MED SURG- PROCTORED ATI EXAM QUESTIONS AND ANSWERS
LATEST UPDATE 2023/2024 ,ALL ANSWERS 100% CORRECT BEST
EXAM SOLUTION GRADED A+ FOR SUCCESS.
A nurse is assessing the skin of a client who has frostbite. The client has small blisters that
contain blood, and the skin of the affected area does not blanch. The nurse should classify
this injury as which of the following? - CORRECT ANSWERS Third-degree frostbite
When a client has third-degree frostbite, the skin of the affected area has small blisters that
are blood-filled, and the skin does not blanch.
A nurse is an acute care facility is preparing to admit a client who myasthenia gravis. Which
of the following supplies should the nurse place at the client's bedside? - CORRECT
ANSWERS Oral-nasal suction equipment
A client who has myasthenia gravis is at risk for aspiration due to progressive weakness of
the oropharyngeal muscles. Myasthenia gravis causes muscle weakness due to an
autoimmune disease that affects the acetylcholine receptors. The nurse should place oxygen
and oral-nasal suction equipment at the bedside in the event of aspiration or respiratory
distress.
A nurse is teaching a client who polycythemia vera about self-care measures. Which of the
following interventions should the nurse include? - CORRECT ANSWERS "Elevate your legs
when sitting."
Clients who have polycythemia vera should elevate their legs when seated to avoid venous
pooling with subsequent clot formation.
A nurse is assessing a client who has Addison's disease. Which of the following skin
manifestations should the nurse expect to find? - CORRECT ANSWERS Bronze pigmentation
of the skin
A client who has Addison's disease will have a darkening of the skin on both exposed and
unexposed parts of the body due to hormone deficiency caused by damage to the outer
layer of the adrenal gland (adrenal cortex).
,MED SURG- PROCTORED ATI EXAM QUESTIONS AND ANSWERS
LATEST UPDATE 2023/2024 ,ALL ANSWERS 100% CORRECT BEST
EXAM SOLUTION GRADED A+ FOR SUCCESS.
An nurse is planning care for a client following placement of a chest tube 1 hr ago. Which of
the following actions should the nurse include in the plan of care? - CORRECT ANSWERS
Tape all connections between the chest tube and drainage system
The nurse should tape all connections to ensure that the system is airtight and prevent the
chest tubing from accidentally disconnecting.
A nurse is preparing to provide self-care teaching to a client who is 4 days postoperative
following the creation of a colostomy and refuses to look at the stoma. Which of the
following actions should the nurse take? - CORRECT ANSWERS Postpone any teaching with
the client at this time
The nurse should postpone any teaching with the client this time and should encourage the
client to look at and touch the stoma before continuing to teach about self-care. Refusal to
look at the stoma indicates the client is in the denial stage of grief and might not be able to
learn anything further at this time about self-care of the colostomy.
A nurse is caring for client who has a traumatic brain injury and assumes a decerebate
posture in response to noxious stimuli. Which of the following reactions should the nurse
anticipate when drawing a blood sample? - CORRECT ANSWERS The client rigidly extends
his arms
An older adult is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has
hypertonic dehydration? - CORRECT ANSWERS Urine Specific gravity 1.045
A urine specific gravity greater than 1.030 indicates a decrease in urine volume and an
increase in osmolarity, which is a manifestation of hypertonic dehydration.
A nurse in a community clinic is caring for a client who reports an increase in the frequency
of migraine headaches. To help reduce the risk for migraine headaches, which of the
,MED SURG- PROCTORED ATI EXAM QUESTIONS AND ANSWERS
LATEST UPDATE 2023/2024 ,ALL ANSWERS 100% CORRECT BEST
EXAM SOLUTION GRADED A+ FOR SUCCESS.
following foods should the nurse recommend the client avoid? - CORRECT ANSWERS Aged
cheese
Foods that contain tyramine, such as aged cheese and sausage, can trigger migraine
headaches.
A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish a ureterostomy. Which of the following
statements should the nurse include in the teaching? - CORRECT ANSWERS "You should cut
the opening of the skin barrier one-eight inch wider than the stoma."
The client should cut the opening of the skin barrier 0.3 cm (1/8in) wider than the stoma to
minimize irritation of the skin from exposure to urine.
