ATI RN MEDSURG 2023/2024 PROCTOREDEXAM- LATEST
100% CORRECT STUDY GUIDE.Q$A WITH RATIONALES.
• nurse is assessing a patient who is 12hr postoperative following a colon
resection. Which ofthefollowing findings should the nurse report to the surgeon?
• Heart rate 90/min
• Absent bowel sounds → normal findings after major bowel surgery; takes
several days toreturnto normal.
• Hgb 8.2 g/dl
• 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 patient who has diabetes insipidus. Which of the following
medications shouldthe nurse plan to administer?
• Desmopressin
• Regular insulin
• Furosemide
• Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH and
keepspt. on urinating
• A nurse is admitting a patient who has arthritic pain and reports taking ibuprofen several
times dailyfor3 years. Which of the following test should the nurse monitor?
• Fasting blood glucose
• Stool for occult blood
• Urine for white blood cells
• Serum calcium
Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abd pain).
• A nurse in the emergency department is assessing a patient. Which of the following actions
should the nursetake first (Click on the “Exhibit” button for additional information about the
patient. There are threetabs that contain separate categories of data.)
• Obtain a sputum sample for culture
• Prepare the patient for a chest x-ray
• Initiate airborne precautions
• Administer ondansertron.
Rationale: No idea what the Exhibit is all about; wont be able to answer it.
• A nurse is contacting the provider for a patient who has cancer and is
experiencing breakthroughpain. Which of the following prescriptions should
the nurse anticipate?
• Transmucosal fentanyl
• Intramuscular meperidine
• Oral acetaminophen
• Intravenous
dexamethasoneRationale:A
TI pg. 27
• A nurse is admitting a patient who reports chest pain and has been placed on a telemetry
monitor. Whichofthe following should the nurse analyze to determine whether the patient is
experiencing a myocardial infarction?
• PR interval
, • QRS duration
• T wave
• ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
• A nurse is teaching a patient who has ovarian cancer about skin care following radiation
treatment. Whichof the following instructions should the nurse include?
• Pat the skin on the radiation site to dry it
• Apply OTC moisturizer to the radiation site
• Cover the radiation site loosely with a gauze wrap before dressing
• Use a soft washcloth to clean the area
around the radiationsite Rationale: pg. 584. Dry the area
thoroughly using pattingmotions.
• A nurse is caring for a patient who is receiving a blood transfusion. The nurse observes that
the patienthas bounding peripheral pulses, hypertension, and distended jugular veins. The
nurse should anticipateadministering which of the following prescribed medications?
• Diphenhydramine
• Acetaminophen
• Pantoprazole
• Furosemide
Rationale: S/S may indicate fluid retention or heart failure. It is important to administer diuretics to
preventcardiovascular/respiratory distress.
• A nurse is assessing a patient who is receiving magnesium sulfate IV for the
treatment ofhypomagnesemia. Which of the following findings indicates
effectiveness of the medication?
• Lungs clear
• Apical pulse 82/min
• Hyperactive bowel sounds
• Blood pressure 90/50 mm Hg
Rationale: ATI p. 494: s/s of hypomagnesemia consist of hypoactive bowel sounds, constipation, paralytic ileus.
Soeffectiveness would indicate opposite of this
• A nurse is reviewing a patient’s ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L.
The nurseshould recognize these findings as indication of which of the following
conditions?
• Metabolic acidosis
• Metabolic alkalosis
• Compensated respiratory alkalosis
• Uncompensated respiratory acidosis
Rationale: because the HCO3 21 trying to compensate for respiratory alkalosis
• A nurse is caring for a patient who has a deep partial thickness burns over 15% of her
body whichofthe following labs should the nurse expect during the first 24 hours
• Decreased BUN ELEVATED DT fluid loss
• Hypoglycemia (High due to stress)
• Hypoalbuminemia (Low due to fluid loss)
• Decreased Hematocrit (Elevated due to 3rd spacing during resuscitation phase)
(Page 481 ch 75 med surge ati pdf 10.0)
, • A nurse is caring for a patient who has dumping syndrome following a gastrectomy, which of the
followingactions should the nurse take ?
