1|Page
ATI MEDICAL SURGICAL PROCTORED EXAM NEWEST
2023 VERSION A, B AND C COMPLETE 210 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
ATI MEDICAL SURGICAL PROCTORED EXAM NEWEST 2023 VERSION A
A nurse notes a small section of bowel protruding from the
abdominal incision of a client who is postoperative. After calling
for assistance, which of the following actions should the nurse
take first? - ANSWER- *Cover the client's wound with a moist,
sterile dressing.
Rationale: According to evidence-based practice, the nurse's
first action should be to cover the wound with a moist, sterile
dressing to prevent entry of bacteria into the wound and to keep
the tissue moist.
A nurse is collecting data from a client who has alcohol use
disorder and is experiencing metabolic acidosis. Which of the
following manifestations should the nurse expect? - ANSWER-
*Hyperventilation
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Rationale: The nurse should expect to find hyperventilation in a
client who is experiencing metabolic acidosis. The system
attempts to compensate or return the pH to normal by
increasing the rate and depth of respirations
A nurse is reinforcing discharge teaching with a client following
a cataract extraction. Which of the following should the nurse
include in the teaching? - ANSWER- *Avoid bending at the
waist.
Rationale: The nurse should reinforce that the client should
avoid bending at the waist as this increases intraocular
pressure; the client should be instructed to flex the knees and
crouch instead.
A nurse is caring for a client who has heart failure and has been
taking digoxin 0.25 mg daily. The client refuses breakfast and
reports nausea. Which of the following actions should the nurse
take first? - ANSWER- *Check the client's vital signs.
Rationale: When using the airway, breathing, circulation
approach to client care, the nurse should place the priority on
obtaining vital signs. Nausea is a manifestation of digoxin
toxicity, along with other manifestations such as muscle
,3|Page
weakness, confusion, abdominal cramping, and changes in
vision.
A nurse is caring for a client who is 3 days postoperative
following a cholecystectomy. The nurse suspects the client's
wound is infected because the drainage from the dressing is
yellow and thick. Which of the following findings should the
nurse report as the type of drainage found? - ANSWER-
*Purulent
Rationale: Purulent describes drainage that is thick yellow,
green, or brown in color.
A nurse is reinforcing discharge teaching to a client following
arthroscopic surgery. To prevent postoperative complications
which of the following actions should be reinforced during the
teaching? - ANSWER- *Administer an opioid analgesic to the
client 30 min prior to initiating CPM exercises.
Rationale: The nurse should administer analgesics prior to
initiating any exercise program for the client who has had joint
arthroplasty. It is important that analgesics are administered in
time for the medication to work before the start of the exercise
program to ensure discomfort is minimized.
, 4|Page
A nurse is reinforcing teaching with a client who is
postoperative after having an ileostomy established. Which of
the following instructions should the nurse include in the
teaching? - ANSWER- *Avoid medications in capsule or enteric
form.
Rationale: The client should not take medications in capsule or
enteric form because the medication may enter the pouch
undigested.
A nurse is caring for a client with severe burns to both lower
extremities. The client is scheduled for an escharotomy and
wants to know what the procedure involves. Which of the
following statements is appropriate for the nurse to make? -
ANSWER- * "Large incisions will be made in the burned tissue
to improve circulation."
Rationale: An escharotomy is a surgical incision made to
release pressure and improve circulation in a part of the body
that has had a deep burn and is experiencing significant
swelling. The swelling that occurs secondary to burn injuries
that completely encircle a body part, such as an arm or the
chest, can cause tightness and constriction of underlying tissue
and can shut off circulation in the affected area. Making
surgical incisions into the burned tissue allows the skin to
expand and re-establish circulation.
ATI MEDICAL SURGICAL PROCTORED EXAM NEWEST
2023 VERSION A, B AND C COMPLETE 210 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
ATI MEDICAL SURGICAL PROCTORED EXAM NEWEST 2023 VERSION A
A nurse notes a small section of bowel protruding from the
abdominal incision of a client who is postoperative. After calling
for assistance, which of the following actions should the nurse
take first? - ANSWER- *Cover the client's wound with a moist,
sterile dressing.
Rationale: According to evidence-based practice, the nurse's
first action should be to cover the wound with a moist, sterile
dressing to prevent entry of bacteria into the wound and to keep
the tissue moist.
A nurse is collecting data from a client who has alcohol use
disorder and is experiencing metabolic acidosis. Which of the
following manifestations should the nurse expect? - ANSWER-
*Hyperventilation
,2|Page
Rationale: The nurse should expect to find hyperventilation in a
client who is experiencing metabolic acidosis. The system
attempts to compensate or return the pH to normal by
increasing the rate and depth of respirations
A nurse is reinforcing discharge teaching with a client following
a cataract extraction. Which of the following should the nurse
include in the teaching? - ANSWER- *Avoid bending at the
waist.
Rationale: The nurse should reinforce that the client should
avoid bending at the waist as this increases intraocular
pressure; the client should be instructed to flex the knees and
crouch instead.
A nurse is caring for a client who has heart failure and has been
taking digoxin 0.25 mg daily. The client refuses breakfast and
reports nausea. Which of the following actions should the nurse
take first? - ANSWER- *Check the client's vital signs.
Rationale: When using the airway, breathing, circulation
approach to client care, the nurse should place the priority on
obtaining vital signs. Nausea is a manifestation of digoxin
toxicity, along with other manifestations such as muscle
,3|Page
weakness, confusion, abdominal cramping, and changes in
vision.
A nurse is caring for a client who is 3 days postoperative
following a cholecystectomy. The nurse suspects the client's
wound is infected because the drainage from the dressing is
yellow and thick. Which of the following findings should the
nurse report as the type of drainage found? - ANSWER-
*Purulent
Rationale: Purulent describes drainage that is thick yellow,
green, or brown in color.
A nurse is reinforcing discharge teaching to a client following
arthroscopic surgery. To prevent postoperative complications
which of the following actions should be reinforced during the
teaching? - ANSWER- *Administer an opioid analgesic to the
client 30 min prior to initiating CPM exercises.
Rationale: The nurse should administer analgesics prior to
initiating any exercise program for the client who has had joint
arthroplasty. It is important that analgesics are administered in
time for the medication to work before the start of the exercise
program to ensure discomfort is minimized.
, 4|Page
A nurse is reinforcing teaching with a client who is
postoperative after having an ileostomy established. Which of
the following instructions should the nurse include in the
teaching? - ANSWER- *Avoid medications in capsule or enteric
form.
Rationale: The client should not take medications in capsule or
enteric form because the medication may enter the pouch
undigested.
A nurse is caring for a client with severe burns to both lower
extremities. The client is scheduled for an escharotomy and
wants to know what the procedure involves. Which of the
following statements is appropriate for the nurse to make? -
ANSWER- * "Large incisions will be made in the burned tissue
to improve circulation."
Rationale: An escharotomy is a surgical incision made to
release pressure and improve circulation in a part of the body
that has had a deep burn and is experiencing significant
swelling. The swelling that occurs secondary to burn injuries
that completely encircle a body part, such as an arm or the
chest, can cause tightness and constriction of underlying tissue
and can shut off circulation in the affected area. Making
surgical incisions into the burned tissue allows the skin to
expand and re-establish circulation.
