ATI MED-SURG PROCTORED EXAM 2019 (84QA) WITH VERIFIED
AND CORRECT ANSWERS AND EXPLANATIONS
ATI MED-SURG PROCTORED EXAM 1
1. A nurse is reinforcing teaching with an older adult client who has
osteoporosis. Which of the following instructions should the nurse in the teaching?
a. "Place throw rugs on wooden floors at home.
b. " b) "Supplement your diet with vitamin E."
c. "Swim laps for 20 minutes twice per week."
d. "Take calcium supplements with meals." (The nurse should instruct the client
to take calcium carbonate supplements with or following meals to increase absorption
and effectiveness.)
1. A nurse is reviewing the medication record of a client who is taking digoxin.
Which of the following medications should the nurse identify as increasing the risk
for the client to develop digoxin toxicity?
a. Potassium chloride
b. Famotidine
c. Levothyroxine
d. Furosemide (The nurse should identify that loop diuretics, such as furosemide,
increase the urinary excretion of potassium, which can lead to hypokalemia.
Hypokalemia increases the risk for the development of digoxin toxicity.)
1. A nurse is reinforcing teaching about insulin injections with an adult client who
weighs 45.4 kg (100 lb.). Which of the following statements by the client indicates an
understanding of the teaching?
a. "I should insert the needle at a 90-degree angle.
b. "I should give my shot in my belly tissue." (Clients who have low body
weights can have very little subcutaneous tissue. Therefore, the nurse should instruct
the client to administer the medication in the upper abdomen for proper absorption.)
c. "I will pull back on the syringe plunger to look for blood before I push the
medication in."
d. "I will use the side of my hand to pull my skin to the side prior to administering
the insulin."
1. A nurse is reinforcing discharge teaching for a client who had a mechanical
mitral valve replacement. Which of the following statements by the client indicates an
understanding of the teaching?
a. "I will notify my dentist about this procedure." (The nurse should instruct the
client to notify his dentist about the mechanical mitral valve replacement before any
,procedures so antibiotic therapy can be initiated to reduce the risk of endocardial
infection.)
b. "I will take an enteric-coated aspirin daily."
c. "I will use a firm-bristled toothbrush."
d. "I will weigh myself once a week."
1. A nurse is reviewing the medical record for an older adult client who is
experiencing nausea and vomiting. Based on the client data, which of the following
actions should the nurse take? (Click on the “Exhibit” button for additional client
information. There are three tabs that contain separate categories of data.) View the
Exhibit
Exhibit 1 Exhibit 2 Exhibit 3
Diagnosis Results Nurses’ Notes 1200: Graphic Record
Sodium 142 mEq/ Alert and oriented x3 Temperature 0800:
Potassium 4.2 mEq/L Lungs clear to 37.7° C (99.9° F) 1200:
BUN 36 mg/dL auscultation Decreased 37.2° C (99.0° F) Pulse
Creatinine 1.4 mg/dL skin turgor Dry mucous 0800: 96/min
membranes 1200:105/min
Respiratory rate 0800:
18/min 1200: 20/min
Blood pressure 0800;
118/62 mmHg 1200:
104/65 mm Hg
a. Encourage the client to ambulate.
b. Administer an antipyretic medication.
c. Notify the charge nurse of the client's BUN level (The client's BUN level is
above the expected reference range of 10 to 20 mg/dL, which indicates dehydration
and impaired renal function. The nurse should notify the charge nurse of this finding
and anticipate interventions to restore the client's fluid volume.)
d. Keep the temperature in the client's room warm.
1. A nurse is providing information regarding transmission-based precautions for
a client who has Clostridium difficileto an assistive personnel (AP). Which of the
following instructions should the nurse include? (Select all that apply).
a. "Provide the client with disposable utensils and dishes for meals." (Clients who
have C. difficile require contact precautions, which include using disposable utensils
and dishes during meals to prevent exposure to contaminants by others.)
