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ATI MEDSURG PROCTORED EXAM ACTUAL EXAM |
ALL QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | VERIFIED ANSWERS |
LATEST EXAM 2025
A nurse is preparing to administer 1 unit of packed RBCs to an adult client. Which of the following actions should the nurse plan to take? a. Administer through a 22-gauge IV catheter b. Prime the IV tubing with 0.45% sodium chloride c. Complete the transfusion within 2 hour d. Slow the transfusion rate if the client reports itching ---------CORRECT ANSWER-----------------c. Complete the transfusion within 2 hours A nurse is planning care for a client who has developed nephrotic syndrome. Which of the following dietary recommendations should the nurse include? a. Increase phosphorus intake c. Increase potassium intake d. Decrease carbohydrate intake b. Decrease protein intake ---------CORRECT ANSWER-----------------b. Decrease protein intake A nurse is caring for an older adult client who has dementia. Which of the following questions should the nurse ask to assess the client's abstract thinking? a. "can you count backwards from 100 intervals of 7?" b. "what is meant by the saying, don't beat around the brush? c. "what do you understand about your condition?" d. "can you tell me the state where you were born?" ---------CORRECT ANSWER-----------------b. What is meant by saying, don't beat around the bush?
A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the following actions should the nurse take? a. Keep the soiled bed linens in the client's room b. Instruct visitors to remain 3 feet from the client c. Discard the radioactive device in the client's trash can d. Limit time for visitors to 2 hour per day ---------CORRECT ANSWER------- ----------a. Keep the soiled bed linens in the client's room A nurse is preparing a client for a lumbar puncture. Which of the following images indicates the position should the nurse assist the client into for this procedure? a. Side-lying (THIS IS A DIAGRAM CHOOSE THE PERSON IN A FETAL POSITION) ---------CORRECT ANSWER-----------------SIDELYING POSITION A nurse is caring for a client who has cervical cancer and a sealed radiation implant. Which of the following actions should the nurse take? a. Place long-handled forceps at the client's bedside b. Attach a dosimeter badge to the client's gown c. Leave unused equipment in the client's room until discharge d. Move the client's soiled linens to a designated container outside the room ---------CORRECT ANSWER-----------------A. Place long-handled forceps at the client's bedside A nurse is teaching a client who has Graves' disease about recognizing the manifestations of the thyroid storm. Which of the following findings should the nurse include in the teaching? a. Increased temperature b. Decreased HR
c. Administer phenytoin IV bolus to the client d. Administer diazepam intravenously to the client ---------CORRECT ANSWER-----------------a. Turn the client to the lateral position during seizure activity A nurse is caring for a client following a below-the knee amputation. The client states. "my life is over." Which of the following responses should the nurse make? a. "you are upset. We can talk about this later?" b. "would you like to meet with another client who is an amputee?" c. "why do you think your life is over?" d. "most people can adjust following this surgery" ---------CORRECT ANSWER-----------------b. would you like to meet another client who is an amputee? A nurse in a clinic is providing preventive teaching to an older adult client during a well visit. The nurse should instruct the client that which of the following immunizations are recommended for healthy adults after the age of 60? Select All That Apply a. Herpes zoster b. Influenza c. Meningococcal d. Human papillomavirus e. Pneumococcal polysaccharide ---------CORRECT ANSWER----------------- a. Herpes zoster b. Influenza E. Pneumococcal polysaccharide A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse plan to include? a. Turn off all lights in the client's room at night b. Place the client's bed at the lowest height
