MED SURG- PROCTORED ATI ATI MED-
b b b b b
SURG PROCTORED EXAM 125Q & AS LATEST 2023/2024 (NEW)
b b b b b b b b b
WITH REVISED AND FULL 100% CORRECT ANSWERS.
b b b b b b
An older adult is brought to an emergency department by a family member. Which
b b b b b b b b b b b b b b
of the following assessment findings should cause the nurse to suspect that the clie
b b b b b b b b b b b b b
nt has hypertonic dehydration? -
b b b b
CORRECT ANSWERS Urine Specific gravity 1.045
b b bb b b b b
A urine specific gravity greater than 1.030 indicates a decrease in urine volume and
b b b b b b b b b b b b b b
an increase in osmolarity, which is a manifestation of hypertonic dehydration.
b b b b b b b b b b
A nurse in a community clinic is caring for a client who reports an increase in the fre
b b b b b b b b b b b b b b b b b
quency of migraine headaches. To help reduce the risk for migraine headaches, whi
b b b b b b b b b b b b
ch of the following foods should the nurse recommend the client avoid? -
b b b b b b b b b b b b
CORRECT ANSWERS Aged cheese
b b bb b
Foods that contain tyramine, such as aged cheese and sausage, can trigger migrain
b b b b b b b b b b b b
e headaches.
b
A nurse is planning teaching for a client who has bladder cancer and is to undergo a
b b b b b b b b b b b b b b b b b
cutaneous diversion procedure to establish a ureterostomy. Which of the following
b b b b b b b b b b b
statements should the nurse include in the teaching? -
b b b b b b b b
CORRECT ANSWERS "You should cut the opening of the skin barrier one-
b b bb b b b b b b b b b
eight inch wider than the stoma."
b b b b b b
The client should cut the opening of the skin barrier 0.3 cm (1/8in) wider than the s
b b b b b b b b b b b b b b b b
toma to minimize irritation of the skin from exposure to urine.
b b b b b b b b b b
A nurse is providing teaching to a client who has hypothyroidism and is receiving le
b b b b b b b b b b b b b b
vothyroxine. The nurse should instruct the client that which of the following supple
b b b b b b b b b b b b
,MED SURG- PROCTORED ATI ATI MED- b b b b b
SURG PROCTORED EXAM 125Q & AS LATEST 2023/2024 (NEW)
b b b b b b b b b
WITH REVISED AND FULL 100% CORRECT ANSWERS.
b b b b b b
ments can interfere with the effectiveness of the medication? -
b b b b b b b b b
CORRECT ANSWERS Calcium
b b bb
Calcium limits the development of osteoporosis in clients who are postmenopausal
b b b b b b b b b b
band works as an antacid. Calcium supplements can interfere with the metabolism o
b b b b b b b b b b b b
f a number of medications, including levothyroxine. The nurse should instruct the cl
b b b b b b b b b b b b
ient to avoid taking calcium within 4 hr of levothyroxine administration.
b b b b b b b b b b
A nurse is conducting an admission history for a client who is to undergo a CT scan
b b b b b b b b b b b b b b b b b
with an IV contrast agent. The nurse should identify that which of the following find
b b b b b b b b b b b b b b
ings requires further assessment? - CORRECT ANSWERS History of asthma
b b b b b b bb b b b
A client who has a history of asthma has a greater risk of reacting to the contrast dy
b b b b b b b b b b b b b b b b b
e used during the procedure. Other conditions that can result in a reaction to contr
b b b b b b b b b b b b b b
ast media include allergies to foods, such as shellfish, eggs, milk, and chocolate.
b b b b b b b b b b b b
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the
b b b b b b b b b b b b b b b b b
following findings should the nurse identify as a component of Cushing's triad? -
b b b b b b b b b b b b b
CORRECT ANSWERS Bradycardia
b b bb b
A client who has increased intracranial pressure from a traumatic brain injury can d
b b b b b b b b b b b b b
evelop bradycardia, which is one component of Cushing's triad. The other compone
b b b b b b b b b b b
nts of Cushing's triad are severe hypertension and a widened pulse pressure.
b b b b b b b b b b b
A nurse is planning to irrigate and dress a clean, granulating wound for a client who
b b b b b b b b b b b b b b b b
has a pressure injury. Which of the following actions should the nurse take? -
b b b b b b b b b b b b b
CORRECT ANSWERS Use a 30-mL syringe
b b bb b b b b
,MED SURG- PROCTORED ATI ATI MED-
b b b b b
SURG PROCTORED EXAM 125Q & AS LATEST 2023/2024 (NEW)
b b b b b b b b b
WITH REVISED AND FULL 100% CORRECT ANSWERS.
