ATI Med Surge Proctored Exam 2023 Unit 3 Med-
Surg graded A+
The trauma nurse is preparing to care for a patient who has been involved in a motor vehicle accident
and has massive blood loss. Which items should the nurse have prepared in the room before the patient
arrives? Select all that apply.
1. IV start kits with 20-gauge needles
2. Bags of 0.9% NaCl on blood tubing
3. Central venous catheter insertion kit
4. High-flow oxygen delivery devices
5. Intubation equipment - ANSWER-2. Bags of 0.9% NaCl on blood tubing
3. Central venous catheter insertion kit
4. High-flow oxygen delivery devices
5. Intubation equipment
The nurse is caring for an older adult patient admitted a week ago with pneumonia and a urinary tract
infection. Blood cultures were positive upon admission and the patient has been unstable since
admission. The nurse notes that the serum creatinine and liver enzymes are increasing. What
conclusions can be made?
1. The infection is worsening and has spread to other organs.
2. The patient's condition has stabilized.
3. The patient is developing complications from the sepsis.
4. Treatments are effective. - ANSWER-3. The patient is developing complications from the sepsis.
The nurse administers the first dose of IV ampicillin. Ten minutes later, the patient calls the nurse and
says, "I feel funny." The nurse observes the rash below. What should be the nurse's next actions? Select
all that apply.
1. Obtain a full set of vital signs.
2. Stop the antibiotic infusion.
3. Notify the provider.
, 4. Place the patient on oxygen at 4 L/min per nasal cannula.
5. Auscultate the lungs - ANSWER-1. Obtain a full set of vital signs.
2. Stop the antibiotic infusion.
3. Notify the provider.
5. Auscultate the lungs
The nurse is calculating the shift intake for an unstable patient who is in septic shock. What is the final
intake total? Enter the numeral only.
Oral intake 50 mL
IV intake 200 mL/hour X 12 hours; 500 mL; 100 mL; 500 mL; 100 mL - ANSWER-3650
The nurse identifies that a patient in cardiogenic shock has poor contractility. What medication should
the nurse request when completing a Situation, Background, Assessment, Recommendation (SBAR)
communication to the provider?
1. Dobutamine
2. Nitroglycerin
3. Phenylephrine
4. Vasopressin - ANSWER-1. Dobutamine
A patient recently had mediastinal chest tubes removed after surgery and is experiencing obstructive
shock from cardiac tamponade. Which assessment changes would the nurse observe?
1. Weak peripheral pulses
2. Increased urine output
3. Increased bowel sounds
4. Valvular click - ANSWER-1. Weak peripheral pulses
While treating a patient, the nurse finds that the patient has extensive shunting of blood away from
nonessential organs. The patient shows symptoms of lethargy and has severe metabolic acidosis. Which
stage of shock is the patient experiencing?
1. Progressive
2. Compensatory
Surg graded A+
The trauma nurse is preparing to care for a patient who has been involved in a motor vehicle accident
and has massive blood loss. Which items should the nurse have prepared in the room before the patient
arrives? Select all that apply.
1. IV start kits with 20-gauge needles
2. Bags of 0.9% NaCl on blood tubing
3. Central venous catheter insertion kit
4. High-flow oxygen delivery devices
5. Intubation equipment - ANSWER-2. Bags of 0.9% NaCl on blood tubing
3. Central venous catheter insertion kit
4. High-flow oxygen delivery devices
5. Intubation equipment
The nurse is caring for an older adult patient admitted a week ago with pneumonia and a urinary tract
infection. Blood cultures were positive upon admission and the patient has been unstable since
admission. The nurse notes that the serum creatinine and liver enzymes are increasing. What
conclusions can be made?
1. The infection is worsening and has spread to other organs.
2. The patient's condition has stabilized.
3. The patient is developing complications from the sepsis.
4. Treatments are effective. - ANSWER-3. The patient is developing complications from the sepsis.
The nurse administers the first dose of IV ampicillin. Ten minutes later, the patient calls the nurse and
says, "I feel funny." The nurse observes the rash below. What should be the nurse's next actions? Select
all that apply.
1. Obtain a full set of vital signs.
2. Stop the antibiotic infusion.
3. Notify the provider.
, 4. Place the patient on oxygen at 4 L/min per nasal cannula.
5. Auscultate the lungs - ANSWER-1. Obtain a full set of vital signs.
2. Stop the antibiotic infusion.
3. Notify the provider.
5. Auscultate the lungs
The nurse is calculating the shift intake for an unstable patient who is in septic shock. What is the final
intake total? Enter the numeral only.
Oral intake 50 mL
IV intake 200 mL/hour X 12 hours; 500 mL; 100 mL; 500 mL; 100 mL - ANSWER-3650
The nurse identifies that a patient in cardiogenic shock has poor contractility. What medication should
the nurse request when completing a Situation, Background, Assessment, Recommendation (SBAR)
communication to the provider?
1. Dobutamine
2. Nitroglycerin
3. Phenylephrine
4. Vasopressin - ANSWER-1. Dobutamine
A patient recently had mediastinal chest tubes removed after surgery and is experiencing obstructive
shock from cardiac tamponade. Which assessment changes would the nurse observe?
1. Weak peripheral pulses
2. Increased urine output
3. Increased bowel sounds
4. Valvular click - ANSWER-1. Weak peripheral pulses
While treating a patient, the nurse finds that the patient has extensive shunting of blood away from
nonessential organs. The patient shows symptoms of lethargy and has severe metabolic acidosis. Which
stage of shock is the patient experiencing?
1. Progressive
2. Compensatory
