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ATI MED SURG PROCTORED EXAM RETAKE 2024 ACTUAL
EXAM QUESTIONS & VERIFIED ANSWERS/A+ GRADE
ASSURED
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 - ans-b. Infection
Monitor for infection and use strict asepsis to avoid life-threatening meningitis.
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." - ans-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
A nurse is caring for a client who is taking streptomycin. Which of the following medications
increases the client's risk of developing ototoxicity when taken with streptomycin?
A. Cefoxitin
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B. Furosemide
C. Naproxen
D. Amphotericin B - ans-B. Furosemide
Furosemide, a high-ceiling (loop) diuretic, increases the risk of developing ototoxicity when
taken with streptomycin, an aminoglycoside.
A nurse is preparing to administer an IM injection for a client. Which of the following factors
should the nurse identify as a potential contraindication to administering the medication via
the IM route?
A. The medication is a depot preparation.
B. The client is taking an anticoagulant.
C. The medication is a particulate suspension.
D. The client has been vomiting. - ans-B. The client is taking an anticoagulant.
Because of the risk of bleeding from the injection site, anticoagulant therapy (e.g. warfarin) is a
contraindication to receiving medications via the IM route.
A nurse is caring for a client with Clostridium difficile who has contact-isolation precautions in
place. Which of the following actions should the nurse perform?
A. Instruct visitors to maintain a distance of at least 1 m (3 ft) from the client.
B . Wash hands with antimicrobial soap after leaving the client's room.
C. Use dedicated equipment for the client.
D. Keep the doors to the client's room closed at all times. - ans-C. Use dedicated equipment for
the client.
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The nurse should use dedicated equipment that is left in the room for a client who has contact-
isolation precautions in place.
Incorrect Answers:
A. The nurse should instruct visitors to maintain a distance of at least 1 m (3 ft) from a client
who has droplet-isolation precautions in place.
B. The nurse should wash hands with antimicrobial soap before leaving the room of a client
who has contact-isolation precautions in place.
D. The nurse should keep the doors to the client's room closed at all times when airborne-
isolation precautions are in place.
A nurse is assessing a client who sustained superficial partial-thickness and deep partial-
thickness burns 72 hr ago. Which of the following findings should the nurse report to the
provider?
A. Edema in the burned extremities
B. Severe pain at the burn sites
C. Urine output of 30 mL/hr
D. Temperature of 39.1°C (102.4°F) - ans-D. Temperature of 39.1°C (102.4°F)
An elevated temperature is an indication of infection, and the nurse should report this finding
to the provider. Sepsis is a critical finding following a major burn injury. Initially, burn wounds
are relatively pathogen-free. On approximately the third day following the injury, early
colonization of the wound surface by gram-negative organisms changes to predominantly
gram-positive opportunistic organisms.
An emergency room nurse is assessing a client who has a new traumatic brain injury. The nurse
observes extension of the client's arms and legs, pronation of the arms, and plantar flexion of
the feet. Which of the following actions is the nurse's priority?
A. Monitor urinary output
ATI MED SURG PROCTORED EXAM RETAKE 2024 ACTUAL
EXAM QUESTIONS & VERIFIED ANSWERS/A+ GRADE
ASSURED
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 - ans-b. Infection
Monitor for infection and use strict asepsis to avoid life-threatening meningitis.
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." - ans-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
A nurse is caring for a client who is taking streptomycin. Which of the following medications
increases the client's risk of developing ototoxicity when taken with streptomycin?
A. Cefoxitin
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B. Furosemide
C. Naproxen
D. Amphotericin B - ans-B. Furosemide
Furosemide, a high-ceiling (loop) diuretic, increases the risk of developing ototoxicity when
taken with streptomycin, an aminoglycoside.
A nurse is preparing to administer an IM injection for a client. Which of the following factors
should the nurse identify as a potential contraindication to administering the medication via
the IM route?
A. The medication is a depot preparation.
B. The client is taking an anticoagulant.
C. The medication is a particulate suspension.
D. The client has been vomiting. - ans-B. The client is taking an anticoagulant.
Because of the risk of bleeding from the injection site, anticoagulant therapy (e.g. warfarin) is a
contraindication to receiving medications via the IM route.
A nurse is caring for a client with Clostridium difficile who has contact-isolation precautions in
place. Which of the following actions should the nurse perform?
A. Instruct visitors to maintain a distance of at least 1 m (3 ft) from the client.
B . Wash hands with antimicrobial soap after leaving the client's room.
C. Use dedicated equipment for the client.
D. Keep the doors to the client's room closed at all times. - ans-C. Use dedicated equipment for
the client.
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The nurse should use dedicated equipment that is left in the room for a client who has contact-
isolation precautions in place.
Incorrect Answers:
A. The nurse should instruct visitors to maintain a distance of at least 1 m (3 ft) from a client
who has droplet-isolation precautions in place.
B. The nurse should wash hands with antimicrobial soap before leaving the room of a client
who has contact-isolation precautions in place.
D. The nurse should keep the doors to the client's room closed at all times when airborne-
isolation precautions are in place.
A nurse is assessing a client who sustained superficial partial-thickness and deep partial-
thickness burns 72 hr ago. Which of the following findings should the nurse report to the
provider?
A. Edema in the burned extremities
B. Severe pain at the burn sites
C. Urine output of 30 mL/hr
D. Temperature of 39.1°C (102.4°F) - ans-D. Temperature of 39.1°C (102.4°F)
An elevated temperature is an indication of infection, and the nurse should report this finding
to the provider. Sepsis is a critical finding following a major burn injury. Initially, burn wounds
are relatively pathogen-free. On approximately the third day following the injury, early
colonization of the wound surface by gram-negative organisms changes to predominantly
gram-positive opportunistic organisms.
An emergency room nurse is assessing a client who has a new traumatic brain injury. The nurse
observes extension of the client's arms and legs, pronation of the arms, and plantar flexion of
the feet. Which of the following actions is the nurse's priority?
A. Monitor urinary output