, b. "Leave blood pressure equipment in the client's room." (When using contact
precautions, the health care staff should dedicate equipment to single-client use to
prevent transmission of the pathogen.)
c. "Clean contaminated surfaces with a bleach solution." (The health care staff
should use a bleach solution to clean equipment to prevent transmission of the
pathogen.)
d. "Use an alcohol-based hand sanitizer after client care."
e. "Wear a face mask when in the client's room."
1. A nurse is admitting a client who is suspected having active tuberculosis (TB).
Which of the following actions should the nurse take first? (chap. 20)
a. Administer antituberculosis medication.
b. Institute airborne precautions. (The greatest risk from this client is transmitting
TB to staff and other clients. Therefore, the first action the nurse should take is to
implement airborne precautions.)
c. Obtain sputum cultures.
d. Auscultate breath sounds.
1. A nurse is caring for a client who is postoperative and has a Jackson-Pratt
drain. Which of the following actions should the nurse take?
a. Fill the bulb reservoir with 0.9% sodium chloride.
b. Allow the Jackson-Pratt drain to hang freely.
c. Cut a slit in a gauze sponge and apply it around the tubing insertion site.
d. Compress the bulb reservoir and then close the drainage valve. (The nurse
should fully compress the bulb reservoir and then replace the valve plug using aseptic
technique to establish suction after emptying or activating a Jackson-Pratt drain.)
1. A nurse is reinforcing teaching with the parent of a toddler who has type I
diabetes mellitus and whose prescription has been changed from regular insulin to
lispro insulin. Which of the following information should the nurse include in the
teaching?
a. Lispro is given once a day.
b. Lispro should be given before eating. (Lispro insulin should be given around
mealtime, within 15 min before or after eating.)
c. Lispro cannot be given with other insulin.
d. Lispro does not cause hypoglycemia.
1. A nurse is reinforcing teaching with a client who has microcytic anemia and is
prescribed a daily iron supplement. The nurse tells the client to consume foods
containing vitamin C when taking the supplement to enhance iron absorption. Which
of the following client food choices indicates an understanding of the teaching?
AND CORRECT ANSWERS AND EXPLANATIONS
ATI MED-SURG PROCTORED EXAM 1
1. A nurse is reinforcing teaching with an older adult client who has
osteoporosis. Which of the following instructions should the nurse in the teaching?
a. "Place throw rugs on wooden floors at home.
b. " b) "Supplement your diet with vitamin E."
c. "Swim laps for 20 minutes twice per week."
d. "Take calcium supplements with meals." (The nurse should instruct the client
to take calcium carbonate supplements with or following meals to increase absorption
and effectiveness.)
1. A nurse is reviewing the medication record of a client who is taking digoxin.
Which of the following medications should the nurse identify as increasing the risk
for the client to develop digoxin toxicity?
a. Potassium chloride
b. Famotidine
c. Levothyroxine
d. Furosemide (The nurse should identify that loop diuretics, such as furosemide,
increase the urinary excretion of potassium, which can lead to hypokalemia.
Hypokalemia increases the risk for the development of digoxin toxicity.)
1. A nurse is reinforcing teaching about insulin injections with an adult client who
weighs 45.4 kg (100 lb.). Which of the following statements by the client indicates an
understanding of the teaching?
a. "I should insert the needle at a 90-degree angle.
b. "I should give my shot in my belly tissue." (Clients who have low body
weights can have very little subcutaneous tissue. Therefore, the nurse should instruct
the client to administer the medication in the upper abdomen for proper absorption.)
c. "I will pull back on the syringe plunger to look for blood before I push the
medication in."
d. "I will use the side of my hand to pull my skin to the side prior to administering
the insulin."
1. A nurse is reinforcing discharge teaching for a client who had a mechanical
mitral valve replacement. Which of the following statements by the client indicates an
understanding of the teaching?
a. "I will notify my dentist about this procedure." (The nurse should instruct the
client to notify his dentist about the mechanical mitral valve replacement before any
,procedures so antibiotic therapy can be initiated to reduce the risk of endocardial
infection.)
b. "I will take an enteric-coated aspirin daily."
c. "I will use a firm-bristled toothbrush."
d. "I will weigh myself once a week."
