ATI PN ADULT MEDICAL SURGICAL PROCTORED
2023 NEWEST EXAM VERSION A, B AND C EACH
VERSION WITH 90 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) AND
RATIONALES /ALREADY GRADED A+
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and
has a referral for a dietary consult. The client tells the nurse, "I will have to eat
whatever the dietitian tells me." Which of the following statements by the nurse
encourages the client's involvement in their plan of care?
A. "I can assist you with making a list of foods you like for the dietitian."
B. "I understand that the dietary choices can seem overwhelming."
C. "Managing your diabetes will require you to make accommodations."
D. "The dietitian will provide you with the best food choices to manage your
diabetes." - ANSWER A. "I can assist you with making a list of foods you like for
the dietitian."
A hospice nurse is planning care for a client who has lung cancer. Which of the
following statements should the nurse make to incorporate the client's and family's
cultural beliefs?
A. "You should limit discussing past events with the client."
B. "We will respect what is important to you."
C. "We will arrange all burial services."
D. "Grieving should not be done in front of the client." - ANSWER B. "We will
respect what is important to you."
A patient is exhibiting an altered level of consciousness and is unresponsive to
verbal stimuli. To elicit a response from a painful stimulus, the nurse would:
A. Press down on the orbital area of the eye.
B. Pinch the trapezius muscle.
C. Use a 25-gauge needle.
D. Elicit a reflex with a reflex hammer. - ANSWER B. Pinch the trapezius muscle.
A nurse is preparing to assist with an ocular irrigation for a client who had a chemical
splash to the left eye. Which of the following actions should the nurse plan to take?
A. Irrigate the affected eye from the inner corner toward the outer corner.
B. Sit the client up with their head turned toward the right side.
C. Place a strip of pH paper under the upper lid of the affected eye.
D. Irrigate the affected eye using sterile water. - ANSWER A. Irrigate the affected
eye from the inner corner toward the outer corner.
,A nurse is caring for a client who has AIDS. Which of the following isolation
precautions should the nurse implement?
A. Droplet precautions
B. Standard precautions
C. Airborne precautions
D. Contact precautions - ANSWER B. Standard precautions
A nurse is performing an abdominal assessment for a client. Which of the following
findings should the nurse identify as the priority?
A. Gurgling bowel sounds every 10 seconds
B. Centrally located umbilical protrusion
C. Abdominal distention during breathing
D. Rebound tenderness with palpation - ANSWER D. Rebound tenderness with
palpation
A charge nurse receives a call from the house supervisor requesting room
assignments for four new clients. Based on the admission diagnoses, which of the
following clients requires a private room?
A. A client who has diabetes mellitus and is presenting with acute ketoacidosis
B. An older adult client who was admitted with aspiration pneumonia
C. A client who has a compound fracture of the right femur
D. A client who reports having fever, night sweats, and cough for 2 days -
ANSWER D. A client who reports having fever, night sweats, and cough for 2 days
A nurse is caring for a group of clients. From which of the following clients should the
nurse obtain a blood pressure reading using only the left extremity?
A. A client who has a peripherally inserted central catheter (PICC) in the left arm
B. A client who has left-sided Bell's palsy
C. A client who has right-sided weakness due to Parkinson's disease
D. A client who has a right upper extremity arteriovenous fistula - ANSWER D. A
client who has a right upper extremity arteriovenous fistula
A nurse is assessing a client who has increased intracranial pressure. The nurse
should recognize that which of the following is the first sign of deteriorating
neurological status?
A. Cheyne-Stokes respirations
B. Pupillary dilation
C. Altered level of consciousness
D. Decorticate posturing - ANSWER C. Altered level of consciousness
A nurse is assessing a client who has myasthenia gravis. Which of the following
client statements should indicate to the nurse that the client needs a referral for
occupational therapy?
,A. "I've been having problems with bladder control."
