ATI Med Proctored Surge Final Exam Questions And
Answers Verified 100% Correct
1…A nurse is providing discharge teaching to a client who has a new
arteriovenous fistula in the right forearm. Which of the following manifestations
should the nurse include in the teaching as a possible indication of venous
insufficiency?
Cold and numb numbness distal to the fistula site
Pallor and numbness distal to the fistula site are possible indicators of venous
insufficiency and should be immediately reported to the provider.
2…A nurse is planning an educational program about basal cell carcinoma. Which
of the following information should the nurse plan to include? Basal cell
carcinoma has a low incidence of metastasis.
Rational
Basal cell carcinoma is a localized lesion that seldom metastasizes.
3…A nurse receives a unit of packed RBCs from a blood bank and notes that the
time is 1130. The nurse should begin the infusion at which of the following times?
As soon as the nurse can prepare the client and the administration set
Rational
The nurse should infuse the blood as soon as possible and complete the procedure
within 4 hr.
4…A nurse is teaching self-management to a client who has hepatitis B. Which of
the following Instructions should the nurse include in the teaching? Rest
frequently throughout the day.
Rational
Limiting activity is usually recommended until the symptoms of hepatitis have
subsided. The nurse should recommend the client rest frequently throughout the
day to reduce the metabolic demands upon the liver and decrease energy
demands.
,5…A nurse is caring for a client who has HIV. Which of the following laboratory
values is the nurse's priority?
CD4-T-cell count 180 cells/mm3
Rational
A CD4-T-cell count of less than 180 cells/mm3 indicates that the client is severely
immunocompromised and is at high risk for infection. Therefore, this value is the
priority for the nurse to report to the provider
6…A nurse is instructing a client how to decrease the nausea associated with
chemotherapy and radiation. Which of the following statements indicates an
understanding of the teaching?
I will eat foods that are served at room temperature.
Rational
The nurse should instruct the client to eat foods served at room temperature or
chilled. Foods served hot may contribute to nausea.
7…A nurse is reviewing discharge instructions with a client following a right
cataract extraction. Which of the following instructions should the nurse include?
Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week.
Rational
The nurse should instruct the client to avoid activities that increase intraocular
pressure. Therefore, the nurse should instruct the client to avoid lifting anything
heavier than 4.5 kg (10 lb) for 1 week following surgery.
8…A nurse is teaching about adverse effects of anastrozole with a client who has
advanced breast cancer and is postmenopausal. Which of the following adverse
effects should the nurse recommend the client report to the provider?
Musculoskeletal pain
Rational
The client who is experiencing musculoskeletal pain should notify the provider.
Musculoskeletal pain is a common adverse effect that affects 50% of clients that
is possibly caused from estrogen deprivation
,9…A nurse is reviewing the laboratory findings for a client who developed fat
embolism syndrome (FES) following a fracture. Which of the following laboratory
findings should the nurse expect? Decreased serum calcium level
Rational
A decreased serum calcium level is an expected finding for FES, although the
reason for this finding is unknown.
10…A client is receiving treatment for stage IV ovarian cancer and asks the nurse
to discuss her prognosis. The client plans to have aggressive surgical, radiation,
and chemotherapy treatments. Which of the following prognoses should the
nurse discuss with the client? Poor
Rational
At this advanced stage, the prognosis for ovarian cancer is poor. Ovarian cancer
is the leading cause of death from female reproductive cancers. Survival rates are
low because it is not often discovered until its late stages.
11…A nurse is providing teaching to a client who has had a total abdominal
hysterectomy and bilateral salpingo-oophorectomy for uterine cancer. Which
of the following instructions should the nurse include in the teaching? Artificial
lubrication can be used to treat vaginal itching and dryness.
Rational
The nurse should instruct the client that atrophic vaginal changes occur due to the
loss of estrogen postoperatively and can also cause pain and dryness during sexual
intercourse. Artificial lubricants can reduce the manifestations associated with
diminished mucous production.
12…A nurse at a rehabilitation center is planning care for a client who had a left
hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following
goals should the nurse include in the client's rehabilitation program? Establish
the ability to communicate effectively.
, Rational
A CVA is an interruption of the blood supply to any part of the brain, resulting in
damaged brain tissue. The left hemisphere is usually dominant for language.
Because this client had a left-side CVA, the nurse should anticipate the client will
have some degree of aphasia and will require speech therapy to establish
communication.
13…A nurse is teaching a client about the causes of osteoporosis. The nurse
should include which of the following types of medication therapy as a risk factor
for osteoporosis?
Thyroid hormones
Rational
Long-term use of synthetic thyroid hormone, such as levothyroxine, can accelerate
bone loss.
14…A nurse is teaching a newly licensed nurse about gynecological examination.
Which of the following information should the nurse include in the teaching? The
urethral orifice is assessed by separating the labia minora.
Rational
The urethral orifice, clitoris, and vaginal orifice are examined for lesions,
inflammation, and discharge by separating the labia minora.
15…FLAG
A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which
of the following abnormalities on the client's EKG should the nurse interpret as a
sign of hypokalemia? Abnormally prominent U wave
Rational
Although U waves are rare, their presence can be associated with hypokalemia,
hypertension and heart disease. For a client who has hypokalemia, the nurse
should monitor the EKG strip for a flattened T wave, prolonged PR interval,
prominent U wave, or ST depression.
