2023 ATI med surg proctored
exam latest update graded A+
A nurse is planning care for a client who has a full-thickness burns on the lower
extremities. Which of the following interventions should the nurse include?
a) Limit visitation time for client's children to 40 minutes per day
b) clean the equipment in the client's room once per week
c) provide a diet of fresh fruits and vegetable for the client
d) apply new gloves when alternating between wound care sites - ANSWER-d) apply
new gloves when alternating between wound care sites
A nurse is caring for a client who has cancer. The client tells the nurse, "I would prefer
to try vitamins and minerals instead of chemotherapy" which of the following responses
should the nurse make?
a) I have never heard of any holistic treatment that is effective
b) you should ask your provider about your plan
c) the best way to treat your cancer is chemotherapy
d) tell me what you know about chemotherapy - ANSWER-d) tell me what you know
about chemotherapy
A nurse is planning to teach a client whose provider has prescribed a low purine diet.
The nurse should plan to instruct the client that he can include which of the following
Foods in his diet (select all that apply)
a) Sardines
b) Nuts
c) Apricots
d) liver
e) scallops - ANSWER-b) Nuts
c) Apricots
Nurse is caring for a client following a total knee arthroplasty. The client reports a pain
level of 6 on a paint scale of 0 to 10. Which of the following interventions should the
nurse take?
a) Place pillowsl under the clients knee
b) gently massage the area around the clients incision
c) apply an ice pack to the clients knee
d) perform range of motion exercises to the clients knee - ANSWER-c) apply an ice
pack to the clients knee
,A nurse is caring for a client who has 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) Its 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 - ANSWER-a) I will need
to have my partner take over shopping for groceries and cooking the meals for us
A nurse is assessing a client who is preoperative and reports an allergy to bananas.
The nurse should recognize that the client is at risk for an allergic cross-reactivity to
which of the following substances?
a) adhesive tape
b) Latex
c) Anesthetics
d) povidone iodine - ANSWER-b) Latex
A nurse on a medical unit is planning care for a group of clients. Which of the following
clients should the nurse attend to First?
a) A client who has chronic obstructive pulmonary disease in oxygen saturation of 89%
b) a client who has left-sided paralysis and slurred speech from a prior stroke
c) a client who has thrombocytopenia and reports a nosebleed
d) a client who has multiple sclerosis and reports Ataxia and vertigo - ANSWER-c) a
client who has thrombocytopenia and reports a nosebleed
A nurse is monitoring a client who is receiving two units packed RBC's. Which of the
following manifestation indicates a hemolytic transfusion reaction?
a) back pain
b) Hypertension
c) Chills
d) bradycardia - ANSWER-a) back pain
A nurse is teaching a client who has diabetes mellitus about foot care. Which of the
following instruction should the nurse include?
a) Use a heating pad to keep your feet warm at night
b) wear loose-fitting slippers around the house
c) where cotton rather than nylon socks
d) wash your face twice per day with antibacterial soap and hot water - ANSWER-c)
where cotton rather than nylon socks
A nurse is providing teaching to a client who has a deep vein thrombosis (DVT) . Which
of the following findings should the nurse identify as a risk factor for the development of
the DVTs?
a) NSAID use
b) hypertension
,c) oral contraceptive use
d) cirrhosis - ANSWER-c) oral contraceptive use
A nurse is caring for a client who has a sealed radiation implant. Which of the following
actions should the nurse take?
a) Remove soiled linens from the room after each change
b) Give the dosimeter badge to the oncoming nurse at the end of the shift
c) Apply a second pair of gloves before touching the client's implant if it dislodges d)
Limit family member visits to 30 min per day - ANSWER-d) Limit family member visits to
30 min per day
A nurse is providing teaching to a client and his partner about performing peritoneal
dialysis at home. When discussing peritonitis, which of the following manifestations
should the nurse identify as the earliest indication of this complication?
a) Generalized abdominal pain b) Cloudy effluent
c) Increased heart rate
d) Fever - ANSWER-d) Fever
A nurse is caring for a client who is receiving a blood transfusion. The nurse observes
that the client has bounding peripheral pulses, hypertension, and distended jugular
veins. The nurse should anticipate administering which of the following prescribed
medications?
a) Pantoprazole
b) Acetaminophen
c) Furosemide
d) Diphenhydramine - ANSWER-c) Furosemide
A nurse is planning care for a client who has upper gastrointestinal bleeding due to a
peptic ulcer. Which of the following actions should the nurse plan to take?
a) Provide ketorolac for abdominal pain
b) Administer nitroprusside IV based on the client's weight
c) Insert a large bore nasogastric tube
d) Ensure that the client has a 22- gauge iv line in place - ANSWER-c) Insert a large
bore nasogastric tube
A nurse is caring for a client who has bladder cancer and a WBC count of 900/mm3.
