MEDICAL SURGICAL ATI PROCTORED EXAM
2025 UPDATED QUESTIONS AND ANSWERS
1) Angina
Dobutamine side effects - CORRECT ANSWER -Increased heart
rate
Beta 1 receptors - CORRECT ANSWER -Help stimulate the heart
Beta I - You have 1 heart
Stimulate the heart and increase the heart rate
Used for treating:
1) AV block
2) Cardiac arrest
DRUG:
Epinephrine:Triggers the Beta 1 receptors
Cause increase heart rate
Beta II receptors - CORRECT ANSWER -Help stimulate the heart
and lungs
Beta II You have 2 Lungs
,Causes:
1) Bronchodilation in the lungs
2) Causes uterine smooth muscle to relax
3) Asthma situation
DRUG:
Epinephrine:Triggers the Beta II receptors
Cause bronchodilation and treat Asthma
Dopamine - CORRECT ANSWER -Causes renal blood vessels to
dilate.
DRUG:
Epinephrine: Dopamine receptors and if given a little more Beta I
Helps with:
1) Shock
2) Heart failure
A nurse is monitoring a client who recently had a cast placed on his
lower extremity for a bone fracture. Which of the following findings
should the nurse recognize as abnormal?
1) Report a dull, throbbing pain
,2) Lack of sensation between the first and second toes.
3) Capillary refill of three seconds in the nails of the toes.
4) Extremities that are cool bilaterally - CORRECT ANSWER -2)
Lack of sensation between the first and second toes.
- Lack of sensation between the toes indicates peripheral nerve
impairment and is an abnormal finding that can indicate the client has
compartment syndrome. The nurse should notify the provider
immediately.
- Dull, throbbing pain is an expected finding for a client who has a bone
fracture.
- A capillary refill of 3 seconds in the nail beds of the toes is slowed but
still within the expected reference range after application of a cast.
- Cool, bilateral extremities are an indication of the client's overall body
temperature and general circulatory status and are an expected finding.
A nurse is caring for a client who has a history of breast cancer. The
client asks the nurse about birth control. Which of the following methods
of birth control is contraindicated with this client?
1) Combination oral contraceptives
2) Intrauterine device
3) Latex condom
, 4) Contraceptive sponge - CORRECT ANSWER -1) Combination
oral contraceptives
- The nurse should identify that combination oral contraceptives are
contraindicated for this client because they increase estrogen levels,
which can stimulate the growth of any remaining cancerous breast cells.
- The nurse should identify that the use of an intrauterine device requires
the client to check the placement monthly and is not contraindicated for
this client.
- The nurse should identify that the use of latex condoms is
contraindicated for clients, or their partners, who are allergic to latex.
However, it is not contraindicated for this client.
- The nurse should identify that prolonged use of a contraceptive sponge
can increase the risk for toxic shock syndrome. However, it is not
contraindicated for this client.
A nurse is collecting data from a client who has heart failure and is on
digoxin. Which of the following outcomes from the medication should the
nurse expect?
1) Increased heart rate
2) Decreased urinary output
3) Decreased shortness of breath
2025 UPDATED QUESTIONS AND ANSWERS
1) Angina
Dobutamine side effects - CORRECT ANSWER -Increased heart
rate
Beta 1 receptors - CORRECT ANSWER -Help stimulate the heart
Beta I - You have 1 heart
Stimulate the heart and increase the heart rate
Used for treating:
1) AV block
2) Cardiac arrest
DRUG:
Epinephrine:Triggers the Beta 1 receptors
Cause increase heart rate
Beta II receptors - CORRECT ANSWER -Help stimulate the heart
and lungs
Beta II You have 2 Lungs
,Causes:
1) Bronchodilation in the lungs
2) Causes uterine smooth muscle to relax
3) Asthma situation
DRUG:
Epinephrine:Triggers the Beta II receptors
Cause bronchodilation and treat Asthma
Dopamine - CORRECT ANSWER -Causes renal blood vessels to
dilate.
DRUG:
Epinephrine: Dopamine receptors and if given a little more Beta I
Helps with:
1) Shock
2) Heart failure
A nurse is monitoring a client who recently had a cast placed on his
lower extremity for a bone fracture. Which of the following findings
should the nurse recognize as abnormal?
1) Report a dull, throbbing pain
,2) Lack of sensation between the first and second toes.
3) Capillary refill of three seconds in the nails of the toes.
4) Extremities that are cool bilaterally - CORRECT ANSWER -2)
Lack of sensation between the first and second toes.
- Lack of sensation between the toes indicates peripheral nerve
impairment and is an abnormal finding that can indicate the client has
compartment syndrome. The nurse should notify the provider
immediately.
- Dull, throbbing pain is an expected finding for a client who has a bone
fracture.
- A capillary refill of 3 seconds in the nail beds of the toes is slowed but
still within the expected reference range after application of a cast.
- Cool, bilateral extremities are an indication of the client's overall body
temperature and general circulatory status and are an expected finding.
A nurse is caring for a client who has a history of breast cancer. The
client asks the nurse about birth control. Which of the following methods
of birth control is contraindicated with this client?
1) Combination oral contraceptives
2) Intrauterine device
3) Latex condom
, 4) Contraceptive sponge - CORRECT ANSWER -1) Combination
oral contraceptives
- The nurse should identify that combination oral contraceptives are
contraindicated for this client because they increase estrogen levels,
which can stimulate the growth of any remaining cancerous breast cells.
- The nurse should identify that the use of an intrauterine device requires
the client to check the placement monthly and is not contraindicated for
this client.
- The nurse should identify that the use of latex condoms is
contraindicated for clients, or their partners, who are allergic to latex.
However, it is not contraindicated for this client.
- The nurse should identify that prolonged use of a contraceptive sponge
can increase the risk for toxic shock syndrome. However, it is not
contraindicated for this client.
A nurse is collecting data from a client who has heart failure and is on
digoxin. Which of the following outcomes from the medication should the
nurse expect?
1) Increased heart rate
2) Decreased urinary output
3) Decreased shortness of breath