1. A nurse is reviewing the medical record for an older adult client who is
experiencing nausea and vomiting. Based on the client data, which of the following
actions should the nurse take? (Click on the “Exhibit” button for additional client
information. There are three tabs that contain separate categories of data.) View the
Exhibit
Exhibit 1 Exhibit 2 Exhibit 3
Diagnosis Results Nurses’ Notes 1200: Graphic Record
Sodium 142 mEq/ Alert and oriented x3 Temperature 0800:
Potassium 4.2 mEq/L Lungs clear to 37.7° C (99.9° F) 1200:
BUN 36 mg/dL auscultation Decreased 37.2° C (99.0° F) Pulse
Creatinine 1.4 mg/dL skin turgor Dry mucous 0800: 96/min
membranes 1200:105/min
Respiratory rate 0800:
18/min 1200: 20/min
Blood pressure 0800;
118/62 mmHg 1200:
104/65 mm Hg
a. Encourage the client to ambulate.
b. Administer an antipyretic medication.
c. Notify the charge nurse of the client's BUN level (The client's BUN level is
above the expected reference range of 10 to 20 mg/dL, which indicates dehydration
and impaired renal function. The nurse should notify the charge nurse of this finding
and anticipate interventions to restore the client's fluid volume.)
d. Keep the temperature in the client's room warm.
1. A nurse is providing information regarding transmission-based precautions for
a client who has Clostridium difficileto an assistive personnel (AP). Which of the
following instructions should the nurse include? (Select all that apply).
a. "Provide the client with disposable utensils and dishes for meals." (Clients who
have C. difficile require contact precautions, which include using disposable utensils
and dishes during meals to prevent exposure to contaminants by others.)
, b. "Leave blood pressure equipment in the client's room." (When using contact
precautions, the health care staff should dedicate equipment to single-client use to
prevent transmission of the pathogen.)
c. "Clean contaminated surfaces with a bleach solution." (The health care staff
should use a bleach solution to clean equipment to prevent transmission of the
pathogen.)
d. "Use an alcohol-based hand sanitizer after client care."
e. "Wear a face mask when in the client's room."
1. A nurse is admitting a client who is suspected having active tuberculosis (TB).
Which of the following actions should the nurse take first? (chap. 20)
a. Administer antituberculosis medication.
b. Institute airborne precautions. (The greatest risk from this client is transmitting
TB to staff and other clients. Therefore, the first action the nurse should take is to
implement airborne precautions.)
c. Obtain sputum cultures.
d. Auscultate breath sounds.
1. A nurse is caring for a client who is postoperative and has a Jackson-Pratt
drain. Which of the following actions should the nurse take?
a. Fill the bulb reservoir with 0.9% sodium chloride.
b. Allow the Jackson-Pratt drain to hang freely.
c. Cut a slit in a gauze sponge and apply it around the tubing insertion site.
d. Compress the bulb reservoir and then close the drainage valve. (The nurse
should fully compress the bulb reservoir and then replace the valve plug using aseptic
technique to establish suction after emptying or activating a Jackson-Pratt drain.)
1. A nurse is reinforcing teaching with the parent of a toddler who has type I
diabetes mellitus and whose prescription has been changed from regular insulin to
lispro insulin. Which of the following information should the nurse include in the
teaching?
a. Lispro is given once a day.
b. Lispro should be given before eating. (Lispro insulin should be given around
mealtime, within 15 min before or after eating.)
c. Lispro cannot be given with other insulin.
d. Lispro does not cause hypoglycemia.
1. A nurse is reinforcing teaching with a client who has microcytic anemia and is
prescribed a daily iron supplement. The nurse tells the client to consume foods
containing vitamin C when taking the supplement to enhance iron absorption. Which
of the following client food choices indicates an understanding of the teaching?
