PN MED SURG PROCTORED /ATI PN MEDICAL SURGICAL EXAM BANK
2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS AND CORRECT DETAILED ANSWERS
1. A nurse is reviewing the medical record of a client who has a prescription
for morphine. Which of the following findings should the nurse report to the
provider?: Urinary retention
2. A nurse is caring for a client who is at risk for developing pressure
ulcers. Which of the following actions should the nurse take?: Position pillows
between the bony prominences
3. A nurse is caring for a client who is postoperative and is receiving an IV
infusion of cefazolin. Ten minutes after beginning the infusion, the client
reports intense itching. Which of the following actions should the nurse take
first?: Stop the medication infusion
4. A nurse is reinforcing teaching with a client who has gonorrhea. Which
of the following information should the nurse include?: You are at risk for
infertility with this infection, regardless of treatment
5. A nurse is examining a clients IV site and notes a red line up his arm. The
client reliant a throbbing, burning pain at the IV site. The nurse should identify
that the clients manifestations indicate which of the following
complications?-
: Thrombophlebitis
6. A nurse is reinforcing teaching with an adolescent client regarding
testicular self examination. Which of the following statements by the client
demonstrates an undertsmdibg of the teaching?: I understand that testicular
cancer is painless
7. A nurse in a long term care facility is collecting data from a client who
reports fullness in the rectum and abdominal cramping. Which of the
following findings should indicate to the nurse that the client might have a
fecal impaction?: Small liquid stools
,PN MED SURG PROCTORED /ATI PN MEDICAL SURGICAL EXAM BANK
2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS AND CORRECT DETAILED ANSWERS
.
8. A nurse in an oncology is reinforcing teaching about Mohs surgery with
a client who has skin cancer. Which of the following information should the
nurse include in the teaching?: Mohs surgery is a horizontal shaving of thin layers
of the tumor
9. A nurse is reinforcing teaching about GERd with a client. Which of the
following statements by the client indicates an understanding of the
teaching?: I should wait at least 2 hours after eating before going to bed
10. A nurse is assisting with the care of a care who is reconciled 0.9 %
sodium chloride by continuous IV infusion. The client report pain and
swelling at the IV site. In which order should the nurse perform that following
steps?: Check the IV site, stop the infusion, withdraw the IV catheter, elevate the
affected arm, notify the charge nurse
11 A nurse is contributing to the plan of care for an older adult client who is
at risk for osteoporosis. Which of the following interventions should the nurse
include to prevent bone loss?: Encourage weight bearing exercises
12. A nurse is assisting with the care of a client who has a cardiac
catheterization via the right femoral artery. Which of the following actions
should the nurse take to prevent lost procedure complications?: Monitor the
insertion site for bleeding is correct, maintain the pressure dressing, check the
clients peripheral pulses
13. A nurse is caring for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension,tachycardia, and
tachypnea. The nurse should recognize these findings indicate which of the
following complications?: Pulmonary embolism
14. A nurse is reinforcing discharge teaching with a client who has hearing
loss. Which of the following actions should the nurse take when
communication with the client?: Rephrase client instructions when not
understood
, PN MED SURG PROCTORED /ATI PN MEDICAL SURGICAL EXAM BANK
2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS AND CORRECT DETAILED ANSWERS
.