c. Request a prescription for a nightly sedative d. Assist the client with toileting at least once every 4 hour --------- CORRECT ANSWER-----------------b. Place the client's bed at the lowest height A nurse is assessing a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following findings indicates that the client is experiencing hypoglycemia? a. Abdominal cramping b. Increased perspiration c. Dehydration d. Fruity odor to breath ---------CORRECT ANSWER-----------------b. Increased perspiration A nurse in the PACU is assessing a client who is postoperative following general anesthesia. Which of the following findings is the priority to address? b. Decreased body temperature c. Indistinct, rambling speech d. Piloerection of the skin a. Vomiting upon arousal ---------CORRECT ANSWER-----------------a. Vomiting upon arousal A nurse is caring for a client who has hypervolemia. Which of the following is an expected assessment finding? a. Bradycardia b. Hypotension c. Loss of skin turgor d. Weight gain ---------CORRECT ANSWER-----------------d. Weight gain
d. Pain relief from the use of heat and cold continues for several hours after removal of the stimulus ---------CORRECT ANSWER-----------------c. Distraction changes the client's perception of pain, but does not affect the cause. A nurse is caring for a female client who is receiving total parental nutrition without fat emulsion. Which of the following findings should the nurse report? a. Crackles in the bilateral lung bases b. Weight gain of 1.3 kg (3lb) over the past 7 days c. Triglyceride 110 mg/dl d. Bowel sounds absent in lower quadrants ---------CORRECT ANSWER---- -------------a. Crackles in the bilateral lung bases A nurse in an emergency department is preparing to perform an ocular irrigation for a client. Which of the following actions should the nurse plan to take? a. Assess the client's visual acuity prior to irrigation b. Have the client turn their head toward the unaffected eye c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye d. Perform the irrigation with sterile water for irrigation ---------CORRECT ANSWER-----------------D. Perform the irrigation with sterile water for irrigation A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the nurse set the IV pump to administer? Round to near whole number. A. 10 B. 22
C. 33
D. 4 ---------CORRECT ANSWER-----------------C. 33 gtt/min A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following client statements indicates an understanding of the teaching? a. I can keep my medications for 1 year before replacing it b. I should lie down when I take this medication c. I should discontinue this medication if I develop a headache d. I can take up to five tablets in 15 minutes before seeking medical attention ---------CORRECT ANSWER-----------------b. I should lie down when I take this medication A nurse is providing discharge teaching to an older adult client following a left total hip arthroplasty. Which of the following instructions should the nurse include in the teaching? a. Clean the incision daily with hydrogen peroxide b. You can cross your legs the ankles when sitting down c. You should use an incentive spirometer every 8 hours d. Install a raised toilet seat in your bathroom ---------CORRECT ANSWER- ----------------d. Install a raised toilet seat in your bathroom A nurse is planning care for a client following a cardiac catheterization. Which of the following actions should the nurse take? a. Keep the client on bed rest for 24 hours b. Limit the client's fluid intake to 1 l per day c. Maintain the client's affected extremity in extension d. Change the client's dressing every 8 hour ---------CORRECT ANSWER--- --------------c. maintain the clients affected extremity in extension
c. Furosemide d. Nitroprusside ---------CORRECT ANSWER-----------------a. Desmopressin A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor and reports a nagging dry cough. Which of the following responses by the nurse is appropriate? a. "your cough may require that you stop or change your medication" b. "Increasing your daily fluid intake may eliminate your cough" c. "sucking on lozenge may reduce the frequency of your cough" d. You cough should go away in time" ---------CORRECT ANSWER----------- ------a. your cough may require that you stop or change your medication A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following assessment findings should the nurse identify as a potential trigger for exacerbations of Raynaud's? a. Eating a strict vegetarian diet b. A history of herpes zoster c. Taking amiodipine for hypertension d. Using a nicotine transdermal patch ---------CORRECT ANSWER------------ -----d. Using a nicotine transdermal patch A nurse is caring for a client who has a central venous access device and notes the tubing has become disconnected. The client develops dyspnea and tachycardia. Which of the following actions should the nurse take first? a. Perform an ECG b. Obtain ABG values