Which of the following actions should the nurse take?
a) Instruct client to avoid eating raw fruit
b) Move the client to a negative pressure room
c) Use contact isolation while providing care
d) Apply pressure to venipuncture sites for 10 min - ANSWER-a) Instruct client to avoid
eating raw fruit
A nurse is caring for a patient who has hypotension, cool and clammy skin, tachycardia
and tachypnea. Which of the following positions should the nurse place the client?
a) Reverse Trendelenburg
, b) Feet elevated
c) Side lying
d) High - fowler's - ANSWER-a) Reverse Trendelenburg
A nurse is caring for a client who weighs 190 lb and is receiving Total parenteral
Nutrition. If the RDA Protein is 0.8g/kg of body weight, how many grams of protein
should the client receive daily (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero) - ANSWER-Answer: 69 grams
A nurse is planning care for a client who has a central venous access device for
intermittent infusions. Which of the following actions should the nurse include in the plan
of care?
a) Flush a catheter using a 10 mL syringe
b) Use clean technique when changing the dressing
c) Cleanse the site with Provo dine iodine
d) Change the dressing every 24 hours - ANSWER-a) Flush a catheter using a 10 mL
syringe
A nurse is reviewing the medical record of a client who is to undergo open heart
surgery. Which of the following findings should the nurse report to the provider as a
contradiction to receiving heparin?
a) Thalassemia
b) Rheumatoid arthritis
c) COPD
d) Thrombocytopenia - ANSWER-d) Thrombocytopenia
A nurse is caring for an older adult client who has dementia. Which of the following
question should the nurse ask to assess the client's abstract thinking?
a) What is meant by saying "don't beat around the bush?" b) What do you understand
about your condition?
c) Can you count backwards from 100 in intervals of 7?
d) Can you state where you were born? - ANSWER-a) What is meant by saying "don't
beat around the bush?"
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) Apply an occlusive dressing b) turn and reposition the client every 4 hours
c) support bony prominences with pillows
d) massage Tourette in areas three times daily - ANSWER-c) support bony
prominences with pillows
A nurse is reviewing a cardiac Rhythm strip of a client who has atrial flutter. Which of
the following findings should the nurse expect?
a) Progressively longer PR durations
b) undetectable p waves
exam latest update graded A+
A nurse is planning care for a client who has a full-thickness burns on the lower
extremities. Which of the following interventions should the nurse include?
a) Limit visitation time for client's children to 40 minutes per day
b) clean the equipment in the client's room once per week
c) provide a diet of fresh fruits and vegetable for the client
d) apply new gloves when alternating between wound care sites - ANSWER-d) apply
new gloves when alternating between wound care sites
A nurse is caring for a client who has cancer. The client tells the nurse, "I would prefer
to try vitamins and minerals instead of chemotherapy" which of the following responses
should the nurse make?
a) I have never heard of any holistic treatment that is effective
b) you should ask your provider about your plan
c) the best way to treat your cancer is chemotherapy
d) tell me what you know about chemotherapy - ANSWER-d) tell me what you know
about chemotherapy
A nurse is planning to teach a client whose provider has prescribed a low purine diet.
The nurse should plan to instruct the client that he can include which of the following
Foods in his diet (select all that apply)
a) Sardines
b) Nuts
c) Apricots
d) liver
e) scallops - ANSWER-b) Nuts
c) Apricots
Nurse is caring for a client following a total knee arthroplasty. The client reports a pain
level of 6 on a paint scale of 0 to 10. Which of the following interventions should the
nurse take?
a) Place pillowsl under the clients knee
b) gently massage the area around the clients incision
c) apply an ice pack to the clients knee
d) perform range of motion exercises to the clients knee - ANSWER-c) apply an ice
pack to the clients knee
,A nurse is caring for a client who has 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) Its 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 - ANSWER-a) I will need
to have my partner take over shopping for groceries and cooking the meals for us
A nurse is assessing a client who is preoperative and reports an allergy to bananas.
