ATI RN MED SURG PROCTORED EXAM LATEST 2024/
70 ACTUAL EXAM QUESTIONS WITH CORRECT
VERIFIED ANSWERS /RATED A+
1. The client who is to receive general anesthesia has a serum potassium level of 5.8 mEq/L.
What should be the nurse’s first response?
a) Call the operating room to cancel surgery
b) Send the client to surgery
c) Make a note on the client’s record
d) Notify the surgeon
2. A client presents to the emergency department with the inability to wrinkle her forehead or
puncher her lips. She is afraid she may be having a stroke. After a complete clinical workup is
negative for a cerebral vascular accident (CVA), the nurse provides discharge information on
which of the following disorders?
a. Trigeminal neuralgia
b. Bell’s palsy
c. Cerebral aneurysm
d. Epilepsy
3. The nurse is caring for a client diagnosed with Alzheimer’s disease. Which nursing tasks
should not be delegated to the unlicensed assistive personnel (UAP)? SATA
a. Check the client’s skin under the restraints
b. Administer the client’s antipsychotic medication
c. Perform the client’s morning hygiene care
d. Ambulate the client to the bathroom
e. Obtain the client’s routine vital signs
pg. 1
,4. A client neurological status deteriorates over hours, and a craniotomy is performed to
evacuate a hematoma. Which nursing intervention is indicated to help decreased the threat
of increased intracranial pressure?
a)
Elevate the head of the bed 30 degrees
b) Cluster nursing interventions to provide uninterrupted periods of rest
c) Teach the client to cough and deep breathe to prevent the necessity to suctioning
d) Teach the client to hold his breath and bear down while repositioning in bed
5. The client gas presented with a basilar skull fracture. While assessing the client, the nurse
notes clear drainage from the nose with a halo sign and is concern about a potential CSF
leakage. What should the nurse do next?
a. Document this is a serious drainage and continue to monitor the client
b. Check for the presence of glucose in the drainage and report to the provider
c. Apply ice pack to the nasal bridge and a large, fluffy dressing.
d. Assist the client in the blowing his nose to clear secretions and re-evaluate
6. The nurse is discussing different types of anesthesia with a group of nursing students. The
student nurse correctly identifies which type of anesthesia requires both inhalation and
intravenous IV administration routes?
a. General
b. Regional
c. Specific
d. Preoperative
7. The charge nurse is obtaining the client signature on a surgical consent form. The client states,
“I did not really understand what my surgeon explained. But I trust him completely.” Which
response by the charge nurse is correct?
a. I need to contact your surgeon so your questions can be answered
pg. 2
, b. I can answer any questions that you might have regarding your surgery
c. As long as you are comfortable, then you may sign the consent form
d. Maybe we should call your surgeon to be sure it is okay to sign the consent
8. The nurse determines that the client demonstrates an understanding of preoperative
teaching with which responses? SATA
a. I will need to sign a consent form before I am given my medications prior to my surgery
b. The surgeon will want me to ambulate as soon as possible after my surgery
c. My nurse will want me to take the deepest breaths I can tolerate following my surgery
d. I may experience some constipation if I am taking much pain medication after my
surgery
e. The general anesthesia will prevent me from having pain for the first 24 hours after
surgery
9. A client has been diagnosed with organic brain pathology. He is presenting with signs and
symptoms of total or partial loss of the ability to recognize familiar objects or people through
sensory stimulation. The nurse correctly identifies the signs and symptoms as which of the
following?
a. Apraxia
b. Agnosia- can’t use item correctly
c. Aphasia
d. Dysphagia
10. When planning care for a client with myasthenia gravis, the nurse understand that the client
is at highest risk for which of the following?
a. Aspiration
b. Bladder dysfunction
c. Hypertension
d. Sensory loss
11. A graduate nurse is performing a discharge teaching for a client newly diagnosed with
migraine headaches. Which statement made by the graduate nurse indicates a correct
understanding of the disorder?
pg. 3
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