ATI MED SURG PROCTORED EXAM
ATI MED-SURG Proctored Exam
(Exam solutions, with updated complete resources for 2022 ATI Exams)
A nurse is reinforcing glycosylated hemoglobin (HbA1c) testing with a client who has diabetes
mellitus. Which of the following statements indicates that the client understands the teaching?
"The HbA1c test should be performed 2 hr after I eat a meal that is high in carbohydrates."(The
nurse should remind the client that carbohydrate consumption is not required for HbA1c
testing.)
"The HbA1c test can help detect the presence of ketones in my body."(The nurse should remind the
client that urine testing can detect ketone bodies.)
"I will have my HbA1c checked twice per year."(An HbA1c test provides the client's average glucose
level for the preceding 3 months. The nurse should instruct the client to have her HbA1c tested twice
yearly to manage her glucose.)
"I will plan to fast before I have my HbA1c tested."(The nurse should remind the client that fasting is
not required for HbA1C testing.)
A nurse is examining a client’s IV site and notes a red line up his arm. The client reports a throbbing,
burning pain at the IV site. The nurse should identify that the client’s manifestations indicate which of
the following complications of IV therapy?
Thrombophlebitis(The nurse should identify pain, warmth, and a red streak up the arm as indications
of thrombophlebitis.)
Infiltration(The nurse should identify swelling and cool skin at the IV site as indications of infiltration.)
Hematoma(The nurse should identify swelling and bruising as indications of a hematoma that can
develop by not holding enough pressure after discontinuing the IV.)
Venous spasms(The nurse should identify cramping at or above the insertion site and numbness
as indications of venous spasms.)
A nurse is collecting data from a client and notices several skin lesion. Which of the following findings
should the nurse report as possible melanoma?
Scaly patches(The nurse should report scaly patches as possible basal or squamous cell carcinoma.
Silvery white plaques(The nurse should report silvery white plaques as possible psoriasis.)
Irregular borders(The nurse should report irregular borders of a skin lesion to the provider because it
can indicate malignant melanoma.)
Raised edges(The nurse should report raised edges of a skin lesion as possible basal cell carcinoma.)
e)
A nurse is reinforcing discharge teaching about wound care with a family member of a client who
is postoperative. Which of the following should the nurse include in the teaching?
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, Administer an analgesic following wound care.(The nurse should remind the family member to
administer an analgesic prior to wound care to prevent discomfort.)
Irrigate the wound with povidone iodine.(The nurse should remind the family member to irrigate the
wound with 0.9% sodium chloride.)
Cleanse the wound with a cotton-tipped applicator.(The nurse should remind the family member to
avoid using a cotton-tipped applicator to cleanse the wound because the fibers can become embedded
in the wound, cause infection, and delay wound healing.)
Report purulent drainage to the provider.(The nurse should remind the family member to report signs
of infection, including purulent drainage.)
A nurse is caring for a client who has bacterial meningitis. Upon monitoring the client, which of the
following findings should the nurse expect?
Flaccid neck(The nurse should recognize that nuchal rigidity, rather than a flaccid neck, is a
manifestation of meningitis.)
Stooped posture with shuffling gait(The nurse should recognize that a stooped posture with shuffling gait
is a manifestation of Parkinson's disease, not a manifestation of meningitis.)
Red macular rash(The nurse should expect to find a red macular rash, sometimes called a petechial
rash, which is a manifestation of meningococcal meningitis.)
Masklike facial expression(The nurse should recognize that a masklike expression is a manifestation
of Parkinson's disease, not a manifestation of meningitis.)
A nurse is contributing to the plan of care for an older adult client who is at risk for osteoporosis. Which
of the following interventions should the nurse include to prevent bone loss?
Increase fluid intake.(Fluid intake is beneficial for general health and wellness, and it helps to treat
some disorders. Caffeine and alcohol intake can increase the client's risk of developing osteoporosis.
However, fluid intake does not prevent bone loss.)
Encourage range-of-motion exercises.(Range-of-motion exercises are beneficial for general health
and wellness, and they help to maintain flexibility and prevent contractures. However, range-of-
motion exercises do not prevent bone loss.)
Massage bony prominences.(Massaging bony prominences should be avoided because it can
traumatize deep tissues.)
Encourage weight-bearing exercises.(Weight-bearing exercises, such as walking, can maintain bone
mass by reducing bone demineralization, thus helping to prevent osteoporosis.)
A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client following a partial
gastrectomy for ulcers. Which of the following information should the nurse include in the teaching?
Avoid liquids at mealtimes.(The nurse should remind the client to avoid drinking liquids at mealtimes
to prevent the food from emptying into the small bowel too quickly.)
Exclude eating starchy vegetables.(The nurse should remind the client to include starchy vegetables in
the meal plan to slow gastric emptying.)
This study source was downloaded by 100000873800327 from CourseHero.com on 02-20-2024 20:19:07 GMT -06:00
https://www.coursehero.com/file/151548386/ATI-PN-Med-Surg-Proctored-Exam-PN-Med-Surg-ATI-Proctored-Exam-2022docx/
ATI MED-SURG Proctored Exam
(Exam solutions, with updated complete resources for 2022 ATI Exams)
A nurse is reinforcing glycosylated hemoglobin (HbA1c) testing with a client who has diabetes
mellitus. Which of the following statements indicates that the client understands the teaching?
