ATI RN MEDSURG 2022/2023 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES.
,ATI RN MEDSURG 2022/2023
PROCTORED EXAM- LATEST 100%
CORRECT STUDY GUIDE.Q$A WITH
RATIONALES.
1.A nurse is assessing a client who is 12hr postoperative following
a colon resection. Which of the following findings should the
nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery;
takes several days to return to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
• A nurse is caring for a client who has pneumothorax and a chest tube with
closed water seal drainage system. Which of the following actions should the
nurse take?
a.Strip or clear the chest
tube every 8 hours
b. 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
,ATI RN MEDSURG 2022/2023
PROCTORED EXAM- LATEST 100%
CORRECT STUDY GUIDE.Q$A WITH
RATIONALES.
• A nurse is in an emergency department is reviewing a client's ECG
reading. which of the following findings should the nurse identify as an
indication that the client has first degree heart block?
Prolonged PR intervals
(Per Tiamson) More p
waves than QRS
complexes Non discernible
p waves
No correlation between p and QRS waves
, ATI RN MEDSURG 2022/2023
PROCTORED EXAM- LATEST 100%
CORRECT STUDY GUIDE.Q$A WITH
RATIONALES.
• 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 align
3. 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
Rationale: see ATI Med-Surg p. 249 nursing actions BCADE
• A nurse is teaching A client who is to begin chemotherapy about
peripherally inserted Central catheter. which of the following statements should
the nurse include in the teaching?
We will replace the PICC every month
We can draw blood samples from the PICC for diagnostic test
We will change the dressing daily
We can measure your blood pressure in either arm
Rationale: ATI Med-Surg p. 166 PICC lines can be used up to 12 months,
http://www.atitesting.com/ati_next_gen/skillsmodules/content/cvad/equipment/
site-care.html change gauze dressings every 48 hours and
transparent dressings 3 to 7 days or whenever they are no
EXAM- LATEST 100% CORRECT STUDY
GUIDE.Q$A WITH RATIONALES.
,ATI RN MEDSURG 2022/2023
PROCTORED EXAM- LATEST 100%
CORRECT STUDY GUIDE.Q$A WITH
RATIONALES.
1.A nurse is assessing a client who is 12hr postoperative following
a colon resection. Which of the following findings should the
nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery;
takes several days to return to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
• A nurse is caring for a client who has pneumothorax and a chest tube with
closed water seal drainage system. Which of the following actions should the
nurse take?
a.Strip or clear the chest
tube every 8 hours
b. 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
,ATI RN MEDSURG 2022/2023
PROCTORED EXAM- LATEST 100%
CORRECT STUDY GUIDE.Q$A WITH
RATIONALES.
• A nurse is in an emergency department is reviewing a client's ECG
reading. which of the following findings should the nurse identify as an
indication that the client has first degree heart block?
Prolonged PR intervals
(Per Tiamson) More p
waves than QRS
complexes Non discernible
p waves
No correlation between p and QRS waves
, ATI RN MEDSURG 2022/2023
PROCTORED EXAM- LATEST 100%
CORRECT STUDY GUIDE.Q$A WITH
RATIONALES.
• 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 align
3. 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
Rationale: see ATI Med-Surg p. 249 nursing actions BCADE
• A nurse is teaching A client who is to begin chemotherapy about
peripherally inserted Central catheter. which of the following statements should
the nurse include in the teaching?
We will replace the PICC every month
We can draw blood samples from the PICC for diagnostic test
We will change the dressing daily
We can measure your blood pressure in either arm
Rationale: ATI Med-Surg p. 166 PICC lines can be used up to 12 months,
http://www.atitesting.com/ati_next_gen/skillsmodules/content/cvad/equipment/
site-care.html change gauze dressings every 48 hours and
transparent dressings 3 to 7 days or whenever they are no