c. Turn the client to his left side d. Clamp the catheter ---------CORRECT ANSWER-----------------d. Clamp the catheter A nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the plan of care? a. Turn and reposition the client every 4 hr b. Apply an occlusive dressing c. Support bony prominences with pillows d. Massage the reddened areas three times a day ---------CORRECT ANSWER-----------------c. Support bony prominences with pillows A home health nurse is making an initial visit to a client who has multiple sclerosis. Which of the following actions is the priority for the nurse to take? a. Discuss recommendations for eating and swallowing techniques b. List strategies for family coping when dealing with possible role changes c. Review the use of adaptive grooming devices to promote client independence d. Give the client information about the local national multiple sclerosis society ---------CORRECT ANSWER-----------------a. Discuss recommendations for eating and swallowing techniques A nurse in the emergency department is assessing a client. Which of the following actions should the nurse take first? Exhibit a. Obtain a sputum sample for culture b. Administer ondansetron c. Initiate airborne precautions d. Prepare the client for a chest x-ray ---------CORRECT ANSWER------------ -----c. Initiate airborne precautions
b. Obtain the unit of packed RBCs from blood bank c. Verify blood compatibility with another nurse d. Initiate transfusion of the unit of packed RBCs e. Remain with the client for the first 15 to 30 min of the infusion A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include? a. "rinse your mouth with hydrogen peroxide" b. "brush your teeth for 60 seconds twice daily" c. "wear your dentures only during meals" d. "floss your teeth following each meals" ---------CORRECT ANSWER------- ----------d. Floss your teeth following each meals A critical care nurse is assessing a client who has severe head injury. In response to painful stimuli, the client does not open her eyes, displays decerebrate posturing, and makes incomprehensible sounds. Which of the following Glasgow Coma Scale scores should the nurse assign the client? a. 5 b. 2 c. 13 d. 10 ---------CORRECT ANSWER-----------------a. 5 A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit sodium intake to 2 g per day. Which of the following statements by the client indicates an understanding of the teaching? a. "I can season my foods with garlic and onion salts" b. "I can have mayonnaise on my sandwiches"
c. "I can have a frozen fruit juice bar for dessert" d. "I can drink vegetable juice with a meal" ---------CORRECT ANSWER----- ------------c. I can have a frozen fruit juice bar for dessert A nurse is preparing to perform ocular irrigation for a client following chemical splash to the eye. Which of the following actions should the nurse plan to take first? a. Instill 0.9% sodium chloride solution into the affected eye b. Administer proparacaine eyedrops into the affected eye c. Collect information about the irritant that caused the injury --------- CORRECT ANSWER-----------------c. Collect information about the irritant that caused the injury A nurse is assessing a client following extubation from a ventilator. For which of the following findings should the nurse intervene immediately? a. Rhonchi b. SaO2 92% c. Sore throat d. Stridor ---------CORRECT ANSWER-----------------d. Stridor A nurse is reviewing the laboratory reports of a client who has acute pancreatitis. Which of the following findings should the nurse expect? a. Elevated serum calcium b. Elevated blood glucose c. Decreased serum amylase d. Decreased erythrocyte sedimentation rate ---------CORRECT ANSWER-- ---------------b. Elevated blood glucose A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of
A nurse is caring for a client who has an arteriovenous graft. Which of the following findings indicates adequate circulation of the graft? a. Dilated appearance of the graft b. Absence of a bruit c. Normotensive blood pressure d. Palpable thrill ---------CORRECT ANSWER-----------------d. Palpable thrill A nurse is assessing a client who has heart failure and is receiving a loop diuretic. Which of the following findings indicates hypokalemia? a. Oliguria b. Hypertension c. Muscle weakness d. Positive chvostek's sign (CHEEK) ---------CORRECT ANSWER------------- ----c. Muscle weakness A nurse is caring for a client who has a full-thickness burn injury covering 15% of their body. Which of the following actions should the nurse take? a. Weigh the client once per week b. Provide the client with a protein intake of 1g/kg/day c. Maintain a daily count of the client's calorie intake d. Place the client on a low-carb diet ---------CORRECT ANSWER------------- ----c. Maintain a daily count of the client's calorie intake A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching? a. "I will expect my stools to be loose" b. "I will eat a high fiber diet' c. "I will take a laxative when I'm constipated"