B. "I have difficulty swallowing food."
C. "I have a hard time with brushing my hair."
D. "I would rather be in a wheelchair than use a walker to get around." - ANSWER
C. "I have a hard time with brushing my hair."
A nurse is providing discharge teaching for a client who is receiving treatment for
genital herpes. Which of the following statements by the client indicates the
effectiveness of the teaching?
A. "I should apply antibiotic ointment to the lesions."
B. "I should use natural skin condoms during sexual intercourse."
C. "I should expect my lesions to resolve in 6 weeks."
D. "I should expect to take my medication for 3 weeks." - ANSWER D. "I should
expect to take my medication for 3 weeks."
A nurse is caring for a client who has acute angina. Which of the following actions
should the nurse take first?
A. Administer aspirin.
B. Measure blood pressure.
C. Administer nitroglycerin.
D. Initiate IV access. - ANSWER C. Administer nitroglycerin.
A nurse is providing teaching to a client who is to start furosemide therapy for heart
failure. Which of the following statements indicates that the client understands a
potential adverse effect of this medication?
A. "I'm going to include more cantaloupe in my diet."
B. "I will check my pulse before I take the medication."
C. "I will try to limit foods that contain salt."
D. "I'll check my blood pressure so it doesn't get too high." - ANSWER A. "I'm
going to include more cantaloupe in my diet."
A nurse is caring for a client who has a chest tube. The client asks why the fluid in
the water-seal chamber rises and falls. Which of the following statements should the
nurse make?
A. "This means your lung is fully re-expanded."
B. "Your breathing pattern causes this."
C. "Suction pressure that is too high causes this."
D. "This indicates a possible air leak." - ANSWER B. "Your breathing pattern
causes this."
A nurse is administering furosemide 80 mg PO twice daily to a client who has
pulmonary edema. Which of the following assessment findings indicates to the nurse
that the medication is effective?
A. Respiratory rate of 24/min
B. Adventitious breath sounds
, C. Weight loss of 1.8 kg (4 lb) in the past 24 hours
D. Elevation in blood pressure - ANSWER C. Weight loss of 1.8 kg (4 lb) in the
past 24 hours
A nurse is assessing a client following the administration of an initial dose of
captopril. Which of the following findings indicates an anaphylactic response?
A. Laryngeal edema
B. Fever
C. Hypertension
D. Arrhythmia - ANSWER A. Laryngeal edema
A nurse is providing discharge teaching to a client who has pulmonary tuberculosis.
Which of the following findings should the nurse include as an indication that the
client is no longer infectious?
A. Mantoux skin test revealing an induration of less than 1 mm
B. Negative sputum cultures for acid-fast bacillus
C. The client is no longer coughing up blood-tinged sputum
D. Positive Quantiferon-TB Gold test (negative) - ANSWER B. Negative sputum
cultures for acid-fast bacillus
A nurse is planning care for a client who has a radial fracture and a newly placed
short arm cast on the left arm. Which of the following findings is the nurse's priority?
A. The client requires assistance with getting dressed.
B. The client reports numbness of the fingers of the left hand.
C. The client reports itching of the left arm.
D. The client has a pillow under their left arm. - ANSWER B. The client reports
numbness of the fingers of the left hand.
A nurse is caring for a client who has emphysema. Which of the following
interventions should the nurse include in the client's plan of care?
A. Administer oxygen at 2 L/min.
B. Encourage use of incentive spirometry for 5 minutes every 2 hours.
C. Teach the client a breathing exercise with a longer inhalation phase.
D. Limit fluid intake to 1,000 mL per day. - ANSWER A. Administer oxygen at 2
L/min.
A nurse is preparing a client for a magnetic resonance angiography (MRA). The
client is allergic to iodinated contrast dye. Which of the following actions should the
nurse plan to take?
A. Administer prednisone before the test.
B. Consult with the provider to change to a CT scan.
C. Assess the alkaline phosphatase level.
D. Obtain the client's allergy history to seafood. - ANSWER A. Administer
prednisone before the test.