15. A nurse is caring for a client who is postoperative and has an epidural
infusion. Which of the following findings should the nurse recognize as the
priority?: Dyspnea
16. A nurse is preparing to administer phytonadione 7 mg subcutaneously
to a client who has an INR of 4. Available is phytonadione 10 mg/ml. How
many ml should the nurse administer?: 0.7
17. A nurse is reinforcing teaching with a client who has multiple sclerosis
and a new prescription for baclofen. Which of the following instructions
should the nurse include in the teaching?: Avoid stopping this medication
suddenly
18. A nurse is planning to implement droplet precautions for a client who
has manifestation of pertussis. Which of the following interventions should
the nurse include when contributing?: Apply a mask on the client of transport
is needed
19. A nurse is caring for an older adult client who has a reddened area over
the sacrum. Which of the following actions should the nurse take?: Minimize
the time the head of the bed is elevated
20. A nurse is collecting data from a client and noticed several skin
lesions. Which of the following findings should the nurse report as possible
melanoma?: Irregular borders
21. A nurse is reinforcing teaching with a client who is in a low sodium diet
and asks about how to improve the taste of bland food. Which of the
following should the nurse recommend?: Lemon juice
22 A nurse is assisting with the discharge planning for a client who is
postoperative following a total hip arthroplasty. Which of the following
instructions should the nurse include in the discharge plan?: Obtain a raised
toilet seat
2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS AND CORRECT DETAILED ANSWERS
1. A nurse is reviewing the medical record of a client who has a prescription
for morphine. Which of the following findings should the nurse report to the
provider?: Urinary retention
2. A nurse is caring for a client who is at risk for developing pressure
ulcers. Which of the following actions should the nurse take?: Position pillows
between the bony prominences
3. A nurse is caring for a client who is postoperative and is receiving an IV
infusion of cefazolin. Ten minutes after beginning the infusion, the client
reports intense itching. Which of the following actions should the nurse take
first?: Stop the medication infusion
4. A nurse is reinforcing teaching with a client who has gonorrhea. Which
of the following information should the nurse include?: You are at risk for
infertility with this infection, regardless of treatment
5. A nurse is examining a clients IV site and notes a red line up his arm. The
client reliant a throbbing, burning pain at the IV site. The nurse should identify
that the clients manifestations indicate which of the following
complications?-
: Thrombophlebitis
6. A nurse is reinforcing teaching with an adolescent client regarding
testicular self examination. Which of the following statements by the client
demonstrates an undertsmdibg of the teaching?: I understand that testicular
cancer is painless
7. A nurse in a long term care facility is collecting data from a client who
reports fullness in the rectum and abdominal cramping. Which of the
following findings should indicate to the nurse that the client might have a
fecal impaction?: Small liquid stools
,PN MED SURG PROCTORED /ATI PN MEDICAL SURGICAL EXAM BANK
2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS AND CORRECT DETAILED ANSWERS
.
8. A nurse in an oncology is reinforcing teaching about Mohs surgery with
a client who has skin cancer. Which of the following information should the
nurse include in the teaching?: Mohs surgery is a horizontal shaving of thin layers
of the tumor
9. A nurse is reinforcing teaching about GERd with a client. Which of the
following statements by the client indicates an understanding of the
teaching?: I should wait at least 2 hours after eating before going to bed
10. A nurse is assisting with the care of a care who is reconciled 0.9 %
sodium chloride by continuous IV infusion. The client report pain and
swelling at the IV site. In which order should the nurse perform that following
steps?: Check the IV site, stop the infusion, withdraw the IV catheter, elevate the
affected arm, notify the charge nurse
11 A nurse is contributing to the plan of care for an older adult client who is
at risk for osteoporosis. Which of the following interventions should the nurse
include to prevent bone loss?: Encourage weight bearing exercises
12. A nurse is assisting with the care of a client who has a cardiac
catheterization via the right femoral artery. Which of the following actions
should the nurse take to prevent lost procedure complications?: Monitor the
insertion site for bleeding is correct, maintain the pressure dressing, check the
clients peripheral pulses
13. A nurse is caring for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension,tachycardia, and
tachypnea. The nurse should recognize these findings indicate which of the
following complications?: Pulmonary embolism
14. A nurse is reinforcing discharge teaching with a client who has hearing
loss. Which of the following actions should the nurse take when
communication with the client?: Rephrase client instructions when not
understood
, PN MED SURG PROCTORED /ATI PN MEDICAL SURGICAL EXAM BANK
2024-2025 ACTUAL EXAM COMPLETE 350 QUESTIONS AND CORRECT DETAILED ANSWERS
.
15. A nurse is caring for a client who is postoperative and has an epidural
infusion. Which of the following findings should the nurse recognize as the
priority?: Dyspnea
16. A nurse is preparing to administer phytonadione 7 mg subcutaneously
to a client who has an INR of 4. Available is phytonadione 10 mg/ml. How
many ml should the nurse administer?: 0.7
17. A nurse is reinforcing teaching with a client who has multiple sclerosis
and a new prescription for baclofen. Which of the following instructions
should the nurse include in the teaching?: Avoid stopping this medication
suddenly
18. A nurse is planning to implement droplet precautions for a client who
has manifestation of pertussis. Which of the following interventions should
the nurse include when contributing?: Apply a mask on the client of transport
is needed
19. A nurse is caring for an older adult client who has a reddened area over
the sacrum. Which of the following actions should the nurse take?: Minimize
the time the head of the bed is elevated
20. A nurse is collecting data from a client and noticed several skin
lesions. Which of the following findings should the nurse report as possible
melanoma?: Irregular borders
21. A nurse is reinforcing teaching with a client who is in a low sodium diet
and asks about how to improve the taste of bland food. Which of the
following should the nurse recommend?: Lemon juice
22 A nurse is assisting with the discharge planning for a client who is
postoperative following a total hip arthroplasty. Which of the following
instructions should the nurse include in the discharge plan?: Obtain a raised
toilet seat
