l O M o A R c P S D | 2 2 8 3 0 7 92
ATI RN PROCTORED ADULT MED-SURG FORM A.
QUESTIONS WITH UPDATEDCORRECT ANSWERS/A+
GRADE
Nurse is preparing to administer thrombolytic therapy to a client with ischemic stroke. Which is
an appropriate nursing action?
Elevate HOB btw 25-30 degrees
Nurse is teaching about the use of incentive spirometer. Which if the following instructions
should the nurse include in the teaching?
Hold breaths about 30 seconds before exhaling
Nurse is assessing a client who is 12 hours post op following a colon resection. Which of the
following findings should the nurse report to the surgeon?
Absent breath sounds
Nurse is caring for a client who has diabetes insipidus/ which of the following meds should the
nurse plan to administer?
Desmopressin
Nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times for
3 years. Which of the following test should the nurse monitor?
Stool for occult blood
A nurse in the ED is assessing a client. Which of the following actions should the nurse take
first? Initiate airborne precautions
A nurse is contacting the provider of a client who has cancer and is experiencing breakthrough
pain. Which of the following prescriptions should the nurse anticipate?
Fentanyl
Nurse is admitting a client who reports CP and has been placed on a telemetry monitor. Which
of the following should the nurse analyze to determine whether the client is experiencing a
MI? ST segment
Nurse us teaching a client who has ovarian CA about skin care following radiation treatment.
Which of the should the nurse include?
Pat the skin on the radiation site to dry it
A nurse is assessing a client who is getting magnesium sulfate IV for tc of hypomagnesmia.
Which of the following indicates effectiveness?
Apical Pulse 82
, l O M o A R c P S D | 2 2 8 3 0 7 92
A nurse is reviewing ABG results: pH 7.42, PaCO2: 30; HCO3 21.This is an indication of which
conditions?
Uncompensated respiratory acidosis
Nurse is caring for a client who is experiencing sz secondary to meningitis. What should be
included in the plan of care? SATA
Have suction at bedside
Dim overhead lights
Nurse is caring for patient who has a pressure ulcer with necrotic tissue and requires wet- to-
damp dressing. Which of the following types of debridement should the nurse include in the
plan ofcare?
Mechanical
Nurse is caring for a female with toxic shock. Which finding should nurse expect?
General rah
Nurse is preparing to administer a med for a client through a non-tunneled percutaneous
central catheter. Which of the following actions should the nurse take?
Flush catheter with 10 ml of NS
Nurse is caring for a patient admitted with nausea, vomit and possible bowel obstruction. NG
tube isplaced and set to low intermittent suction. Which of the following findings should the
nurse report?
Distended and firm
Nurse is reviewing the MAR of a patient with DI. Which of the following should the nurse
expect?
Urine specific gravity 1.001
Nurse is caring for a patient who has hyperthyroidism and develops thyroid storm. Which
of the following instructions should the nurse give to the client regarding management of
thyroidstorm?
You will need a cooling blanket to lower your body temp
, l O M o A R c P S D | 2 2 8 3 0 7 92
Nurse is reviewing the MAR of a client who has acute lab. The nurse should expect to increase in
which of the lab values?
Uric acid
Nurse is preparing to administer peritoneal dialysis to a client. Which of the following actions
should the nurse take?
Hang drainage bag below the clients abd
Nurse in the ED is caring for a patient who has deep partial thickness burns over 30 % of his
body,including chest and abdomen. Which of the following actions is the nurse’s priority?
Insert 18 gauge IV cath
Nurse is presenting an in-service about parkinsons disease. Which of the following statements
should the nurse include in the teaching?
PD results from a decease amount of dopamine in the client’s brain
A nurse is caring for a client who has a serum level of 150. Which action should the nurse take?
Admin hypotonic IV fluids to the client
Nurse is caring for a client who takes lisinoril for HTN. Which of the following statements by the
client indicates and AE of this med
I have a nagging, dry cough. Heightened sense of taste
Nurse is providing discharge teaching to a client following a modified left radical mastectomy
with breast expander. Which of the following statements by the client indicates an
understanding of the teaching?
I should expect less than 25 mL of secretions per day
Nurse is caring for a patient who has DM and has been following a treatment plan for 3
months.Which lab values should the nurse monitor to determine long term glycemic control?
Glycoysated Hgb level
Nurse is providing discharge teaching to a client who has chronic UTI. Client has prescriptions
for cipro. What should the nurse include in teaching?
Drink 2-3 L of fluids per day
A nurse is providing teaching to a patient who has DVT. Which of the following is a risk factor for
DVT?
