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ATI MED SURG PROCTORED PRACTICE EXAM
2025 | QUESTIONS WITH VERIFIED ANSWERS
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 - correct-answer-b. Infection
Monitor for infection and use strict asepsis to avoid life-threatening meningitis.
A nurse is teaching a newly licensed nurse about caring for a client who is
scheduled for an esophagogastric balloon tamponade tube to treat bleeding
esophageal varices. Which of the following pieces of information should the nurse
include in the teaching?
A. The client will be placed on mechanical ventilation prior to this procedure.
B. The tube will be inserted into the client's trachea.
C. The client will receive a bowel preparation with cathartics prior to this
procedure.
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D. The tube allows the application of a ligation band to the bleeding varices. -
correct-answer-A. The client will be placed on mechanical ventilation prior to this
procedure.
The client will require intubation and mechanical ventilation prior to this
procedure to protect the airway.
A nurse is preparing an in-service presentation about the management of
myocardial infarction (MI). Death following MI is often a result of which of the
following complications?
A. Cardiogenic shock
B. Dysrhythmias
C. Heart failure
D. Pulmonary edema - correct-answer-B. Dysrhythmias
According to evidence-based practice, dysrhythmias (specifically ventricular
fibrillation) are the most common cause of death following MI. Therefore, nurses
should monitor clients' ECGs carefully for dysrhythmias and report and treat them
immediately.
A nurse is teaching a client who has polycythemia vera about self-care measures.
Which of the following interventions should the nurse include?
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A. "Drink at least 1 liter of fluid each day."
B. "Continuously wear support hose."
C. "Elevate your legs when sitting."
D. "Use dental floss daily." - correct-answer-C. "Elevate your legs when sitting."
Clients who have polycythemia vera should elevate their legs when seated to
avoid venous pooling with subsequent clot formation.
A nurse is planning care for a client who has thrombocytopenia. Which of the
following interventions should the nurse include in the plan of care?
A. Restrict fluids to 1,000 mL per day
B. Measure the client's abdominal girth daily
C. Check IV sites every 4 hr for bleeding
D. Administer an enema as needed for constipation - correct-answer-B. Measure
the client's abdominal girth daily
The nurse should measure the client's abdominal girth daily to monitor for
manifestations of internal bleeding. A client who has a reduced platelet count is at
risk of bleeding due to delayed clotting.
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A nurse is assessing for disseminated intravascular coagulation (DIC) in a client
who has septic shock secondary to an untreated foot wound. Which of the
following findings should the nurse expect? (Select all that apply.)
A. Bradycardia
B. Bleeding at the venipuncture site
C. Petechiae on the chest and arms
D. Flushed, dry skin
E. Abdominal distension - correct-answer-B C E
The formation of large amounts of microemboli in the circulation depletes the
body's platelets and clotting factors. As a result, uncontrollable bleeding can occur,
as manifested by bleeding at the venipuncture site, petechiae on the chest and
arms, and bleeding in the abdominal cavity resulting in abdominal distension due
to internal bleeding.
A nurse is caring for a semiconscious client who had a small-bore NG tube placed
yesterday for the administration of enteral feeding. Which of the following
methods should the nurse use to verify correct tube placement? (Select all that
apply.)
A. Auscultate injected air
B. Verify the initial X-ray examination
C. Measure the length of the exposed tube
D. Determine the pH of aspirated fluid
ATI MED SURG PROCTORED PRACTICE EXAM
2025 | QUESTIONS WITH VERIFIED ANSWERS
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 - correct-answer-b. Infection
Monitor for infection and use strict asepsis to avoid life-threatening meningitis.
A nurse is teaching a newly licensed nurse about caring for a client who is
scheduled for an esophagogastric balloon tamponade tube to treat bleeding
esophageal varices. Which of the following pieces of information should the nurse
include in the teaching?
A. The client will be placed on mechanical ventilation prior to this procedure.
B. The tube will be inserted into the client's trachea.
C. The client will receive a bowel preparation with cathartics prior to this
procedure.
,2|Page
D. The tube allows the application of a ligation band to the bleeding varices. -
correct-answer-A. The client will be placed on mechanical ventilation prior to this
procedure.
The client will require intubation and mechanical ventilation prior to this
procedure to protect the airway.
A nurse is preparing an in-service presentation about the management of
myocardial infarction (MI). Death following MI is often a result of which of the
following complications?
A. Cardiogenic shock
B. Dysrhythmias
C. Heart failure
D. Pulmonary edema - correct-answer-B. Dysrhythmias
According to evidence-based practice, dysrhythmias (specifically ventricular
fibrillation) are the most common cause of death following MI. Therefore, nurses
should monitor clients' ECGs carefully for dysrhythmias and report and treat them
immediately.
A nurse is teaching a client who has polycythemia vera about self-care measures.
Which of the following interventions should the nurse include?
,3|Page
A. "Drink at least 1 liter of fluid each day."
B. "Continuously wear support hose."
C. "Elevate your legs when sitting."
D. "Use dental floss daily." - correct-answer-C. "Elevate your legs when sitting."
Clients who have polycythemia vera should elevate their legs when seated to
avoid venous pooling with subsequent clot formation.
A nurse is planning care for a client who has thrombocytopenia. Which of the
following interventions should the nurse include in the plan of care?
A. Restrict fluids to 1,000 mL per day
B. Measure the client's abdominal girth daily
C. Check IV sites every 4 hr for bleeding
D. Administer an enema as needed for constipation - correct-answer-B. Measure
the client's abdominal girth daily
The nurse should measure the client's abdominal girth daily to monitor for
manifestations of internal bleeding. A client who has a reduced platelet count is at
risk of bleeding due to delayed clotting.
, 4|Page
A nurse is assessing for disseminated intravascular coagulation (DIC) in a client
who has septic shock secondary to an untreated foot wound. Which of the
following findings should the nurse expect? (Select all that apply.)
A. Bradycardia
B. Bleeding at the venipuncture site
C. Petechiae on the chest and arms
D. Flushed, dry skin
E. Abdominal distension - correct-answer-B C E
The formation of large amounts of microemboli in the circulation depletes the
body's platelets and clotting factors. As a result, uncontrollable bleeding can occur,
as manifested by bleeding at the venipuncture site, petechiae on the chest and
arms, and bleeding in the abdominal cavity resulting in abdominal distension due
to internal bleeding.
A nurse is caring for a semiconscious client who had a small-bore NG tube placed
yesterday for the administration of enteral feeding. Which of the following
methods should the nurse use to verify correct tube placement? (Select all that
apply.)
A. Auscultate injected air
B. Verify the initial X-ray examination
C. Measure the length of the exposed tube
D. Determine the pH of aspirated fluid
