ATI Med Surg Proctor Exam Questions With Detailed Answers
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ATI MedSurg Proctor
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ATI MedSurg Proctor
ATI Med Surg Proctor Exam Questions With Detailed Answers
ATI Med Surg Proctor Exam Questions With Detailed Answers
1.) A nurse is receiving report on a client who is postoperative following an open repair of Zener's Diverticulum. The nurse should anticipate the surgical incision to be in whi...
1.) A nurse is receiving report on a client who is postoperative following an open repair
of Zener's Diverticulum. The nurse should anticipate the surgical incision to be in which
of the following locations? (You will find hot spots to select in the artwork below. Select
only the hot spot that corresponds to your answer.) - Answer-A.) Throat
/.10. A nurse is providing teaching to a client who has hypertension and a new
prescription for verapamil. Which of the following statements by the client indicates an
understanding of the teaching? - Answer-I will count my heart beats before taking this
medication.
/.2.) A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the
following assessment findings should the nurse expect? - Answer-Hypoactive bowel
sounds
/.3.)A nurse is providing discharge instructions to a client who has a partial thickness
burn of the hand. Which of the following instructions should the nurse include? -
Answer-Wrap fingers with individual dressings
/.4.) A nurse is assessing a client following the administration of magnesium sulfate 1g
IV bolus. For which of the following adverse effects should the nurse monitor? - Answer-
Respiratory Paralysis
/.5. A nurse is assessing a client's hydration status. Which of the following findings
indicated fluid volume overload. - Answer-Distended neck veins
/.6. A nurse is assessing a client following the administration of IV penicillin G. Which of
the following findings should indicate to the nurse that the client is experiencing an
anaphylactic reaction? - Answer-Flushing
/.7. A nurse is providing teaching to a client who has a severe form of stage II Lyme
disease. Which of the following statements made by the client reflects an understanding
of the teaching? - Answer-My joints ache because I have Lyme disease.
/.8. A nurse is caring for a client who has portal hypertension. The client is vomiting
blood mixed with food after a meal. Which of the following actions should the nurse take
first? - Answer-Obtain vital signs
/.9. A nurse is assessing a client following IV urography. Which of the following findings
is the priority? - Answer-Swollen lips
,/.A charge nurse is instructing a newly licensed nurse about caring for a client who has
MRSA which of the following statements by the newly licensed nurse indicates an
understanding of the teaching - Answer-I will leave assessment equipment in the room
to use on this client the nurse should follow contact precautions and use dedicated
equipment when assessing the client to prevent cross-contamination with other clients
/.A client diagnosed with emphysema is being prepared for discharge. Which instruction
reinforced by the nurse would be beneficial for improving the client's gas exchange?
Reinforcing teaching for the client to use pursed-lip breathing
Encouraging the client to limit fluids to 1,500 mL per day
Demonstrating the proper technique for chest breathing
Reinforcing teaching about home oxygen therapy at 5 L/min - Answer-Reinforcing
teaching for the client to use pursed-lip breathing
Pursed-lip breathing slows expiration, prevents collapse of lung units, and facilitates
effective gas exchange.
/.A client diagnosed with viral encephalitis secondary to West Nile Virus is admitted to
the hospital for treatment. When assisting in the development of a nursing care plan,
which interventions are consistent with the client's diagnosis? (Select all that apply.)
Place the client on respiratory isolation.
Monitor vital signs every 4 hr.
Assess neurological status every 4 hr.
Assess for Brudzinski's sign.
Implement seizure precautions. - Answer-Placing the client on respiratory isolation is
incorrect. West Nile Virus is an arbovirus. It can be transmitted to humans only after a
person is bitten by an infected organism such as the tick. The infection cannot be
transmitted person-to-person as with viral or bacterial infections.
Monitoring vital signs every 4 hr is correct. It is important to monitor vital signs to assess
for changes consistent with increased intracranial pressure.
Assessing neurological status every 4 hr is correct. Neurological status should be
monitored at least every 4 hr or more frequently as the client's status may indicate. The
course of encephalitis is unpredictable, so the client must be monitored closely for any
signs of deteriorating neurological functioning.
Assessing for Brudzinski's sign is correct. Brudzinski's sign is assessed by placing the
client on the back and forcibly bending the neck forward. If positive, a reflexive flexion of
the knees occurs, indicating meningeal irritation, which is one of the major clinical
manifestations of viral encephalitis.
