ATI Med Surg Proctored Exam Practice
Qs 2024-2025 150 QUESTIONS AND
CORRECT DETAILED ANSWERS
1. A nurse is caring for a client who experienced a traumatic head injury and
has an intraventricular catheter (Ventriculostomy) for ICP monitoring. The
nurse should monitor the client for which of the following complications
related to the ventriculostomy?:
a. Headache
b. Infection
c. Aphasia
d. Hypertension - CORRECT ANSWER b. Infection
Monitor for infection and use strict asepsis to avoid life-threatening meningitis.
2. A nurse is providing education to a client who is to undergo an EEG the
next day. Which of the following info should the nurse include in the
teaching?
a. "Do not wash your hair the morning of the procedure."
b. "Try and stay awake most of the night prior to the procedure."
c. "The procedure will take approximately 15 mins."
d. "You will need to lie flat for 4 hours after the procedure." - CORRECT
ANSWER b. "Try and stay awake most of the night prior to the procedure."
Tell the client to remain awake to provide cranial stress and increase the possibility
of abnormal electrical activity
, 3. A nurse is caring for a client who is postprocedural following a lumbar
puncture and reports a throbbing headache when sitting upright. Which of
the following actions should the nurse take? SATA.
a. Use the GCS scale to assess the client
b. Assist the client into a supine position
c. Administer an opioid analgesic
d. Encourage the client to increase PO fluid intake
e. Instruct the client to perform coughing and deep breathing - CORRECT
ANSWER B, D
4. A nurse is caring for a client who has continuous bladder irrigation
following a transurethral resection of the prostate (TURP). Which of the
following findings should the nurse report to the provider?
a Output equal to the instilled irrigate
b. Client reports bladder spasms
c. Viscous urinary output with clots
d. Reports of strong urge to urinate - CORRECT ANSWER c. Viscous urinary
output with clots
Urine that is bright red with clots is an indication of arterial bleeding.
5. A nurse is monitoring the ECG of a client who has hypocalcemia. Which of
the following findings should the nurse expect?
a. Flattened T waves
,b. Prolonged QT intervals
c. Shortened QT intervals
d Widened QRS complexes - CORRECT ANSWER b. Prolonged QT intervals
Manifestations of hypocalcemia include tingling, numbness, tetany, seizures,
prolonged QT intervals, and laryngospasm.
6. A nurse is preparing a client who has a brain tumor for a CT scan. Which
of the following factors affects the manner in which the nurse will prepare
the client for the scan?
a. No food or fluids consumed for 4 hours
b. Difficulty recalling recent events
c. Development of hives while eating shrimp
d. Paresthesia in both hands - CORRECT ANSWER c. Development of hives
while eating shrimp
Shellfish allergy is contraindication of use of contrast media during a CT scan.
7. A nurse is preparing an in-service program about the stages of acute kidney
injury. Which of the following pieces of info should the nurse include about
prerenal azotemia?
a. Prerenal azotemia begins prior to the onset of symptoms
b. Interference with renal perfusion causes renal azotemia
c. Prerenal azotemia is irreversible, even in early stages
d. Infections and tumors cause prerenal azotemia - CORRECT ANSWER b.
Interference with renal perfusion causes prerenal azotemia.
Prerenal = interference with renal perfusion, such as from heart failure or
hypovolemic shock.
, 8. A nurse is teaching a client who has CAD about the difference between
angina pectoris and MI. Which of the following should the nurse identify as
indications of MI? SATA.
a. N/V
b. Diaphoresis and dizziness
c. Chest and left arm pain that subsides with rest
d. Anxiety and feelings of doom
e. Bounding pulse and bradypnea - CORRECT ANSWER A, B, D
9. A nurse is reviewing the lab results of a lumbar puncture for a client who
has manifestations of bacterial meningitis. Which of the following findings
should the nurse expect?
a. Elevated glucose
b. Elevated protein
c. Presence of RBCs
d. Presence of D-dimer - CORRECT ANSWER b. Elevated protein
Manifestations of bacterial meningitis include increase protein in the CSF,
decreased glucose. RBCs can indicate bleeding, however, WBCs are what
indicates bacterial meningitis.
10.A nurse is providing teaching to a client who has a new diagnosis of
myasthenia gravis (MG). Which of the following pieces of information
should the nurse include?
