure
following a head injury. Which of the following IV medicationsshould the nurse plan to administer?
a. Chlorpromazineb.
Dobutamine
c. Mannitold.
Propanol
. A nurse on a medical unit is planning care for a group of clients. Which of the followingclients should the
nurse attend to First?
A client who has thrombocytopenia and reports and nosebleed
A client who has chronic obstruction pulmonary disease and oxygen saturation of89%
A client who has multiple sclerosis and Ataxia and vertigo
A client who has left-sided paralysis and slurred speech from a prior stroke
A home care nurse is planning to use non pharmacological pain relief measures for an older client who
has severe chronic back pain. Which of the following guidelines shouldthe nurse use?
a. Use imagery with clients who have difficulty with focus and concentration
b. Pain relief from the use of heat and cold continues for several hours after removal ofthe stimulus
c. Discontinue opioids before trying non pharmacological methods of pain relief
d. Distraction changes the client's perception of pain but does not affect the cause
A nurse is caring for a client who has pneumothorax and a chest tube with closed waterseal drainage
system. Which of the following actions should the nurse take?
,a. Strip or clear the chest tube every 8 hoursb. Refill
the water chamber if the fluid is low c. Empty the
system at least every 8 hr
d. Change the chest to site dressing every 24 hour –
,A nurse is in an emergency department is reviewing a client's ECG reading. which of thefollowing findings
should the nurse identify as an indication that the client has first degree heart block?
Prolonged PR intervals
More p waves than QRS complexesc. Non
discernible p waves
d. No correlation between p and QRS waves
A nurse is preparing to administer a unit of packed rbc's to a client who is anemic.Identify the sequence
of steps the nurse should follow.
1. Obtain venous access using a 19 gauge needle
2.Obtain the unit of packed rbc's from Blood Bank align3. Verify
blood compatibility with another nurse
4. Initiate transfusion of the unit of packed rbc's
5. Remain with the client for the first 15 to 30 minutes of the infusion
. A nurse is teaching a client who is to begin chemotherapy about peripherally insertedCentral catheter.
which of the following statements should the nurse include in the teaching?
a. We will replace the PICC every month
b. We can draw blood samples from the PICC for diagnostic testc. We will
change the dressing daily
d. We can measure your blood pressure in either arm
A nurse is assessing a client who has Pyelonephritis and reports flank pain. which of thefollowing actions
should the nurse take?
a. Assist the client to a sitting positionb.
Percuss the side of tenderness first
c. Auscultate for a bruit over the coastal vertebral area
d. Thump the area of tenderness directly with a closed fist
A nurse is assessing a client who has acute kidney failure. Which of the followingfindings should the nurse
report to the provider?
a. Peripheral pulses 2 + bilaterally
b. Weight gain 1.1 kilogram to 2.4 pound in 24-hourc. Urine
specific gravity 1.045
d. Creatinine 0.8 milliliter
, A nurse is caring for an older adult client who is 72 hour postoperative following a total hip arthroplasty.
the client requires a PRN medication prior to ambulation. Which of the following medications should the
nurse anticipate administering?
a. Indomethacin
b. Meperidinec.
Naproxen d.
Oxycodone
A nurse is caring for a client who has Haemophilus Influenzae type B. which of thefollowing types of
isolation should the nurse implement?
a. Droplet b.
Contact c.
Airborne d.
Protective
A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the
following findings should the nurse include as an indication the client is nolonger infectious?
a. Mantoux skin test reveals and induration of less than 1mmb. Client no
longer coughing up blood tinged sputum
c. Positive quantiferon TB gold test
d. Negative sputum culture for acid fast bacillus
. A nurse working in the emergency department is caring for a client who has a burn injury. After
securing the client's Airway which of the following interventions should thenurse take first?
a. Cleanse the client wound
b. Administer Analgesic medicationc.
Increase the room temperature
d. Start an IV with a large bore needle
A nurse is caring for a client who has a central venous access device and notes the tubing has become
disconnected. The client develops dyspnea and tachycardia. Whichof the following actions should the
nurse take first?
a. Obtain ABG valuesb.
Perform an ECG
c. turn the client to his left sided.
Clamp the catheter
