ATI MED SURG PROCTORED EXAM
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Answers | With 100% Correct Answers
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A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of
the following actions should the nurse take - Correct Answer: Ensure the client's weights are hanging
freely from the bed.
A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking
ferrous gluconate for several weeks. Which of the following instructions should the nurse include? -
Correct Answer: Take this medication between meals.
A nurse is preparing a plan of care for a client who is postoperative following
a modified radical mastectomy. Which of the following invasive devices should the nurse expect this
client to have? - Correct Answer: jackson-pratt drain
A nurse is caring for a client who had a left lower lobectomy to treat lung cancer. Which of the following
factors will have a significant impact on the plan of care for this client? - Correct Answer: lung cancer
usually has metastasized before the client presents with symptoms
A nurse is reviewing the plan of care for a client who has cellulitis of the leg. Which of the following
interventions should the nurse recommend? - Correct Answer: Wash daily with an antibacterial soap.
A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established.
Which of the following instructions should the nurse include in the teaching? - Correct Answer: Avoid
medications in capsule or enteric form.
A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an
escharotomy and wants to know what the procedure involves. Which of the following statements is
appropriate for the nurse to make? - Correct Answer: "Large incisions will be made in the burned tissue
to improve circulation."
,A nurse is collecting data from a client who has a possible cataract. Which of the following
manifestations should the nurse expect the client to report? - Correct Answer: Decreased color
perception
A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving
continuous gastrointestinal decompression using a nasogastric tube. Which of the following
interventions should the nurse include in the plan of care? - Correct Answer: Maintain the client in
Fowler's position.
A nurse is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations
should the nurse expect to observe? (Select all that apply.) - Correct Answer: 1) Buffalo hump 2) Purple
striations 3) Moon face
A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following
actions should the nurse take? - Correct Answer: Monitor intake and output hourly
A nurse is reinforcing teaching about an esophagogastroduodenoscopy with a client who has upper
gastric pain. Which of the following statements should the nurse include in the teaching? - Correct
Answer: "You will remain NPO for 8 hours before the procedure."
A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a
generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when
documenting this finding in the medical record? - Correct Answer: Postictal phase
A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic
cholecystectomy. Which of the following statements should the nurse make? - Correct Answer: "The
pain will dissipate if you ambulate frequently."
A nurse is checking the suction control chamber of a client's chest tube and notes that there is no
bubbling in the suction control chamber. Which of the following actions should the nurse take? - Correct
Answer: Verify that the suction regulator is on.
,A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the
following actions should the nurse take? (Select all that apply.) - Correct Answer: Encourage fluid intake.
2) Monitor the puncture site for hematoma.
A nurse is assisting with the care of a client who is postoperative following surgical repair of a fractured
mandible. The client's jaw is wired shut to repair and stabilize the fracture. The nurse should recognize
which of the following is the priority action? - Correct Answer: Prevent aspiration.
A nurse is collecting data from a client who has scleroderma. Which of the following findings should the
nurse expect? - Correct Answer: Hardened skin
A nurse is caring for an older adult client who has dysphagia and left-sided weakness following a stroke.
Which of the following actions should the nurse take? - Correct Answer: Add thickener to fluids.
A nurse is caring for a client who has partial-thickness and full-thickness burns of his head, neck, and
chest. The nurse should recognize which of the following is the priority risk to the client? - Correct
Answer: Airway obstruction
A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to
start taking neostigmine. Which of the following instructions should the nurse include in the teaching? -
Correct Answer: 1) Take the medication 45 minutes before eating.
A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the
prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there has
not been any urinary output in the last hour. Which of the following actions should the nurse perform
first? - