ATI RN MED-SURG PROCTORED 2023
PRACTICE EXAM 250 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is monitoring a client who is receiving two units packed RBC's. Which of the
following manifestation indicates a hemolytic transfusion reaction?
a) back pain
b) Hypertension
c) Chills
d) bradycardia - ....ANSWER....a) back pain
A nurse is teaching a client who has diabetes mellitus about foot care. Which of the
following instruction should the nurse include?
a) Use a heating pad to keep your feet warm at night
b) wear loose-fitting slippers around the house
c) where cotton rather than nylon socks
d) wash your face twice per day with antibacterial soap and hot water - ....ANSWER....c)
where cotton rather than nylon socks
A nurse is providing teaching to a client who has a deep vein thrombosis (DVT) . Which
of the following findings should the nurse identify as a risk factor for the development of
the DVTs?
a) NSAID use
b) hypertension
c) oral contraceptive use
d) cirrhosis - ....ANSWER....c) oral contraceptive use
A nurse is caring for a client who has a sealed radiation implant. Which of the following
actions should the nurse take?
,a) Remove soiled linens from the room after each change
b) Give the dosimeter badge to the oncoming nurse at the end of the shift
c) Apply a second pair of gloves before touching the client's implant if it dislodges d)
Limit family member visits to 30 min per day - ....ANSWER....d) Limit family member
visits to 30 min per day
A nurse is providing teaching to a client and his partner about performing peritoneal
dialysis at home. When discussing peritonitis, which of the following manifestations
should the nurse identify as the earliest indication of this complication?
a) Generalized abdominal pain b) Cloudy effluent
c) Increased heart rate
d) Fever - ....ANSWER....d) Fever
A nurse is caring for a client who is receiving a blood transfusion. The nurse observes
that the client has bounding peripheral pulses, hypertension, and distended jugular
veins. The nurse should anticipate administering which of the following prescribed
medications?
a) Pantoprazole
b) Acetaminophen
c) Furosemide
d) Diphenhydramine - ....ANSWER....c) Furosemide
A nurse is planning care for a client who has upper gastrointestinal bleeding due to a
peptic ulcer. Which of the following actions should the nurse plan to take?
a) Provide ketorolac for abdominal pain
b) Administer nitroprusside IV based on the client's weight
c) Insert a large bore nasogastric tube
d) Ensure that the client has a 22- gauge iv line in place - ....ANSWER....c) Insert a
large bore nasogastric tube
A nurse is caring for a client who has bladder cancer and a WBC count of 900/mm3.
Which of the following actions should the nurse take?
a) Instruct client to avoid eating raw fruit
b) Move the client to a negative pressure room
c) Use contact isolation while providing care
d) Apply pressure to venipuncture sites for 10 min - ....ANSWER....a) Instruct client to
avoid eating raw fruit
A nurse is caring for a patient who has hypotension, cool and clammy skin, tachycardia
and tachypnea. Which of the following positions should the nurse place the client?
a) Reverse Trendelenburg
b) Feet elevated
c) Side lying
d) High - fowler's - ....ANSWER....a) Reverse Trendelenburg
,A nurse is caring for a client who weighs 190 lb and is receiving Total parenteral
Nutrition. If the RDA Protein is 0.8g/kg of body weight, how many grams of protein
should the client receive daily (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero) - ....ANSWER....Answer: 69 grams
A nurse is planning care for a client who has a central venous access device for
intermittent infusions. Which of the following actions should the nurse include in the plan
of care?
a) Flush a catheter using a 10 mL syringe
b) Use clean technique when changing the dressing
c) Cleanse the site with Provo dine iodine
d) Change the dressing every 24 hours - ....ANSWER....a) Flush a catheter using a 10
mL syringe
A nurse is reviewing the medical record of a client who is to undergo open heart
surgery. Which of the following findings should the nurse report to the provider as a
contradiction to receiving heparin?
a) Thalassemia
b) Rheumatoid arthritis
c) COPD
d) Thrombocytopenia - ....ANSWER....d) Thrombocytopenia
A nurse is caring for an older adult client who has dementia. Which of the following
question should the nurse ask to assess the client's abstract thinking?
a) What is meant by saying "don't beat around the bush?" b) What do you understand
about your condition?
c) Can you count backwards from 100 in intervals of 7?
d) Can you state where you were born? - ....ANSWER....a) What is meant by saying
"don't beat around the bush?"
