ATI MedSurg 2023 proctored Exam QUESTIONS
And Correct Detailed ANSWER with Rationales
A nurse is teaching a client who asks about taking a glucosamine
supplement for osteoarthritis. Which info should the nurse include in the
teaching? - ANSWER-Avoid taking glucosamine if you have a shellfish
allergy.
Rationale: The client should avoid taking glucosamine if they have a
shellfish allergy because this medication is made from the exoskeletons
of shellfish, such as shrimp.
A nurse is caring for a client who has visual loss. Which of the following
actions should the nurse implement? - ANSWER-Count steps to the
bathroom with the client.
Rationale: The nurse should orient the client to the room by counting
the steps to the bathroom to reduce the risk for falls.
A nurse is discussing activity modification with a client who had a right
total hip arthroplasty. Which of the following statements should the
nurse include in the info? - ANSWER-Place a pillow between your legs
when lying in bed.
Rationale: The nurse should teach the client to place an abductor pillow
between the legs when lying in bed to prevent adduction of the hip and
possible dislocation.
, ATI MedSurg 2023 proctored Exam QUESTIONS
And Correct Detailed ANSWER with Rationales
A nurse is teaching a newly licensed nurse about preventing a catheter-
associated urinary tract infection for a client who has an indwelling
urinary catheter. Which of the following instructions should the nurse
include? - ANSWER-Ensure the urinary catheter tubing is not kinked.
Rationale: The nurse should instruct the newly licensed nurse to make
certain the catheter tubing is free of kinks, which could cause a blockage
of urinary flow and result in a urinary tract infection.
A nurse is planning wound management for a client who has a stage 3
pressure injury. Which of the following interventions should the nurse
include in the plan? - ANSWER-Measure the depth of the wound with a
cotton-tipped applicator.
Rationale: The nurse should plan to reapply new dressings after
checking the depth of the wound for tunneling using a cotton-tipped
applicator.
A nurse is planning care for four clients following change of shift report.
Which of the following clients is the nurses priority? - ANSWER-A
client who has peptic ulcer disease and a rigid abdomen.
Rationale: When using the stable vs. unstable approach to client care,
the nurse should assess this client first. A client who has peptic ulcer
disease and a rigid abdomen is unstable. A rigid abdomen is a
manifestation of a perforated peptic ulcer and could lead to septicemia
and shock.
, ATI MedSurg 2023 proctored Exam QUESTIONS
And Correct Detailed ANSWER with Rationales
A nurse is planning care for four clients following change of shift report.
Which of the following clients is the nurse to see first? - ANSWER-A
client who has a pacemaker and has a persistent hiccupping.
Rationale: When using the urgent vs. nonurgent approach to client care,
the nurse determines that the priority client to see is the client who has a
pacemaker and has persistent hiccupping. Hiccupping is a manifestation
of a dislocation of the pacemaker lead and could lead to bradycardia
and decreased cardiac output.
A nurse is reviewing the lab data of a client who is taking the herbal
supplement feverfew to reduce the frequency of migraine headaches.
The nurse should identify that which of the following indicates a
potential contraindication to taking this herbal supplement? - ANSWER-
Platelet count 100,000/mm3
Rationale: Feverfew can lead to platelet dysfunction by suppressing
platelet aggregation. A client who has a decreased platelet count should
not take feverfew because this can increase the risk of bleeding. Clients
should monitor for bleeding and impaired coagulation while taking
feverfew.
A nurse is providing dietary teaching to a client who has heart failure.
The nurse should identify which of the following client statements an
understanding of the teaching? - ANSWER-I will use homemade
vinegar and oil dressings on my salads.
And Correct Detailed ANSWER with Rationales
A nurse is teaching a client who asks about taking a glucosamine
supplement for osteoarthritis. Which info should the nurse include in the
teaching? - ANSWER-Avoid taking glucosamine if you have a shellfish
allergy.
Rationale: The client should avoid taking glucosamine if they have a
shellfish allergy because this medication is made from the exoskeletons
of shellfish, such as shrimp.
A nurse is caring for a client who has visual loss. Which of the following
actions should the nurse implement? - ANSWER-Count steps to the
bathroom with the client.
Rationale: The nurse should orient the client to the room by counting
the steps to the bathroom to reduce the risk for falls.
A nurse is discussing activity modification with a client who had a right
total hip arthroplasty. Which of the following statements should the
nurse include in the info? - ANSWER-Place a pillow between your legs
when lying in bed.
Rationale: The nurse should teach the client to place an abductor pillow
between the legs when lying in bed to prevent adduction of the hip and
possible dislocation.
, ATI MedSurg 2023 proctored Exam QUESTIONS
And Correct Detailed ANSWER with Rationales
A nurse is teaching a newly licensed nurse about preventing a catheter-
associated urinary tract infection for a client who has an indwelling
urinary catheter. Which of the following instructions should the nurse
include? - ANSWER-Ensure the urinary catheter tubing is not kinked.
Rationale: The nurse should instruct the newly licensed nurse to make
certain the catheter tubing is free of kinks, which could cause a blockage
of urinary flow and result in a urinary tract infection.
A nurse is planning wound management for a client who has a stage 3
pressure injury. Which of the following interventions should the nurse
include in the plan? - ANSWER-Measure the depth of the wound with a
cotton-tipped applicator.
Rationale: The nurse should plan to reapply new dressings after
checking the depth of the wound for tunneling using a cotton-tipped
applicator.
A nurse is planning care for four clients following change of shift report.
Which of the following clients is the nurses priority? - ANSWER-A
client who has peptic ulcer disease and a rigid abdomen.
Rationale: When using the stable vs. unstable approach to client care,
the nurse should assess this client first. A client who has peptic ulcer
disease and a rigid abdomen is unstable. A rigid abdomen is a
manifestation of a perforated peptic ulcer and could lead to septicemia
and shock.
, ATI MedSurg 2023 proctored Exam QUESTIONS
And Correct Detailed ANSWER with Rationales
A nurse is planning care for four clients following change of shift report.
Which of the following clients is the nurse to see first? - ANSWER-A
client who has a pacemaker and has a persistent hiccupping.
Rationale: When using the urgent vs. nonurgent approach to client care,
the nurse determines that the priority client to see is the client who has a
pacemaker and has persistent hiccupping. Hiccupping is a manifestation
of a dislocation of the pacemaker lead and could lead to bradycardia
and decreased cardiac output.
A nurse is reviewing the lab data of a client who is taking the herbal
supplement feverfew to reduce the frequency of migraine headaches.
The nurse should identify that which of the following indicates a
potential contraindication to taking this herbal supplement? - ANSWER-
Platelet count 100,000/mm3
Rationale: Feverfew can lead to platelet dysfunction by suppressing
platelet aggregation. A client who has a decreased platelet count should
not take feverfew because this can increase the risk of bleeding. Clients
should monitor for bleeding and impaired coagulation while taking
feverfew.
A nurse is providing dietary teaching to a client who has heart failure.
The nurse should identify which of the following client statements an
understanding of the teaching? - ANSWER-I will use homemade
vinegar and oil dressings on my salads.