Implementing seizure precautions is correct. Due to the inflammatory response of the
brain to the arbovirus the client is at risk for seizures. Precautions should be
implemented to ensure client safety if a seizure does occur.
,/.A client has a platelet count of 18,000 cells/mL. An appropriate nursing intervention is
to do which of the following?
Avoid intramuscular injections (IM).
Administer oxygen via nasal cannula.
Maintain a no visitors policy.
Provide meticulous oral hygiene every 3 to 4 hr. - Answer-Avoid intramuscular injections
(IM).
The platelet count is dangerously low indicating thrombocytopenia (decreased platelet
count). Any invasive procedure, such as an IM injection, can precipitate hemorrhage
that may be difficult to stop. Bleeding precautions are necessary for this client.
/.A client has just received a cardiac pacemaker. Which statement by the client
demonstrates to the nurse an understanding of the pacemaker's purpose?
"The pacemaker will help stimulate my heart to beat when my heart rate is slow or
irregular."
"I don't have to take my antihypertensive medications since my pacemaker will regulate
my body's blood flow."
"Having a pacemaker means that I will never have a heart attack."
"I cannot stand in front of our new microwave oven when it is on." - Answer-"The
pacemaker will help stimulate my heart to beat when my heart rate is slow or irregular."
Maintaining a regular heartbeat at a predetermined rate is the primary purpose of a
cardiac pacemaker.
/.A client has sprained an ankle while playing soccer. For the first 24 hr following the
injury, the nurse should instruct the client to do which of the following?
Perform gentle range of motion (ROM) exercises on the ankle joint to prevent
contractures.
Keep moist heat on the ankle to prevent muscle spasm.
Keep the foot in a dependent position to aide circulation to the foot.
Keep ice on the ankle to prevent edema. - Answer-Keep ice on the ankle to prevent
edema.
Ice or cold will constrict blood vessels to the injured area decreasing swelling. Nerve
impulse transmission will also be reduced, resulting in analgesia to the injured area and
a reduction of muscle spasms. Ice applications should not exceed 20 to 30 min per
application.
/.A client in a community clinic tests positive on a Mantoux skin test but does not
demonstrate active lesions on a chest x-ray. When assisting with the development of
, the plan of care for this client, the nurse should reinforce that isoniazid (INH) therapy will
have to be taken for which of the following time frames?
For the rest of the client's life
Until the client has a negative sputum sample
Daily for approximately 1 year
Until the client has a non-reactive Mantoux - Answer-Daily for approximately 1 year
INH prophylaxis is taken for approximately 9 months to 1 year. However, in that time
frame, noncompliance is a major problem and has contributed to the development of
multiple medication-resistant strains of TB. The client will need to be monitored carefully
to ensure compliance for the duration of the treatment period.
/.A client is admitted to the ER with anxiety loss of muscle coordination and skin is hot
and dry the client had been working on the yard prior to coming to the hospital which of
the following actions should the nurse anticipate taking first - Answer-Place the client on
a cooling blanket because these findings indicate the client is at greatest risk for
hyperthermia
/.A client is brought to the emergency department following a fall. The nurse, suspecting
a basilar skull fracture, should check the client for which of the following signs specific to
a basilar skull fracture?
A depressed fracture of the forehead
Clear fluid coming from the nares
Black-and-blue discoloration around the eyes
A superficial hematoma on the skull - Answer-Clear fluid coming from the nares
Clear fluid coming from the nares is associated with a basal skull fracture.
/.A client is diagnosed with active pulmonary tuberculosis and begins a treatment
regimen of rifampin (Rifadin) and ethambutol (Myambutol). The nurse should reinforce
with the client the need to report which of the following adverse effects to the provider?
Red-orange discoloration of body fluids
Anorexia
Headaches
Decreased visual acuity - Answer-Decreased visual acuity
The most commonly reported adverse reaction to therapeutic doses of ethambutol is
visual disturbance. This side effect will likely necessitate termination of ethambutol
therapy because irreversible blindness can result.
/.A client is diagnosed with endocarditis following rheumatic heart disease. Which
comment made by the client indicates to the nurse that she understands discharge
teaching in relation to endocarditis?
"I will force fluids to prevent dehydration."
"I will notify my doctor before I have invasive surgery or dental procedures."
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