2023 NEWEST EXAM VERSION A, B AND C EACH
VERSION WITH 90 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) AND
RATIONALES /ALREADY GRADED A+
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and
has a referral for a dietary consult. The client tells the nurse, "I will have to eat
whatever the dietitian tells me." Which of the following statements by the nurse
encourages the client's involvement in their plan of care?
A. "I can assist you with making a list of foods you like for the dietitian."
B. "I understand that the dietary choices can seem overwhelming."
C. "Managing your diabetes will require you to make accommodations."
D. "The dietitian will provide you with the best food choices to manage your
diabetes." - ANSWER A. "I can assist you with making a list of foods you like for
the dietitian."
A hospice nurse is planning care for a client who has lung cancer. Which of the
following statements should the nurse make to incorporate the client's and family's
cultural beliefs?
A. "You should limit discussing past events with the client."
B. "We will respect what is important to you."
C. "We will arrange all burial services."
D. "Grieving should not be done in front of the client." - ANSWER B. "We will
respect what is important to you."
A patient is exhibiting an altered level of consciousness and is unresponsive to
verbal stimuli. To elicit a response from a painful stimulus, the nurse would:
A. Press down on the orbital area of the eye.
B. Pinch the trapezius muscle.
C. Use a 25-gauge needle.
D. Elicit a reflex with a reflex hammer. - ANSWER B. Pinch the trapezius muscle.
A nurse is preparing to assist with an ocular irrigation for a client who had a chemical
splash to the left eye. Which of the following actions should the nurse plan to take?
A. Irrigate the affected eye from the inner corner toward the outer corner.
B. Sit the client up with their head turned toward the right side.
C. Place a strip of pH paper under the upper lid of the affected eye.
D. Irrigate the affected eye using sterile water. - ANSWER A. Irrigate the affected
eye from the inner corner toward the outer corner.
,A nurse is caring for a client who has AIDS. Which of the following isolation
precautions should the nurse implement?
A. Droplet precautions
B. Standard precautions
C. Airborne precautions
D. Contact precautions - ANSWER B. Standard precautions
A nurse is performing an abdominal assessment for a client. Which of the following
findings should the nurse identify as the priority?
A. Gurgling bowel sounds every 10 seconds
B. Centrally located umbilical protrusion
C. Abdominal distention during breathing
D. Rebound tenderness with palpation - ANSWER D. Rebound tenderness with
palpation
A charge nurse receives a call from the house supervisor requesting room
assignments for four new clients. Based on the admission diagnoses, which of the
following clients requires a private room?
A. A client who has diabetes mellitus and is presenting with acute ketoacidosis
B. An older adult client who was admitted with aspiration pneumonia
C. A client who has a compound fracture of the right femur
D. A client who reports having fever, night sweats, and cough for 2 days -
ANSWER D. A client who reports having fever, night sweats, and cough for 2 days
A nurse is caring for a group of clients. From which of the following clients should the
nurse obtain a blood pressure reading using only the left extremity?
A. A client who has a peripherally inserted central catheter (PICC) in the left arm
B. A client who has left-sided Bell's palsy
C. A client who has right-sided weakness due to Parkinson's disease
D. A client who has a right upper extremity arteriovenous fistula - ANSWER D. A
client who has a right upper extremity arteriovenous fistula
A nurse is assessing a client who has increased intracranial pressure. The nurse
should recognize that which of the following is the first sign of deteriorating
neurological status?
A. Cheyne-Stokes respirations
B. Pupillary dilation
C. Altered level of consciousness
D. Decorticate posturing - ANSWER C. Altered level of consciousness
A nurse is assessing a client who has myasthenia gravis. Which of the following
client statements should indicate to the nurse that the client needs a referral for
occupational therapy?
,A. "I've been having problems with bladder control."