Answers Verified 100% Correct
1…A nurse is providing discharge teaching to a client who has a new
arteriovenous fistula in the right forearm. Which of the following manifestations
should the nurse include in the teaching as a possible indication of venous
insufficiency?
Cold and numb numbness distal to the fistula site
Pallor and numbness distal to the fistula site are possible indicators of venous
insufficiency and should be immediately reported to the provider.
2…A nurse is planning an educational program about basal cell carcinoma. Which
of the following information should the nurse plan to include? Basal cell
carcinoma has a low incidence of metastasis.
Rational
Basal cell carcinoma is a localized lesion that seldom metastasizes.
3…A nurse receives a unit of packed RBCs from a blood bank and notes that the
time is 1130. The nurse should begin the infusion at which of the following times?
As soon as the nurse can prepare the client and the administration set
Rational
The nurse should infuse the blood as soon as possible and complete the procedure
within 4 hr.
4…A nurse is teaching self-management to a client who has hepatitis B. Which of
the following Instructions should the nurse include in the teaching? Rest
frequently throughout the day.
Rational
Limiting activity is usually recommended until the symptoms of hepatitis have
subsided. The nurse should recommend the client rest frequently throughout the
day to reduce the metabolic demands upon the liver and decrease energy
demands.
,5…A nurse is caring for a client who has HIV. Which of the following laboratory
values is the nurse's priority?
CD4-T-cell count 180 cells/mm3
Rational
A CD4-T-cell count of less than 180 cells/mm3 indicates that the client is severely
immunocompromised and is at high risk for infection. Therefore, this value is the
priority for the nurse to report to the provider
6…A nurse is instructing a client how to decrease the nausea associated with
chemotherapy and radiation. Which of the following statements indicates an
understanding of the teaching?
I will eat foods that are served at room temperature.
Rational
The nurse should instruct the client to eat foods served at room temperature or
chilled. Foods served hot may contribute to nausea.
7…A nurse is reviewing discharge instructions with a client following a right
cataract extraction. Which of the following instructions should the nurse include?
Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week.
Rational
The nurse should instruct the client to avoid activities that increase intraocular
pressure. Therefore, the nurse should instruct the client to avoid lifting anything
heavier than 4.5 kg (10 lb) for 1 week following surgery.
8…A nurse is teaching about adverse effects of anastrozole with a client who has
advanced breast cancer and is postmenopausal. Which of the following adverse
effects should the nurse recommend the client report to the provider?
Musculoskeletal pain
Rational
The client who is experiencing musculoskeletal pain should notify the provider.
Musculoskeletal pain is a common adverse effect that affects 50% of clients that
is possibly caused from estrogen deprivation
,9…A nurse is reviewing the laboratory findings for a client who developed fat
embolism syndrome (FES) following a fracture. Which of the following laboratory
findings should the nurse expect? Decreased serum calcium level
Rational
A decreased serum calcium level is an expected finding for FES, although the
reason for this finding is unknown.
10…A client is receiving treatment for stage IV ovarian cancer and asks the nurse
to discuss her prognosis. The client plans to have aggressive surgical, radiation,
and chemotherapy treatments. Which of the following prognoses should the
nurse discuss with the client? Poor
Rational
At this advanced stage, the prognosis for ovarian cancer is poor. Ovarian cancer
is the leading cause of death from female reproductive cancers. Survival rates are
low because it is not often discovered until its late stages.
11…A nurse is providing teaching to a client who has had a total abdominal
hysterectomy and bilateral salpingo-oophorectomy for uterine cancer. Which
of the following instructions should the nurse include in the teaching? Artificial
lubrication can be used to treat vaginal itching and dryness.
Rational
The nurse should instruct the client that atrophic vaginal changes occur due to the
loss of estrogen postoperatively and can also cause pain and dryness during sexual
intercourse. Artificial lubricants can reduce the manifestations associated with
diminished mucous production.
12…A nurse at a rehabilitation center is planning care for a client who had a left
hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following
goals should the nurse include in the client's rehabilitation program? Establish
the ability to communicate effectively.
, Rational
A CVA is an interruption of the blood supply to any part of the brain, resulting in
damaged brain tissue. The left hemisphere is usually dominant for language.
Because this client had a left-side CVA, the nurse should anticipate the client will
have some degree of aphasia and will require speech therapy to establish
communication.
13…A nurse is teaching a client about the causes of osteoporosis. The nurse
should include which of the following types of medication therapy as a risk factor
for osteoporosis?
Thyroid hormones
Rational
Long-term use of synthetic thyroid hormone, such as levothyroxine, can accelerate
bone loss.
14…A nurse is teaching a newly licensed nurse about gynecological examination.
Which of the following information should the nurse include in the teaching? The
urethral orifice is assessed by separating the labia minora.
Rational
The urethral orifice, clitoris, and vaginal orifice are examined for lesions,
inflammation, and discharge by separating the labia minora.
15…FLAG
A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which
of the following abnormalities on the client's EKG should the nurse interpret as a
sign of hypokalemia? Abnormally prominent U wave
Rational
Although U waves are rare, their presence can be associated with hypokalemia,
hypertension and heart disease. For a client who has hypokalemia, the nurse
should monitor the EKG strip for a flattened T wave, prolonged PR interval,
prominent U wave, or ST depression.
