New Update ATI 2019 Med Surg Proctored
Exam/ ATI Med Surg Proctored Exam 2019
Updated Version with All Questionsand
Accurate Answers
A nurse is completing an assessment of an older adult client and notes reddened areas
over the bony prominences, but the client's skin is intact. Which of the following
interventions should the nurse include in the plan of care?
a. Turn and reposition the client every 4 hr
b. Apply an occlusive dressing
c. Support bony prominences with pillows
d. Massage the reddened areas three times a day --------- Answer -------- c. Support
bony prominences with pillows
A nurse is caring for a client who is receiving continuous bladder irrigation following a
transurethral resection of the prostate (TURP). The client reports sharp lower abdominal
pain. Which of the following actions should the nurse first take?
a. Increase the client's fluid intake
b. Reposition the client in bed
c. Check the client's urine output
d. Administer PRN pain medication --------- Answer -------- c. Check the client's urine
output
A nurse is caring for a client who has Parkinson's disease and is prescribed a level 1
dysphagia diet. Which of the following items should the nurse remove from the client's
tray?
a. Vanilla milkshake
b. Peanut butter
c. Chocolate pudding
d. Applesauce --------- Answer -------- b. Peanut butter
A nurse in a provider's office is teaching a client about the self-management of GERD.
Which of the following instructions should the nurse include?
a. "eat a light meal 1 hour before bedtime"
b. "sleep with head of your bed elevated 6 inches"
c. "increase your caloric intake by 250 calories per day"
d. "lie down for 30 min after each meal" --------- Answer -------- b. "sleep with head of
your bed elevated 6 inches"
A nurse is caring for a client who is postoperative following a partial thyroidectomy.
Which of the following findings is the priority for the nurse to report to the provider?
,a. Client report of pain at the incision site
b. High-pitched sound on inspiration
c. Hypoactive bowel sounds
d. Loose tracheal secretions --------- Answer -------- b. High-pitched sound on inspiration
A nurse is caring for a client who is 2 days postoperative following a below-the-knee
amputation and asks about the purpose of maintaining an elastic bandage around the
residual limb of the extremity. Which of the following is an appropriate response by the
nurse?
a. "the elastic bandage will prevent a post-op wound infection"
b. "the elastic bandage will prevent excessive edema"
c. "the elastic bandage will keep the sutures from loosening"
d. "the elastic bandage will keep you from seeing the surgical site" --------- Answer -------
- b. "the elastic bandage will prevent excessive edema"
A nurse is planning care for a client who is 8 hour post-op following a coronary artery
bypass grafting. Which of the following assessments should the nurse plan to perform
first?
a. Examine the surgical incision for drainage
b. Auscultate breath sounds
c. Palpate pulses distal to the graft donor site
d. Measure the client's core body temperature --------- Answer -------- b. Auscultate
breath sounds
A nurse is providing instructions to a client who has primary syphilis. Which of the
following instructions should the nurse include in the discharge plan?
a. "you will need cryotherapy for 1 to 2 weeks"
b. "you will need to take an antiviral medication for 6 months"
c. "you will need 3 follow-up blood tests within 24 month period"
d. "you will need to be monitored for 15 minutes after receiving each medication dose" --
------- Answer -------- c. "you will need 3 follow-up blood tests within 24 month period"
A nurse is caring for a client who has hypotension, cool clammy skin, tachycardia, and
tachypnea. In which of the following positions should the nurse place the client?
a. Reverse Trendelenburg
b. Feet elevated
c. High fowlers'
d. Side lying --------- Answer -------- b. Feet elevated
A nurse is teaching a client how to use a quad cane for ambulation following a right-
hemispheric stroke. Which of the following client actions indicates an understanding of
the teaching?
a. Client takes a step before advancing the cane
b. Client holds the cane with the left hand
c. Client moves the cane 2 feet ahead
, d. Client advances the weaker leg forward first --------- Answer -------- d. Client advances
the weaker leg forward first
A nurse is providing discharge teaching for a client who has new tracheostomy. Which
of the following statements by the client indicates an understanding of the teaching?
a. "ill remove the soiled tracheostomy ties prior to cleansing my stoma"
b. "ill cut a slit in a clean gauze pad to use as a stoma dressing"
c. "ill insert the obturator after cleaning my stoma"
d. "ill cleanse the cannula with half-strength hydrogen peroxide" --------- Answer --------
c. "ill insert the obturator after cleaning my stoma"
A nurse is preparing to administer furosemide to a client who has acute heart failure.