"The HbA1c test should be performed 2 hr after I eat a meal that is high in carbohydrates."(The
nurse should remind the client that carbohydrate consumption is not required for HbA1c
testing.)
"The HbA1c test can help detect the presence of ketones in my body."(The nurse should remind the
client that urine testing can detect ketone bodies.)
"I will have my HbA1c checked twice per year."(An HbA1c test provides the client's average glucose
level for the preceding 3 months. The nurse should instruct the client to have her HbA1c tested twice
yearly to manage her glucose.)
"I will plan to fast before I have my HbA1c tested."(The nurse should remind the client that fasting is
not required for HbA1C testing.)
A nurse is examining a client’s IV site and notes a red line up his arm. The client reports a throbbing,
burning pain at the IV site. The nurse should identify that the client’s manifestations indicate which of
the following complications of IV therapy?
Thrombophlebitis(The nurse should identify pain, warmth, and a red streak up the arm as indications
of thrombophlebitis.)
Infiltration(The nurse should identify swelling and cool skin at the IV site as indications of infiltration.)
Hematoma(The nurse should identify swelling and bruising as indications of a hematoma that can
develop by not holding enough pressure after discontinuing the IV.)
Venous spasms(The nurse should identify cramping at or above the insertion site and numbness
as indications of venous spasms.)
A nurse is collecting data from a client and notices several skin lesion. Which of the following findings
should the nurse report as possible melanoma?
Scaly patches(The nurse should report scaly patches as possible basal or squamous cell carcinoma.
Silvery white plaques(The nurse should report silvery white plaques as possible psoriasis.)
Irregular borders(The nurse should report irregular borders of a skin lesion to the provider because it
can indicate malignant melanoma.)
Raised edges(The nurse should report raised edges of a skin lesion as possible basal cell carcinoma.)
e)
A nurse is reinforcing discharge teaching about wound care with a family member of a client who
is postoperative. Which of the following should the nurse include in the teaching?
This study source was downloaded by 100000873800327 from CourseHero.com on 02-20-2024 20:19:07 GMT -06:00
https://www.coursehero.com/file/151548386/ATI-PN-Med-Surg-Proctored-Exam-PN-Med-Surg-ATI-Proctored-Exam-2022docx/
, Administer an analgesic following wound care.(The nurse should remind the family member to
administer an analgesic prior to wound care to prevent discomfort.)
Irrigate the wound with povidone iodine.(The nurse should remind the family member to irrigate the
wound with 0.9% sodium chloride.)
Cleanse the wound with a cotton-tipped applicator.(The nurse should remind the family member to
avoid using a cotton-tipped applicator to cleanse the wound because the fibers can become embedded
in the wound, cause infection, and delay wound healing.)
Report purulent drainage to the provider.(The nurse should remind the family member to report signs
of infection, including purulent drainage.)
A nurse is caring for a client who has bacterial meningitis. Upon monitoring the client, which of the
following findings should the nurse expect?
Flaccid neck(The nurse should recognize that nuchal rigidity, rather than a flaccid neck, is a
manifestation of meningitis.)
Stooped posture with shuffling gait(The nurse should recognize that a stooped posture with shuffling gait
is a manifestation of Parkinson's disease, not a manifestation of meningitis.)
Red macular rash(The nurse should expect to find a red macular rash, sometimes called a petechial
rash, which is a manifestation of meningococcal meningitis.)
Masklike facial expression(The nurse should recognize that a masklike expression is a manifestation
of Parkinson's disease, not a manifestation of meningitis.)
A nurse is contributing to the plan of care for an older adult client who is at risk for osteoporosis. Which
of the following interventions should the nurse include to prevent bone loss?
Increase fluid intake.(Fluid intake is beneficial for general health and wellness, and it helps to treat
some disorders. Caffeine and alcohol intake can increase the client's risk of developing osteoporosis.
However, fluid intake does not prevent bone loss.)
Encourage range-of-motion exercises.(Range-of-motion exercises are beneficial for general health
and wellness, and they help to maintain flexibility and prevent contractures. However, range-of-
motion exercises do not prevent bone loss.)
Massage bony prominences.(Massaging bony prominences should be avoided because it can
traumatize deep tissues.)
Encourage weight-bearing exercises.(Weight-bearing exercises, such as walking, can maintain bone
mass by reducing bone demineralization, thus helping to prevent osteoporosis.)
A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client following a partial
gastrectomy for ulcers. Which of the following information should the nurse include in the teaching?
Avoid liquids at mealtimes.(The nurse should remind the client to avoid drinking liquids at mealtimes
to prevent the food from emptying into the small bowel too quickly.)
Exclude eating starchy vegetables.(The nurse should remind the client to include starchy vegetables in
the meal plan to slow gastric emptying.)
This study source was downloaded by 100000873800327 from CourseHero.com on 02-20-2024 20:19:07 GMT -06:00
https://www.coursehero.com/file/151548386/ATI-PN-Med-Surg-Proctored-Exam-PN-Med-Surg-ATI-Proctored-Exam-2022docx/
