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2023 ATI Med Surg Proctored Exam New Latest Version with All Questions and 100% Correct Answers
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2023 ATI Med Surg Proctored Exam New Latest Version with All Questions and 100% Correct Answers
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2023 ATI Med Surg Proctored Exam New Latest Version with All Questions and 100% Correct Answers A nurse is preparing to perform ocular irrigation for a client following a chemical Splash to the eye. Which of the following actions should the nurse plan to take first? a) Administer proparacaine eye drops into the affected eye b) places strip of pH paper on to the cul - de- sac of the affected eye c) collect information about the irritant that caused an injury (assess first) d) instill 0.9% sodium chloride solution into the affected eye ----------- Correct Answer -------- c) collect information about the irritant that caused an injury (assess first) Client has a pressure ulcer. Which indicates wound healing? a. Light yellow exudate (Seropurulent) b. Wound tissue firm to palpation (firm, not healing yet) stage 1. c. Dry brown eschar (dead skin?) d. Dark red granulation tissue ----------- Correct Answer -------- d. Dark red granulation tissue Client, who is 6 hr postoperative following application of an external fixator for a tibial fracture. Which of the following actions should the nurse take? a. Palpate the dorsalis pedis pulse. b. Maintain the affected extremity in a dependent position (ELEVATE) c. Wrap sterile gauze on the shart point of the pins (NOPE 8 -12HRS) d. Adjust the clamps on the fixator flame (NEVER, MD DOES THIS) ----------- Correct Answer -------- a. Palpate the dorsalis pedis pulse. A nurse is teaching a client who has AIDS and wishes to continue self care at home despite living alone. Which of the following actions by the nurse demonstrates client advocacy? a) Remind the client of the importance of the medication adherence b) Initiate a referral for the client to a home health agency c) instruct the client to avoid eating raw vegetables d) tell the client to avoid places where there are a large crowds of people ----------- Correct Answer -------- b) Initiate a referral for the client to a home health agency A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report? a) Alkaline phosphate 125 units /L b) clay -colored stools c) platelets 70,000 / mm3 d) distended abdomen ----------- Correct Answer -------- c) platelets 70,000 / mm3 A home health nurse is providing nutrition education for a client who has trigeminal neuralgia. Which of the following foods should the nurse recommend? a) Graham crackers b) iced coffee c) vanilla pudding d) vegetable soup ----------- Correct Answer -------- c) vanilla pudding A nurse is teaching about food choices to a client who has chronic kidney disease and must limit potassium intake. Which of the following choices should the nurse recommend as containing the least potassium? a) Half cup non -fat yogurt b) two tablespoons of peanut butter c) 1 Cup white rice d) one medium baked potato with skin ----------- Correct Answer -------- c) 1 Cup white rice A nurse is assessing a client following the insertion of a central venous catheter. Which of the following findings indicates a pneumothorax? a) Diminished breath sounds b) Itching over the incision c) Distended neck veins d) Irregular heart rate ----------- Correct Answer -------- a) Diminished breath sounds A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take when performing a close intermittent irrigation? a) Use a 3ml syringe to perform the catheter irrigation b) Clamp the catheter above the specimen port c) Place the client in Trendelenburg position d) Inject the irrigation solution slowly into the catheter ----------- Correct Answer -------- d) Inject the irrigation solution slowly into the catheter A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching? a) I will need to take my clothes to the dry cleaners to sterilize them b) I will wipe up areas soiled with body fluids with alcohol and immediately disposed of the trash (should be cleaned with bleach not alcohol) c) I will be sure to wear gloves and wash my hands when I change my cat's litter box d) I will increase the amount of fresh fruits and vegetables I consume ----------- Correct Answer -------- c) I will be sure to wear gloves and wash my hands when I change my cat's litter box A nurse is caring for a client who is post -operative following an endoscopy with moderate (conscious) Sedation. Which of the following assessment findings is the nurse's priority? a) Level of pain b) Gag reflex c) Warmth of extremities d) Temperature ----------- Correct Answer -------- b) Gag reflex Nurse is caring for an older adult client who is suspected of having septicemia. Which of the following actions is the nurse's priority? a) Obtain a history to determine recent injuries b) Obtain a broad -spectrum antibiotic for Rapid Administration c) Obtain a WBC count with differential d) Obtain a blood specimen for culture and sensitivity testing ----------- Correct Answer --
------ d) Obtain a blood specimen for culture and sensitivity testing A nurse is caring for a client who has just undergone a total laryngectomy. Which of the following findings is the nurse's priority for immediate intervention? a) Blood -tinged secretions b) Tachypnea c) Fever d) IV infiltration ----------- Correct Answer -------- b) Tachypnea A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure? a) Administer IV fluids to the client b) Insert a urinary catheter c) Initiate beta -blocker therapy d) Prepare the client for an intravenous pyelogram ----------- Correct Answer -------- a) Administer IV fluids to the client A nurse is caring for a client who has just returned from surgery with an external fixator to the left tibia. Which of the following assessment finding requires immediate intervention by the nurse? a) a client has 100 ml blood in the closed suction drain b) the client's capillary refill in the left toe is 6 seconds c) the client has an oral temperature of 38.3 C (100.9 Fahrenheit) d) the client reports a pain level of 7 on a scale from 0 to 10 at the operative site ----------
- Correct Answer -------- b) the client's capillary refill in the left toe is 6 seconds A nurse is an emergency department is reviewing a client's ECG reading. Which of the following findings should the nurse identify as an indication that the client has a first degree heart block? a) more p waves than QRS complexes b) prolonged PR intervals c) non discernible P waves d) no correlation between P and QRS waves ----------- Correct Answer -------- b) prolonged PR intervals A nurse is reviewing the medication list of a client who is being admitted with diabetes insipidus. Which of the following medication places the client at an increased risk for developing diabetes insipidus? a) Ranitidine b) Atorvastatin c) Propranolol d) lithium ----------- Correct Answer -------- d) lithium A nurse is planning care for a client who has left -sided hemiplegia following a stroke which of the following actions should the nurse include in the plan of care? a) Place a plate guard on the client's meal tray b) position the bedside table on the client's left side c) remind the client to use a cane on his left side while ambulating d) provide the client with a short handled Reacher ----------- Correct Answer -------- a) Place a plate guard on the client's meal tray A nurse is administering potassium chloride via IV infusion to a client who has severe hypokalemia. Which of the following actions should the nurse take? a) Start the infusion at 30 meq /hr b) assess the client for a positive chvostek's sign c) Monitor the client for adequate urine output d) check infusion site at least every 4 hours ----------- Correct Answer -------- a) Start the infusion at 30 meq /hr A nurse in the PACU is caring for a client. Which of the following assessment is the nurses priority? a) Surgical site b) level of consciousness c) respiratory status d) pain level ----------- Correct Answer -------- c) respiratory status A nurse is reviewing the medical record of a client who is scheduled for a CT scan with contrast media. Which of the following medication should the nurse instruct the client to withhold for 48 hours following the procedure? a) Carvedilol b) Furosemide c) Metformin d) Clopidrogel ----------- Correct Answer -------- c) Metformin A nurse is planning care for a client who has a full -thickness burns on the lower extremities. Which of the following interventions should the nurse include? a) Limit visitation time for client's children to 40 minutes per day b) clean the equipment in the client's room once per week c) provide a diet of fresh fruits and vegetable for the client d) apply new gloves when alternating between wound care sites ----------- Correct Answer -------- d) apply new gloves when alternating between wound care sites
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