lOMoAR cPSD| 14021616
ne
ATI PROCTORED MEDSURG 2019 EXAM QUESTIONS WITH
sh
ANSWERS
ne
✓ A nurse is caring for a client who is 5 days post op ff a total abdominal hysterectomy. Which of the ff
la
tz
findings indicated wound dehiscence?
sh
Sp
o Incisional pain when coughing or breathing deeply
o
ne
Increased serosanguineous drainage from the wound
la
o Serous crusting along the incision line
o Inflammation of incision edges
sh
Sp
✓ A nurse is caring for a client who has bounding pulses, crackles on auscultation, and pink frothy
ne
secretions when receiving suctioning. The nurse should recognize these assessment findings as indicating
la
which of the ff?
tz
sh
o Pleural Effusion
Sp
ne
o Increased Cardiac Output
la
o Fluid Volume Excess
o Aspiration
sh
Sp
ne
✓ A nurse is preparing instructions for a client who is prescribed metoprolol. Which of the following
la
should the nurse plan to include in the teaching?
tz
sh
o Monitor for hyperglycemia when taking the medication
Sp
ne
o Expect excess production of saliva after taking the medication
o
la
Take radial pulse before administering the medication
o Notify the provider if hearing loss occurs.
sh
Sp
ne
✓ A nurse is caring for a client who develops third-degree heart block with a heart rate of 30/min. Which
la
of the following actions should the nurse take?
tz
o Instruct the client to perform the Valsalva Maneuver.
sh
Sp
ne
o Prepare the client for temporary pacing
o Perform carotid sinus massage
la
o Administer digoxin by IV bolus
sh
Sp
temporary pacing is an electrical cardiac stimulation to treat bradyarrhythmia or tachyarrhythmia.
ne
a
✓ A nurse is caring for a client who is receiving TPN. Which of following nursing actions are appropriate?
tz
l
sh
(Select all that apply).
Sp
ne
o Increase the rate of infusion if administration is delayed.
o Monitor serum blood glucose during infusion
la
o Infuse 0.9% sodium chloride if the solution is not available.
sh
Sp
o Obtain the client weight daily
la
Sp
, lOMoAR cPSD| 14021616
ne
ATI PROCTORED MEDSURG 2019 EXAM QUESTIONS WITH
sh
ANSWERS
ne
o Verify the solution with another RN prior infusion.
la
tz
sh
✓ A nurse is providing discharge teaching about foot care to a client who is newly diagnosed with type 1
Sp
ne
DM. Which of the ff information should the nurse include?
o
la
Apply lotion between the toes.
o Trim the toenails straight across. Pg/532
sh
Sp
o Inspect the feet every other day.
ne
o Soak the feet twice a day.
✓ A nurse reviewing the medical record of the client who is 1 day postoperative following an
la
tz
appendectomy. Which of the following findings should the nurse report to the provider?
sh
Sp
o Hemoglobin 10 mg/dL - pg.444
ne
o Serosanguineous exudate noted on dressing change
la
o Reports pain of 4 on a scale when coughing
sh
o WBC count 8400/mm
Sp
ne
✓ A nurse is reviewing medications taken at home with a client who has angina. Which of the following
la
tz
statements by the client indicates an understanding of the teaching?
sh
Sp
o I should withhold my metoprolol if my heart rate is above 100 bpm
ne
o I should place a nitroglycerin tablet under my tongue every 10min for up to four doses
la
o I should lie down before taking dose of isosorbide dinitrate
sh
o I should take my daily aspirin on an empty stomach
Sp
ne
✓ A nurse is instructing a client who has a new diagnosis of type 1 diabetes mellitus about the sick-day
la
tz
rules. Which of the following statements by the client indicates an understanding of the teaching?
sh
Sp
o “I will monitor my blood glucose every 8 hours.”
ne
o “I will consume 250 grams of carbohydrates daily while I’m sick.”
la
o “I will check my urine for ketones if my blood glucose is greater than 240 mg/dL.”
sh
o “I will not take my diabetes medications while I am sick.”
