ATI MED SURG
PROCTORED EXAM 2
QUESTIONS AND
VERIFIED ANSWERS
, ATI MED SURG PROCTORED EXAM 2 QUESTIONS AND
VERIFIED ANSWERS
.A nurse is contacting the provider of a client who has cancer and is experiencing breakthrough
pain. Which of the following prescriptions should the nurse anticipate?
1.Intravenous dexamethasone
2.Transmucosal fentanyl
3.Oral acetaminophen- not strong enough
4.Intramuscular meperidine - -Answer--2.Transmucosal fentanyl
A charge nurse is called to a client's room after a staff nurse reports a client has had a wound
evisceration. Which of the following actions should the charge nurse take?
a. Attempt to reinsert the protruding viscera- DO NOT ATTEMPT TO REINSERT ORGANS
b. Obtain bottles of warm, sterile 0.9% sodium chloride solution
c. Place the client in left lateral recumbent position- low fowlers hips knees bent
d. Apply a firm pressure dressing across the client's abdomen - -Answer--B. Obtain bottles of
warm sterile saline
A charge nurse receives a call from the house supervisor requesting room assignments for four
new clients. Based on the information diagnosis which of the following clients requires a private
room?
a) A client reports having fever, night sweats, and call for 2 days
b) an older adult client who was admitted with aspiration pneumonia
c) a client who has diabetes mellitus and is presenting with acute ketoacidosis
d) a client who has a compound fracture of the right femur - -Answer--a) A client reports having
fever, night sweats, and call for 2 days
A community health nurse is reviewing home care instructions with an older adult client who has
a new diagnosis of heart failure. Which of the following is the priority topic for the nurse to
review with the client?
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record - -Answer--c) Changes in weight
A home care nurse is planning to use nonpharmacological pain relief measures for an older
adult who has sever chronic back pain. Which of the following guidelines should the nurse use?
1.Discontinue opioids before trying nonpharmacological methods of pain relief
2.Pain relief from the use of heat and cold continues for several hours after removal of the
stimulus
3.Use imagery with clients who have difficulty with focus and concentration
4.Distraction changes the client's perception of pain, but does not affect the cause - -Answer--
Pain relief from the use of heat and cold continues for several hours after removal of the
stimulus
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 - -Answer--c) vanilla pudding
,A nurse at a long-term facility is assessing an older adult client. Which of the following findings
should the nurse identify as an indication that the client has a recall memory impairment?
1.Inability to state his current age
2.Inability to name the members of his family
3.Inability to count backwards from 10
4.Inability to state what he had for dinner last night - -Answer--4.Inability to state what he had for
dinner last night
A nurse finds a client in bed, unresponsive and breathing. Which of the following action should
the nurse take first?
a) Establish IV access
b) Apply blood pressure cuff c) Palpate for the client's carotid pulse
d) Initiate cardiac monitoring for the client - -Answer--c) Palpate for the client's carotid pulse
A nurse in a clinic is providing for preventive teaching to an older client during a Well Visit. The
nurse should instruct the client that which of the following immunizations are recommended for
healthy adults after age 60 (select all that apply)
a) human papillomavirus
b) pneumococcal polysaccharide
c) Meningococcal
d) Influenza
e) herpes zoster - -Answer--a) pneumococcal
d) Influenza
e) herpes zoster
A nurse in a provider's office is teaching a client about the self management of GERD which of
the following instruction should the nurse include?
a) Lie down 30 minutes after each meal
b) sleep with the head of your bed elevated 6 inches
c) increase your caloric intake by 250 calories per day
d) Eat A light meal 1 hour before bedtime - -Answer--b) sleep with the head of your bed
elevated 6 inches
A nurse in a provider's office is teaching a client about the self-management of GERD. Which of
the following instructions should the nurse include?
a. "Eat a light meal 1 hour before bedtime"- avoid eating before bedtime
b. "Lie down for 30 minutes after each meal"- CANNOT BE SUPINE
c. "Increase your caloric intake by 250 calories per day"
d. "Sleep with the head of your bed elevated 6 inches" - -Answer--d. "Sleep with the head of
your bed elevated 6 inches"
A nurse in an emergency department is assessing a client who has cirrhosis of the liver. Which
of the following is a priority finding?