b b b b b b
The nurse should use a 30-mL to 60-mL syringe with an 18- or 19-
b b b b b b b b b b b b b
gauge catheter to deliver the ideal pressure of 8 pounds per square inch (psi) when
b b b b b b b b b b b b b b b
irrigating a wound. To maintain healthy granulation tissue, the wound irrigation sh
b b b b b b b b b b b b
ould be delivered at between 4 and 15 psi.
b b b b b b b b
A nurse in an emergency department is reviewing the provider's prescriptions for a
b b b b b b b b b b b b b
client who sustained a rattlesnake bite to the lower leg. Which of the following pres
b b b b b b b b b b b b b b
criptions should the expect? - b b b b
CORRECT ANSWERS Administer an opioid analgesic to the client.
b b bb b b b b b b b
The nurse should expect a prescription for an opioid analgesic to promote comfort f
b b b b b b b b b b b b b
ollowing a rattlesnake bite. b b b
A nurse is reviewing the health record of a client who is scheduled for allergy skin te
b b b b b b b b b b b b b b b b
sting. The nurse should postpone the testing and report to the provider which of th
b b b b b b b b b b b b b b
e following findings? (Click on the "Exhibit" button for additional information about
b b b b b b b b b b b
the client). - CORRECT ANSWERS Current medications
b b b b b bb b b
The nurse should review the client's medication record and identify medications, in
b b b b b b b b b b b
cluding ACE inhibitors, beta blockers, theophylline, nifedipine, and glucocorticoids,
b b b b b b b b b
such as prednisone, that can alter the allergy skin test results. These medications ca
b b b b b b b b b b b b b
n diminish the client's reaction to the allergens. The nurse should notify the provide
b b b b b b b b b b b b b
r and instruct the client to discontinue prednisone for 2 weeks before allergy skin te
b b b b b b b b b b b b b b
sting.
A nurse is a caring for a client who is on bed rest and has a new prescription for eno
b b b b b b b b b b b b b b b b b b b
xaparin subcutaneous. Which of the following actions should the nurse take? -
b b b b b b b b b b b
CORRECT ANSWERS Inject the medication into the anterolateral abdominal
b b bb b b b b b b b
wall. b
, MED SURG- PROCTORED ATI ATI MED-
b b b b b
SURG PROCTORED EXAM 125Q & AS LATEST 2023/2024 (NEW)
b b b b b b b b b
WITH REVISED AND FULL 100% CORRECT ANSWERS.
b b b b b b
The nurse should inject the medication into the anterolateral or posterolateral abd
b b b b b b b b b b b
ominal wall to enhance medication absorption and prevent hematoma formation.
b b b b b b b b b
A nurse is caring for a client who has a stage III pressure injury. Which if the followin
b b b b b b b b b b b b b b b b b
g findings contribute to delayed wound healing? -
b b b b b b b
CORRECT ANSWERS Urine output 25 mL/hr
b b bb b b b b
Urinary output reflects fluid status. Inadequate urine output can indicate dehydrati
b b b b b b b b b b
on, which can delay wound healing.
b b b b b
A nurse is caring for a client who has a new prescription for total parenteral nutritio
b b b b b b b b b b b b b b b
n (TPN). The client is to receive 2,000 kcal per day. The TPN solution has 500kcal/L.
b b b b b b b b b b b b b b b b
The IV pump should be set at how many mL/hr? (Rounding to the nearest whole nu
b b b b b b b b b b b b b b b
mber.) - CORRECT ANSWERS 167 mL/hr
b b b bb b
A nurse is teaching a client who has a family history of colorectal cancer. To help mit
b b b b b b b b b b b b b b b b
igate this risk, which of the following dietary alterations should the nurse recomme
b b b b b b b b b b b b
nd? - CORRECT ANSWERS Add cabbage to the diet.
b b b bb b b b b b
To help reduce the risk for colorectal cancer, the client should consume a diet that i
b b b b b b b b b b b b b b b
s high in fiber, low in fat, and low in refined carbohydrates. Brassica vegetables such
b b b b b b b b b b b b b b
as cabbage, cauliflower, and broccoli, are high in fiber.
b b b b b b b b b
A nurse is caring for a client who has a prescription for silver sulfadiazine cream to b
b b b b b b b b b b b b b b b b
e applied to her burn wounds. The nurse should evaluate the client for which of the
b b b b b b b b b b b b b b b
following laboratory findings? - CORRECT ANSWERS Leukopenia
b b b b b b bb b
Transient leukopenia is an adverse effect of silver sulfadiazine.