• Offer the patient high carbohydrate meal options (High fat, high protein, low
fiber, low tomoderatecarbs page 317, chapter 49 Peptic ulcer disease med
surge ati pdf 10.0)
• Provide the patient with four full meals a day (Small frequent meals)
• Encourage the patient to to drink at least 360 ml of fluids with meals (Eliminate liquids with
meals for 1hr prior and following a meal)
• Have the patient lie down for 30 minutes after meals (Lying down after a meal slows the
movementoffood within the intestines)
• A nurse is teaching a group of young adult patients about risk factors for hearing loss. Which of the
followingfactors should the nurse include in the teaching? SATA. (p.70 chapter 13)
Born with a high weight
Chronic infections of the
middle earUse a loop
diuretic
Perforation of the ear drum
Frequent exposure to low volume noise
• A nurse is preparing to administer fresh frozen plasma to a patient . Which of the following
actions should thenurse take? (Chapter 92 page 606 med surge ati pdf 10.0)
Administer the plasma immediately after thawing (Blood must be warm, you also have a 30 minute
windowto give it so bacteria doesn’t grow. So it doesn’t necessarily have to be right away.)
Transfuse the plasma over 4 hour (Can be in 2 to 4 hours)
Hold the transfusion if the patient is actively bleeding (YOU HAVE TO GIVE IT. That’s the whole
point! The patient is losing blood so you have to replace it. We give fresh frozen plasma
because he or she may have clotting deficiencies)
Administer the transfusion through a 24 gauge saline lock (Has to be a 18 or 20 gauge)
• A nurse is assessing a patients who reports numbness and tingling of his toes and exhibits a
positive TROUSSEAU. Which of the following electrolyte imbalance should the nurse suspect? (ch
44 page 277 MSATI PDF 10.0)
Hypoatremia Hyperchloremia
Hypermagnesemi a
Hypocalcemia (low calcium = low ca causes increased firing = spasms. Learned this is LVN school.)
• A home health nurse is teaching a patients how to care for a peripherally central catheter
in his rightarm.Which of the following statements should the nurse include in the
teaching?
(Chapter 27 cardiovascular diagnostics and therapeutic procedures p. 165 MS ATI PDF 10.0)
Change the transparent dressing over the insertion site every 48 hours - transparent dressing can be up
to 7 daysClean the insertion site with mild soap and water - when showering, must insertion site must be
covered
!!!!!
No water can be in it .
Measure your right arm circumference once weekly- does not say in the chapter
Use a 10 milliliter syringe when flushing the catheter - flush with 10 ml NS b4 and after
medadministration
100% CORRECT STUDY GUIDE.Q$A WITH RATIONALES.
• nurse is assessing a patient who is 12hr postoperative following a colon
resection. Which ofthefollowing findings should the nurse report to the surgeon?
• Heart rate 90/min
• Absent bowel sounds → normal findings after major bowel surgery; takes
several days toreturnto normal.
• Hgb 8.2 g/dl
• 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 patient who has diabetes insipidus. Which of the following
medications shouldthe nurse plan to administer?
• Desmopressin
• Regular insulin
• Furosemide
• Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH and
keepspt. on urinating
• A nurse is admitting a patient who has arthritic pain and reports taking ibuprofen several
times dailyfor3 years. Which of the following test should the nurse monitor?
• Fasting blood glucose
• Stool for occult blood
• Urine for white blood cells
• Serum calcium
Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abd pain).
• A nurse in the emergency department is assessing a patient. Which of the following actions
should the nursetake first (Click on the “Exhibit” button for additional information about the
patient. There are threetabs that contain separate categories of data.)
• Obtain a sputum sample for culture
• Prepare the patient for a chest x-ray
• Initiate airborne precautions
• Administer ondansertron.
Rationale: No idea what the Exhibit is all about; wont be able to answer it.
• A nurse is contacting the provider for a patient who has cancer and is
experiencing breakthroughpain. Which of the following prescriptions should
the nurse anticipate?
• Transmucosal fentanyl
• Intramuscular meperidine
• Oral acetaminophen
• Intravenous
dexamethasoneRationale:A
TI pg. 27
• A nurse is admitting a patient who reports chest pain and has been placed on a telemetry
monitor. Whichofthe following should the nurse analyze to determine whether the patient is
experiencing a myocardial infarction?
• PR interval
, • QRS duration
• T wave
• ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
• A nurse is teaching a patient who has ovarian cancer about skin care following radiation
treatment. Whichof the following instructions should the nurse include?
• Pat the skin on the radiation site to dry it
• Apply OTC moisturizer to the radiation site
• Cover the radiation site loosely with a gauze wrap before dressing
• Use a soft washcloth to clean the area
around the radiationsite Rationale: pg. 584. Dry the area
thoroughly using pattingmotions.
