ATI RN Adult Medical Surgical Proctored Exam 2019

NEW VERSION EXAM QUESTIONS RN ADULT MEDICAL SURGICAL ONLINE
PRACTICE 2019 A (Questions and answers)
1. a nurse is caring for a client who has hepatic encephalopathy that is being treated with
lactulose. the client is experiencing excessive stools. which of the following findings is an
adverse effect of the medication?
- CORRECT ANSWER hypokalemia



2. a nurse is caring for a client who has emphysema and is receiving mechanical ventilation. the
client appears anxious and restless, and the high-pressure alarm is sounding. which of the
following actions should the nurse take first?

- CORRECT ANSWER instruct the client to allow the machine to breathe for them



3. a nurse is teaching a client who has a family history of colorectal cancer. to help mitigate this
risk, which of the following dietary alterations should the nurse recommend?
- CORRECT ANSWER add cabbage to the diet



4. a home health nurse is assigned to a client who was recently discharged from a rehabilitation
center after experiencing a right-hemispheric stroke. which of the following neurological deficits
should the nurse expect to find when assessing the client?
- CORRECT ANSWER visual spatial deficits

left hemianopsia

one-sided neglect



5. a nurse is caring for a client who has viral pneumonia. the client's pulse oximeter readings have
fluctuated between 79% and 88% for the last 30 min. which of the following oxygen delivery
systems should the nurse initiate to provide the highest concentration of oxygen?
- CORRECT ANSWER nonrebreather mask



6. a nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. the client has
dyspnea with a productive cough and is using accessory muscles to breathe. which of the
following actions should the nurse take first?
- CORRECT ANSWER place the client in high-fowler's position

, 7. a nurse is planning care for a client who has extensive burn injuries and is immunocompromised.
which of the following precautions should the nurse include in the plan of care to prevent a
Pseudomonas aeruginosa infection.
- CORRECT ANSWER avoid placing plants or flowers in the client's room



8. an older adult client is brought to an emergency department by a family member. which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration? - CORRECT ANSWER Urine specific gravity of 1.045



9. a nurse in an emergency department is reviewing the providers prescriptions for a client who
sustained a rattlesnake bite to the lower leg. which of the following prescriptions should the
nurse expect? - CORRECT ANSWER administer an opioid analgesic to the client



10. a nurse is assessing a client who has had a suspected stroke. the nurse should place the priority
on which of the following findings? - CORRECT ANSWER dysphagia



11. a nurse is teaching a young adult client how to perform testicular self-examination. which of the
following instructions should the nurse include? - CORRECT ANSWER roll each testicle between
the thumb and fingers



12. a nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
prescription for metformin. which of the following statements by the client indicates an
understanding of the teaching? - CORRECT ANSWER I should take this medication with a
meal



13. a nurse is teaching a client who has venous insufficiency about self-care. which of the following
statements should the nurse identify as an indication that the client understands the teaching? -
CORRECT ANSWER I will wear clean graduated compression stockings every day



14. a nurse is assessing a client who has acute cholecystitis. which of the following findings is the
nurse's priority? - CORRECT ANSWER tachycardia



15. a nurse is reviewing the health record of a client who is scheduled for allergy skin testing. the
nurse should postpone the testing and report to the provider with if the following findings? -
CORRECT ANSWER current medications