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med surg ati proctored exam Questions
with Detailed Verified Answers
Question: A nurse in an emergency department is preparing to perform an
ocular irrigation for a client. Which of the following actions should the nurse
plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation
Answer: d. Perform the irrigation with sterile water for irrigation
Question: A nurse is preparing to administer lactated ringer's via continuous
IV infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/ml. How
many gtt/min should the nurse set the IV pump to administer? Round to near
whole number
Answer: 33 gtt/min
Question: A nurse is providing discharge teaching to a client who has a new
prescription for sublingual nitroglycerin. Which of the following client
statements indicates an understanding of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
d. I can take up to five tablets in 15 minutes before seeking medical attention
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Answer: b. I should lie down when I take this medication
Question: A nurse is providing discharge teaching to an older adult client
following a left total hip arthroplasty. Which of the following instructions
should the nurse include in the teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom
Answer: d. Install a raised toilet seat in your bathroom
Question: A nurse is planning care for a client following a cardiac
catheterization. Which of the following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
d. Change the client's dressing every 8 hour
Answer: c. Maintain the client's affected extremity in extension
Question: A nurse is caring for a client who has a lower extremity fracture
and a prescription for crutches. Which of the following client statements
indicates that the client is adapting to their role change?
a. I will need to have my partner take over shopping for groceries and cooking
the meals for us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
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d. Its going to be difficult to tell my parents I cant take them to their
appointments anymore
Answer: a. I will need to have my partner take over shopping for groceries and
cooking the meals for us
Question: A nurse is caring for a client who has gastroenteritis. Which of the
following assessment findings should the nurse recognize as an indication that
the client is experiencing dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP
Answer: d. Decreased BP
Question: A nurse is caring for a client who has a contusion of the brainstem
and reports thirst. The client's urinary output was 4,000 ml over the past 24
hour. The nurse should anticipate a prescription for which of the following IV
medication?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside
Answer: a. Desmopressin
Question: A nurse in a clinic receives a phone call from a client who recently
started therapy with an ACE inhibitor and reports a nagging dry cough. Which
of the following responses by the nurse is appropriate?
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a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time"
Answer: a. "your cough may require that you stop or change your medication"
Question: A nurse is taking an admission history from a client who reports
Raynaud's disease. Which of the following assessment findings should the
nurse identify as a potential trigger for exacerbations
of Raynaud's?
a. Eating a strict vegetarian diet
b. A history of herpes zoster
c. Taking amiodipine for hypertension
d. Using a nicotine transdermal patch
Answer: d. Using a nicotine transdermal patch
Question: A nurse is caring for a client who has a central venous access
device and notes the tubing has become disconnected. The client develops
dyspnea and tachycardia. Which of the following
actions should the nurse take first?
a. Perform an ECG
b. Obtain ABG values
c. Turn the client to his left side
d. Clamp the catheter
Answer: d. Clamp the catheter
med surg ati proctored exam Questions
with Detailed Verified Answers
Question: A nurse in an emergency department is preparing to perform an
ocular irrigation for a client. Which of the following actions should the nurse
plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation
Answer: d. Perform the irrigation with sterile water for irrigation
Question: A nurse is preparing to administer lactated ringer's via continuous
IV infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/ml. How
many gtt/min should the nurse set the IV pump to administer? Round to near
whole number
Answer: 33 gtt/min
Question: A nurse is providing discharge teaching to a client who has a new
prescription for sublingual nitroglycerin. Which of the following client
statements indicates an understanding of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
d. I can take up to five tablets in 15 minutes before seeking medical attention
, Page | 2
Answer: b. I should lie down when I take this medication
Question: A nurse is providing discharge teaching to an older adult client
following a left total hip arthroplasty. Which of the following instructions
should the nurse include in the teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom
Answer: d. Install a raised toilet seat in your bathroom
Question: A nurse is planning care for a client following a cardiac
catheterization. Which of the following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
d. Change the client's dressing every 8 hour
Answer: c. Maintain the client's affected extremity in extension
Question: A nurse is caring for a client who has a lower extremity fracture
and a prescription for crutches. Which of the following client statements
indicates that the client is adapting to their role change?
a. I will need to have my partner take over shopping for groceries and cooking
the meals for us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
, Page | 3
d. Its going to be difficult to tell my parents I cant take them to their
appointments anymore
Answer: a. I will need to have my partner take over shopping for groceries and
cooking the meals for us
Question: A nurse is caring for a client who has gastroenteritis. Which of the
following assessment findings should the nurse recognize as an indication that
the client is experiencing dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP
Answer: d. Decreased BP
Question: A nurse is caring for a client who has a contusion of the brainstem
and reports thirst. The client's urinary output was 4,000 ml over the past 24
hour. The nurse should anticipate a prescription for which of the following IV
medication?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside
Answer: a. Desmopressin
Question: A nurse in a clinic receives a phone call from a client who recently
started therapy with an ACE inhibitor and reports a nagging dry cough. Which
of the following responses by the nurse is appropriate?
, Page | 4
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time"
Answer: a. "your cough may require that you stop or change your medication"
Question: A nurse is taking an admission history from a client who reports
Raynaud's disease. Which of the following assessment findings should the
nurse identify as a potential trigger for exacerbations
of Raynaud's?
a. Eating a strict vegetarian diet
b. A history of herpes zoster
c. Taking amiodipine for hypertension
d. Using a nicotine transdermal patch
Answer: d. Using a nicotine transdermal patch
Question: A nurse is caring for a client who has a central venous access
device and notes the tubing has become disconnected. The client develops
dyspnea and tachycardia. Which of the following
actions should the nurse take first?
a. Perform an ECG
b. Obtain ABG values
c. Turn the client to his left side
d. Clamp the catheter
Answer: d. Clamp the catheter