1.Yellow sclera
2.Mental confusion
3.Palmar erythema
4.Spider angiomas - -Answer--2.Mental confusion
A nurse in an emergency department is assessing a client who has diabetic ketoacidosis. Which
of the following findings should the nurse expect? (select all the apply)
, a) Tremors
b) reports of nausea and vomiting
c) Serum glucose 380 mg / DL d) serum pH 7.6 e) fruity smelling breath - -Answer--b) reports of
nausea and vomiting
c) Serum glucose 380 mg / DL
e) fruity smelling breath
A nurse in an emergency department is caring for a client who has sinus bradycardia. Which of
the following actions should the nurse take first?
1.Administer atropine to the client
2.Initiate IV therapy for the client
3.Measure the client's blood pressure
4.Prepare the client for temporary pacing - -Answer--Measure the client's blood pressure
A nurse in an emergency department is caring for a client who is receiving treatment for
excessive ingestion of antacids. The nurse should identify that this client is at risk for which of
the following acid-base imbalances?
1.Metabolic acidosis
2.Respiratory acidosis
3.Respiratory alkalosis
4.Metabolic alkalosis - -Answer--4.Metabolic alkalosis
A nurse in an emergency department is preparing a client for emergency surgery. The client's
blood alcohol level is 180 mg / DL which of the following action is the nurse's priority?
a) Insert an NG Tube
b) obtain consent for surgery c) apply anti embolic stockings
d) insert an indwelling urinary catheter - -Answer--a) Insert an NG Tube
a nurse in an emergency department is reviewing a client's ECG reading. Which of the following
finding should the nurse identify as an indication that the client has first-degree heart block?
1.Prolonged PR intervals
2.More P waves than QRS complexes
3.Non discernible P waves
4.No correlation between P and QRS waves - -Answer--1.Prolonged PR intervals
A nurse in the emergency department is assessing a client. Which of the following actions
should the nurse take first? (Click on the "Exhibit" button for additional information about the
client. There are three tabs that contain separate categories of data.)
1.Obtain a sputum sample for culture.
2.Prepare the client for a chest x-ray.
3.Initiate airborne precautions 4.Administer ondansetron - -Answer--3.Initiate airborne
precautions
A nurse in the emergency department is caring for a client who has deep partial thickness burns
over 30% of his body, including his upper chest and abdomen. Which of the following actions is
the nurse priority?
1.Insert an 18-gauge IV catheter
2.Administer tetanus toxoid
3.Check the clients mouth for black particles
4.Remove the clients burned clothing. - -Answer--3.Check the clients mouth for black particles
PROCTORED EXAM 2
QUESTIONS AND
VERIFIED ANSWERS
, ATI MED SURG PROCTORED EXAM 2 QUESTIONS AND
VERIFIED ANSWERS
.A nurse is contacting the provider of a client who has cancer and is experiencing breakthrough
pain. Which of the following prescriptions should the nurse anticipate?
1.Intravenous dexamethasone
2.Transmucosal fentanyl
3.Oral acetaminophen- not strong enough
4.Intramuscular meperidine - -Answer--2.Transmucosal fentanyl
A charge nurse is called to a client's room after a staff nurse reports a client has had a wound
evisceration. Which of the following actions should the charge nurse take?
a. Attempt to reinsert the protruding viscera- DO NOT ATTEMPT TO REINSERT ORGANS
b. Obtain bottles of warm, sterile 0.9% sodium chloride solution
c. Place the client in left lateral recumbent position- low fowlers hips knees bent
d. Apply a firm pressure dressing across the client's abdomen - -Answer--B. Obtain bottles of
warm sterile saline
A charge nurse receives a call from the house supervisor requesting room assignments for four
new clients. Based on the information diagnosis which of the following clients requires a private
room?
a) A client reports having fever, night sweats, and call for 2 days
b) an older adult client who was admitted with aspiration pneumonia
c) a client who has diabetes mellitus and is presenting with acute ketoacidosis
d) a client who has a compound fracture of the right femur - -Answer--a) A client reports having
fever, night sweats, and call for 2 days
A community health nurse is reviewing home care instructions with an older adult client who has
a new diagnosis of heart failure. Which of the following is the priority topic for the nurse to
review with the client?
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record - -Answer--c) Changes in weight
A home care nurse is planning to use nonpharmacological pain relief measures for an older
adult who has sever chronic back pain. Which of the following guidelines should the nurse use?
1.Discontinue opioids before trying nonpharmacological methods of pain relief
2.Pain relief from the use of heat and cold continues for several hours after removal of the
stimulus
3.Use imagery with clients who have difficulty with focus and concentration
4.Distraction changes the client's perception of pain, but does not affect the cause - -Answer--
Pain relief from the use of heat and cold continues for several hours after removal of the
stimulus
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 - -Answer--c) vanilla pudding
,A nurse at a long-term facility is assessing an older adult client. Which of the following findings
should the nurse identify as an indication that the client has a recall memory impairment?
