ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2019 ACTUAL
QUESTIONS WITH SOLUTIONS/A+ GRADE
• A nurse is caring for a client who has hepatic encephalopathy that is being
treated withlactulose. The client is experiencing excessive stools. Which
of the following findings isan adverse effect of this medication?
• Hypokalemia
• Hypercalcemia
• Gastrointestinal bleeding
• Confusion
• A nurse is caring for a client who has emphysema and is receiving
mechanical ventilation. The client appears anxious and restless, and
the high-pressure alarm issounding. Which of the following actions
should the nurse take first?
• Obtain ABGs
• Administer propofol to the client
• Instruct the client to allow the machine to breathe for them.
• Disconnect the machine and manually ventilate the client
• A nurse is teaching a client who has family history of colorectal cancer. To
help mitigatethis risk, which of the following dietary alterations should
the nurse recommend?
• Add full-fat yogurt to the diet
• b. Add cabbage to the diet
• Replace butter with coconut oil
• Replace shellfish with red meat
• A home health nurse is assigned to a client who was recently discharged
from a rehabilitation center after experiencing a right-hemispheric stroke.
Which of the following neurological deficits should the nurse expect to find
when assessing the client?(Select all that apply)
• Expressive aphasia
• b. Visual spatial deficits
• c. Left hemianopsia
d. Right hemiplegia
e. One-sided neglect
• A nurse is caring for a client who has viral pneumonia. The client’s
pulse oximeter readings have fluctuated between 79% and 88% for
the last 30 min. Which of the following oxygen delivery systems
should the nurse initiate to provide the highest concentration of
oxygen?
• Nonrebreather mask
• Venturi mask
, • Simple face mask
• Partial rebreather mask
• A nurse is caring for a client who has bilateral pneumonia and an SaO2 of
85%. The clienthas dyspnea with a productive cough and it using accessory
muscles to breathe. Which of the following actions should the nurse take
first?
• Obtain a prescription for ABGS
• Administer IV antibiotics to the client
• Instruct the client to use the
incentive spirometer
• d. Place the client in high-Fowler’s
position
• A nurse is planning care for a client who has extensive burn injuries and
is immunocompromised. Which of the following precautions should the
nurse include inthe plan of care to prevent a Pseudomonas aeruginosa
infection?
• Encourage the client eat raw fruits
and vegetables.
• b. Avoid placing plants or flowers in
the client’s room
• Limit visitors to members of the client’s immediate family
• Wear an N95 respirator mask when providing care to the client.
• An older adult client is brought to an emergency department by a family
member. Whichof the following assessment findings should cause the
nurse to suspect that the client has hypertonic dehydration?
• Serum sodium level 145 mEq/L
• Forearm skin tents when pinched
• Respiratory rate decreased
• d. Urine specific gravity 1.045
• A nurse is an emergency department is reviewing the provider’s
prescriptions for a clientwho sustained a rattlesnake bite to the lower leg.
Which of the following prescriptions should the nurse expect?
• Apply ice to the client’s puncture wounds.
• Initiate corticosteroid therapy for the client
• Keep the client’s leg above heart level
• Administer an opioid analgesic to the client
• A nurse is assessing a client who has had a suspected stroke. The nurse
should place thepriority on which of the following findings?
• Dysphagia
• Aphasia
, • Ataxia
• Hemianopsia
• A nurse is teaching a young adult client how to perform testicular self-
examination.Which of the following instructions should the nurse
include?
• Compare both testicles by examining them
simultaneously
• b. Roll each testicle between the thumb and
fingers
• Perform testicular self-examination before a warm bath or shower
• Perform self-examination of the testicles every 2 weeks
• A nurse is providing instructions to a client who has type 2 diabetes
mellitus and a new prescription for metformin. Which of the following
statements by the client indicates anunderstanding of the teaching?
• “I will monitor my blood sugar carefully because the medication
increases thesecretion of insulin.”
• “I should take this medication with a meal.”
• “I can expect to gain weight while taking this medication.”
• “While taking this medication, I will experience flushing of my skin.”
• A Nurse is teaching a client who has venous insufficiency about self-care.
Which of thefollowing statements should the nurse identify as an
indication that the client understanding the teaching?
• “I should avoid walking as much as possible.”
• “I should sit down and read for several hours a day.”
• “I will wear clean graduated compression stockings every day.”
• “I will keep my legs level with my body when I sleep at night.:”
• A nurse is assessing a client who has acute cholecystitis. Which of the
following findingsis the nurse’s priority?
• Anorexia
• Abdominal pain radiating to the
right shoulder
• c. Tachycardia
d. Rebound abdominal tenderness
• A nurse is reviewing the health record of a client who is scheduled for
allergy skin testing. The nurse should postpone the testing and report to
the provider which of thefollowing findings?
