ATI MED SURG PROCTORED 2024 NEWEST
EXAM 100 DETAILED QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
ALREADY A RAKED
A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the
following findings should the nurse report to the surgeon? - ANSWER>>Hgb 8.2 g/dl
A nurse is caring for a client who has diabetes insipidus. Which of the following medications
should the nurse plan to administer? - ANSWER>>Desmopressin
A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times
daily for 3 years. Which of the following test should the nurse monitor? - ANSWER>>Stool for
occult blood - GI bleed
A nurse in the emergency department is assessing a client. Which of the following actions
should the nurse take first (Click on the "Exhibit" button for additional information about the
client. There are three tabs that contain separate categories of data.) - ANSWER>>Initiate
airborne precautions
A nurse is contacting the provider for a client who has cancer and is experiencing breakthrough
pain. Which of the following prescriptions should the nurse anticipate? -
ANSWER>>Transmucosal fentanyl
A nurse is admitting a client who reports chest pain and has been placed on a telemetry
monitor. Which of the following should the nurse analyze to determine whether the client is
experiencing a myocardial infarction? - ANSWER>>ST segment
A nurse is teaching a client who has ovarian cancer about skin care following radiation
treatment. Which of the following instructions should the nurse include? - ANSWER>>Pat the
skin on the radiation site to dry it
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? -
ANSWER>>Furosemide
A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of
hypomagnesemia. Which of the following findings indicates effectiveness of the medication? -
ANSWER>>Apical pulse 82/min
A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L. The
nurse should recognize these findings as indication of which of the following conditions? -
ANSWER>>Compensated respiratory alkalosis
A nurse is caring for a client who has a deep partial thickness burns over 15% of her body which
of the following labs should the nurse expect during the first 24 hours -
ANSWER>>Hypoalbuminemia (Low due to fluid loss)
A nurse is caring for a client who has dumping syndrome following a gastrectomy, which of the
following actions should the nurse takes? - ANSWER>>Have the client lie down for 30 minutes
after meals (Lying down after a meal slows the movement of food within the intestines)
A nurse is preparing to administer fresh frozen plasma to a client. Which of the following
actions should the nurse take? - ANSWER>>Administer the plasma immediately after thawing
A nurse is assessing a client who reports numbness and tingling of his toes and exhibits a
positive TROUSSEAU. Which of the following electrolyte imbalance should the nurse suspect? -
ANSWER>>Hypocalcemia
A home health nurse is teaching a client how to care for a peripherally central catheter in his
right arm. Which of the following statements should the nurse include in the teaching? -
ANSWER>>Use a 10-milliliter syringe when flushing the catheter
A nurse is caring for a client who has a central venous access device. Which of the following
assessment findings should the nurse report to the provider? - ANSWER>>WBC count of
16,000/ mm
A nurse is providing dietary teaching to a client who has chronic kidney disease and a decreased
glomerular filtration rate. Which of the following statements by the client indicates an
understanding of the teaching? - ANSWER>>I will spread my protein allowances over the entire
day
,A nurse is caring for a client who has a peripherally inserted central catheter. The client is
receiving an antibiotic via intermittent IV bolus. Which of the following actions should the nurse
take? - ANSWER>>Verify the placement with an x-ray prior to the initial dose
A nurse is teaching a client using a metered dose rescue inhaler. Which of the following
statements should the nurse include in the teaching? - ANSWER>>Exhale fully before bringing
the inhaler to your lips
A nurse is assessing the pain status of a group of clients. Which of the following findings
indicate a client is experiencing referred pain? - ANSWER>>A client who has pancreatitis reports
pain in the left shoulder
A nurse is caring for a client who has just returned from surgery with an external fixator to the
left tibia. Which of the following assessments findings requires immediate intervention by the
nurse? - ANSWER>>The client's capillary refill in the left toe is 6 seconds (signs and symptoms
of compartment syndrome)
A nurse is assessing a client who has acute pancreatitis and has been receiving total parenteral
nutrition for the past 72 hours. Which of the following findings requires the nurse to intervene?
- ANSWER>>Crackle in bilateral lower lobes
A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and
tachypnea. In which of the following positions should the nurse place the client? -
ANSWER>>Feet elevated
A nurse is caring for a client who has tuberculosis and is taking rifampin. The client reports that
her saliva has turned red-orange in color. Which of the following responses should the nurse
make? - ANSWER>>"This is an expected adverse effect of this medication."
