ATI RN Adult Medical Surgical Proctored 2019 A Exam
Compartment syndrome - ANSWER: Pain that increases with passive movement in a
client with a short leg cast
Lyme disease - ANSWER: Joints ache as a manifestation of severe stage II Lyme
disease
Phenytoin - ANSWER: Oral solution 125 mg/5 mL, nurse should administer 24 mL for
600 mg
Arterial line - ANSWER: Flush line before administering antibiotics
Chemotherapy - ANSWER: Report of sore throat is the priority finding for a client
receiving chemotherapy
Systemic lupus erythematosus (SLE) - ANSWER: Facial butterfly rash is an expected
finding in a client with SLE
Parathyroidectomy - ANSWER: Using pillows to support the client's head and neck is
the priority action
Diabetes insipidus - ANSWER: Low urine specific gravity is an expected finding in a
client with diabetes insipidus
Cervical cancer - ANSWER: Implant placed twice each month for the duration of the
treatment in stage II cervical cancer
Thoracentesis - ANSWER: Instruct the client to remain NPO after midnight prior to
the procedure
Blood transfusion - ANSWER: Restlessness, dyspnea, and crackles noted to the lung
bases indicate a transfusion reaction
Kidney transplant - ANSWER: Immunosuppressive therapy is necessary until the
donated kidney begins producing urine
Hypothyroidism - ANSWER: Constipation is an expected manifestation of
hypothyroidism
Mastectomy - ANSWER: Referring the client to community resources that can
provide support is an appropriate statement for a client scheduled for a mastectomy
Nephrostomy tube - ANSWER: The client reporting back pain is an indication of a
complication and should be reported to the provider
Compartment syndrome - ANSWER: Pain that increases with passive movement in a
client with a short leg cast
Lyme disease - ANSWER: Joints ache as a manifestation of severe stage II Lyme
disease
Phenytoin - ANSWER: Oral solution 125 mg/5 mL, nurse should administer 24 mL for
600 mg
Arterial line - ANSWER: Flush line before administering antibiotics
Chemotherapy - ANSWER: Report of sore throat is the priority finding for a client
receiving chemotherapy
Systemic lupus erythematosus (SLE) - ANSWER: Facial butterfly rash is an expected
finding in a client with SLE
Parathyroidectomy - ANSWER: Using pillows to support the client's head and neck is
the priority action
Diabetes insipidus - ANSWER: Low urine specific gravity is an expected finding in a
client with diabetes insipidus
Cervical cancer - ANSWER: Implant placed twice each month for the duration of the
treatment in stage II cervical cancer
Thoracentesis - ANSWER: Instruct the client to remain NPO after midnight prior to
the procedure
Blood transfusion - ANSWER: Restlessness, dyspnea, and crackles noted to the lung
bases indicate a transfusion reaction
Kidney transplant - ANSWER: Immunosuppressive therapy is necessary until the
donated kidney begins producing urine
Hypothyroidism - ANSWER: Constipation is an expected manifestation of
hypothyroidism
Mastectomy - ANSWER: Referring the client to community resources that can
provide support is an appropriate statement for a client scheduled for a mastectomy
Nephrostomy tube - ANSWER: The client reporting back pain is an indication of a
complication and should be reported to the provider
