ATI Med-Surg Proctored Exam
2025: High-Yield Practice
Questions with Answers &
Rationales"
A nurse is caring for a client who experienced a traumatic head injury and
has an intraventricular catheter (Ventriculostomy) for ICP monitoring. The
nurse should monitor the client for which of the following complications
related to the ventriculostomy?:
a. Headache
b. Infection
c. Aphasia
d. Hypertension ANS - ✅b. Infection
Monitor for infection and use strict asepsis to avoid life- threatening
meningitis.
A nurse is providing education to a client who is to undergo an EEG the
next day. Which of the following info should the nurse include in the
teaching?
,a. "Do not wash your hair the morning of the procedure."
b. "Try and stay awake most of the night prior to the procedure."
c. "The procedure will take approximately 15 mins."
d. "You will need to lie flat for 4 hours after the procedure." - ANS✅b.
"Try and stay awake most of the night prior to the procedure."
Tell the client to remain awake to provide cranial stress and increase the
possibility of abnormal electrical activity
A nurse is caring for a client who is postprocedural following a lumbar
puncture and reports a throbbing headache when sitting upright. Which
of the following actions should the nurse take? SATA.
a. Use the GCS scale to assess the client
b. Assist the client into a supine position
c. Administer an opioid analgesic
d. Encourage the client to increase PO fluid intake
e. Instruct the client to perform coughing and deep
breathing
- ANS✅B, D
,A nurse is caring for a client who has continuous bladder irrigation
following a transurethral resection of the prostate (TURP). Which of the
following findings should the nurse report to the provider?
a Output equal to the instilled irrigate
b. Client reports bladder spasms
c. Viscous urinary output with clots
d. Reports of strong urge to urinate - ANS✅c. Viscous urinary output
with clots
Urine that is bright red with clots is an indication of arterial bleeding.
A nurse is monitoring the ECG of a client who has hypocalcemia. Which
of the following findings should the nurse expect?
a. Flattened T waves
b. Prolonged QT intervals
c. Shortened QT intervals d Widened QRS complexes - ANS✅b.
Prolonged QT intervals
Manifestations of hypocalcemia include tingling, numbness, tetany,
seizures, prolonged QT intervals, and laryngospasm.
, A nurse is preparing a client who has a brain tumor for a CT scan. Which of
the following factors affects the manner in which the nurse will prepare
the client for the scan?
a. No food or fluids consumed for 4 hours
b. Difficulty recalling recent events
c. Development of hives while eating shrimp
d. Paresthesia in both hands - ANS✅c. Development of hives while
eating shrimp
Shellfish allergy is contraindication of use of contrast media during a CT
scan.
A nurse is preparing an in-service program about the stages of acute
kidney injury. Which of the following pieces of info should the nurse
include about prerenal azotemia?
a. Prerenal azotemia begins prior to the onset of symptoms
b. Interference with renal perfusion causes renal
azotemia
c. Prerenal azotemia is irreversible, even in early stages
d. Infections and tumors cause prerenal azotemia - ANS✅b. Interference
with renal perfusion causes prerenal azotemia.
2025: High-Yield Practice
Questions with Answers &
Rationales"
A nurse is caring for a client who experienced a traumatic head injury and
has an intraventricular catheter (Ventriculostomy) for ICP monitoring. The
nurse should monitor the client for which of the following complications
related to the ventriculostomy?:
a. Headache
b. Infection
c. Aphasia
d. Hypertension ANS - ✅b. Infection
Monitor for infection and use strict asepsis to avoid life- threatening
meningitis.
A nurse is providing education to a client who is to undergo an EEG the
next day. Which of the following info should the nurse include in the
teaching?
,a. "Do not wash your hair the morning of the procedure."
b. "Try and stay awake most of the night prior to the procedure."
c. "The procedure will take approximately 15 mins."
d. "You will need to lie flat for 4 hours after the procedure." - ANS✅b.
"Try and stay awake most of the night prior to the procedure."
Tell the client to remain awake to provide cranial stress and increase the
possibility of abnormal electrical activity
A nurse is caring for a client who is postprocedural following a lumbar
puncture and reports a throbbing headache when sitting upright. Which
of the following actions should the nurse take? SATA.
a. Use the GCS scale to assess the client
b. Assist the client into a supine position
c. Administer an opioid analgesic
d. Encourage the client to increase PO fluid intake
e. Instruct the client to perform coughing and deep
breathing
- ANS✅B, D
,A nurse is caring for a client who has continuous bladder irrigation
following a transurethral resection of the prostate (TURP). Which of the
following findings should the nurse report to the provider?
a Output equal to the instilled irrigate
b. Client reports bladder spasms
c. Viscous urinary output with clots
d. Reports of strong urge to urinate - ANS✅c. Viscous urinary output
with clots
Urine that is bright red with clots is an indication of arterial bleeding.
A nurse is monitoring the ECG of a client who has hypocalcemia. Which
of the following findings should the nurse expect?
a. Flattened T waves
b. Prolonged QT intervals
c. Shortened QT intervals d Widened QRS complexes - ANS✅b.
Prolonged QT intervals
Manifestations of hypocalcemia include tingling, numbness, tetany,
seizures, prolonged QT intervals, and laryngospasm.
, A nurse is preparing a client who has a brain tumor for a CT scan. Which of
the following factors affects the manner in which the nurse will prepare
the client for the scan?
a. No food or fluids consumed for 4 hours
b. Difficulty recalling recent events
c. Development of hives while eating shrimp
d. Paresthesia in both hands - ANS✅c. Development of hives while
eating shrimp
Shellfish allergy is contraindication of use of contrast media during a CT
scan.
A nurse is preparing an in-service program about the stages of acute
kidney injury. Which of the following pieces of info should the nurse
include about prerenal azotemia?
a. Prerenal azotemia begins prior to the onset of symptoms
b. Interference with renal perfusion causes renal
azotemia
c. Prerenal azotemia is irreversible, even in early stages
d. Infections and tumors cause prerenal azotemia - ANS✅b. Interference
with renal perfusion causes prerenal azotemia.