A nurse is preparing to administer a unit of packed RBCs for a client who is receiving a
continuous IV infusion of 5% dextrose in water. Which of the following actions should the nurse
take? - ANSWER>>Begin an IV infusion of 0.9% sodium chloride
A nurse is planning care for a client who is 12 hr. postoperative following a kidney transplant.
Which of the following actions should the nurse include in the plan of care? - ANSWER>>Assess
urine output hourly ---à prevent shock and mods
, 2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications
should the nurse plan to administer? - ANSWER>>a. Desmopressin
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin
increase ADH and to stop patient on urinating.
A nurse is obtaining a medication history from a client who is to start therapy with naproxen for
rheumatoid arthritis. Which of the following medications places the client at risk for bleeding? -
ANSWER>>Ibuprofen --NSAIDs
1. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of
the following findings should the nurse report to the surgeon? - ANSWER>>c. Hgb 8.2 g/dl
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
A nurse is assessing the extremities of a client who has Raynaud's disease. Which of the
following findings should the nurse expect? - ANSWER>>Blanching of the hands REYNAUD
PHENOMENON
A nurse is caring for a group of clients. The nurse should obtain a blood pressure reading using
only the left extremity from which of the following clients? - ANSWER>>A client who has a right
upper extremity arteriovenous fistula
A nurse is providing teaching to a client who has DVT. Which of the following findings should
the nurse identify as a risk factor for the development of DVTs? - ANSWER>>Oral Contraceptive
Use
A nurse is caring for client who has Cushing's disease. Which of the following actions should the
nurse take first? (Click Exhibit button for additional information) - ANSWER>>Auscultate the
client's lung sound - due to fluid retention; action first varies on the exhibit
A nurse is assessing a client who has nephrotic syndrome. Which of the findings should the
nurse expect? - ANSWER>>Proteinuria
A nurse is assessing a client who has right-sided heart failure. Which of the following
assessment findings should the nurse expect to find? - ANSWER>>Pitting edema
EXAM 100 DETAILED QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
ALREADY A RAKED
A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the
following findings should the nurse report to the surgeon? - ANSWER>>Hgb 8.2 g/dl
A nurse is caring for a client who has diabetes insipidus. Which of the following medications
should the nurse plan to administer? - ANSWER>>Desmopressin
A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times
daily for 3 years. Which of the following test should the nurse monitor? - ANSWER>>Stool for
occult blood - GI bleed
A nurse in the emergency department is assessing a client. Which of the following actions
should the nurse take first (Click on the "Exhibit" button for additional information about the
client. There are three tabs that contain separate categories of data.) - ANSWER>>Initiate
airborne precautions
A nurse is contacting the provider for a client who has cancer and is experiencing breakthrough
pain. Which of the following prescriptions should the nurse anticipate? -
ANSWER>>Transmucosal fentanyl
A nurse is admitting a client who reports chest pain and has been placed on a telemetry
monitor. Which of the following should the nurse analyze to determine whether the client is
experiencing a myocardial infarction? - ANSWER>>ST segment
A nurse is teaching a client who has ovarian cancer about skin care following radiation
treatment. Which of the following instructions should the nurse include? - ANSWER>>Pat the
skin on the radiation site to dry it
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? -
ANSWER>>Furosemide
A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of
hypomagnesemia. Which of the following findings indicates effectiveness of the medication? -
ANSWER>>Apical pulse 82/min
A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L. The
nurse should recognize these findings as indication of which of the following conditions? -
ANSWER>>Compensated respiratory alkalosis
A nurse is caring for a client who has a deep partial thickness burns over 15% of her body which
of the following labs should the nurse expect during the first 24 hours -
ANSWER>>Hypoalbuminemia (Low due to fluid loss)
A nurse is caring for a client who has dumping syndrome following a gastrectomy, which of the
following actions should the nurse takes? - ANSWER>>Have the client lie down for 30 minutes
after meals (Lying down after a meal slows the movement of food within the intestines)
A nurse is preparing to administer fresh frozen plasma to a client. Which of the following
actions should the nurse take? - ANSWER>>Administer the plasma immediately after thawing