A Nurse is completing an assessment of an older adult client and notes reddened areas
over the bony prominences, but the client's skin is intact. Which of the following
interventions should the nurse include in the plan of care?
a) Apply an occlusive dressing b) turn and reposition the client every 4 hours
c) support bony prominences with pillows
d) massage Tourette in areas three times daily - ....ANSWER....c) support bony
prominences with pillows
A nurse is reviewing a cardiac Rhythm strip of a client who has atrial flutter. Which of
the following findings should the nurse expect?
a) Progressively longer PR durations
b) undetectable p waves
c) absent PR intervals with ventricular rate of 40 to 60 / minutes
d) Sawtooth pattern with atrial rate of 252 400 / minutes - ....ANSWER....d) Sawtooth
pattern with atrial rate of 252 400 / minutes
, A nurse is caring for a client who is scheduled for an abdominal paracentesis. The
nurse should plan to take which of the following actions?
a) Administer a stool softener following the procedure
b) ask the client to empty his bladder prior to the procedure
c) instruct the client to take deep breaths and hold them during the procedure
d) assist the client into the left lateral position during the procedure - ....ANSWER....b)
ask the client to empty his bladder prior to the procedure
A nurse is caring for a client admitted with a skull fracture. Which of the following
assessment findings should be of greatest concern to the nurse?
a) Pulse pressure changes from 30 to 20 mmhg
b) bilateral pupil diameter changes from 4 to 2 mm
c) WBC count changes from 9,000 to 16,000 / mm 3
d) Glasgow Coma Scale score changes from 14 to 9 - ....ANSWER....d) Glasgow Coma
Scale score changes from 14 to 9
A nurse is administering furosemide 80 mg PO twice-daily to a client who has
pulmonary edema. Which of the following assessment findings indicates to the nurse
that the medication is effective?
a) Respiratory rate of 24 / min b) adventitious breath sounds c) weight loss of 1.8 kg (4
lb) in the past 24 hours
d) elevation in blood pressure - ....ANSWER....c) weight loss of 1.8 kg (4 lb) in the past
24 hours
A nurse is preparing to administer furosemide to a client who has acute heart failure.
Which of the following laboratory results should the nurse identify as a contradiction for
receiving the medication?
a) Creatinine 0.8 mg / DL
b) sodium 136 meq / L
c) potassium 3.2 meq / L
d) bzun 18 mg / DL - ....ANSWER....c) potassium 3.2 meq / L
A nurse on an oncology unit is caring for a client who is receiving internal radiation
therapy. Which of the following actions should the nurse take?
a) Place the dosimeter film badge on a client's door
b) wear a lead apron when providing client care
c) leave the door to the clients room open
d) allow visitors to hold the clients hand - ....ANSWER....b) wear a lead apron when
providing client care
A nurse is caring for a client who has diabetes mellitus and has been following a
treatment plan for 3 months which of the following results should the nurse monitor to
determine long-term glycemic control?
a) Glycosylated hemoglobin level
b) fasting blood glucose level c) oral glucose tolerance test results
d) post-prandial blood glucose level - ....ANSWER....a) Glycosylated hemoglobin level
PRACTICE EXAM 250 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is monitoring a client who is receiving two units packed RBC's. Which of the
following manifestation indicates a hemolytic transfusion reaction?
a) back pain
b) Hypertension
c) Chills
d) bradycardia - ....ANSWER....a) back pain
A nurse is teaching a client who has diabetes mellitus about foot care. Which of the
following instruction should the nurse include?
a) Use a heating pad to keep your feet warm at night
b) wear loose-fitting slippers around the house
c) where cotton rather than nylon socks
d) wash your face twice per day with antibacterial soap and hot water - ....ANSWER....c)
where cotton rather than nylon socks
A nurse is providing teaching to a client who has a deep vein thrombosis (DVT) . Which
of the following findings should the nurse identify as a risk factor for the development of
the DVTs?
a) NSAID use
b) hypertension
c) oral contraceptive use
d) cirrhosis - ....ANSWER....c) oral contraceptive use
A nurse is caring for a client who has a sealed radiation implant. Which of the following
actions should the nurse take?
,a) Remove soiled linens from the room after each change
b) Give the dosimeter badge to the oncoming nurse at the end of the shift
c) Apply a second pair of gloves before touching the client's implant if it dislodges d)
Limit family member visits to 30 min per day - ....ANSWER....d) Limit family member
visits to 30 min per day
A nurse is providing teaching to a client and his partner about performing peritoneal
dialysis at home. When discussing peritonitis, which of the following manifestations
should the nurse identify as the earliest indication of this complication?
a) Generalized abdominal pain b) Cloudy effluent
c) Increased heart rate
d) Fever - ....ANSWER....d) Fever
A nurse is caring for a client who is receiving a blood transfusion. The nurse observes
that the client has bounding peripheral pulses, hypertension, and distended jugular
veins. The nurse should anticipate administering which of the following prescribed
medications?
a) Pantoprazole
b) Acetaminophen
c) Furosemide
d) Diphenhydramine - ....ANSWER....c) Furosemide
A nurse is planning care for a client who has upper gastrointestinal bleeding due to a
peptic ulcer. Which of the following actions should the nurse plan to take?
a) Provide ketorolac for abdominal pain
b) Administer nitroprusside IV based on the client's weight
c) Insert a large bore nasogastric tube
d) Ensure that the client has a 22- gauge iv line in place - ....ANSWER....c) Insert a
large bore nasogastric tube
A nurse is caring for a client who has bladder cancer and a WBC count of 900/mm3.