B. "I have difficulty swallowing food."
C. "I have a hard time with brushing my hair."
D. "I would rather be in a wheelchair than use a walker to get around." - ANSWER
C. "I have a hard time with brushing my hair."
A nurse is providing discharge teaching for a client who is receiving treatment for
genital herpes. Which of the following statements by the client indicates the
effectiveness of the teaching?
A. "I should apply antibiotic ointment to the lesions."
B. "I should use natural skin condoms during sexual intercourse."
C. "I should expect my lesions to resolve in 6 weeks."
D. "I should expect to take my medication for 3 weeks." - ANSWER D. "I should
expect to take my medication for 3 weeks."
A nurse is caring for a client who has acute angina. Which of the following actions
should the nurse take first?
A. Administer aspirin.
B. Measure blood pressure.
C. Administer nitroglycerin.
D. Initiate IV access. - ANSWER C. Administer nitroglycerin.
A nurse is providing teaching to a client who is to start furosemide therapy for heart
failure. Which of the following statements indicates that the client understands a
potential adverse effect of this medication?
A. "I'm going to include more cantaloupe in my diet."
B. "I will check my pulse before I take the medication."
C. "I will try to limit foods that contain salt."
D. "I'll check my blood pressure so it doesn't get too high." - ANSWER A. "I'm
going to include more cantaloupe in my diet."
A nurse is caring for a client who has a chest tube. The client asks why the fluid in
the water-seal chamber rises and falls. Which of the following statements should the
nurse make?
A. "This means your lung is fully re-expanded."
B. "Your breathing pattern causes this."
C. "Suction pressure that is too high causes this."
D. "This indicates a possible air leak." - ANSWER B. "Your breathing pattern
causes this."
A nurse is administering furosemide 80 mg PO twice daily to a client who has
pulmonary edema. Which of the following assessment findings indicates to the nurse
that the medication is effective?
A. Respiratory rate of 24/min
B. Adventitious breath sounds
, C. Weight loss of 1.8 kg (4 lb) in the past 24 hours
D. Elevation in blood pressure - ANSWER C. Weight loss of 1.8 kg (4 lb) in the
past 24 hours
A nurse is assessing a client following the administration of an initial dose of
captopril. Which of the following findings indicates an anaphylactic response?
A. Laryngeal edema
B. Fever
C. Hypertension
D. Arrhythmia - ANSWER A. Laryngeal edema
A nurse is providing discharge teaching to a client who has pulmonary tuberculosis.
Which of the following findings should the nurse include as an indication that the
client is no longer infectious?
A. Mantoux skin test revealing an induration of less than 1 mm
B. Negative sputum cultures for acid-fast bacillus
C. The client is no longer coughing up blood-tinged sputum
D. Positive Quantiferon-TB Gold test (negative) - ANSWER B. Negative sputum
cultures for acid-fast bacillus
A nurse is planning care for a client who has a radial fracture and a newly placed
short arm cast on the left arm. Which of the following findings is the nurse's priority?
A. The client requires assistance with getting dressed.
B. The client reports numbness of the fingers of the left hand.
C. The client reports itching of the left arm.
D. The client has a pillow under their left arm. - ANSWER B. The client reports
numbness of the fingers of the left hand.
A nurse is caring for a client who has emphysema. Which of the following
interventions should the nurse include in the client's plan of care?
A. Administer oxygen at 2 L/min.
B. Encourage use of incentive spirometry for 5 minutes every 2 hours.
C. Teach the client a breathing exercise with a longer inhalation phase.
D. Limit fluid intake to 1,000 mL per day. - ANSWER A. Administer oxygen at 2
L/min.
A nurse is preparing a client for a magnetic resonance angiography (MRA). The
client is allergic to iodinated contrast dye. Which of the following actions should the
nurse plan to take?
A. Administer prednisone before the test.
B. Consult with the provider to change to a CT scan.
C. Assess the alkaline phosphatase level.
D. Obtain the client's allergy history to seafood. - ANSWER A. Administer
prednisone before the test.
