PN MED SURG PROCTORED /ATI PN MEDICAL SURGICAL EXAM BANK
2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS AND CORRECT DE
TAILED ANSWERS
Study online at https://quizlet.com/_g50rlr
1. A nurse is reviewing the medical record of a client who has a prescription
for morphine. Which of the following findings should the nurse report to the
provider?: Urinary retention
2. A nurse is caring for a client who is at risk for developing pressure ulcers.
Which of the following actions should the nurse take?: Position pillows between
the bony prominences
3. A nurse is caring for a client who is postoperative and is receiving an
IV infusion of cefazolin. Ten minutes after beginning the infusion, the client
reports intense itching. Which of the following actions should the nurse take
first?: Stop the medication infusion
4. A nurse is reinforcing teaching with a client who has gonorrhea. Which of
the following information should the nurse include?: You are at risk for infertility
with this infection, regardless of treatment
5. A nurse is examining a clients IV site and notes a red line up his arm. The
client reliant a throbbing, burning pain at the IV site. The nurse should identify
that the clients manifestations indicate which of the following complications?-
: Thrombophlebitis
6. A nurse is reinforcing teaching with an adolescent client regarding testicu-
lar self examination. Which of the following statements by the client demon-
strates an undertsmdibg of the teaching?: I understand that testicular cancer is
painless
7. 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 follow-
ing findings should indicate to the nurse that the client might have a fecal
impaction?: Small liquid stools
8. A nurse in an oncology 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?: Mohs surgery is a horizontal shaving of thin layers
of the tumor
9. A nurse is reinforcing teaching about GERd with a client. Which of the fol-
lowing statements by the client indicates an understanding of the teaching?: I
should wait at least 2 hours after eating before going to bed
10. A nurse is assisting with the care of a care who is reconciled 0.9 % sodium
chloride by continuous IV infusion. The client report pain and swelling at the IV
site. In which order should the nurse perform that following steps?: Check the
IV site, stop the infusion, withdraw the IV catheter, elevate the affected arm, notify
the charge nurse
, PN MED SURG PROCTORED /ATI PN MEDICAL SURGICAL EXAM BANK
2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS AND CORRECT DE
TAILED ANSWERS
Study online at https://quizlet.com/_g50rlr
11. 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?: Encourage weight bearing exercises
12. A nurse is assisting with the care of a client who has a cardiac catheteri-
zation via the right femoral artery. Which of the following actions should the
nurse take to prevent lost procedure complications?: Monitor the insertion site
for bleeding is correct, maintain the pressure dressing, check the clients peripheral
pulses
13. A nurse is caring for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension,tachycardia, and tachypnea.
The nurse should recognize these findings indicate which of the following
complications?: Pulmonary embolism
14. A nurse is reinforcing discharge teaching with a client who has hearing
loss. Which of the following actions should the nurse take when communica-
tion with the client?: Rephrase client instructions when not understood
15. A nurse is caring for a client who is postoperative and has an epidural
infusion. Which of the following findings should the nurse recognize as the
priority?: Dyspnea
16. A nurse is preparing to administer phytonadione 7 mg subcutaneously to
a client who has an INR of 4. Available is phytonadione 10 mg/ml. How many
ml should the nurse administer?: 0.7
17. A nurse is reinforcing teaching with a client who has multiple sclerosis and
a new prescription for baclofen. Which of the following instructions should the
nurse include in the teaching?: Avoid stopping this medication suddenly
18. A nurse is planning to implement droplet precautions for a client who has
manifestation of pertussis. Which of the following interventions should the
nurse include when contributing?: Apply a mask on the client of transport is
needed
19. A nurse is caring for an older adult client who has a reddened area over
the sacrum. Which of the following actions should the nurse take?: Minimize
the time the head of the bed is elevated
20. A nurse is collecting data from a client and noticed several skin le-
sions. Which of the following findings should the nurse report as possible
melanoma?: Irregular borders
21. A nurse is reinforcing teaching with a client who is in a low sodium diet
and asks about how to improve the taste of bland food. Which of the following
should the nurse recommend?: Lemon juice
, PN MED SURG PROCTORED /ATI PN MEDICAL SURGICAL EXAM BANK
2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS AND CORRECT DE
TAILED ANSWERS
Study online at https://quizlet.com/_g50rlr
22. A nurse is assisting with the discharge planning for a client who is postop-
erative following a total hip arthroplasty. Which of the following instructions
should the nurse include in the discharge plan?: Obtain a raised toilet seat
23. A nurse is caring for a client who has meningococcal pneumonia. Which
of the following personal protective equipment should the nurse use?: Mask
24. A nurse is reinforcing teaching with a client who has asthma. Which of
the following client statements indicates an understanding of the use of
budensonide and albuterol inhalers?: I never forget to rinse my mouth after using
my budesonide , between office visits I keep a record of how many times I use my
albiterol inhaler, I use my albuterol inhaler before I go swimming.
