2024 ATI RN ADULT MEDICAL SURGICAL EXAM QUESTIONS AND
ANSWERS EXAM | ACTUAL EXAM WITH A STUDY GUIDE AND
PRACTICE EXAM | ACCURATE REAL EXAM QUESTIONS AND ANSWERS
| GUARANTEED PASS | LATEST UPDATE
Using the SBAR format, identify the info. Nurse Allyson received
from report that will enable her to provide safe care to Mr.
Jones. - CORRECT ANSWER S- Situation
The ED admitted Mr. Jones at 4:30 AM for SOB and weakness.
After treatment, he is transferring to the telemetry unit.
B - Background
60 year old African-American male with a history of peripheral
vascular disease, type 2 diabetes, chronic kidney disease,
coronary artery disease, and atrial fibrillation. A provider
recently discharged him from the facility after he treated Mr.
Jones for atrial fibrillation and a type 2 diabetic ulcer of the right
foot. Mr. Jones did not complete prescribed antibiotics after his
discharge. He is non compliant in managing his diabetes. He
smokes one pack of cigarettes a day and uses alcohol 3 to 5
times a week.
A - Assessment
Mr. Jones is awake, alert, and orientated x3. Current vitals are:
BP 112/70, P: 158, R: 34, T: 99.1, and O2 sat 91% on 2 L via nasal
cannula. ECG indicates atrial fibrillation; placed on telemetry.
Chest x-ray: opacities greater in the right lung than left lung.
Altered lab values include: sodium 128, potassium 5.1, BUN 44,
creatinine 3.0, and glomerular filtration rate 25. His total bilirubin
was 2.8, calcium 8.7, WBCs 16.1, hemoglobin 9.3, hematocrit 28.2,
and blood glucose 71. We did a digoxin level, which was 0.6. He
has a soiled dressing on his right foot and is a stage III ulcer. A
#20 gauge IV catheter was inserted peripherally in his left
,forearm and a nurse gave him 1,000 mL of 0.9% sodium chloride.
Intake: 1,000 mL Output: None. No family present.
Nurse Allyson is preparing to perform a sterile dressing change
to Mr. Jones's foot. After removing the exam gloves, performing
hand hygiene, and gathering the needed supplies, what are the
next steps Nurse Allyson should take for the dressing change? -
CORRECT ANSWER 1. Apply clean gloves.
2. Remove dressing and place in moisture-proof bag.
3. Remove clean gloves.
4. Wash hands.
5. Apply sterile gloves.
6. Cover with sterile gauze.
7. Secure dressing.
Nurse Allyson is preparing to call the provider about Mr. Jones's
difficulty breathing. Which of the following orders should she
recommend to the provider? - CORRECT ANSWER Furosemide
(Lasix) 20 mg IV
Mr. Jones's total urinary output is 50 mL. His total IV fluid intake
since admission is 1550 mL. Which of the following is an
appropriate nursing intervention at this time? - CORRECT
ANSWER Obtain a bladder scan.
Nurse Allyson is going to perform a bladder scan on Mr. Jones.
Where should the transducer be placed on his abdomen? -
CORRECT ANSWER Central abdomen, below the umbilicus.
Nurse Allyson is planning care for a set of clients. Which of the
following should be her priority action? - CORRECT ANSWER
Check on the client who is reporting chest pain.
,The telemetry technician notified Nurse Allyson that Mr. Jones is
having arrhythmia. Which of the following is the priority nursing
intervention at this time? - CORRECT ANSWER Perform a
focused assessment.
Mr. Jones's heart monitor displays this rhythm strip. Which of the
following is an appropriate nursing action? - CORRECT ANSWER
Call the rapid response team.