A nurse is assessing a client who reports numbness and tingling of his toes and exhibits a
positive TROUSSEAU. Which of the following electrolyte imbalance should the nurse suspect? -
ANSWER>>Hypocalcemia
A home health nurse is teaching a client how to care for a peripherally central catheter in his
right arm. Which of the following statements should the nurse include in the teaching? -
ANSWER>>Use a 10-milliliter syringe when flushing the catheter
A nurse is caring for a client who has a central venous access device. Which of the following
assessment findings should the nurse report to the provider? - ANSWER>>WBC count of
16,000/ mm
A nurse is providing dietary teaching to a client who has chronic kidney disease and a decreased
glomerular filtration rate. Which of the following statements by the client indicates an
understanding of the teaching? - ANSWER>>I will spread my protein allowances over the entire
day
,A nurse is caring for a client who has a peripherally inserted central catheter. The client is
receiving an antibiotic via intermittent IV bolus. Which of the following actions should the nurse
take? - ANSWER>>Verify the placement with an x-ray prior to the initial dose
A nurse is teaching a client using a metered dose rescue inhaler. Which of the following
statements should the nurse include in the teaching? - ANSWER>>Exhale fully before bringing
the inhaler to your lips
A nurse is assessing the pain status of a group of clients. Which of the following findings
indicate a client is experiencing referred pain? - ANSWER>>A client who has pancreatitis reports
pain in the left shoulder
A nurse is caring for a client who has just returned from surgery with an external fixator to the
left tibia. Which of the following assessments findings requires immediate intervention by the
nurse? - ANSWER>>The client's capillary refill in the left toe is 6 seconds (signs and symptoms
of compartment syndrome)
A nurse is assessing a client who has acute pancreatitis and has been receiving total parenteral
nutrition for the past 72 hours. Which of the following findings requires the nurse to intervene?
- ANSWER>>Crackle in bilateral lower lobes
A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and
tachypnea. In which of the following positions should the nurse place the client? -
ANSWER>>Feet elevated
A nurse is caring for a client who has tuberculosis and is taking rifampin. The client reports that
her saliva has turned red-orange in color. Which of the following responses should the nurse
make? - ANSWER>>"This is an expected adverse effect of this medication."
A nurse is preparing to administer a unit of packed RBCs for a client who is receiving a
continuous IV infusion of 5% dextrose in water. Which of the following actions should the nurse
take? - ANSWER>>Begin an IV infusion of 0.9% sodium chloride
A nurse is planning care for a client who is 12 hr. postoperative following a kidney transplant.
Which of the following actions should the nurse include in the plan of care? - ANSWER>>Assess
urine output hourly ---à prevent shock and mods
, 2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications
should the nurse plan to administer? - ANSWER>>a. Desmopressin
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin
increase ADH and to stop patient on urinating.
A nurse is obtaining a medication history from a client who is to start therapy with naproxen for
rheumatoid arthritis. Which of the following medications places the client at risk for bleeding? -
ANSWER>>Ibuprofen --NSAIDs
1. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of
the following findings should the nurse report to the surgeon? - ANSWER>>c. Hgb 8.2 g/dl
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
A nurse is assessing the extremities of a client who has Raynaud's disease. Which of the
following findings should the nurse expect? - ANSWER>>Blanching of the hands REYNAUD
PHENOMENON
A nurse is caring for a group of clients. The nurse should obtain a blood pressure reading using
only the left extremity from which of the following clients? - ANSWER>>A client who has a right
upper extremity arteriovenous fistula
A nurse is providing teaching to a client who has DVT. Which of the following findings should
the nurse identify as a risk factor for the development of DVTs? - ANSWER>>Oral Contraceptive
Use
A nurse is caring for client who has Cushing's disease. Which of the following actions should the
nurse take first? (Click Exhibit button for additional information) - ANSWER>>Auscultate the
client's lung sound - due to fluid retention; action first varies on the exhibit
A nurse is assessing a client who has nephrotic syndrome. Which of the findings should the
nurse expect? - ANSWER>>Proteinuria
A nurse is assessing a client who has right-sided heart failure. Which of the following
assessment findings should the nurse expect to find? - ANSWER>>Pitting edema
