ATI Med Surge Proctored 2019 Questions with Complete
Solutions Graded A+
A nurse is caring for a client who is receiving chemotherapy and requests information
about acupuncture to relieve some of the side effects. Which of the following findings
should the nurse identify as a contraindication to receiving this alternative therapy?
A. Urticaria
B. Lymphedema
C. Headaches
D. Mouth sores - Correct AnswersLymphedema
A nurse is preparing to administer lactated Ringer's via continuos 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 ump to administer? - Correct Answers33
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 should lie down when I take this medication."
b. "I can keep my medication for 1 year before replacing it."
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." - Correct
AnswersI should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following total hip
arthroplasty. Which of the following instructions should the nurse include in the teaching?
,a. "You can cross your legs at the ankles when sitting down."
b. "Clean the incision daily with hydrogen peroxide."
c. "Install a raised toilet seat in your bathroom."
d. "You should use an incentive spirometer every 8 hrs." - Correct AnswersInstall a raised
toilet seat in your bathroom
A nurse is planning care for a client following cardiac catheterization. Which of the
following actions should the nurse take?
a. Limit the client's fluid intake to 1 L per day.
b. Change the client's dressing every 8 hr.
c. Keep the client on bed rest for 24 hr.
d. Maintain he client's affected extremity in extension. - Correct AnswersMaintain the
client's affected extremity in extension
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) it's going to be difficult to tell my parents I can't take them to their appointments anymore
c) I feel bad that I have to ask my partner to keep the house clean d) these crutches will
make it impossible to care for my child - Correct AnswersI will need to have my partner take
over shopping for groceries and cooking the meals for us
A nurse is providing teaching to a client who has an impaired immune system due to
chemotherapy. Which of the following information should the nurse include in the
teaching?
a. wash your toothbrush in the dishwasher once each month
, b. Wash your perineal area two times each day with antimicrobial soap
c. Change your pet's litter box daily
d. change the water in your drinking glass every 4 hours - Correct AnswersWash your
perineal area two times each day with anti microbial soap
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 hr. The nurse should anticipate a
prescription for which of the following IV medications?
a. Nitroprusside
b. Epinephrine
c. Furosemide
d. Desmopressin - Correct AnswersDesmopressin
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?
a. "Sucking on a lozenge may reduce the frequency of your cough."
b. "Increasing your daily fluid intake may eliminate your cough."
c. "Your cough may require that you stop or change your medication."
d. "Your cough should go away in time." - Correct AnswersC. "your cough may require that
you stop or change your medication"
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. Taking amlodipine for hypertension
c. Using a nicotine transdermal patch
Solutions Graded A+
A nurse is caring for a client who is receiving chemotherapy and requests information
about acupuncture to relieve some of the side effects. Which of the following findings
should the nurse identify as a contraindication to receiving this alternative therapy?
A. Urticaria
B. Lymphedema
C. Headaches
D. Mouth sores - Correct AnswersLymphedema
A nurse is preparing to administer lactated Ringer's via continuos 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 ump to administer? - Correct Answers33
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 should lie down when I take this medication."
b. "I can keep my medication for 1 year before replacing it."
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." - Correct
AnswersI should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following total hip
arthroplasty. Which of the following instructions should the nurse include in the teaching?
,a. "You can cross your legs at the ankles when sitting down."
b. "Clean the incision daily with hydrogen peroxide."
c. "Install a raised toilet seat in your bathroom."
d. "You should use an incentive spirometer every 8 hrs." - Correct AnswersInstall a raised
toilet seat in your bathroom
A nurse is planning care for a client following cardiac catheterization. Which of the
following actions should the nurse take?
a. Limit the client's fluid intake to 1 L per day.
b. Change the client's dressing every 8 hr.
c. Keep the client on bed rest for 24 hr.
d. Maintain he client's affected extremity in extension. - Correct AnswersMaintain the
client's affected extremity in extension
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) it's going to be difficult to tell my parents I can't take them to their appointments anymore
c) I feel bad that I have to ask my partner to keep the house clean d) these crutches will
make it impossible to care for my child - Correct AnswersI will need to have my partner take
over shopping for groceries and cooking the meals for us
A nurse is providing teaching to a client who has an impaired immune system due to
chemotherapy. Which of the following information should the nurse include in the
teaching?
a. wash your toothbrush in the dishwasher once each month
, b. Wash your perineal area two times each day with antimicrobial soap
c. Change your pet's litter box daily
d. change the water in your drinking glass every 4 hours - Correct AnswersWash your
perineal area two times each day with anti microbial soap
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 hr. The nurse should anticipate a
prescription for which of the following IV medications?
a. Nitroprusside
b. Epinephrine
c. Furosemide
d. Desmopressin - Correct AnswersDesmopressin
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?
a. "Sucking on a lozenge may reduce the frequency of your cough."
b. "Increasing your daily fluid intake may eliminate your cough."
c. "Your cough may require that you stop or change your medication."
d. "Your cough should go away in time." - Correct AnswersC. "your cough may require that
you stop or change your medication"
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. Taking amlodipine for hypertension
c. Using a nicotine transdermal patch