b b b b b b b b
b b b b b
SURG PROCTORED EXAM 125Q & AS LATEST 2023/2024 (NEW)
b b b b b b b b b
WITH REVISED AND FULL 100% CORRECT ANSWERS.
b b b b b b
An older adult is brought to an emergency department by a family member. Which
b b b b b b b b b b b b b b
of the following assessment findings should cause the nurse to suspect that the clie
b b b b b b b b b b b b b
nt has hypertonic dehydration? -
b b b b
CORRECT ANSWERS Urine Specific gravity 1.045
b b bb b b b b
A urine specific gravity greater than 1.030 indicates a decrease in urine volume and
b b b b b b b b b b b b b b
an increase in osmolarity, which is a manifestation of hypertonic dehydration.
b b b b b b b b b b
A nurse in a community clinic is caring for a client who reports an increase in the fre
b b b b b b b b b b b b b b b b b
quency of migraine headaches. To help reduce the risk for migraine headaches, whi
b b b b b b b b b b b b
ch of the following foods should the nurse recommend the client avoid? -
b b b b b b b b b b b b
CORRECT ANSWERS Aged cheese
b b bb b
Foods that contain tyramine, such as aged cheese and sausage, can trigger migrain
b b b b b b b b b b b b
e headaches.
b
A nurse is planning teaching for a client who has bladder cancer and is to undergo a
b b b b b b b b b b b b b b b b b
cutaneous diversion procedure to establish a ureterostomy. Which of the following
b b b b b b b b b b b
statements should the nurse include in the teaching? -
b b b b b b b b
CORRECT ANSWERS "You should cut the opening of the skin barrier one-
b b bb b b b b b b b b b
eight inch wider than the stoma."
b b b b b b
The client should cut the opening of the skin barrier 0.3 cm (1/8in) wider than the s
b b b b b b b b b b b b b b b b
toma to minimize irritation of the skin from exposure to urine.
b b b b b b b b b b
A nurse is providing teaching to a client who has hypothyroidism and is receiving le
b b b b b b b b b b b b b b
vothyroxine. The nurse should instruct the client that which of the following supple
b b b b b b b b b b b b
,MED SURG- PROCTORED ATI ATI MED- b b b b b
SURG PROCTORED EXAM 125Q & AS LATEST 2023/2024 (NEW)
b b b b b b b b b
WITH REVISED AND FULL 100% CORRECT ANSWERS.
b b b b b b
ments can interfere with the effectiveness of the medication? -
b b b b b b b b b
CORRECT ANSWERS Calcium
b b bb
Calcium limits the development of osteoporosis in clients who are postmenopausal
b b b b b b b b b b
band works as an antacid. Calcium supplements can interfere with the metabolism o
b b b b b b b b b b b b
f a number of medications, including levothyroxine. The nurse should instruct the cl
b b b b b b b b b b b b
ient to avoid taking calcium within 4 hr of levothyroxine administration.
b b b b b b b b b b
A nurse is conducting an admission history for a client who is to undergo a CT scan
b b b b b b b b b b b b b b b b b
with an IV contrast agent. The nurse should identify that which of the following find
b b b b b b b b b b b b b b
ings requires further assessment? - CORRECT ANSWERS History of asthma
b b b b b b bb b b b
A client who has a history of asthma has a greater risk of reacting to the contrast dy
b b b b b b b b b b b b b b b b b
e used during the procedure. Other conditions that can result in a reaction to contr
b b b b b b b b b b b b b b
ast media include allergies to foods, such as shellfish, eggs, milk, and chocolate.
b b b b b b b b b b b b
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the
b b b b b b b b b b b b b b b b b
following findings should the nurse identify as a component of Cushing's triad? -
b b b b b b b b b b b b b
CORRECT ANSWERS Bradycardia
b b bb b
A client who has increased intracranial pressure from a traumatic brain injury can d
b b b b b b b b b b b b b
evelop bradycardia, which is one component of Cushing's triad. The other compone
b b b b b b b b b b b
nts of Cushing's triad are severe hypertension and a widened pulse pressure.
b b b b b b b b b b b
A nurse is planning to irrigate and dress a clean, granulating wound for a client who
b b b b b b b b b b b b b b b b
has a pressure injury. Which of the following actions should the nurse take? -
b b b b b b b b b b b b b
CORRECT ANSWERS Use a 30-mL syringe
b b bb b b b b
,MED SURG- PROCTORED ATI ATI MED-
b b b b b
SURG PROCTORED EXAM 125Q & AS LATEST 2023/2024 (NEW)
b b b b b b b b b
WITH REVISED AND FULL 100% CORRECT ANSWERS.