Sp
ne
✓ A nurse is caring for a client who has thrombocytopenia. Which of the following laboratory results
a
tz
should the nurse expect?
l
sh
Sp
o Platelets 70,000/mm3
ne
o aPPT 40 seconds
la
o INR of 1.0
sh
o PT 11 seconds
Sp
la
Sp
, lOMoAR cPSD| 14021616
ne
ATI PROCTORED MEDSURG 2019 EXAM QUESTIONS WITH
sh
ANSWERS
ne
✓ A nurse is planning care for a client who has a pulmonary embolism and a prescription for enoxaparin
la
tz
via subcutaneous injection. Which of the following interventions should the nurse include?
sh
Sp
o Assess the client’s tools for occult blood
ne
o Massage the injection site
la
o Instruct the client to limit vitamin K intake
o Monitor the client's PT levels
sh
Sp
ne
✓ A nurse is caring for a client who is receiving total parenteral nutrition through central line. The current
la
bag is nearly empty, and a new bag is unavailable from the pharmacy. Which of the following actions
tz
sh
should the nurse take?
Sp
ne
o Discontinue the infusion and flush the line.
la
o Decrease the rate of the infusion to last until the new bag is available.
o Switch the infusion to a 10% dextrose solution.
sh
Sp
o Start an infusion of 0.45% sodium chloride solution.
ne
la
✓ A nurse is providing teaching to a client who has tuberculosis. Which of the following is appropriate for
tz
sh
the nurse to include in the teaching?
Sp
ne
o “You will need to continue to have yearly tuberculosis skin tests.”
o “You should expect to take the prescribed medication therapy for 2 months.”
la
o “You should avoid consuming fresh fruits and vegetables during therapy.”
sh
o
Sp
“You will no longer be contagious after three consecutive negative sputum specimens.”
ne
la
✓ A nurse is teaching a client who has Graves’ disease about recognizing the manifestation of thyroid
tz
storm. Which of the following findings should the nurse include in the teaching?
sh
Sp
ne
o Lethargy
o Increased temperature – thyroid problem.
la
o Decreased heart rate
sh
Sp
o Hypotension
ne
a
✓ A nurse is caring for a female client who has toxic shock syndrome. Which of the of findings should the
tz
l
sh
nurse expect?
Sp
ne
o Hypertension
o Generalize rash
la
o Elevated platelet count
sh
Sp
o Decreased total bilirubin
la
Sp
ne
ATI PROCTORED MEDSURG 2019 EXAM QUESTIONS WITH
sh
ANSWERS
ne
✓ A nurse is caring for a client who is 5 days post op ff a total abdominal hysterectomy. Which of the ff
la
tz
findings indicated wound dehiscence?
sh
Sp
o Incisional pain when coughing or breathing deeply
o
ne
Increased serosanguineous drainage from the wound
la
o Serous crusting along the incision line
o Inflammation of incision edges
sh
Sp
✓ A nurse is caring for a client who has bounding pulses, crackles on auscultation, and pink frothy
ne
secretions when receiving suctioning. The nurse should recognize these assessment findings as indicating
la
which of the ff?
tz
sh
o Pleural Effusion
Sp
ne
o Increased Cardiac Output
la
o Fluid Volume Excess
o Aspiration
sh
Sp
ne
✓ A nurse is preparing instructions for a client who is prescribed metoprolol. Which of the following
la
should the nurse plan to include in the teaching?
tz
sh
o Monitor for hyperglycemia when taking the medication
Sp
ne
o Expect excess production of saliva after taking the medication
o
la
Take radial pulse before administering the medication
o Notify the provider if hearing loss occurs.
sh
Sp
ne
✓ A nurse is caring for a client who develops third-degree heart block with a heart rate of 30/min. Which
la
of the following actions should the nurse take?
tz
o Instruct the client to perform the Valsalva Maneuver.
sh
Sp
ne
o Prepare the client for temporary pacing
o Perform carotid sinus massage
la
o Administer digoxin by IV bolus
sh
Sp
temporary pacing is an electrical cardiac stimulation to treat bradyarrhythmia or tachyarrhythmia.
ne
a
✓ A nurse is caring for a client who is receiving TPN. Which of following nursing actions are appropriate?
tz
l
sh
(Select all that apply).
