ATI RN MEDICAL SURGICAL PROCTORED
EXAMS WITH 25 LATEST MULTIPLE VERSIONS
EXAMS 2021 | 2022 | 2023 GRADE A+
, Medical Surgical ATI
A nurse is obtaining a medication history from a client who is scheduled to
undergo cataract surgery. The nurse should recognize that which of the
following client medications is a contradiction for the surgery and
notify the provider? Warfarin. Warfarin increases the client's risk for
bleeding, and is contraindicated for a client scheduled for eye or
central nervous system surgery.
Osteomyelitis gentamicin prescription withhold: serum creatinine
(nephrotoxic). High temp, BP, and WBC expected.
,A nurse is providing discharge teaching to a client who is to self administer
heparin subcut. Understanding of the teaching? ANS: I will use an electric
razor to shave. Heparin is an anticoagulant that places the client at the risk
for bleeding. Therefore, the nurse should instruct the client to use an electric
razor when shaving to reduce the risk of cuts to the skin, avoid flossing,
apply firm pressure to the injection site for 1 to 2 min but to avoid massaging
it.
A nurse is providing teaching to a client who is premenopausal and is on
hormone replacement therapy. Adverse effects. ANS: Calf pain,
numbness in arms, intense headache. Night sweats and vaginal dryness are
expected findings of menopause.
A nurse is reviewing the laboratory results of a client who has AIDS and is
taking amphotericin B for a fungal infection. The nurse should identify that
which of the following values is an indication of an adverse effect of the
medication? BUN 34 mg/dL. Amphotericin B can cause damage to the
kidneys and can cause several metabolic imbalances, including
hyponatremia, hypokalemia, and hypomagnesemia. It can also cause bone
marrow suppression and, as a result, a decreased hematocrit. Amphotericin
B is nephrotoxic. Therefore, an elevated BUN or creatinine level can indicate
renal impairment. The nurse should notify the provider of this result.
A nurse is providing teaching to a client who has hypertension and a new
prescription for verapamil. Which of the following information should the
nurse include in the teaching? "Increase fiber intake to avoid constipation"
Verapamil with meals or milk to decrease gastric irritability. Eczema can
develop 3 to 6 months after the beginning of verapamil therapy. constipation
is an adverse effect of verapamil. Monitor blood pressure weekly and report
manifestations of hypotension to the provider.
Mastectomy
Post opp modified radical mastectomy: numbness can occur along the
inside of the affected arm. Other teaching: stand upright and avoid flexing
, the affected arm when ambulating. Active ROM 1 week post opp. Wear loose
fitting clothing.
A nurse is providing pre-op teaching for a client who is scheduled for a
mastectomy. Statements the nurse should make? ANS: I will refer you to
community resources for support
A nurse is planning care for a client who is having a modified radical
mastectomy of the right breast. Which of the following interventions should
the nurse include in the plan of care? Instruct the client that the drain will be
removed when there is 25 mL of output or less over a 24 hr period. Remains
in place - 1-3 weeks post surgery. Exercise 24 h post. Elevate affected arm on
pillow. HOB 30 degree.
Infection
A nurse is caring for a client who has a positive culture for methicillin-
resistant Staphylococcus aureus (MRSA). Which of the following actions
should the nurse take? Bathe the client using chlorhexidine solution. Nasal
specimen for colonization. Visitors gown and gloves.
Dosage
Order: 600mg
Available: 125 mg/5ml
ANS: 24ml
Cancer
A patient receiving chemotherapy. The priority is: Sore throat. Expected:
memory loss. Alopecia: cover head.
A nurse is caring for a client who has terminal cancer. The client tells the
nurse, "I wish I could stop these treatments. I am ready to die." Which of the
following statements should the nurse make? "Discontinuing the treatments
is your choice if it is your wish to do so." the nurse should recognize the
client's right to refuse the treatments and inform the client of this right
EXAMS WITH 25 LATEST MULTIPLE VERSIONS
EXAMS 2021 | 2022 | 2023 GRADE A+
, Medical Surgical ATI
A nurse is obtaining a medication history from a client who is scheduled to
undergo cataract surgery. The nurse should recognize that which of the
following client medications is a contradiction for the surgery and
notify the provider? Warfarin. Warfarin increases the client's risk for
bleeding, and is contraindicated for a client scheduled for eye or
central nervous system surgery.
Osteomyelitis gentamicin prescription withhold: serum creatinine
(nephrotoxic). High temp, BP, and WBC expected.
,A nurse is providing discharge teaching to a client who is to self administer
heparin subcut. Understanding of the teaching? ANS: I will use an electric
razor to shave. Heparin is an anticoagulant that places the client at the risk
for bleeding. Therefore, the nurse should instruct the client to use an electric
razor when shaving to reduce the risk of cuts to the skin, avoid flossing,
apply firm pressure to the injection site for 1 to 2 min but to avoid massaging
it.
A nurse is providing teaching to a client who is premenopausal and is on
hormone replacement therapy. Adverse effects. ANS: Calf pain,
numbness in arms, intense headache. Night sweats and vaginal dryness are
expected findings of menopause.
A nurse is reviewing the laboratory results of a client who has AIDS and is
taking amphotericin B for a fungal infection. The nurse should identify that
which of the following values is an indication of an adverse effect of the
medication? BUN 34 mg/dL. Amphotericin B can cause damage to the
kidneys and can cause several metabolic imbalances, including
hyponatremia, hypokalemia, and hypomagnesemia. It can also cause bone
marrow suppression and, as a result, a decreased hematocrit. Amphotericin
B is nephrotoxic. Therefore, an elevated BUN or creatinine level can indicate
renal impairment. The nurse should notify the provider of this result.
A nurse is providing teaching to a client who has hypertension and a new
prescription for verapamil. Which of the following information should the
nurse include in the teaching? "Increase fiber intake to avoid constipation"
Verapamil with meals or milk to decrease gastric irritability. Eczema can
develop 3 to 6 months after the beginning of verapamil therapy. constipation
is an adverse effect of verapamil. Monitor blood pressure weekly and report
manifestations of hypotension to the provider.
Mastectomy
Post opp modified radical mastectomy: numbness can occur along the
inside of the affected arm. Other teaching: stand upright and avoid flexing
, the affected arm when ambulating. Active ROM 1 week post opp. Wear loose
fitting clothing.
A nurse is providing pre-op teaching for a client who is scheduled for a
mastectomy. Statements the nurse should make? ANS: I will refer you to
community resources for support
A nurse is planning care for a client who is having a modified radical
mastectomy of the right breast. Which of the following interventions should
the nurse include in the plan of care? Instruct the client that the drain will be
removed when there is 25 mL of output or less over a 24 hr period. Remains
in place - 1-3 weeks post surgery. Exercise 24 h post. Elevate affected arm on
pillow. HOB 30 degree.
Infection
A nurse is caring for a client who has a positive culture for methicillin-
resistant Staphylococcus aureus (MRSA). Which of the following actions
should the nurse take? Bathe the client using chlorhexidine solution. Nasal
specimen for colonization. Visitors gown and gloves.
Dosage
Order: 600mg
Available: 125 mg/5ml
ANS: 24ml
Cancer
A patient receiving chemotherapy. The priority is: Sore throat. Expected:
memory loss. Alopecia: cover head.
A nurse is caring for a client who has terminal cancer. The client tells the
nurse, "I wish I could stop these treatments. I am ready to die." Which of the
following statements should the nurse make? "Discontinuing the treatments
is your choice if it is your wish to do so." the nurse should recognize the
client's right to refuse the treatments and inform the client of this right