• A nurse is caring for a patient who is receiving a blood transfusion. The nurse observes that
the patienthas bounding peripheral pulses, hypertension, and distended jugular veins. The
nurse should anticipateadministering which of the following prescribed medications?
• Diphenhydramine
• Acetaminophen
• Pantoprazole
• Furosemide
Rationale: S/S may indicate fluid retention or heart failure. It is important to administer diuretics to
preventcardiovascular/respiratory distress.
• A nurse is assessing a patient who is receiving magnesium sulfate IV for the
treatment ofhypomagnesemia. Which of the following findings indicates
effectiveness of the medication?
• Lungs clear
• Apical pulse 82/min
• Hyperactive bowel sounds
• Blood pressure 90/50 mm Hg
Rationale: ATI p. 494: s/s of hypomagnesemia consist of hypoactive bowel sounds, constipation, paralytic ileus.
Soeffectiveness would indicate opposite of this
• A nurse is reviewing a patient’s ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L.
The nurseshould recognize these findings as indication of which of the following
conditions?
• Metabolic acidosis
• Metabolic alkalosis
• Compensated respiratory alkalosis
• Uncompensated respiratory acidosis
Rationale: because the HCO3 21 trying to compensate for respiratory alkalosis
• A nurse is caring for a patient who has a deep partial thickness burns over 15% of her
body whichofthe following labs should the nurse expect during the first 24 hours
• Decreased BUN ELEVATED DT fluid loss
• Hypoglycemia (High due to stress)
• Hypoalbuminemia (Low due to fluid loss)
• Decreased Hematocrit (Elevated due to 3rd spacing during resuscitation phase)
(Page 481 ch 75 med surge ati pdf 10.0)
, • A nurse is caring for a patient who has dumping syndrome following a gastrectomy, which of the
followingactions should the nurse take ?
• Offer the patient high carbohydrate meal options (High fat, high protein, low
fiber, low tomoderatecarbs page 317, chapter 49 Peptic ulcer disease med
surge ati pdf 10.0)
• Provide the patient with four full meals a day (Small frequent meals)
• Encourage the patient to to drink at least 360 ml of fluids with meals (Eliminate liquids with
meals for 1hr prior and following a meal)
• Have the patient lie down for 30 minutes after meals (Lying down after a meal slows the
movementoffood within the intestines)
• A nurse is teaching a group of young adult patients about risk factors for hearing loss. Which of the
followingfactors should the nurse include in the teaching? SATA. (p.70 chapter 13)
Born with a high weight
Chronic infections of the
middle earUse a loop
diuretic
Perforation of the ear drum
Frequent exposure to low volume noise
• A nurse is preparing to administer fresh frozen plasma to a patient . Which of the following
actions should thenurse take? (Chapter 92 page 606 med surge ati pdf 10.0)
Administer the plasma immediately after thawing (Blood must be warm, you also have a 30 minute
windowto give it so bacteria doesn’t grow. So it doesn’t necessarily have to be right away.)
Transfuse the plasma over 4 hour (Can be in 2 to 4 hours)
Hold the transfusion if the patient is actively bleeding (YOU HAVE TO GIVE IT. That’s the whole
point! The patient is losing blood so you have to replace it. We give fresh frozen plasma
because he or she may have clotting deficiencies)
Administer the transfusion through a 24 gauge saline lock (Has to be a 18 or 20 gauge)
• A nurse is assessing a patients who reports numbness and tingling of his toes and exhibits a
positive TROUSSEAU. Which of the following electrolyte imbalance should the nurse suspect? (ch
44 page 277 MSATI PDF 10.0)
Hypoatremia Hyperchloremia
Hypermagnesemi a
Hypocalcemia (low calcium = low ca causes increased firing = spasms. Learned this is LVN school.)
• A home health nurse is teaching a patients how to care for a peripherally central catheter
in his rightarm.Which of the following statements should the nurse include in the
teaching?
(Chapter 27 cardiovascular diagnostics and therapeutic procedures p. 165 MS ATI PDF 10.0)
Change the transparent dressing over the insertion site every 48 hours - transparent dressing can be up
to 7 daysClean the insertion site with mild soap and water - when showering, must insertion site must be
covered
!!!!!
No water can be in it .
Measure your right arm circumference once weekly- does not say in the chapter
Use a 10 milliliter syringe when flushing the catheter - flush with 10 ml NS b4 and after
medadministration