The provider gave Nurse Allyson new prescriptions to
implement. Based on Mr. Jones's current symptoms, which of the
following medications should she give him at this time? -
CORRECT ANSWER Sodium polystyrene sulfonate
(Kayexalate) 30 g PO once now
Nurse Allyson is preparing to administer furosemide (Lasix) 40
mg IV. Available is furosemide 80 mg/5 mL. How many mL
should she administer? - CORRECT ANSWER 2.5 mL
Nurse Allyson and the provider are reviewing chronic kidney
disease information with Mr. Jones. Which of the following
statements made by Mr. Jones indicates he understands the
information? - CORRECT ANSWER "I will need to eat a low-
protein diet."
Nurse Allyson is planning care for Mr. Jones, who has clinical
manifestations of phlebitis. Which of the following is the priority
action the nurse should take? - CORRECT ANSWER Remove
the IV catheter.
Nurse Allyson is planning care to Mr. Jone's central line. Which
of the following should Nurse Allyson include in Mr. Jones's plan
, of care? - CORRECT ANSWER 1. Use a sterile technique to
change the dressing.
2. Obtain consent before central line placement.
3. Change the catheter cap every 3 to 7 days.
Nurse Allyson gave a report about Mr. Jones to the home health
nurse. Which of the following data is in the appropriate section of
the SBAR to facilitate appropriate and comprehensive
communication? - CORRECT ANSWER R: Upon discharge, Mr.
Jones is scheduled to receive cefepime 2 g IV daily for the next 2
weeks.
A nurse is assessing a client who has peripheral arterial
disease. Which of the following findings should the nurse expect?
- CORRECT ANSWER Hair loss on the lower legs
A nurse is providing teaching to a client who has esophageal
cancer and is to undergo radiation therapy. Which of the
following statements should the nurse identify as an indication
that the client understands the teaching? - CORRECT ANSWER
"I will use my hands rather than a washcloth to clean the
radiation area.
A nurse at a provider's office is caring for a client who is 2 weeks
postoperative following a gastrectomy.
A nurse is providing teaching for the client. Which of the
following instructions should the nurse include?
Select all that apply. - CORRECT ANSWER Avoid drinking
fluids with meals
Eat several small meals
Consume high-protein snacks
ANSWERS EXAM | ACTUAL EXAM WITH A STUDY GUIDE AND
PRACTICE EXAM | ACCURATE REAL EXAM QUESTIONS AND ANSWERS
| GUARANTEED PASS | LATEST UPDATE
Using the SBAR format, identify the info. Nurse Allyson received
from report that will enable her to provide safe care to Mr.
Jones. - CORRECT ANSWER S- Situation
The ED admitted Mr. Jones at 4:30 AM for SOB and weakness.
After treatment, he is transferring to the telemetry unit.
B - Background
60 year old African-American male with a history of peripheral
vascular disease, type 2 diabetes, chronic kidney disease,
coronary artery disease, and atrial fibrillation. A provider
recently discharged him from the facility after he treated Mr.
Jones for atrial fibrillation and a type 2 diabetic ulcer of the right
foot. Mr. Jones did not complete prescribed antibiotics after his
discharge. He is non compliant in managing his diabetes. He
smokes one pack of cigarettes a day and uses alcohol 3 to 5
times a week.
A - Assessment
Mr. Jones is awake, alert, and orientated x3. Current vitals are:
BP 112/70, P: 158, R: 34, T: 99.1, and O2 sat 91% on 2 L via nasal
cannula. ECG indicates atrial fibrillation; placed on telemetry.
Chest x-ray: opacities greater in the right lung than left lung.
Altered lab values include: sodium 128, potassium 5.1, BUN 44,
creatinine 3.0, and glomerular filtration rate 25. His total bilirubin
was 2.8, calcium 8.7, WBCs 16.1, hemoglobin 9.3, hematocrit 28.2,
and blood glucose 71. We did a digoxin level, which was 0.6. He
has a soiled dressing on his right foot and is a stage III ulcer. A
#20 gauge IV catheter was inserted peripherally in his left
,forearm and a nurse gave him 1,000 mL of 0.9% sodium chloride.