Sp
ne
o Increase the rate of infusion if administration is delayed.
o Monitor serum blood glucose during infusion
la
o Infuse 0.9% sodium chloride if the solution is not available.
sh
Sp
o Obtain the client weight daily
la
Sp
, lOMoAR cPSD| 14021616
ne
ATI PROCTORED MEDSURG 2019 EXAM QUESTIONS WITH
sh
ANSWERS
ne
o Verify the solution with another RN prior infusion.
la
tz
sh
✓ A nurse is providing discharge teaching about foot care to a client who is newly diagnosed with type 1
Sp
ne
DM. Which of the ff information should the nurse include?
o
la
Apply lotion between the toes.
o Trim the toenails straight across. Pg/532
sh
Sp
o Inspect the feet every other day.
ne
o Soak the feet twice a day.
✓ A nurse reviewing the medical record of the client who is 1 day postoperative following an
la
tz
appendectomy. Which of the following findings should the nurse report to the provider?
sh
Sp
o Hemoglobin 10 mg/dL - pg.444
ne
o Serosanguineous exudate noted on dressing change
la
o Reports pain of 4 on a scale when coughing
sh
o WBC count 8400/mm
Sp
ne
✓ A nurse is reviewing medications taken at home with a client who has angina. Which of the following
la
tz
statements by the client indicates an understanding of the teaching?
sh
Sp
o I should withhold my metoprolol if my heart rate is above 100 bpm
ne
o I should place a nitroglycerin tablet under my tongue every 10min for up to four doses
la
o I should lie down before taking dose of isosorbide dinitrate
sh
o I should take my daily aspirin on an empty stomach
Sp
ne
✓ A nurse is instructing a client who has a new diagnosis of type 1 diabetes mellitus about the sick-day
la
tz
rules. Which of the following statements by the client indicates an understanding of the teaching?
sh
Sp
o “I will monitor my blood glucose every 8 hours.”
ne
o “I will consume 250 grams of carbohydrates daily while I’m sick.”
la
o “I will check my urine for ketones if my blood glucose is greater than 240 mg/dL.”
sh
o “I will not take my diabetes medications while I am sick.”
Sp
ne
✓ A nurse is caring for a client who has thrombocytopenia. Which of the following laboratory results
a
tz
should the nurse expect?
l
sh
Sp
o Platelets 70,000/mm3
ne
o aPPT 40 seconds
la
o INR of 1.0
sh
o PT 11 seconds
Sp
la
Sp
, lOMoAR cPSD| 14021616
ne
ATI PROCTORED MEDSURG 2019 EXAM QUESTIONS WITH
sh
ANSWERS
ne
✓ A nurse is planning care for a client who has a pulmonary embolism and a prescription for enoxaparin
la
tz
via subcutaneous injection. Which of the following interventions should the nurse include?
sh
Sp
o Assess the client’s tools for occult blood
ne
o Massage the injection site
la
o Instruct the client to limit vitamin K intake
o Monitor the client's PT levels
sh
Sp
ne
✓ A nurse is caring for a client who is receiving total parenteral nutrition through central line. The current
la
bag is nearly empty, and a new bag is unavailable from the pharmacy. Which of the following actions
tz
sh
should the nurse take?
Sp
ne
o Discontinue the infusion and flush the line.
la
o Decrease the rate of the infusion to last until the new bag is available.
o Switch the infusion to a 10% dextrose solution.
sh
Sp
o Start an infusion of 0.45% sodium chloride solution.
ne
la
✓ A nurse is providing teaching to a client who has tuberculosis. Which of the following is appropriate for
tz
sh
the nurse to include in the teaching?
Sp
ne
o “You will need to continue to have yearly tuberculosis skin tests.”
o “You should expect to take the prescribed medication therapy for 2 months.”
la
o “You should avoid consuming fresh fruits and vegetables during therapy.”
sh
o
Sp
“You will no longer be contagious after three consecutive negative sputum specimens.”
ne
la
✓ A nurse is teaching a client who has Graves’ disease about recognizing the manifestation of thyroid
tz
storm. Which of the following findings should the nurse include in the teaching?
sh
Sp
ne
o Lethargy
o Increased temperature – thyroid problem.
la
o Decreased heart rate
sh
Sp
o Hypotension
ne
a
✓ A nurse is caring for a female client who has toxic shock syndrome. Which of the of findings should the
tz
l
sh
nurse expect?
Sp
ne
o Hypertension
o Generalize rash
la
o Elevated platelet count
sh
Sp
o Decreased total bilirubin
la
Sp