d. "I will empty my bag when it is full" ---------CORRECT ANSWER------------ -----a. I will expect my stools to be loose A nurse is caring for a client who is receiving total parental nutrition through a central line. The current bag is nearly empty, and a new bag is unavailable from the pharmacy. Which of the following actions should the nurse take? a. Switch the infusion to a 10% dextrose solution b. Discontinue the infusion and flush the line c. Decrease the rate of infusion to last until the new bag is available d. Start an infusion of 0.45% sodium chloride solution ---------CORRECT ANSWER-----------------a. Switch the infusion to a 10% dextrose solution A nurse is caring for a client who is 6 hr postoperative following a thyroidectomy. The client reports tingling and numbness in the hands. The nurse should identify this as a sign of which of the following electrolyte imbalances? a. Hypocalcemia b. Hypokalemia c. Hypermagnesemia d. Hypernatremia ---------CORRECT ANSWER-----------------a. Hypocalcemia A nurse is caring for a client who is caregiver for a relative who has chronic disease. Which of the following statements indicates the client is adapting to the role change? a. "I had to reschedule my doctor's appointment last week" b. "I have lunch with my friends once a week" c. "I've lost 15 pounds in the past 2 months" d. "I need to get my blood pressure medicine refilled" ---------CORRECT ANSWER-----------------d. I need to get my blood pressure medicine refilled.
A nurse is a planning care for a client who has full-thickness burns on the lower extremities. Which of the following interventions should the nurse include? a. Apply new gloves when alternating between wound care sites b. Provide a diet of fresh fruits and vegetables for the client c. Limit visitation time for the client's children to 40 min per day d. Clean the equipment in the client's room once per week --------- CORRECT ANSWER-----------------a. Apply new gloves when alternating between wound cares sites A nurse is providing teaching for a client who has tuberculosis and a new prescription for pyrazinamide. The nurse should instruct the client to notify the provider if which of the following adverse effects occurs? a. Hair loss b. Polyuria c. Weight gain d. Jaundice ---------CORRECT ANSWER-----------------d. Jaundice 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. Position the bedside table on the client's left side b. Place the plate guard on the client's meal tray c. Provide the client with a short handled reacher d. Remind the client to use a cane on left side while ambulating --------- CORRECT ANSWER-----------------b. Place the plate guard on the client's meal tray A nurse is performing an ear irrigation for a client. Which of the following actions should the nurse take? a. Use a cool fluid for irrigation
b. Insert the tip of the syringe 2.5cm (1in) into the ear canal c. Tilt the client's head 45 degrees d. Point the tip of the syringe toward the top of the ear canal --------- CORRECT ANSWER-----------------d. Point the tip of the syringe toward the top of the ear canal A nurse is caring for a client who has a history of chemotherapy-induced nausea and vomiting. Which of the following medications should the nurse administer prior to chemotherapy? a. Ondansetron b. Sertraline c. Methylprednisolone d. Diphenhydramine ---------CORRECT ANSWER-----------------a. Ondansetron (ZOFRAN) A nurse is preparing to discharge a client who has halo device and is reviewing new prescriptions from the provider. The nurse should clarify which of the following prescriptions with the provider? a. Increase intake of fiber-rich foods b. May place a small pillow under head when sleeping c. May operate a motor vehicle when no longer taking analgesics d. Take a tub bath instead of showers ---------CORRECT ANSWER----------- ------c. May operate a motor vehicle when no longer taking analgesics A nurse is providing discharge teaching to a client who has tuberculosis. Which of the following information should the nurse include in the teaching? a. "You should wear an N95 respirator mask when you are at home" b. "you will need to return in 2 weeks to provide a sputum specimen" c. "You can drink alcohol after the first 6 weeks of treatment"
