ATI RN MED SURG PROCTORED ASSESSMENT 2023 A – ACTUAL EXAM
QUESTIONS & CORRECT ANSWERS (GRADED A+
A nurse is assessing a group of clients for indications of role changes. The nurse
should identify that which of the following clients is at risk for experiencing a role
change? -
Answer--A client who has multiple sclerosis and is experiencing progressive difficulty
ambulating.
A nurse is providing follow-up care for a client who sustained a compound
fracture 3 weeks ago. The nurse should recognize that an unexpected finding for
which of the following laboratory values is a manifestation of osteomyelitis and
should be reported to the provider? -
Answer--Sedimentation rate
A nurse is caring for a client who is postoperative. Complete the diagram by
dragging from the choices below to specify what condition the client is most
likely experiencing, two actions the nurse should take to address that condition,
and two parameters the nurse should monitor to assess the client's progress. -
Answer--- Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge because the
client is most likely experiencing hypovolemia as evidenced by the client's restlessness,
tachycardia, hypotension, decreased pulses, cool extremities, and decreased urine
output. The nurse should monitor the client's urine output and blood pressure to
evaluate the effectiveness of treatment.
A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the
nurse include? -
Answer--"You will need to stay still in the bed during each treatment session."
A nurse is caring for a client who is receiving dialysis treatment. For each
potential nursing intervention, click to specify if the intervention is indicated or
not indicated. -
Answer--Indicated:
- Place the client in Trendelenburg position.
- Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.
A nurse is assessing a client who has had a suspected stroke. The nurse should
place the priority on which of the following findings? -
Answer--Dysphagia
,A nurse is caring for a client who is 12 hr postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take? -
Answer--Place a pillow between the client's legs.
A nurse is providing teaching to a client who takes ginkgo biloba as an herbal
supplement. Which of the following statements should the nurse make? -
Answer--"Ginkgo biloba can cause an increased risk for bleeding."
A nurse is providing preoperative teaching for a client who is scheduled for an
open cholecystectomy. Which of the following actions should the nurse take? -
Answer--Demonstrate ways to deep breathe and cough.
A nurse is assessing a client who has advanced lung cancer and is receiving
palliative care. The client has just undergone thoracentesis. The nurse should
expect a reduction in which of the following common manifestations of advanced
cancer? -
Answer--Dyspnea
A nurse is assessing a client while suctioning the client's tracheostomy tube.
Which of the following findings should indicate to the nurse the client is
experiencing hypoxia? -
Answer--The client's heart rate increases.
A nurse in the emergency department is caring for a client. Drag 1 condition and 1
client finding to fill in each blank in the following sentence. -
Answer--The client is experiencing manifestations of PANCREATITIS as evidenced by
the AMYLASE AND LIPASE.
A nurse is assessing a client who is postoperative following a thyroidectomy.
Which of the following findings is the nurse's priority? -
Answer--Temperature 38.9° C (102° F)
A nurse is caring for a client who has anorexia, low-grade fever, night sweats,
and a productive cough. Which of the following actions should the nurse take
first? -
Answer--Initiate airborne precautions.
A nurse is caring for a client who is postoperative following abdominal surgery. A
nurse is caring for a client who is postoperative. Which of the following actions
should the nurse take? Select all that apply. -
Answer--- Instruct the client to splint the abdomen with a pillow for coughing.
- Report urinary output to the provider.
- Plan to ambulate the client as soon as possible.
- Ask the client to rate their pain on a 0 to 10 pain scale.
A nurse in an acute care facility is caring for a client who is at risk for seizures.
Which of the following precautions should the nurse implement? -
Answer--Ensure that the client has a patent IV.
, A nurse is caring for a client. Drag 1 condition and 1 client finding to fill in each
blank in the following sentence. -
Answer--The client is experiencing manifestations of PERITONITIS due to X-RAY
RESULTS.
A nurse is providing teaching to a client who is receiving chemotherapy and has
a new prescription for epoetin alfa. Which of the following client statements
indicates an understanding of the teaching? -
Answer--"I will monitor my blood pressure while taking this medication."
A nurse is caring for a client who has portal hypertension. The client is vomiting
blood mixed with food after a meal. Which of the following actions should the
nurse take first?
-
- Answer--Obtain vital signs.
A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the
following assessment findings should the nurse expect? -
Answer--Hypoactive bowel sounds
A nurse is providing preoperative teaching for a client who is scheduled for a
mastectomy. Which of the following statements should the nurse make? -
Answer--"I will refer you to community resources that can provide support."
A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect? -
Answer--Constipation
A nurse is providing discharge teaching to a client who is postoperative following
a modified radical mastectomy. Which of the following instructions should the
nurse include? -
Answer--Numbness can occur along the inside of the affected arm.
A nurse is caring for a client who has an arterial line. Which of the following
actions should the nurse take? -
Answer--Place a pressure bag around the flush solution.
A nurse is caring for a client who has amyotrophic lateral sclerosis (ALS) and is
being admitted to the hospital with pneumonia. Which of the following
assessment findings is the nurse's priority? -
Answer--Increased respiratory secretions
A nurse is administering packed RBCs to a client. Which of the following
assessment findings indicates a hemolytic transfusion reaction? -
Answer--Low back pain and apprehension
A nurse is providing postoperative teaching for a client who had a total knee
QUESTIONS & CORRECT ANSWERS (GRADED A+
A nurse is assessing a group of clients for indications of role changes. The nurse
should identify that which of the following clients is at risk for experiencing a role
change? -
Answer--A client who has multiple sclerosis and is experiencing progressive difficulty
ambulating.
