ATI Med Surg Proctored Exam 2024–2025 | Complete Test Bank & Study Guide with 300+ NCLEX-Style Questions, Correct Answers & Rationales (Verified & Graded A+)

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TESTBANK AND A STUDY GUIDE WITH
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QUESTIONS (COMPLETE COURSE) 300+
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QUESTIONS AND CORREC DETAILED
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ANSWERS WITH RATIOANLES (VERIFIED
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ANSWERS) |ALREADY GRADED A+ gg gg gg gg




The nurse is completing an admission interview for a client with Parkinson disease. Which question
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will provide additional information about manifestations that the client is likely to experience?
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A. "Have you ever experienced any paralysis of your arms or legs?"
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ggB. "Do you have frequent blackout spells?"
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ggC."Have you ever been frozen in one spot, unable to move?"
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D. "Do you have headaches, especially ones with throbbing pain?" - answer-C. Have you ever been
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g gfrozen in one spot, unable to move?"
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Rationale:

Clients with Parkinson disease frequently experience difficulty in initiating, maintaining, and
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performing motor activities. They may even experience being rooted to the spot and unable to
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g move. Parkinson disease does not typically cause option A, B, or D.
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The nurse notes that the client's drainage has decreased from 50 to 5 mL/hr 12 hours after chest tube
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g insertion for hemothorax. What is the best initial action for the nurse to take?
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A. Document this expected decrease in drainage.
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B. Clamp the chest tube while assessing for air leaks. C. Milk the tube to remove any excessive blood
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g clot buildup.
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D. Assess for kinks or dependent loops in the tubing. - answer-D.Assess for kinks or dependent loops
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g in the tubing.
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Rationale:

The least invasive nursing action should be performed first to determine why the drainage has
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g diminished. Option A is completed after assessing for any problems causing the decrease in
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g drainage. Option B is no longer considered standard protocol because the increase in pressure may
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g be harmful to the client. Option C is an appropriate nursing action after the tube has been assessed
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g for kinks or dependent loops.
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,A 77-year-old female client is admitted to the hospital with confusion and anorexia of several days'
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g duration. She has symptoms of nausea and vomiting and is currently complaining of a headache. The
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client's pulse rate is 43 beats/min. The nurse is most concerned about the client's history related to
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g which medication?
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,A. Warfarin (Coumadin)
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gg B. Ibuprofen (Motrin)
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gg C. Nitroglycerin (Nitrostat)
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gg D. Digoxin (Lanoxin) - answer-D. Digoxin
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Rationale:

Older persons are particularly susceptible to the buildup of cardiac glycosides, such as digoxin or
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g digitoxin (medications derived from digitalis), to a toxic level in their systems. Toxicity can cause
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g anorexia, nausea, vomiting, diarrhea, headache, and fatigue. Options A, B, and C are unlikely to result
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g in the symptoms described.
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The nurse is observing an unlicensed assistive personnel (UAP) performing morning care for a
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bedridden client with Huntington disease. Which care measure is most important for the nurse to
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g supervise?
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A. Oral care
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aa B.Bathing

gg C. Foot care
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D. Catheter care - answer-A. Oral care
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Rationale:

The client with Huntington disease experiences problems with motor skills such as swallowing and is
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at high risk for aspiration, so the highest priority for the nurse to observe is the UAP's ability to
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g perform oral care safely. Options B, C, and D do not necessarily require registered nurse (RN)
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g supervision because they do not ordinarily pose life-threatening consequences.
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A client who is receiving an angiotensin-converting enzyme (ACE) inhibitor for hypertension calls the
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g gclinic and reports the recent onset of a cough to the nurse. Which action should the nurse
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g implement?
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A. Advise the client to come to the clinic immediately for further assessment.
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gg B. Instruct the client to discontinue use of the drug and to make an appointment at the clinic.
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g g C. Suggest that the client learn to accept the cough as a side effect to a necessary prescription.
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D. Encourage the client to keep taking the drug until seen by the health care provider. - answer-D.
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g Encourage the client to keep taking the drug until seen by the health care provider.
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Rationale:

Coughing is a common side effect of ACE inhibitors and is not an indication to discontinue the
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g medication. Immediate evaluation is not needed. Antihypertensive medications should not be
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stopped abruptly because rebound hypertension may occur. Option C is demeaning because the
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cough may be
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, very disruptive to the client, and other antihypertensive medications may produce the desired effect
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without the adverse effect.
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When assigning clients on a medical-surgical floor to an RN and a PN, it is best for the charge nurse
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to assign which client to the PN?
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A. A young adult with bacterial meningitis with recent seizures
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gg B. An older adult client with pneumonia and viral meningitis
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gg C. A female client in isolation with meningococcal meningitis
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D. A male client 1 day postoperative after drainage of a brain abscess - answer-B. An older adult
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g client with pneumonia and viral meningitis
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Rationale:

The most stable client is option B. Options A, C, and D are all at high risk for increased intracranial
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g pressure and require the expertise of the RN for assessment and management of care.
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In assessing a client diagnosed with primary aldosteronism, the nurse expects the laboratory test
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g gresults to indicate a decreased serum level of which substance?
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A.Sodium

B.Phosphate
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ggaa C.Potassium

D.Glucose - answer-C. Potassium aa aa aa




gg Rationale:

Clients with primary aldosteronism exhibit a profound decline in serum levels of potassium;
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g ghypokalemia; hypertension is the most prominent and universal sign. The serum sodium level is
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g gnormal or elevated, depending on the amount of water resorbed with the sodium. Option B is
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g influenced by parathyroid hormone (PTH). Option D is not affected by primary aldosteronism.
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A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular response.
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Based on this finding, the nurse anticipates assisting the physician with which treatment?
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A.Administer lidocaine, 75 mg intravenous push. aa aa aa aa aa




ggaa B.Perform synchronized cardioversion. aa aa




C.Defibrillate the client as soon as possible. aa aa aa aa aa aa




D.Administer atropine, 0.4 mg intravenous push. - answer-B.Perform synchronized cardioversion.
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