1.Inability to state his current age
2.Inability to name the members of his family
3.Inability to count backwards from 10
4.Inability to state what he had for dinner last night - -Answer--4.Inability to state what he had for
dinner last night
A nurse finds a client in bed, unresponsive and breathing. Which of the following action should
the nurse take first?
a) Establish IV access
b) Apply blood pressure cuff c) Palpate for the client's carotid pulse
d) Initiate cardiac monitoring for the client - -Answer--c) Palpate for the client's carotid pulse
A nurse in a clinic is providing for preventive teaching to an older client during a Well Visit. The
nurse should instruct the client that which of the following immunizations are recommended for
healthy adults after age 60 (select all that apply)
a) human papillomavirus
b) pneumococcal polysaccharide
c) Meningococcal
d) Influenza
e) herpes zoster - -Answer--a) pneumococcal
d) Influenza
e) herpes zoster
A nurse in a provider's office is teaching a client about the self management of GERD which of
the following instruction should the nurse include?
a) Lie down 30 minutes after each meal
b) sleep with the head of your bed elevated 6 inches
c) increase your caloric intake by 250 calories per day
d) Eat A light meal 1 hour before bedtime - -Answer--b) sleep with the head of your bed
elevated 6 inches
A nurse in a provider's office is teaching a client about the self-management of GERD. Which of
the following instructions should the nurse include?
a. "Eat a light meal 1 hour before bedtime"- avoid eating before bedtime
b. "Lie down for 30 minutes after each meal"- CANNOT BE SUPINE
c. "Increase your caloric intake by 250 calories per day"
d. "Sleep with the head of your bed elevated 6 inches" - -Answer--d. "Sleep with the head of
your bed elevated 6 inches"
A nurse in an emergency department is assessing a client who has cirrhosis of the liver. Which
of the following is a priority finding?
1.Yellow sclera
2.Mental confusion
3.Palmar erythema
4.Spider angiomas - -Answer--2.Mental confusion
A nurse in an emergency department is assessing a client who has diabetic ketoacidosis. Which
of the following findings should the nurse expect? (select all the apply)
, a) Tremors
b) reports of nausea and vomiting
c) Serum glucose 380 mg / DL d) serum pH 7.6 e) fruity smelling breath - -Answer--b) reports of
nausea and vomiting
c) Serum glucose 380 mg / DL
e) fruity smelling breath
A nurse in an emergency department is caring for a client who has sinus bradycardia. Which of
the following actions should the nurse take first?
1.Administer atropine to the client
2.Initiate IV therapy for the client
3.Measure the client's blood pressure
4.Prepare the client for temporary pacing - -Answer--Measure the client's blood pressure
A nurse in an emergency department is caring for a client who is receiving treatment for
excessive ingestion of antacids. The nurse should identify that this client is at risk for which of
the following acid-base imbalances?
1.Metabolic acidosis
2.Respiratory acidosis
3.Respiratory alkalosis
4.Metabolic alkalosis - -Answer--4.Metabolic alkalosis
A nurse in an emergency department is preparing a client for emergency surgery. The client's
blood alcohol level is 180 mg / DL which of the following action is the nurse's priority?
a) Insert an NG Tube
b) obtain consent for surgery c) apply anti embolic stockings
d) insert an indwelling urinary catheter - -Answer--a) Insert an NG Tube
a nurse in an emergency department is reviewing a client's ECG reading. Which of the following
finding should the nurse identify as an indication that the client has first-degree heart block?
1.Prolonged PR intervals
2.More P waves than QRS complexes
3.Non discernible P waves
4.No correlation between P and QRS waves - -Answer--1.Prolonged PR intervals
A nurse in the emergency department is assessing a client. Which of the following actions
should the nurse take first? (Click on the "Exhibit" button for additional information about the
client. There are three tabs that contain separate categories of data.)
1.Obtain a sputum sample for culture.
2.Prepare the client for a chest x-ray.
3.Initiate airborne precautions 4.Administer ondansetron - -Answer--3.Initiate airborne
precautions
A nurse in the emergency department is caring for a client who has deep partial thickness burns
over 30% of his body, including his upper chest and abdomen. Which of the following actions is
the nurse priority?
1.Insert an 18-gauge IV catheter
2.Administer tetanus toxoid
3.Check the clients mouth for black particles
4.Remove the clients burned clothing. - -Answer--3.Check the clients mouth for black particles
