1|Page
MEDICAL SURGICAL ATI PROCTORED NEWEST 2024
ACTUAL EXAM TEST BANK COMPLETE 300 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
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 int he
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 reddened 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
c) Absent PR intervals with ventricular rate of 40 to 60/ minute
d) Sawtooth pattern with arterial rate of 252-400/ minute - ANSWER- d)
Sawtooth pattern with arterial rate of 252-400/ minute
A nurse is caring for a client who is scheduled for an abdominal
paracentesis. The nurse should plan to take which of the following
actions?
,2|Page
a) Administer a stool softener following the procedure
b) Ask the client to empty his bladder prior to the procedure
c) Instruct the client to take deep breaths and hold them during the
procedure
d) Assist the client into the left lateral position during the procedure -
ANSWER- b) Ask the client to empty his bladder prior to the procedure
A nurse is planning a staff education session about hepatitis A. Which of
the following information should the nurse include?
a) Immunization for Hepatitis A is recommended prior to travel to high-
risk areas
b) The incubation of Hepatitis A is 5 to 10 days
c) Hepatitis A is transmitted through blood exposure
d) Clients who have Hepatitis A require broad-spectrum antibiotics -
ANSWER- a) Immunization for Hepatitis A is recommended prior to
travel to high-risk areas
A nurse is caring for a client who has advanced liver disease. Which of
the following laboratory results should the nurse monitor when assessing
this client?
a) Phosphate level
b) Glucose level
c) Serum troponin
d) Serum ammonia - ANSWER- d) Serum ammonia
,3|Page
A nurse is planning care for a client who is status epilepticus. Which of
the following interventions is the nurses priority to include?
a) Administer phenytoin IV bolus to the client
b) Provide the client oxygen at 6 L/min using a nasal cannula
c) Turn the client to the lateral position during seizure activity
d) Administer diazepam intravenously to the client - ANSWER- c) Turn
the client to the lateral position during seizure activity
A nurse is caring for a client who had a total hip arthroplasty. Which of
the following actions should the nurse take to prevent hip dislocation?
a) Elevate the knees higher than the hips when sitting
b) Remove the wedge device when turning
c) Encourage the client to lean forward when attempting to stand
d) Place two bed pillows between the legs when in bed - ANSWER- d)
Place two bed pillows between the legs when in bed
A nurse is caring for a client who is receiving total parenteral nutrition
(TPN). The current infusion is almost complete and the new solution os
not available. Which of the following actions should the nurse take?
a) Infuse dextrose 10% in water
b) Decrease the rate of the infusion
c) Disconnect and flush the IV access line
d) Administer lactated ringers through the peripheral IV site -
ANSWER- a) Infuse dextrose 10% in water
, 4|Page
A nurse is caring for a client who is 6 hours postoperative following
application of an external fixator for a tibial fracture. Which of the
following actions should the nurse take?
a) Adjust the clamps on the fixator frame
b) Maintain the affected extremity in a dependent position
c) Palpate the dorsalis pedis
d) Wrap gauze on the sharp point of the pins - ANSWER- c) Palpate the
dorsalis pedis
A nurse is caring for a client in the emergency department who
experienced a full-thickness burn injury to the lower torso 1 hour ago.
Which of the following findings should the nurse expect?
a) Hypotension
b) Bradycardia
c) Decreased respiratory rate
d) Urinary diuresis - ANSWER- a) Hypotension
A nurse is planning care for an older adult client who has Meniere's
disease. Which of the following interventions should the nurse include in
the plan of care?
a) Perform range of motion exercises to the client's neck every 4 hours
b) Limit the client's fluid intake to 1500 ml/day
c) Administer aspirin if the client reports a headache
d) Encourage the client to change positions slowly - ANSWER- d)
Encourage the client to change positions slowly
MEDICAL SURGICAL ATI PROCTORED NEWEST 2024
ACTUAL EXAM TEST BANK COMPLETE 300 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
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 int he
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 reddened 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
c) Absent PR intervals with ventricular rate of 40 to 60/ minute
d) Sawtooth pattern with arterial rate of 252-400/ minute - ANSWER- d)
Sawtooth pattern with arterial rate of 252-400/ minute
A nurse is caring for a client who is scheduled for an abdominal
paracentesis. The nurse should plan to take which of the following
actions?
,2|Page
a) Administer a stool softener following the procedure
b) Ask the client to empty his bladder prior to the procedure
c) Instruct the client to take deep breaths and hold them during the
procedure
d) Assist the client into the left lateral position during the procedure -
ANSWER- b) Ask the client to empty his bladder prior to the procedure
A nurse is planning a staff education session about hepatitis A. Which of
the following information should the nurse include?
a) Immunization for Hepatitis A is recommended prior to travel to high-
risk areas
b) The incubation of Hepatitis A is 5 to 10 days
c) Hepatitis A is transmitted through blood exposure
d) Clients who have Hepatitis A require broad-spectrum antibiotics -
ANSWER- a) Immunization for Hepatitis A is recommended prior to
travel to high-risk areas
A nurse is caring for a client who has advanced liver disease. Which of
the following laboratory results should the nurse monitor when assessing
this client?
a) Phosphate level
b) Glucose level
c) Serum troponin
d) Serum ammonia - ANSWER- d) Serum ammonia
,3|Page
A nurse is planning care for a client who is status epilepticus. Which of
the following interventions is the nurses priority to include?
a) Administer phenytoin IV bolus to the client
b) Provide the client oxygen at 6 L/min using a nasal cannula
c) Turn the client to the lateral position during seizure activity
d) Administer diazepam intravenously to the client - ANSWER- c) Turn
the client to the lateral position during seizure activity
A nurse is caring for a client who had a total hip arthroplasty. Which of
the following actions should the nurse take to prevent hip dislocation?
a) Elevate the knees higher than the hips when sitting
b) Remove the wedge device when turning
c) Encourage the client to lean forward when attempting to stand
d) Place two bed pillows between the legs when in bed - ANSWER- d)
Place two bed pillows between the legs when in bed
A nurse is caring for a client who is receiving total parenteral nutrition
(TPN). The current infusion is almost complete and the new solution os
not available. Which of the following actions should the nurse take?
a) Infuse dextrose 10% in water
b) Decrease the rate of the infusion
c) Disconnect and flush the IV access line
d) Administer lactated ringers through the peripheral IV site -
ANSWER- a) Infuse dextrose 10% in water
, 4|Page
A nurse is caring for a client who is 6 hours postoperative following
application of an external fixator for a tibial fracture. Which of the
following actions should the nurse take?
a) Adjust the clamps on the fixator frame
b) Maintain the affected extremity in a dependent position
c) Palpate the dorsalis pedis
d) Wrap gauze on the sharp point of the pins - ANSWER- c) Palpate the
dorsalis pedis
A nurse is caring for a client in the emergency department who
experienced a full-thickness burn injury to the lower torso 1 hour ago.
Which of the following findings should the nurse expect?
a) Hypotension
b) Bradycardia
c) Decreased respiratory rate
d) Urinary diuresis - ANSWER- a) Hypotension
A nurse is planning care for an older adult client who has Meniere's
disease. Which of the following interventions should the nurse include in
the plan of care?
a) Perform range of motion exercises to the client's neck every 4 hours
b) Limit the client's fluid intake to 1500 ml/day
c) Administer aspirin if the client reports a headache
d) Encourage the client to change positions slowly - ANSWER- d)
Encourage the client to change positions slowly