A nurse is providing teaching to a client who has hypothyroidism and is receiving
levothyroxine. The nurse should instruct the client that which of the following supplements
can interfere with the effectiveness of the medication? - CORRECT ANSWERS Calcium
Calcium limits the development of osteoporosis in clients who are postmenopausal and
works as an antacid. Calcium supplements can interfere with the metabolism of a number of
medications, including levothyroxine. The nurse should instruct the client to avoid taking
calcium within 4 hr of levothyroxine administration.
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV
contrast agent. The nurse should identify that which of the following findings requires
further assessment? - CORRECT ANSWERS History of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye used
during the procedure. Other conditions that can result in a reaction to contrast media
include allergies to foods, such as shellfish, eggs, milk, and chocolate.
, MED SURG- PROCTORED ATI EXAM QUESTIONS AND ANSWERS
LATEST UPDATE 2023/2024 ,ALL ANSWERS 100% CORRECT BEST
EXAM SOLUTION GRADED A+ FOR SUCCESS.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the
following findings should the nurse identify as a component of Cushing's triad? - CORRECT
ANSWERS Bradycardia
A client who has increased intracranial pressure from a traumatic brain injury can develop
bradycardia, which is one component of Cushing's triad. The other components of Cushing's
triad are severe hypertension and a widened pulse pressure.
A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a
pressure injury. Which of the following actions should the nurse take? - CORRECT ANSWERS
Use a 30-mL syringe
The nurse should use a 30-mL to 60-mL syringe with an 18- or 19- gauge catheter to deliver
the ideal pressure of 8 pounds per square inch (psi) when irrigating a wound. To maintain
healthy granulation tissue, the wound irrigation should be delivered at between 4 and 15
psi.
A nurse in an emergency department is reviewing the provider's prescriptions for a client
who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions
should the expect? - CORRECT ANSWERS Administer an opioid analgesic to the client.
The nurse should expect a prescription for an opioid analgesic to promote comfort following
a rattlesnake bite.
A nurse is reviewing the health record of a client who is scheduled for allergy skin testing.
The nurse should postpone the testing and report to the provider which of the following
findings? (Click on the "Exhibit" button for additional information about the client). -
CORRECT ANSWERS Current medications
The nurse should review the client's medication record and identify medications, including
ACE inhibitors, beta blockers, theophylline, nifedipine, and glucocorticoids, such as
prednisone, that can alter the allergy skin test results. These medications can diminish the
LATEST UPDATE 2023/2024 ,ALL ANSWERS 100% CORRECT BEST
EXAM SOLUTION GRADED A+ FOR SUCCESS.
A nurse is assessing the skin of a client who has frostbite. The client has small blisters that
contain blood, and the skin of the affected area does not blanch. The nurse should classify
this injury as which of the following? - CORRECT ANSWERS Third-degree frostbite
When a client has third-degree frostbite, the skin of the affected area has small blisters that
are blood-filled, and the skin does not blanch.
A nurse is an acute care facility is preparing to admit a client who myasthenia gravis. Which
of the following supplies should the nurse place at the client's bedside? - CORRECT
ANSWERS Oral-nasal suction equipment
A client who has myasthenia gravis is at risk for aspiration due to progressive weakness of
the oropharyngeal muscles. Myasthenia gravis causes muscle weakness due to an
autoimmune disease that affects the acetylcholine receptors. The nurse should place oxygen
and oral-nasal suction equipment at the bedside in the event of aspiration or respiratory
distress.
A nurse is teaching a client who polycythemia vera about self-care measures. Which of the
following interventions should the nurse include? - CORRECT ANSWERS "Elevate your legs
when sitting."
Clients who have polycythemia vera should elevate their legs when seated to avoid venous
pooling with subsequent clot formation.
A nurse is assessing a client who has Addison's disease. Which of the following skin
manifestations should the nurse expect to find? - CORRECT ANSWERS Bronze pigmentation
of the skin
A client who has Addison's disease will have a darkening of the skin on both exposed and
unexposed parts of the body due to hormone deficiency caused by damage to the outer
layer of the adrenal gland (adrenal cortex).
,MED SURG- PROCTORED ATI EXAM QUESTIONS AND ANSWERS
LATEST UPDATE 2023/2024 ,ALL ANSWERS 100% CORRECT BEST
EXAM SOLUTION GRADED A+ FOR SUCCESS.
An nurse is planning care for a client following placement of a chest tube 1 hr ago. Which of
the following actions should the nurse include in the plan of care? - CORRECT ANSWERS
Tape all connections between the chest tube and drainage system
The nurse should tape all connections to ensure that the system is airtight and prevent the
chest tubing from accidentally disconnecting.