Qs 2024-2025 150 QUESTIONS AND
CORRECT DETAILED ANSWERS
1. A nurse is caring for a client who experienced a traumatic head injury and
has an intraventricular catheter (Ventriculostomy) for ICP monitoring. The
nurse should monitor the client for which of the following complications
related to the ventriculostomy?:
a. Headache
b. Infection
c. Aphasia
d. Hypertension - CORRECT ANSWER b. Infection
Monitor for infection and use strict asepsis to avoid life-threatening meningitis.
2. A nurse is providing education to a client who is to undergo an EEG the
next day. Which of the following info should the nurse include in the
teaching?
a. "Do not wash your hair the morning of the procedure."
b. "Try and stay awake most of the night prior to the procedure."
c. "The procedure will take approximately 15 mins."
d. "You will need to lie flat for 4 hours after the procedure." - CORRECT
ANSWER b. "Try and stay awake most of the night prior to the procedure."
Tell the client to remain awake to provide cranial stress and increase the possibility
of abnormal electrical activity
, 3. A nurse is caring for a client who is postprocedural following a lumbar
puncture and reports a throbbing headache when sitting upright. Which of
the following actions should the nurse take? SATA.
a. Use the GCS scale to assess the client
b. Assist the client into a supine position
c. Administer an opioid analgesic
d. Encourage the client to increase PO fluid intake
e. Instruct the client to perform coughing and deep breathing - CORRECT
ANSWER B, D
4. A nurse is caring for a client who has continuous bladder irrigation
following a transurethral resection of the prostate (TURP). Which of the
following findings should the nurse report to the provider?
a Output equal to the instilled irrigate
b. Client reports bladder spasms
c. Viscous urinary output with clots
d. Reports of strong urge to urinate - CORRECT ANSWER c. Viscous urinary
output with clots
Urine that is bright red with clots is an indication of arterial bleeding.
5. A nurse is monitoring the ECG of a client who has hypocalcemia. Which of
the following findings should the nurse expect?
a. Flattened T waves
,b. Prolonged QT intervals
c. Shortened QT intervals
d Widened QRS complexes - CORRECT ANSWER b. Prolonged QT intervals
Manifestations of hypocalcemia include tingling, numbness, tetany, seizures,
prolonged QT intervals, and laryngospasm.
6. A nurse is preparing a client who has a brain tumor for a CT scan. Which
of the following factors affects the manner in which the nurse will prepare
the client for the scan?
a. No food or fluids consumed for 4 hours
b. Difficulty recalling recent events
c. Development of hives while eating shrimp
d. Paresthesia in both hands - CORRECT ANSWER c. Development of hives
while eating shrimp
Shellfish allergy is contraindication of use of contrast media during a CT scan.
7. A nurse is preparing an in-service program about the stages of acute kidney
injury. Which of the following pieces of info should the nurse include about
prerenal azotemia?
a. Prerenal azotemia begins prior to the onset of symptoms
b. Interference with renal perfusion causes renal azotemia
c. Prerenal azotemia is irreversible, even in early stages
d. Infections and tumors cause prerenal azotemia - CORRECT ANSWER b.
Interference with renal perfusion causes prerenal azotemia.
Prerenal = interference with renal perfusion, such as from heart failure or
hypovolemic shock.
, 8. A nurse is teaching a client who has CAD about the difference between
angina pectoris and MI. Which of the following should the nurse identify as
indications of MI? SATA.
a. N/V
b. Diaphoresis and dizziness
c. Chest and left arm pain that subsides with rest
d. Anxiety and feelings of doom
e. Bounding pulse and bradypnea - CORRECT ANSWER A, B, D
9. A nurse is reviewing the lab results of a lumbar puncture for a client who
has manifestations of bacterial meningitis. Which of the following findings
should the nurse expect?
a. Elevated glucose
b. Elevated protein
c. Presence of RBCs
d. Presence of D-dimer - CORRECT ANSWER b. Elevated protein
Manifestations of bacterial meningitis include increase protein in the CSF,
decreased glucose. RBCs can indicate bleeding, however, WBCs are what
indicates bacterial meningitis.
10.A nurse is providing teaching to a client who has a new diagnosis of
myasthenia gravis (MG). Which of the following pieces of information
should the nurse include?