Which of the following actions should the nurse take?
a) Instruct client to avoid eating raw fruit
b) Move the client to a negative pressure room
c) Use contact isolation while providing care
d) Apply pressure to venipuncture sites for 10 min - ....ANSWER....a) Instruct client to
avoid eating raw fruit
A nurse is caring for a patient who has hypotension, cool and clammy skin, tachycardia
and tachypnea. Which of the following positions should the nurse place the client?
a) Reverse Trendelenburg
b) Feet elevated
c) Side lying
d) High - fowler's - ....ANSWER....a) Reverse Trendelenburg
,A nurse is caring for a client who weighs 190 lb and is receiving Total parenteral
Nutrition. If the RDA Protein is 0.8g/kg of body weight, how many grams of protein
should the client receive daily (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero) - ....ANSWER....Answer: 69 grams
A nurse is planning care for a client who has a central venous access device for
intermittent infusions. Which of the following actions should the nurse include in the plan
of care?
a) Flush a catheter using a 10 mL syringe
b) Use clean technique when changing the dressing
c) Cleanse the site with Provo dine iodine
d) Change the dressing every 24 hours - ....ANSWER....a) Flush a catheter using a 10
mL syringe
A nurse is reviewing the medical record of a client who is to undergo open heart
surgery. Which of the following findings should the nurse report to the provider as a
contradiction to receiving heparin?
a) Thalassemia
b) Rheumatoid arthritis
c) COPD
d) Thrombocytopenia - ....ANSWER....d) Thrombocytopenia
A nurse is caring for an older adult client who has dementia. Which of the following
question should the nurse ask to assess the client's abstract thinking?
a) What is meant by saying "don't beat around the bush?" b) What do you understand
about your condition?
c) Can you count backwards from 100 in intervals of 7?
d) Can you state where you were born? - ....ANSWER....a) What is meant by saying
"don't beat around the bush?"
A Nurse is completing an assessment of an older adult client and notes reddened areas
over the bony prominences, but the client's skin is intact. Which of the following
interventions should the nurse include in the plan of care?
a) Apply an occlusive dressing b) turn and reposition the client every 4 hours
c) support bony prominences with pillows
d) massage Tourette in areas three times daily - ....ANSWER....c) support bony
prominences with pillows
A nurse is reviewing a cardiac Rhythm strip of a client who has atrial flutter. Which of
the following findings should the nurse expect?
a) Progressively longer PR durations
b) undetectable p waves
c) absent PR intervals with ventricular rate of 40 to 60 / minutes
d) Sawtooth pattern with atrial rate of 252 400 / minutes - ....ANSWER....d) Sawtooth
pattern with atrial rate of 252 400 / minutes
, A nurse is caring for a client who is scheduled for an abdominal paracentesis. The
nurse should plan to take which of the following actions?
a) Administer a stool softener following the procedure
b) ask the client to empty his bladder prior to the procedure
c) instruct the client to take deep breaths and hold them during the procedure
d) assist the client into the left lateral position during the procedure - ....ANSWER....b)
ask the client to empty his bladder prior to the procedure
A nurse is caring for a client admitted with a skull fracture. Which of the following
assessment findings should be of greatest concern to the nurse?
a) Pulse pressure changes from 30 to 20 mmhg
b) bilateral pupil diameter changes from 4 to 2 mm
c) WBC count changes from 9,000 to 16,000 / mm 3
d) Glasgow Coma Scale score changes from 14 to 9 - ....ANSWER....d) Glasgow Coma
Scale score changes from 14 to 9
A nurse is administering furosemide 80 mg PO twice-daily to a client who has
pulmonary edema. Which of the following assessment findings indicates to the nurse
that the medication is effective?
a) Respiratory rate of 24 / min b) adventitious breath sounds c) weight loss of 1.8 kg (4
lb) in the past 24 hours
d) elevation in blood pressure - ....ANSWER....c) weight loss of 1.8 kg (4 lb) in the past
24 hours
A nurse is preparing to administer furosemide to a client who has acute heart failure.
Which of the following laboratory results should the nurse identify as a contradiction for
receiving the medication?
a) Creatinine 0.8 mg / DL
b) sodium 136 meq / L
c) potassium 3.2 meq / L
d) bzun 18 mg / DL - ....ANSWER....c) potassium 3.2 meq / L
A nurse on an oncology unit is caring for a client who is receiving internal radiation
therapy. Which of the following actions should the nurse take?
a) Place the dosimeter film badge on a client's door
b) wear a lead apron when providing client care
c) leave the door to the clients room open
d) allow visitors to hold the clients hand - ....ANSWER....b) wear a lead apron when
providing client care
A nurse is caring for a client who has diabetes mellitus and has been following a
treatment plan for 3 months which of the following results should the nurse monitor to
determine long-term glycemic control?
a) Glycosylated hemoglobin level
b) fasting blood glucose level c) oral glucose tolerance test results
d) post-prandial blood glucose level - ....ANSWER....a) Glycosylated hemoglobin level