25. A nurse is care for for a client who has a compound fracture of the femur
and was placed in balanced suspension skeletal traction 4 days ago. Which
of the following actions should the nurse take?: Perform pin site care daily
26. A nurse is preparing to auscultate the bowel sounds of a client who has a
mechanical bowel obstruction in the descending colon. When listening in the
upper left upper quadrant, the nurse should identify this sound as which of
the following?: Hyperactive bowel sounds
27. A nurse is contributing to the plan of care for a client who was admitted
to the neurological unit following a stroke 3 hr ago. Which of the following
interventions should the nurse identify as the priority?: Keep the client in a side
lying position
28. A nurse is collecting data from a client who has hypokalemia. Which of the
following findings should the identify as the priority?: Dysrthymia
29. A nurse is reinforcing teaching about dietary changes with a client who has
cardiovascular disease. Which of the following images indicates the type of
cooking fat the nurse recommend the client use when preparing meals?: Olive
oil
30. A nurse is reviewing the laboratory results of a client who has chronic kid-
ney failure and is receiving epoetin alfa. The nurse should identify that which
of the following laboratory values indicates the treatment is effective?: Hgb 11
g/dL
31. A nurse is assisting in the plan of care regarding bowel restraining for
a client who has a cervical spinal cord injury. Which of the following inter-
ventions should the nurse plan to implement first?: Determine the clients daily
elimination habits
2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS AND CORRECT DE
TAILED ANSWERS
Study online at https://quizlet.com/_g50rlr
1. A nurse is reviewing the medical record of a client who has a prescription
for morphine. Which of the following findings should the nurse report to the
provider?: Urinary retention
2. A nurse is caring for a client who is at risk for developing pressure ulcers.
Which of the following actions should the nurse take?: Position pillows between
the bony prominences
3. A nurse is caring for a client who is postoperative and is receiving an
IV infusion of cefazolin. Ten minutes after beginning the infusion, the client
reports intense itching. Which of the following actions should the nurse take
first?: Stop the medication infusion
4. A nurse is reinforcing teaching with a client who has gonorrhea. Which of
the following information should the nurse include?: You are at risk for infertility
with this infection, regardless of treatment
5. A nurse is examining a clients IV site and notes a red line up his arm. The
client reliant a throbbing, burning pain at the IV site. The nurse should identify
that the clients manifestations indicate which of the following complications?-
: Thrombophlebitis
6. A nurse is reinforcing teaching with an adolescent client regarding testicu-
lar self examination. Which of the following statements by the client demon-
strates an undertsmdibg of the teaching?: I understand that testicular cancer is
painless
7. 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 follow-
ing findings should indicate to the nurse that the client might have a fecal
impaction?: Small liquid stools
8. A nurse in an oncology 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?: Mohs surgery is a horizontal shaving of thin layers
of the tumor
9. A nurse is reinforcing teaching about GERd with a client. Which of the fol-
lowing statements by the client indicates an understanding of the teaching?: I
should wait at least 2 hours after eating before going to bed
10. A nurse is assisting with the care of a care who is reconciled 0.9 % sodium
chloride by continuous IV infusion. The client report pain and swelling at the IV
site. In which order should the nurse perform that following steps?: Check the
IV site, stop the infusion, withdraw the IV catheter, elevate the affected arm, notify
the charge nurse
, PN MED SURG PROCTORED /ATI PN MEDICAL SURGICAL EXAM BANK
2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS AND CORRECT DE
TAILED ANSWERS
Study online at https://quizlet.com/_g50rlr
11. 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?: Encourage weight bearing exercises
12. A nurse is assisting with the care of a client who has a cardiac catheteri-
zation via the right femoral artery. Which of the following actions should the
nurse take to prevent lost procedure complications?: Monitor the insertion site
for bleeding is correct, maintain the pressure dressing, check the clients peripheral
