ATI MED SURG PROCTORED COMPREHENSIVE
SCRIPT 2026 QUESTIONS AND SOLUTIONS
◉ A nurse is collecting data from client who reports a 55 year old
female client who reports vaginal dryness and hot flashes. The client
is interested in trying hormone replacement therapy (HRT). Which
of the following should the nurse recognize as a contraindication to
HRT?
1) History of treatment of blood clots.
2) Topiramate use for migraine headaches
3) Increased serum cholesterol levels
4) Five year history of menopause manifestations Answer: 1)
History of treatment of blood clots.
- Estrogen increases the risk of blood clots. Therefore, a woman who
has a history of blood clots should not receive HRT.
- The nurse should identify that the use of topiramate to treat
migraine headaches can cause decreased absorption of estrogen
,when used as a contraceptive. However, topiramate is not a
contraindication to HRT.
- The nurse should identify that one of the benefits of HRT is a
decrease in LDL and an increase in HDL levels. Therefore, HRT is not
contraindicated for a client who has increased serum cholesterol
levels.
- The nurse should identify that manifestations of menopause can
last for 10 years or more and HRT is not contraindicated for a client
whose menopause manifestations began 5 years ago.
◉ A nurse in an oncology clinic is reinforcing teaching about Mohs
surgery with a client who has skin cancer. Which of the following
information should the nurse include in the teaching?
1) Mohs surgery is a palliative treatment for metastatic skin cancer.
2) Mohs surgery is the preferred treatment for melanoma skin
cancer.
3) Mohs surgery uses liquid nitrogen to destroy the cancerous
tissue.
,4) Mohs surgery is a horizontal shaving of thin layers of the tumor.
Answer: 4) Mohs surgery is a horizontal shaving of thin layers of the
tumor.
- Mohs surgery is performed to treat basal and squamous cell
carcinoma. The procedure, which involves a horizontal shaving of
thin layers of a tumor, has a high treatment rate.
- Radiation, rather than Mohs surgery, can be used as a palliative
treatment for metastatic skin cancer.
- Mohs surgery is the preferred treatment for basal and squamous
cell carcinoma. The preferred treatment for melanoma is a wide, full
thickness surgical excision.
- Cryosurgery, rather than Mohs surgery, uses liquid nitrogen to
destroy cancerous tissue.
◉ Electrode placement for ECG Answer: - The nurse should identify
that the Right Arm (RA) electrode should be positioned just below
the right clavicle.
- The nurse should identify that the Left Arm (LA) electrode should
be positioned just below the left clavicle.
, - The nurse should identify that the V1 electrode should be placed in
the 4th intercostal space just to the right of the sternum. Correct
placement of the electrodes is vital in obtaining accurate
information about the electrical activity of the heart.
- The nurse should identify that the V2 electrode should be placed in
the 4th intercostal space just to the left of the sternum.
◉ A nurse is collecting data from a client who has kypokalemia.
Which of the following findings should the nurse identify as the
priority?
1) Abdominal pain
2) Dysrhythmia
3) Lethargy
4) Muscle weakness Answer: 2) Dysrhythmia
- When using the airway, breathing, circulation approach to client
care, the nurse should identify that the priority finding for a client
who has hypokalemia is dysrhythmia.
SCRIPT 2026 QUESTIONS AND SOLUTIONS
◉ A nurse is collecting data from client who reports a 55 year old
female client who reports vaginal dryness and hot flashes. The client
is interested in trying hormone replacement therapy (HRT). Which
of the following should the nurse recognize as a contraindication to
HRT?
1) History of treatment of blood clots.
2) Topiramate use for migraine headaches
3) Increased serum cholesterol levels
4) Five year history of menopause manifestations Answer: 1)
History of treatment of blood clots.
- Estrogen increases the risk of blood clots. Therefore, a woman who
has a history of blood clots should not receive HRT.
- The nurse should identify that the use of topiramate to treat
migraine headaches can cause decreased absorption of estrogen
,when used as a contraceptive. However, topiramate is not a
contraindication to HRT.
- The nurse should identify that one of the benefits of HRT is a
decrease in LDL and an increase in HDL levels. Therefore, HRT is not
contraindicated for a client who has increased serum cholesterol
levels.
- The nurse should identify that manifestations of menopause can
last for 10 years or more and HRT is not contraindicated for a client
whose menopause manifestations began 5 years ago.
◉ A nurse in an oncology clinic is reinforcing teaching about Mohs
surgery with a client who has skin cancer. Which of the following
information should the nurse include in the teaching?
1) Mohs surgery is a palliative treatment for metastatic skin cancer.
2) Mohs surgery is the preferred treatment for melanoma skin
cancer.
3) Mohs surgery uses liquid nitrogen to destroy the cancerous
tissue.
,4) Mohs surgery is a horizontal shaving of thin layers of the tumor.
Answer: 4) Mohs surgery is a horizontal shaving of thin layers of the
tumor.
- Mohs surgery is performed to treat basal and squamous cell
carcinoma. The procedure, which involves a horizontal shaving of
thin layers of a tumor, has a high treatment rate.
- Radiation, rather than Mohs surgery, can be used as a palliative
treatment for metastatic skin cancer.
- Mohs surgery is the preferred treatment for basal and squamous
cell carcinoma. The preferred treatment for melanoma is a wide, full
thickness surgical excision.
- Cryosurgery, rather than Mohs surgery, uses liquid nitrogen to
destroy cancerous tissue.
◉ Electrode placement for ECG Answer: - The nurse should identify
that the Right Arm (RA) electrode should be positioned just below
the right clavicle.
- The nurse should identify that the Left Arm (LA) electrode should
be positioned just below the left clavicle.
, - The nurse should identify that the V1 electrode should be placed in
the 4th intercostal space just to the right of the sternum. Correct
placement of the electrodes is vital in obtaining accurate
information about the electrical activity of the heart.
- The nurse should identify that the V2 electrode should be placed in
the 4th intercostal space just to the left of the sternum.
◉ A nurse is collecting data from a client who has kypokalemia.
Which of the following findings should the nurse identify as the
priority?
1) Abdominal pain
2) Dysrhythmia
3) Lethargy
4) Muscle weakness Answer: 2) Dysrhythmia
- When using the airway, breathing, circulation approach to client
care, the nurse should identify that the priority finding for a client
who has hypokalemia is dysrhythmia.
