ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2019
WITH NGN QUESTIONS/A+ GRADE
1.A nurse is assessing for compartment syndrome in a patient who has a short leg cast. Which
of thefollowing findings should the nurse identify as a manifestation of this condition?
• Bounding pedal pulse
• Capillary refill less than 2 seconds
• Pain that increases with passive movement
• Areas of warmth on the cast
2.A nurse is providing teaching to a patient who has a severe form of stage II Lyme disease.
Whichof the following statements made by the patient reflects an understanding of the
teaching?
• "I will need to take antibiotics for 1 year"
• "My partner will need to take an antiviral medication"
• "My joints ache because I have Lyme disease"
• "I will bruise easily because I have Lyme disease"
3.A nurse is preparing to administer phenytoin 600 mg PO daily to a patient. The amount
available is oral solution 125 mg/5 mL. How many mL should the nurse administer? 24
A nurse is caring for a patient who has an arterial line. Which of the following actions should
thenurse take?
• Flush the line before administering antibiotics
• Position the patient in Trendelenburg to obtain measurements
• Have the patient bear down when readings are obtained
• Place a pressure bag around the flush solutionsolution
4.A nurse is updating the plan of care for a patient who is receiving chemotherapy. Which of
thefollowing findings should the nurse identify as the priority?
• Report of sore throat
• Report of memory loss
• Alopecia
• Mucositis
5.A nurse is reviewing the medical record of a patient who has systemic lupus erthematosus
(SLE).Which of the following findings should the nurse expect?
• Facial butterfly rash
• Bradycardia
• Esophagitis
• Interstitial fibrosis
6.A nurse is planning care for a patient who is postoperative following a parathyroidectomy.
Whichof the following actions should the nurse identify as the priority?
• Use pillows to support the patient's head and neck
• Offer opioid medication
, • Place a tracheostomy tray at the bedside
• Place the patient in semi-Fowler's position
7.A nurse is assessing a patient who has diabetes insipidus. Which of the following findings
shouldthe nurse expect?
• Low urine specific gravity
• Hypertension
• Bounding peripheral pulses
• Hyperglycemia
8.A nurse is providing teaching to a patient who has stage II cervical cancer and is scheduled for
brachytherapy. Which of the following instructions should the nurse include?
• "You will have an implant placed twice each month for the duration of the treatment"
• "You should remain at least 6 feet away from others between treatments"
• "You should expect to have blood in your urine for a few days after treatment"
• "You will need to stay still in the bed during each treatment session"
9.A nurse is planning care for a patient who is scheduled for a thoracentesis. Which of the
following interventions should the nurse include in the plan?
• Encourage the patient to take deep breaths after the procedure
• Assist the patient to hold their arms up during the procedure
• Instruct the patient to remain NPO after midnight prior to the procedure
• Keep the patient on bedrest for 8 hr following the procedure
10.A nurse is caring for a patient who is receiving a blood transfusion. The patient becomes
restless, dyspneic, and has crackles noted to the lung bases. Which of the following actions
should the nurse anticipate taking?
• Administer an antihistamine
• Slow the infusion rate
• Give the patient a corticosteriod
• Elevate the patient's lower extremities
11.A nurse is providing teaching to a patient who has end-stage kidney disease and is waiting
for akidney transplant. Which of the following information should the nurse provide?
• Kidney donation must come from a living donor
• Immunosuppressive therapy is necessary until the donated kidney begins producing urine
• Hemodialysis is sometimes required following surgery
• Kidney transplant recipients can resume their regular diet following surgery
12.A nurse is caring for a patient who has hypothyroidism. Which of the following
manifestationsshould the nurse expect?
• Constipation
• Insomnia
• Tachycardia
• Diaphoresis
WITH NGN QUESTIONS/A+ GRADE
1.A nurse is assessing for compartment syndrome in a patient who has a short leg cast. Which
of thefollowing findings should the nurse identify as a manifestation of this condition?
• Bounding pedal pulse
• Capillary refill less than 2 seconds
• Pain that increases with passive movement
• Areas of warmth on the cast
2.A nurse is providing teaching to a patient who has a severe form of stage II Lyme disease.
Whichof the following statements made by the patient reflects an understanding of the
teaching?
• "I will need to take antibiotics for 1 year"
• "My partner will need to take an antiviral medication"
• "My joints ache because I have Lyme disease"
• "I will bruise easily because I have Lyme disease"
3.A nurse is preparing to administer phenytoin 600 mg PO daily to a patient. The amount
available is oral solution 125 mg/5 mL. How many mL should the nurse administer? 24
A nurse is caring for a patient who has an arterial line. Which of the following actions should
thenurse take?
• Flush the line before administering antibiotics
• Position the patient in Trendelenburg to obtain measurements
• Have the patient bear down when readings are obtained
• Place a pressure bag around the flush solutionsolution
4.A nurse is updating the plan of care for a patient who is receiving chemotherapy. Which of
thefollowing findings should the nurse identify as the priority?
• Report of sore throat
• Report of memory loss
• Alopecia
• Mucositis
5.A nurse is reviewing the medical record of a patient who has systemic lupus erthematosus
(SLE).Which of the following findings should the nurse expect?
• Facial butterfly rash
• Bradycardia
• Esophagitis
• Interstitial fibrosis
6.A nurse is planning care for a patient who is postoperative following a parathyroidectomy.
Whichof the following actions should the nurse identify as the priority?
• Use pillows to support the patient's head and neck
• Offer opioid medication
, • Place a tracheostomy tray at the bedside
• Place the patient in semi-Fowler's position
7.A nurse is assessing a patient who has diabetes insipidus. Which of the following findings
shouldthe nurse expect?
• Low urine specific gravity
• Hypertension
• Bounding peripheral pulses
• Hyperglycemia
8.A nurse is providing teaching to a patient who has stage II cervical cancer and is scheduled for
brachytherapy. Which of the following instructions should the nurse include?
• "You will have an implant placed twice each month for the duration of the treatment"
• "You should remain at least 6 feet away from others between treatments"
• "You should expect to have blood in your urine for a few days after treatment"
• "You will need to stay still in the bed during each treatment session"
9.A nurse is planning care for a patient who is scheduled for a thoracentesis. Which of the
following interventions should the nurse include in the plan?
• Encourage the patient to take deep breaths after the procedure
• Assist the patient to hold their arms up during the procedure
• Instruct the patient to remain NPO after midnight prior to the procedure
• Keep the patient on bedrest for 8 hr following the procedure
10.A nurse is caring for a patient who is receiving a blood transfusion. The patient becomes
restless, dyspneic, and has crackles noted to the lung bases. Which of the following actions
should the nurse anticipate taking?
• Administer an antihistamine
• Slow the infusion rate
• Give the patient a corticosteriod
• Elevate the patient's lower extremities
11.A nurse is providing teaching to a patient who has end-stage kidney disease and is waiting
for akidney transplant. Which of the following information should the nurse provide?
• Kidney donation must come from a living donor
• Immunosuppressive therapy is necessary until the donated kidney begins producing urine
• Hemodialysis is sometimes required following surgery
• Kidney transplant recipients can resume their regular diet following surgery
12.A nurse is caring for a patient who has hypothyroidism. Which of the following
manifestationsshould the nurse expect?
• Constipation
• Insomnia
• Tachycardia
• Diaphoresis