pulses
13. A nurse is caring for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension,tachycardia, and tachypnea.
The nurse should recognize these findings indicate which of the following
complications?: Pulmonary embolism
14. A nurse is reinforcing discharge teaching with a client who has hearing
loss. Which of the following actions should the nurse take when communica-
tion with the client?: Rephrase client instructions when not understood
15. A nurse is caring for a client who is postoperative and has an epidural
infusion. Which of the following findings should the nurse recognize as the
priority?: Dyspnea
16. A nurse is preparing to administer phytonadione 7 mg subcutaneously to
a client who has an INR of 4. Available is phytonadione 10 mg/ml. How many
ml should the nurse administer?: 0.7
17. A nurse is reinforcing teaching with a client who has multiple sclerosis and
a new prescription for baclofen. Which of the following instructions should the
nurse include in the teaching?: Avoid stopping this medication suddenly
18. A nurse is planning to implement droplet precautions for a client who has
manifestation of pertussis. Which of the following interventions should the
nurse include when contributing?: Apply a mask on the client of transport is
needed
19. A nurse is caring for an older adult client who has a reddened area over
the sacrum. Which of the following actions should the nurse take?: Minimize
the time the head of the bed is elevated
20. A nurse is collecting data from a client and noticed several skin le-
sions. Which of the following findings should the nurse report as possible
melanoma?: Irregular borders
21. A nurse is reinforcing teaching with a client who is in a low sodium diet
and asks about how to improve the taste of bland food. Which of the following
should the nurse recommend?: Lemon juice
, PN MED SURG PROCTORED /ATI PN MEDICAL SURGICAL EXAM BANK
2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS AND CORRECT DE
TAILED ANSWERS
Study online at https://quizlet.com/_g50rlr
22. A nurse is assisting with the discharge planning for a client who is postop-
erative following a total hip arthroplasty. Which of the following instructions
should the nurse include in the discharge plan?: Obtain a raised toilet seat
23. A nurse is caring for a client who has meningococcal pneumonia. Which
of the following personal protective equipment should the nurse use?: Mask
24. A nurse is reinforcing teaching with a client who has asthma. Which of
the following client statements indicates an understanding of the use of
budensonide and albuterol inhalers?: I never forget to rinse my mouth after using
my budesonide , between office visits I keep a record of how many times I use my
albiterol inhaler, I use my albuterol inhaler before I go swimming.
25. A nurse is care for for a client who has a compound fracture of the femur
and was placed in balanced suspension skeletal traction 4 days ago. Which
of the following actions should the nurse take?: Perform pin site care daily
26. A nurse is preparing to auscultate the bowel sounds of a client who has a
mechanical bowel obstruction in the descending colon. When listening in the
upper left upper quadrant, the nurse should identify this sound as which of
the following?: Hyperactive bowel sounds
27. A nurse is contributing to the plan of care for a client who was admitted
to the neurological unit following a stroke 3 hr ago. Which of the following
interventions should the nurse identify as the priority?: Keep the client in a side
lying position
28. A nurse is collecting data from a client who has hypokalemia. Which of the
following findings should the identify as the priority?: Dysrthymia
29. A nurse is reinforcing teaching about dietary changes with a client who has
cardiovascular disease. Which of the following images indicates the type of
cooking fat the nurse recommend the client use when preparing meals?: Olive
oil
30. A nurse is reviewing the laboratory results of a client who has chronic kid-
ney failure and is receiving epoetin alfa. The nurse should identify that which
of the following laboratory values indicates the treatment is effective?: Hgb 11
g/dL
31. A nurse is assisting in the plan of care regarding bowel restraining for
a client who has a cervical spinal cord injury. Which of the following inter-
ventions should the nurse plan to implement first?: Determine the clients daily
elimination habits