A nurse is providing follow-up care for a client who sustained a compound
fracture 3 weeks ago. The nurse should recognize that an unexpected finding for
which of the following laboratory values is a manifestation of osteomyelitis and
should be reported to the provider? -
Answer--Sedimentation rate
A nurse is caring for a client who is postoperative. Complete the diagram by
dragging from the choices below to specify what condition the client is most
likely experiencing, two actions the nurse should take to address that condition,
and two parameters the nurse should monitor to assess the client's progress. -
Answer--- Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge because the
client is most likely experiencing hypovolemia as evidenced by the client's restlessness,
tachycardia, hypotension, decreased pulses, cool extremities, and decreased urine
output. The nurse should monitor the client's urine output and blood pressure to
evaluate the effectiveness of treatment.
A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the
nurse include? -
Answer--"You will need to stay still in the bed during each treatment session."
A nurse is caring for a client who is receiving dialysis treatment. For each
potential nursing intervention, click to specify if the intervention is indicated or
not indicated. -
Answer--Indicated:
- Place the client in Trendelenburg position.
- Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.
A nurse is assessing a client who has had a suspected stroke. The nurse should
place the priority on which of the following findings? -
Answer--Dysphagia
,A nurse is caring for a client who is 12 hr postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take? -
Answer--Place a pillow between the client's legs.
A nurse is providing teaching to a client who takes ginkgo biloba as an herbal
supplement. Which of the following statements should the nurse make? -
Answer--"Ginkgo biloba can cause an increased risk for bleeding."
A nurse is providing preoperative teaching for a client who is scheduled for an
open cholecystectomy. Which of the following actions should the nurse take? -
Answer--Demonstrate ways to deep breathe and cough.
A nurse is assessing a client who has advanced lung cancer and is receiving
palliative care. The client has just undergone thoracentesis. The nurse should
expect a reduction in which of the following common manifestations of advanced
cancer? -
Answer--Dyspnea
A nurse is assessing a client while suctioning the client's tracheostomy tube.
Which of the following findings should indicate to the nurse the client is
experiencing hypoxia? -
Answer--The client's heart rate increases.
A nurse in the emergency department is caring for a client. Drag 1 condition and 1
client finding to fill in each blank in the following sentence. -
Answer--The client is experiencing manifestations of PANCREATITIS as evidenced by
the AMYLASE AND LIPASE.
A nurse is assessing a client who is postoperative following a thyroidectomy.
Which of the following findings is the nurse's priority? -
Answer--Temperature 38.9° C (102° F)
A nurse is caring for a client who has anorexia, low-grade fever, night sweats,
and a productive cough. Which of the following actions should the nurse take
first? -
Answer--Initiate airborne precautions.
A nurse is caring for a client who is postoperative following abdominal surgery. A
nurse is caring for a client who is postoperative. Which of the following actions
should the nurse take? Select all that apply. -
Answer--- Instruct the client to splint the abdomen with a pillow for coughing.
- Report urinary output to the provider.
- Plan to ambulate the client as soon as possible.
- Ask the client to rate their pain on a 0 to 10 pain scale.
A nurse in an acute care facility is caring for a client who is at risk for seizures.
Which of the following precautions should the nurse implement? -
Answer--Ensure that the client has a patent IV.
, A nurse is caring for a client. Drag 1 condition and 1 client finding to fill in each
blank in the following sentence. -
Answer--The client is experiencing manifestations of PERITONITIS due to X-RAY
RESULTS.
A nurse is providing teaching to a client who is receiving chemotherapy and has
a new prescription for epoetin alfa. Which of the following client statements
indicates an understanding of the teaching? -
Answer--"I will monitor my blood pressure while taking this medication."
A nurse is caring for a client who has portal hypertension. The client is vomiting
blood mixed with food after a meal. Which of the following actions should the
nurse take first?
-
- Answer--Obtain vital signs.
A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the
following assessment findings should the nurse expect? -
Answer--Hypoactive bowel sounds
A nurse is providing preoperative teaching for a client who is scheduled for a
mastectomy. Which of the following statements should the nurse make? -
Answer--"I will refer you to community resources that can provide support."
A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect? -
Answer--Constipation
A nurse is providing discharge teaching to a client who is postoperative following
a modified radical mastectomy. Which of the following instructions should the
nurse include? -
Answer--Numbness can occur along the inside of the affected arm.
A nurse is caring for a client who has an arterial line. Which of the following
actions should the nurse take? -
Answer--Place a pressure bag around the flush solution.
A nurse is caring for a client who has amyotrophic lateral sclerosis (ALS) and is
being admitted to the hospital with pneumonia. Which of the following
assessment findings is the nurse's priority? -
Answer--Increased respiratory secretions
A nurse is administering packed RBCs to a client. Which of the following
assessment findings indicates a hemolytic transfusion reaction? -
Answer--Low back pain and apprehension
A nurse is providing postoperative teaching for a client who had a total knee
