Medical Surgical ATI Proctored Exam 2023-
2024 Edition. All Exam Questions & Correct
5-star Rated Answers. Graded A+
A home health nurse is reinforcing teaching with a client about preventing
complications of peripheral vascular disease. Which of the following statements
indicates that the client is adhering to the nurse's instructions?
1) I use hot water bottles to keep my feet warm at night
2) I don't cross my legs anymore.
3) I apply rubbing alcohol to my feet everyday to prevent infection
4) I will wear clean, knee-high wool socks every day to help improve my
circulation. - ANS2) I don't cross my legs anymore.
- Clients who have peripheral vascular disease should not cross their legs because
it can impede circulation.
- Clients who have peripheral vascular disease have decreased sensation of the
affected extremities. Therefore, they are unable to detect the temperature of the
water bottle, which increases the risk for burns.
,- Rubbing alcohol has a drying effect on skin and can increase cracking, allowing
an entry point for infection. The client should apply lotions that do not contain
alcohol.
- Wool socks can result in perspiration, which puts the client at risk for developing
a fungal infection. The client should use light-weight socks to promote arterial
blood flow.
A nurse enters the room of a client whose transfusion of packed RBC's was
initiated 15 minutes ago by a RN. The client reports dyspnea and urticaria. Which
of the following actions should the nurse preform first?
1) Stop the infusion
2) Administer antihistamine
3) Count the client's respiratory rate
4) Ask the client if chest pain is present - ANS1) Stop the infusion
- Evidence-based practice indicates the nurse should stop the infusion of the
blood product as soon as manifestations occur because they can indicate a
transfusion reaction.
,- The nurse should administer antihistamines when allergic transfusion
manifestations are present. However, evidence-based practice indicates that the
nurse should take a different action first.
- The nurse should take the client's vital signs, which includes counting the client's
respiratory rate. However, evidence-based practice indicates that the nurse
should take a different action first.
- The nurse should inquire about the presence of chest pain and other
manifestations to determine the severity of the reaction. However, evidence-
based practice indicates that the nurse should take a different action first.
A nurse in a long term care facility is collecting data from a client who reports
fullness in the rectum and abdominal cramping. Which of the following findings
should indicate to the nurse that the client might have a fecal impaction?
1) Rebound tenderness
2) Halitosis
3) Hemorrhoids
4) Small liquid stools - ANS4) Small liquid stools
, - Small liquid stools can be the result of fecal material being expelled around an
impaction.
- Rebound tenderness is an indication of appendicitis. A client who has a fecal
impaction can experience abdominal cramping and distention.
- Halitosis, or bad breath, is associated with the ingestion of certain foods and
medications, and it can also be an indication of infection.
- Hemorrhoids indicate that the client is straining when defecating. However, the
presence of hemorrhoids does not indicate fecal impaction.
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a
client who has skin cancer. Which of the following information should the nurse
include in the teaching?
1) Mohs surgery is a palliative treatment for metastatic skin cancer.
2) Mohs surgery is the preferred treatment for melanoma skin cancer.
3) Mohs surgery uses liquid nitrogen to destroy the cancerous tissue.
4) Mohs surgery is a horizontal shaving of thin layers of the tumor. - ANS4) Mohs
surgery is a horizontal shaving of thin layers of the tumor.
2024 Edition. All Exam Questions & Correct
5-star Rated Answers. Graded A+
A home health nurse is reinforcing teaching with a client about preventing
complications of peripheral vascular disease. Which of the following statements
indicates that the client is adhering to the nurse's instructions?
1) I use hot water bottles to keep my feet warm at night
2) I don't cross my legs anymore.
3) I apply rubbing alcohol to my feet everyday to prevent infection
4) I will wear clean, knee-high wool socks every day to help improve my
circulation. - ANS2) I don't cross my legs anymore.
- Clients who have peripheral vascular disease should not cross their legs because
it can impede circulation.
- Clients who have peripheral vascular disease have decreased sensation of the
affected extremities. Therefore, they are unable to detect the temperature of the
water bottle, which increases the risk for burns.
,- Rubbing alcohol has a drying effect on skin and can increase cracking, allowing
an entry point for infection. The client should apply lotions that do not contain
alcohol.
- Wool socks can result in perspiration, which puts the client at risk for developing
a fungal infection. The client should use light-weight socks to promote arterial
blood flow.
A nurse enters the room of a client whose transfusion of packed RBC's was
initiated 15 minutes ago by a RN. The client reports dyspnea and urticaria. Which
of the following actions should the nurse preform first?
1) Stop the infusion
2) Administer antihistamine
3) Count the client's respiratory rate
4) Ask the client if chest pain is present - ANS1) Stop the infusion
- Evidence-based practice indicates the nurse should stop the infusion of the
blood product as soon as manifestations occur because they can indicate a
transfusion reaction.
,- The nurse should administer antihistamines when allergic transfusion
manifestations are present. However, evidence-based practice indicates that the
nurse should take a different action first.
- The nurse should take the client's vital signs, which includes counting the client's
respiratory rate. However, evidence-based practice indicates that the nurse
should take a different action first.
- The nurse should inquire about the presence of chest pain and other
manifestations to determine the severity of the reaction. However, evidence-
based practice indicates that the nurse should take a different action first.
A nurse in a long term care facility is collecting data from a client who reports
fullness in the rectum and abdominal cramping. Which of the following findings
should indicate to the nurse that the client might have a fecal impaction?
1) Rebound tenderness
2) Halitosis
3) Hemorrhoids
4) Small liquid stools - ANS4) Small liquid stools
, - Small liquid stools can be the result of fecal material being expelled around an
impaction.
- Rebound tenderness is an indication of appendicitis. A client who has a fecal
impaction can experience abdominal cramping and distention.
- Halitosis, or bad breath, is associated with the ingestion of certain foods and
medications, and it can also be an indication of infection.
- Hemorrhoids indicate that the client is straining when defecating. However, the
presence of hemorrhoids does not indicate fecal impaction.
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a
client who has skin cancer. Which of the following information should the nurse
include in the teaching?
1) Mohs surgery is a palliative treatment for metastatic skin cancer.
2) Mohs surgery is the preferred treatment for melanoma skin cancer.
3) Mohs surgery uses liquid nitrogen to destroy the cancerous tissue.
4) Mohs surgery is a horizontal shaving of thin layers of the tumor. - ANS4) Mohs
surgery is a horizontal shaving of thin layers of the tumor.