A nurse is preparing to provide self-care teaching to a client who is 4 days postoperative
following the creation of a colostomy and refuses to look at the stoma. Which of the
following actions should the nurse take? - CORRECT ANSWERS Postpone any teaching with
the client at this time
The nurse should postpone any teaching with the client this time and should encourage the
client to look at and touch the stoma before continuing to teach about self-care. Refusal to
look at the stoma indicates the client is in the denial stage of grief and might not be able to
learn anything further at this time about self-care of the colostomy.
A nurse is caring for client who has a traumatic brain injury and assumes a decerebate
posture in response to noxious stimuli. Which of the following reactions should the nurse
anticipate when drawing a blood sample? - CORRECT ANSWERS The client rigidly extends
his arms
An older adult is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has
hypertonic dehydration? - CORRECT ANSWERS Urine Specific gravity 1.045
A urine specific gravity greater than 1.030 indicates a decrease in urine volume and an
increase in osmolarity, which is a manifestation of hypertonic dehydration.
A nurse in a community clinic is caring for a client who reports an increase in the frequency
of migraine headaches. To help reduce the risk for migraine headaches, which of the
,MED SURG- PROCTORED ATI EXAM QUESTIONS AND ANSWERS
LATEST UPDATE 2023/2024 ,ALL ANSWERS 100% CORRECT BEST
EXAM SOLUTION GRADED A+ FOR SUCCESS.
following foods should the nurse recommend the client avoid? - CORRECT ANSWERS Aged
cheese
Foods that contain tyramine, such as aged cheese and sausage, can trigger migraine
headaches.
A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish a ureterostomy. Which of the following
statements should the nurse include in the teaching? - CORRECT ANSWERS "You should cut
the opening of the skin barrier one-eight inch wider than the stoma."
The client should cut the opening of the skin barrier 0.3 cm (1/8in) wider than the stoma to
minimize irritation of the skin from exposure to urine.
A nurse is providing teaching to a client who has hypothyroidism and is receiving
levothyroxine. The nurse should instruct the client that which of the following supplements
can interfere with the effectiveness of the medication? - CORRECT ANSWERS Calcium
Calcium limits the development of osteoporosis in clients who are postmenopausal and
works as an antacid. Calcium supplements can interfere with the metabolism of a number of
medications, including levothyroxine. The nurse should instruct the client to avoid taking
calcium within 4 hr of levothyroxine administration.
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV
contrast agent. The nurse should identify that which of the following findings requires
further assessment? - CORRECT ANSWERS History of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye used
during the procedure. Other conditions that can result in a reaction to contrast media
include allergies to foods, such as shellfish, eggs, milk, and chocolate.
, MED SURG- PROCTORED ATI EXAM QUESTIONS AND ANSWERS
LATEST UPDATE 2023/2024 ,ALL ANSWERS 100% CORRECT BEST
EXAM SOLUTION GRADED A+ FOR SUCCESS.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the
following findings should the nurse identify as a component of Cushing's triad? - CORRECT
ANSWERS Bradycardia
A client who has increased intracranial pressure from a traumatic brain injury can develop
bradycardia, which is one component of Cushing's triad. The other components of Cushing's
triad are severe hypertension and a widened pulse pressure.
A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a
pressure injury. Which of the following actions should the nurse take? - CORRECT ANSWERS
Use a 30-mL syringe
The nurse should use a 30-mL to 60-mL syringe with an 18- or 19- gauge catheter to deliver
the ideal pressure of 8 pounds per square inch (psi) when irrigating a wound. To maintain
healthy granulation tissue, the wound irrigation should be delivered at between 4 and 15
psi.
A nurse in an emergency department is reviewing the provider's prescriptions for a client
who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions
should the expect? - CORRECT ANSWERS Administer an opioid analgesic to the client.
The nurse should expect a prescription for an opioid analgesic to promote comfort following
a rattlesnake bite.
A nurse is reviewing the health record of a client who is scheduled for allergy skin testing.
The nurse should postpone the testing and report to the provider which of the following
findings? (Click on the "Exhibit" button for additional information about the client). -
CORRECT ANSWERS Current medications
The nurse should review the client's medication record and identify medications, including
ACE inhibitors, beta blockers, theophylline, nifedipine, and glucocorticoids, such as
prednisone, that can alter the allergy skin test results. These medications can diminish the
