RN ATI ADULT MEDICAL SURGICAL PROCTORED EXAM 2019 WITH NGN
1.A nurse is assessing for compartment syndrome in a client who has a short leg cast.
Which ofthe following findings should the nurse identify as a manifestation of this
condition?
A. Bounding pedal pulse
B. Capillary refill less than 2 seconds
C. Pain that increases with passive movement
D. Areas of warmth on the cast
Correct Answer: C
2.A nurse is providing teaching to a client who has a severe form of stage II Lyme
disease. Whichof the following statements made by the client reflects an understanding
of the teaching?
A. "I will need to take antibiotics for 1 year"
B. "My partner will need to take an antiviral medication"
C. "My joints ache because I have Lyme disease"
D. "I will bruise easily because I have Lyme disease"
Correct Answer: C
3.A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The
amountavailableis oral solution 125 mg/5 mL. How many mL should the nurse
administer? 24
A nurse is caring for a client who has an arterial line. Which of the following actions
should thenurse take?
A. Flush the line before administering antibiotics
B. Position the client in Trendelenburg to obtain measurements
C. Have the client bear down when readings are obtained
D. Place a pressure bag around the flush solution
Correct Answer: D
4.A nurse is updating the plan of care for a client who is receiving chemotherapy. Which
,of thefollowing findings should the nurse identify as the priority?
A. Report of sore throat
B. Report of memory loss
C. Alopecia
D. Mucositis
Correct Answer: A
5.A nurse is reviewing the medical record of a client who has systemic lupus
erthematosus (SLE).Which of the following findings should the nurse expect?
A. Facial butterfly rash
B. Bradycardia
C. Esophagitis
D. Interstitial fibrosis
Correct Answer: A
6.A nurse is planning care for a client who is postoperative following a
parathyroidectomy.Which of the following actions should the nurse identify as the
priority?
A. Use pillows to support the client's head and neck
B. Offer opioid medication
C. Place a tracheostomy tray at the bedside
D. Place the client in semi-Fowler's position
Correct Answer: C
7. A nurse is assessing a client who has diabetes insipidus. Which of the following findings
Hould the nurse expect?
A. Low urine specific gravity
B. Hypertension
C. Bounding peripheral pulses
D. Hyperglycemia
Correct Answer: A
, 8. A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled
forbrachytherapy. Which of the following instructions should the nurse include?
A. "You will have an implant placed twice each month for the duration of the treatment"
B. "You should remain at least 6 feet away from others between treatments"
C. "You should expect to have blood in your urine for a few days after treatment"
D. "You will need to stay still in the bed during each treatment session"
Correct Answer: D
9.A nurse is planning care for a client who is scheduled for a thoracentesis.
Which ofthe followinginterventions should the nurse include in the plan?
A. Encourage the client to take deep breaths after the procedure
B. Assist the client to hold their arms up during the procedure
C. Instruct the client to remain NPO after midnight prior to the procedure
D. Keep the client on bedrest for 8 hr following the procedure
Correct Answer: A
10.A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless,dyspneic, and has crackles noted to the lung bases. Which of the
following actionsshould the nurse anticipate taking?
A. Administer an antihistamine
B. Slow the infusion rate
C. Give the client a corticosteriod
D. Elevate the client's lower extremities
Correct Answer: B
11.A nurse is providing teaching to a client who has end-stage kidney disease and is
waiting for akidney transplant. Which of the following information should the nurse
provide?
A. Kidney donation must come from a living donor
B. Immunosuppressive therapy is necessary until the donated kidney begins producing
urine
C. Hemodialysis is sometimes required following surgery
D. Kidney transplant recipients can resume their regular diet following surgery
1.A nurse is assessing for compartment syndrome in a client who has a short leg cast.
Which ofthe following findings should the nurse identify as a manifestation of this
condition?
A. Bounding pedal pulse
B. Capillary refill less than 2 seconds
C. Pain that increases with passive movement
D. Areas of warmth on the cast
Correct Answer: C
2.A nurse is providing teaching to a client who has a severe form of stage II Lyme
disease. Whichof the following statements made by the client reflects an understanding
of the teaching?
A. "I will need to take antibiotics for 1 year"
B. "My partner will need to take an antiviral medication"
C. "My joints ache because I have Lyme disease"
D. "I will bruise easily because I have Lyme disease"
Correct Answer: C
3.A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The
amountavailableis oral solution 125 mg/5 mL. How many mL should the nurse
administer? 24
A nurse is caring for a client who has an arterial line. Which of the following actions
should thenurse take?
A. Flush the line before administering antibiotics
B. Position the client in Trendelenburg to obtain measurements
C. Have the client bear down when readings are obtained
D. Place a pressure bag around the flush solution
Correct Answer: D
4.A nurse is updating the plan of care for a client who is receiving chemotherapy. Which
,of thefollowing findings should the nurse identify as the priority?
A. Report of sore throat
B. Report of memory loss
C. Alopecia
D. Mucositis
Correct Answer: A
5.A nurse is reviewing the medical record of a client who has systemic lupus
erthematosus (SLE).Which of the following findings should the nurse expect?
A. Facial butterfly rash
B. Bradycardia
C. Esophagitis
D. Interstitial fibrosis
Correct Answer: A
6.A nurse is planning care for a client who is postoperative following a
parathyroidectomy.Which of the following actions should the nurse identify as the
priority?
A. Use pillows to support the client's head and neck
B. Offer opioid medication
C. Place a tracheostomy tray at the bedside
D. Place the client in semi-Fowler's position
Correct Answer: C
7. A nurse is assessing a client who has diabetes insipidus. Which of the following findings
Hould the nurse expect?
A. Low urine specific gravity
B. Hypertension
C. Bounding peripheral pulses
D. Hyperglycemia
Correct Answer: A
, 8. A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled
forbrachytherapy. Which of the following instructions should the nurse include?
A. "You will have an implant placed twice each month for the duration of the treatment"
B. "You should remain at least 6 feet away from others between treatments"
C. "You should expect to have blood in your urine for a few days after treatment"
D. "You will need to stay still in the bed during each treatment session"
Correct Answer: D
9.A nurse is planning care for a client who is scheduled for a thoracentesis.
Which ofthe followinginterventions should the nurse include in the plan?
A. Encourage the client to take deep breaths after the procedure
B. Assist the client to hold their arms up during the procedure
C. Instruct the client to remain NPO after midnight prior to the procedure
D. Keep the client on bedrest for 8 hr following the procedure
Correct Answer: A
10.A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless,dyspneic, and has crackles noted to the lung bases. Which of the
following actionsshould the nurse anticipate taking?
A. Administer an antihistamine
B. Slow the infusion rate
C. Give the client a corticosteriod
D. Elevate the client's lower extremities
Correct Answer: B
11.A nurse is providing teaching to a client who has end-stage kidney disease and is
waiting for akidney transplant. Which of the following information should the nurse
provide?
A. Kidney donation must come from a living donor
B. Immunosuppressive therapy is necessary until the donated kidney begins producing
urine
C. Hemodialysis is sometimes required following surgery
D. Kidney transplant recipients can resume their regular diet following surgery