Intake: 1,000 mL Output: None. No family present.
Nurse Allyson is preparing to perform a sterile dressing change
to Mr. Jones's foot. After removing the exam gloves, performing
hand hygiene, and gathering the needed supplies, what are the
next steps Nurse Allyson should take for the dressing change? -
CORRECT ANSWER 1. Apply clean gloves.
2. Remove dressing and place in moisture-proof bag.
3. Remove clean gloves.
4. Wash hands.
5. Apply sterile gloves.
6. Cover with sterile gauze.
7. Secure dressing.
Nurse Allyson is preparing to call the provider about Mr. Jones's
difficulty breathing. Which of the following orders should she
recommend to the provider? - CORRECT ANSWER Furosemide
(Lasix) 20 mg IV
Mr. Jones's total urinary output is 50 mL. His total IV fluid intake
since admission is 1550 mL. Which of the following is an
appropriate nursing intervention at this time? - CORRECT
ANSWER Obtain a bladder scan.
Nurse Allyson is going to perform a bladder scan on Mr. Jones.
Where should the transducer be placed on his abdomen? -
CORRECT ANSWER Central abdomen, below the umbilicus.
Nurse Allyson is planning care for a set of clients. Which of the
following should be her priority action? - CORRECT ANSWER
Check on the client who is reporting chest pain.
,The telemetry technician notified Nurse Allyson that Mr. Jones is
having arrhythmia. Which of the following is the priority nursing
intervention at this time? - CORRECT ANSWER Perform a
focused assessment.
Mr. Jones's heart monitor displays this rhythm strip. Which of the
following is an appropriate nursing action? - CORRECT ANSWER
Call the rapid response team.
The provider gave Nurse Allyson new prescriptions to
implement. Based on Mr. Jones's current symptoms, which of the
following medications should she give him at this time? -
CORRECT ANSWER Sodium polystyrene sulfonate
(Kayexalate) 30 g PO once now
Nurse Allyson is preparing to administer furosemide (Lasix) 40
mg IV. Available is furosemide 80 mg/5 mL. How many mL
should she administer? - CORRECT ANSWER 2.5 mL
Nurse Allyson and the provider are reviewing chronic kidney
disease information with Mr. Jones. Which of the following
statements made by Mr. Jones indicates he understands the
information? - CORRECT ANSWER "I will need to eat a low-
protein diet."
Nurse Allyson is planning care for Mr. Jones, who has clinical
manifestations of phlebitis. Which of the following is the priority
action the nurse should take? - CORRECT ANSWER Remove
the IV catheter.
Nurse Allyson is planning care to Mr. Jone's central line. Which
of the following should Nurse Allyson include in Mr. Jones's plan
, of care? - CORRECT ANSWER 1. Use a sterile technique to
change the dressing.
2. Obtain consent before central line placement.
3. Change the catheter cap every 3 to 7 days.
Nurse Allyson gave a report about Mr. Jones to the home health
nurse. Which of the following data is in the appropriate section of
the SBAR to facilitate appropriate and comprehensive
communication? - CORRECT ANSWER R: Upon discharge, Mr.
Jones is scheduled to receive cefepime 2 g IV daily for the next 2
weeks.
A nurse is assessing a client who has peripheral arterial
disease. Which of the following findings should the nurse expect?
- CORRECT ANSWER Hair loss on the lower legs
A nurse is providing teaching to a client who has esophageal
cancer and is to undergo radiation therapy. Which of the
following statements should the nurse identify as an indication
that the client understands the teaching? - CORRECT ANSWER
"I will use my hands rather than a washcloth to clean the
radiation area.
A nurse at a provider's office is caring for a client who is 2 weeks
postoperative following a gastrectomy.
A nurse is providing teaching for the client. Which of the
following instructions should the nurse include?
Select all that apply. - CORRECT ANSWER Avoid drinking
fluids with meals
Eat several small meals
Consume high-protein snacks