The nurse should recognize that the client is at risk for an allergic cross-reactivity to
which of the following substances?
a) adhesive tape
b) Latex
c) Anesthetics
d) povidone iodine - ANSWER-b) Latex
A nurse on a medical unit is planning care for a group of clients. Which of the following
clients should the nurse attend to First?
a) A client who has chronic obstructive pulmonary disease in oxygen saturation of 89%
b) a client who has left-sided paralysis and slurred speech from a prior stroke
c) a client who has thrombocytopenia and reports a nosebleed
d) a client who has multiple sclerosis and reports Ataxia and vertigo - ANSWER-c) a
client who has thrombocytopenia and reports a nosebleed
A nurse is monitoring a client who is receiving two units packed RBC's. Which of the
following manifestation indicates a hemolytic transfusion reaction?
a) back pain
b) Hypertension
c) Chills
d) bradycardia - ANSWER-a) back pain
A nurse is teaching a client who has diabetes mellitus about foot care. Which of the
following instruction should the nurse include?
a) Use a heating pad to keep your feet warm at night
b) wear loose-fitting slippers around the house
c) where cotton rather than nylon socks
d) wash your face twice per day with antibacterial soap and hot water - ANSWER-c)
where cotton rather than nylon socks
A nurse is providing teaching to a client who has a deep vein thrombosis (DVT) . Which
of the following findings should the nurse identify as a risk factor for the development of
the DVTs?
a) NSAID use
b) hypertension
,c) oral contraceptive use
d) cirrhosis - ANSWER-c) oral contraceptive use
A nurse is caring for a client who has a sealed radiation implant. Which of the following
actions should the nurse take?
a) Remove soiled linens from the room after each change
b) Give the dosimeter badge to the oncoming nurse at the end of the shift
c) Apply a second pair of gloves before touching the client's implant if it dislodges d)
Limit family member visits to 30 min per day - ANSWER-d) Limit family member visits to
30 min per day
A nurse is providing teaching to a client and his partner about performing peritoneal
dialysis at home. When discussing peritonitis, which of the following manifestations
should the nurse identify as the earliest indication of this complication?
a) Generalized abdominal pain b) Cloudy effluent
c) Increased heart rate
d) Fever - ANSWER-d) Fever
A nurse is caring for a client who is receiving a blood transfusion. The nurse observes
that the client has bounding peripheral pulses, hypertension, and distended jugular
veins. The nurse should anticipate administering which of the following prescribed
medications?
a) Pantoprazole
b) Acetaminophen
c) Furosemide
d) Diphenhydramine - ANSWER-c) Furosemide
A nurse is planning care for a client who has upper gastrointestinal bleeding due to a
peptic ulcer. Which of the following actions should the nurse plan to take?
a) Provide ketorolac for abdominal pain
b) Administer nitroprusside IV based on the client's weight
c) Insert a large bore nasogastric tube
d) Ensure that the client has a 22- gauge iv line in place - ANSWER-c) Insert a large
bore nasogastric tube
A nurse is caring for a client who has bladder cancer and a WBC count of 900/mm3.
Which of the following actions should the nurse take?
a) Instruct client to avoid eating raw fruit
b) Move the client to a negative pressure room
c) Use contact isolation while providing care
d) Apply pressure to venipuncture sites for 10 min - ANSWER-a) Instruct client to avoid
eating raw fruit
A nurse is caring for a patient who has hypotension, cool and clammy skin, tachycardia
and tachypnea. Which of the following positions should the nurse place the client?
a) Reverse Trendelenburg
, b) Feet elevated
c) Side lying
d) High - fowler's - ANSWER-a) Reverse Trendelenburg
A nurse is caring for a client who weighs 190 lb and is receiving Total parenteral
Nutrition. If the RDA Protein is 0.8g/kg of body weight, how many grams of protein
should the client receive daily (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero) - ANSWER-Answer: 69 grams
A nurse is planning care for a client who has a central venous access device for
intermittent infusions. Which of the following actions should the nurse include in the plan
of care?
a) Flush a catheter using a 10 mL syringe
b) Use clean technique when changing the dressing
c) Cleanse the site with Provo dine iodine
d) Change the dressing every 24 hours - ANSWER-a) Flush a catheter using a 10 mL
syringe
A nurse is reviewing the medical record of a client who is to undergo open heart
surgery. Which of the following findings should the nurse report to the provider as a
contradiction to receiving heparin?
a) Thalassemia
b) Rheumatoid arthritis
c) COPD
d) Thrombocytopenia - ANSWER-d) Thrombocytopenia
A nurse is caring for an older adult client who has dementia. Which of the following
question should the nurse ask to assess the client's abstract thinking?
a) What is meant by saying "don't beat around the bush?" b) What do you understand
about your condition?
c) Can you count backwards from 100 in intervals of 7?
d) Can you state where you were born? - ANSWER-a) What is meant by saying "don't
beat around the bush?"
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) Apply an occlusive dressing b) turn and reposition the client every 4 hours
c) support bony prominences with pillows
d) massage Tourette in areas three times daily - ANSWER-c) support bony
prominences with pillows
A nurse is reviewing a cardiac Rhythm strip of a client who has atrial flutter. Which of
the following findings should the nurse expect?
a) Progressively longer PR durations
b) undetectable p waves