• Disease processes
• Laboratory findings
• Blood glucose (fasting) 102 mg/dL
• BUN 15 mg/dL
QUESTIONS WITH SOLUTIONS/A+ GRADE
• A nurse is caring for a client who has hepatic encephalopathy that is being
treated withlactulose. The client is experiencing excessive stools. Which
of the following findings isan adverse effect of this medication?
• Hypokalemia
• Hypercalcemia
• Gastrointestinal bleeding
• Confusion
• A nurse is caring for a client who has emphysema and is receiving
mechanical ventilation. The client appears anxious and restless, and
the high-pressure alarm issounding. Which of the following actions
should the nurse take first?
• Obtain ABGs
• Administer propofol to the client
• Instruct the client to allow the machine to breathe for them.
• Disconnect the machine and manually ventilate the client
• A nurse is teaching a client who has family history of colorectal cancer. To
help mitigatethis risk, which of the following dietary alterations should
the nurse recommend?
• Add full-fat yogurt to the diet
• b. Add cabbage to the diet
• Replace butter with coconut oil
• Replace shellfish with red meat
• A home health nurse is assigned to a client who was recently discharged
from a rehabilitation center after experiencing a right-hemispheric stroke.
Which of the following neurological deficits should the nurse expect to find
when assessing the client?(Select all that apply)
• Expressive aphasia
• b. Visual spatial deficits
• c. Left hemianopsia
d. Right hemiplegia
e. One-sided neglect
• A nurse is caring for a client who has viral pneumonia. The client’s
pulse oximeter readings have fluctuated between 79% and 88% for
the last 30 min. Which of the following oxygen delivery systems
should the nurse initiate to provide the highest concentration of
oxygen?
• Nonrebreather mask
• Venturi mask
, • Simple face mask
• Partial rebreather mask
• A nurse is caring for a client who has bilateral pneumonia and an SaO2 of
85%. The clienthas dyspnea with a productive cough and it using accessory
muscles to breathe. Which of the following actions should the nurse take
first?
• Obtain a prescription for ABGS
• Administer IV antibiotics to the client
• Instruct the client to use the
incentive spirometer
• d. Place the client in high-Fowler’s
position
• A nurse is planning care for a client who has extensive burn injuries and
is immunocompromised. Which of the following precautions should the
nurse include inthe plan of care to prevent a Pseudomonas aeruginosa
infection?
• Encourage the client eat raw fruits
and vegetables.
• b. Avoid placing plants or flowers in
the client’s room
• Limit visitors to members of the client’s immediate family
• Wear an N95 respirator mask when providing care to the client.
• An older adult client is brought to an emergency department by a family
member. Whichof the following assessment findings should cause the
nurse to suspect that the client has hypertonic dehydration?
• Serum sodium level 145 mEq/L
• Forearm skin tents when pinched
• Respiratory rate decreased
• d. Urine specific gravity 1.045
• A nurse is an emergency department is reviewing the provider’s
prescriptions for a clientwho sustained a rattlesnake bite to the lower leg.
Which of the following prescriptions should the nurse expect?
• Apply ice to the client’s puncture wounds.
• Initiate corticosteroid therapy for the client
• Keep the client’s leg above heart level
• Administer an opioid analgesic to the client
• A nurse is assessing a client who has had a suspected stroke. The nurse
should place thepriority on which of the following findings?
• Dysphagia
• Aphasia
, • Ataxia
• Hemianopsia
• A nurse is teaching a young adult client how to perform testicular self-
examination.Which of the following instructions should the nurse
include?
• Compare both testicles by examining them
simultaneously
• b. Roll each testicle between the thumb and
fingers
• Perform testicular self-examination before a warm bath or shower
• Perform self-examination of the testicles every 2 weeks
• A nurse is providing instructions to a client who has type 2 diabetes
mellitus and a new prescription for metformin. Which of the following
statements by the client indicates anunderstanding of the teaching?
• “I will monitor my blood sugar carefully because the medication
increases thesecretion of insulin.”
• “I should take this medication with a meal.”
• “I can expect to gain weight while taking this medication.”
• “While taking this medication, I will experience flushing of my skin.”
• A Nurse is teaching a client who has venous insufficiency about self-care.
Which of thefollowing statements should the nurse identify as an
indication that the client understanding the teaching?
• “I should avoid walking as much as possible.”
• “I should sit down and read for several hours a day.”
• “I will wear clean graduated compression stockings every day.”
• “I will keep my legs level with my body when I sleep at night.:”
• A nurse is assessing a client who has acute cholecystitis. Which of the
following findingsis the nurse’s priority?
• Anorexia
• Abdominal pain radiating to the
right shoulder
• c. Tachycardia
d. Rebound abdominal tenderness
• A nurse is reviewing the health record of a client who is scheduled for
allergy skin testing. The nurse should postpone the testing and report to
the provider which of thefollowing findings?
• Disease processes
• Laboratory findings
• Blood glucose (fasting) 102 mg/dL
• BUN 15 mg/dL