Which of the following laboratory results should the nurse identify as contraindications
for receiving the medications?
a. BUN 18 mg/dl
b. Creatinine 0.8 mg/dl
c. Potassium 3.2 mEq/l
d. Sodium 136 meEq/l --------- Answer -------- c. Potassium 3.2 mEq/l
A nurse in an emergency department is preparing to perform an ocular irrigation for a
client. Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation --------- Answer -------- d. Perform
the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous 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 pump to administer? Round to near whole number --------- Answer ------
-- 33 gtt/min
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 can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
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 ---------
Answer -------- b. I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following a left total hip
arthroplasty. Which of the following instructions should the nurse include in the
teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
Exam/ ATI Med Surg Proctored Exam 2019
Updated Version with All Questionsand
Accurate Answers
A nurse is completing an assessment of an older adult client and notes reddened areas
over the bony prominences, but the client's skin is intact. Which of the following
interventions should the nurse include in the plan of care?
a. Turn and reposition the client every 4 hr
b. Apply an occlusive dressing
c. Support bony prominences with pillows
d. Massage the reddened areas three times a day --------- Answer -------- c. Support
bony prominences with pillows
A nurse is caring for a client who is receiving continuous bladder irrigation following a
transurethral resection of the prostate (TURP). The client reports sharp lower abdominal
pain. Which of the following actions should the nurse first take?
a. Increase the client's fluid intake
b. Reposition the client in bed
c. Check the client's urine output
d. Administer PRN pain medication --------- Answer -------- c. Check the client's urine
output
A nurse is caring for a client who has Parkinson's disease and is prescribed a level 1
dysphagia diet. Which of the following items should the nurse remove from the client's
tray?
a. Vanilla milkshake
b. Peanut butter
c. Chocolate pudding
d. Applesauce --------- Answer -------- b. Peanut butter
A nurse in a provider's office is teaching a client about the self-management of GERD.
Which of the following instructions should the nurse include?
a. "eat a light meal 1 hour before bedtime"
b. "sleep with head of your bed elevated 6 inches"
c. "increase your caloric intake by 250 calories per day"
d. "lie down for 30 min after each meal" --------- Answer -------- b. "sleep with head of
your bed elevated 6 inches"
A nurse is caring for a client who is postoperative following a partial thyroidectomy.
Which of the following findings is the priority for the nurse to report to the provider?
,a. Client report of pain at the incision site
b. High-pitched sound on inspiration
c. Hypoactive bowel sounds
d. Loose tracheal secretions --------- Answer -------- b. High-pitched sound on inspiration
A nurse is caring for a client who is 2 days postoperative following a below-the-knee
amputation and asks about the purpose of maintaining an elastic bandage around the
residual limb of the extremity. Which of the following is an appropriate response by the
nurse?
a. "the elastic bandage will prevent a post-op wound infection"
b. "the elastic bandage will prevent excessive edema"
c. "the elastic bandage will keep the sutures from loosening"
d. "the elastic bandage will keep you from seeing the surgical site" --------- Answer -------
- b. "the elastic bandage will prevent excessive edema"
A nurse is planning care for a client who is 8 hour post-op following a coronary artery
bypass grafting. Which of the following assessments should the nurse plan to perform
first?
a. Examine the surgical incision for drainage
b. Auscultate breath sounds
c. Palpate pulses distal to the graft donor site
d. Measure the client's core body temperature --------- Answer -------- b. Auscultate
breath sounds
A nurse is providing instructions to a client who has primary syphilis. Which of the
following instructions should the nurse include in the discharge plan?
a. "you will need cryotherapy for 1 to 2 weeks"
b. "you will need to take an antiviral medication for 6 months"
c. "you will need 3 follow-up blood tests within 24 month period"
d. "you will need to be monitored for 15 minutes after receiving each medication dose" --
------- Answer -------- c. "you will need 3 follow-up blood tests within 24 month period"
A nurse is caring for a client who has hypotension, cool clammy skin, tachycardia, and
tachypnea. In which of the following positions should the nurse place the client?
a. Reverse Trendelenburg
b. Feet elevated
c. High fowlers'
d. Side lying --------- Answer -------- b. Feet elevated
A nurse is teaching a client how to use a quad cane for ambulation following a right-
hemispheric stroke. Which of the following client actions indicates an understanding of
the teaching?
a. Client takes a step before advancing the cane
b. Client holds the cane with the left hand
c. Client moves the cane 2 feet ahead
, d. Client advances the weaker leg forward first --------- Answer -------- d. Client advances
the weaker leg forward first
A nurse is providing discharge teaching for a client who has new tracheostomy. Which
of the following statements by the client indicates an understanding of the teaching?
a. "ill remove the soiled tracheostomy ties prior to cleansing my stoma"
b. "ill cut a slit in a clean gauze pad to use as a stoma dressing"
c. "ill insert the obturator after cleaning my stoma"
d. "ill cleanse the cannula with half-strength hydrogen peroxide" --------- Answer --------
c. "ill insert the obturator after cleaning my stoma"
A nurse is preparing to administer furosemide to a client who has acute heart failure.
Which of the following laboratory results should the nurse identify as contraindications
for receiving the medications?
a. BUN 18 mg/dl
b. Creatinine 0.8 mg/dl
c. Potassium 3.2 mEq/l
d. Sodium 136 meEq/l --------- Answer -------- c. Potassium 3.2 mEq/l
A nurse in an emergency department is preparing to perform an ocular irrigation for a
client. Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation --------- Answer -------- d. Perform
the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous 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 pump to administer? Round to near whole number --------- Answer ------
-- 33 gtt/min
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 can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
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 ---------
Answer -------- b. I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following a left total hip
arthroplasty. Which of the following instructions should the nurse include in the
teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