b b b b b b
The nurse should use a 30-mL to 60-mL syringe with an 18- or 19-
b b b b b b b b b b b b b
gauge catheter to deliver the ideal pressure of 8 pounds per square inch (psi) when
b b b b b b b b b b b b b b b
irrigating a wound. To maintain healthy granulation tissue, the wound irrigation sh
b b b b b b b b b b b b
ould be delivered at between 4 and 15 psi.
b b b b b b b b
A nurse in an emergency department is reviewing the provider's prescriptions for a
b b b b b b b b b b b b b
client who sustained a rattlesnake bite to the lower leg. Which of the following pres
b b b b b b b b b b b b b b
criptions should the expect? - b b b b
CORRECT ANSWERS Administer an opioid analgesic to the client.
b b bb b b b b b b b
The nurse should expect a prescription for an opioid analgesic to promote comfort f
b b b b b b b b b b b b b
ollowing a rattlesnake bite. b b b
A nurse is reviewing the health record of a client who is scheduled for allergy skin te
b b b b b b b b b b b b b b b b
sting. The nurse should postpone the testing and report to the provider which of th
b b b b b b b b b b b b b b
e following findings? (Click on the "Exhibit" button for additional information about
b b b b b b b b b b b
the client). - CORRECT ANSWERS Current medications
b b b b b bb b b
The nurse should review the client's medication record and identify medications, in
b b b b b b b b b b b
cluding ACE inhibitors, beta blockers, theophylline, nifedipine, and glucocorticoids,
b b b b b b b b b
such as prednisone, that can alter the allergy skin test results. These medications ca
b b b b b b b b b b b b b
n diminish the client's reaction to the allergens. The nurse should notify the provide
b b b b b b b b b b b b b
r and instruct the client to discontinue prednisone for 2 weeks before allergy skin te
b b b b b b b b b b b b b b
sting.
A nurse is a caring for a client who is on bed rest and has a new prescription for eno
b b b b b b b b b b b b b b b b b b b
xaparin subcutaneous. Which of the following actions should the nurse take? -
b b b b b b b b b b b
CORRECT ANSWERS Inject the medication into the anterolateral abdominal
b b bb b b b b b b b
wall. b
, MED SURG- PROCTORED ATI ATI MED-
b b b b b
SURG PROCTORED EXAM 125Q & AS LATEST 2023/2024 (NEW)
b b b b b b b b b
WITH REVISED AND FULL 100% CORRECT ANSWERS.
b b b b b b
The nurse should inject the medication into the anterolateral or posterolateral abd
b b b b b b b b b b b
ominal wall to enhance medication absorption and prevent hematoma formation.
b b b b b b b b b
A nurse is caring for a client who has a stage III pressure injury. Which if the followin
b b b b b b b b b b b b b b b b b
g findings contribute to delayed wound healing? -
b b b b b b b
CORRECT ANSWERS Urine output 25 mL/hr
b b bb b b b b
Urinary output reflects fluid status. Inadequate urine output can indicate dehydrati
b b b b b b b b b b
on, which can delay wound healing.
b b b b b
A nurse is caring for a client who has a new prescription for total parenteral nutritio
b b b b b b b b b b b b b b b
n (TPN). The client is to receive 2,000 kcal per day. The TPN solution has 500kcal/L.
b b b b b b b b b b b b b b b b
The IV pump should be set at how many mL/hr? (Rounding to the nearest whole nu
b b b b b b b b b b b b b b b
mber.) - CORRECT ANSWERS 167 mL/hr
b b b bb b
A nurse is teaching a client who has a family history of colorectal cancer. To help mit
b b b b b b b b b b b b b b b b
igate this risk, which of the following dietary alterations should the nurse recomme
b b b b b b b b b b b b
nd? - CORRECT ANSWERS Add cabbage to the diet.
b b b bb b b b b b
To help reduce the risk for colorectal cancer, the client should consume a diet that i
b b b b b b b b b b b b b b b
s high in fiber, low in fat, and low in refined carbohydrates. Brassica vegetables such
b b b b b b b b b b b b b b
as cabbage, cauliflower, and broccoli, are high in fiber.
b b b b b b b b b
A nurse is caring for a client who has a prescription for silver sulfadiazine cream to b
b b b b b b b b b b b b b b b b
e applied to her burn wounds. The nurse should evaluate the client for which of the
b b b b b b b b b b b b b b b
following laboratory findings? - CORRECT ANSWERS Leukopenia
b b b b b b bb b
Transient leukopenia is an adverse effect of silver sulfadiazine.
b b b b b b b b