Oral Contraceptives?
ATI RN PROCTORED ADULT MED-SURG FORM A.
QUESTIONS WITH UPDATEDCORRECT ANSWERS/A+
GRADE
Nurse is preparing to administer thrombolytic therapy to a client with ischemic stroke. Which is
an appropriate nursing action?
Elevate HOB btw 25-30 degrees
Nurse is teaching about the use of incentive spirometer. Which if the following instructions
should the nurse include in the teaching?
Hold breaths about 30 seconds before exhaling
Nurse is assessing a client who is 12 hours post op following a colon resection. Which of the
following findings should the nurse report to the surgeon?
Absent breath sounds
Nurse is caring for a client who has diabetes insipidus/ which of the following meds should the
nurse plan to administer?
Desmopressin
Nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times for
3 years. Which of the following test should the nurse monitor?
Stool for occult blood
A nurse in the ED is assessing a client. Which of the following actions should the nurse take
first? Initiate airborne precautions
A nurse is contacting the provider of a client who has cancer and is experiencing breakthrough
pain. Which of the following prescriptions should the nurse anticipate?
Fentanyl
Nurse is admitting a client who reports CP and has been placed on a telemetry monitor. Which
of the following should the nurse analyze to determine whether the client is experiencing a
MI? ST segment
Nurse us teaching a client who has ovarian CA about skin care following radiation treatment.
Which of the should the nurse include?
Pat the skin on the radiation site to dry it
A nurse is assessing a client who is getting magnesium sulfate IV for tc of hypomagnesmia.
Which of the following indicates effectiveness?
Apical Pulse 82
, l O M o A R c P S D | 2 2 8 3 0 7 92
A nurse is reviewing ABG results: pH 7.42, PaCO2: 30; HCO3 21.This is an indication of which
conditions?
Uncompensated respiratory acidosis
Nurse is caring for a client who is experiencing sz secondary to meningitis. What should be
included in the plan of care? SATA
Have suction at bedside
Dim overhead lights
Nurse is caring for patient who has a pressure ulcer with necrotic tissue and requires wet- to-
damp dressing. Which of the following types of debridement should the nurse include in the
plan ofcare?
Mechanical
Nurse is caring for a female with toxic shock. Which finding should nurse expect?
General rah
Nurse is preparing to administer a med for a client through a non-tunneled percutaneous
central catheter. Which of the following actions should the nurse take?
Flush catheter with 10 ml of NS
Nurse is caring for a patient admitted with nausea, vomit and possible bowel obstruction. NG
tube isplaced and set to low intermittent suction. Which of the following findings should the
nurse report?
Distended and firm
Nurse is reviewing the MAR of a patient with DI. Which of the following should the nurse
expect?
Urine specific gravity 1.001
Nurse is caring for a patient who has hyperthyroidism and develops thyroid storm. Which
of the following instructions should the nurse give to the client regarding management of
thyroidstorm?
You will need a cooling blanket to lower your body temp
, l O M o A R c P S D | 2 2 8 3 0 7 92
Nurse is reviewing the MAR of a client who has acute lab. The nurse should expect to increase in
which of the lab values?
Uric acid
Nurse is preparing to administer peritoneal dialysis to a client. Which of the following actions
should the nurse take?
Hang drainage bag below the clients abd
Nurse in the ED is caring for a patient who has deep partial thickness burns over 30 % of his
body,including chest and abdomen. Which of the following actions is the nurse’s priority?
Insert 18 gauge IV cath
Nurse is presenting an in-service about parkinsons disease. Which of the following statements
should the nurse include in the teaching?
PD results from a decease amount of dopamine in the client’s brain
A nurse is caring for a client who has a serum level of 150. Which action should the nurse take?
Admin hypotonic IV fluids to the client
Nurse is caring for a client who takes lisinoril for HTN. Which of the following statements by the
client indicates and AE of this med
I have a nagging, dry cough. Heightened sense of taste
Nurse is providing discharge teaching to a client following a modified left radical mastectomy
with breast expander. Which of the following statements by the client indicates an
understanding of the teaching?
I should expect less than 25 mL of secretions per day
Nurse is caring for a patient who has DM and has been following a treatment plan for 3
months.Which lab values should the nurse monitor to determine long term glycemic control?
Glycoysated Hgb level
Nurse is providing discharge teaching to a client who has chronic UTI. Client has prescriptions
for cipro. What should the nurse include in teaching?
Drink 2-3 L of fluids per day
A nurse is providing teaching to a patient who has DVT. Which of the following is a risk factor for
DVT?
Oral Contraceptives?
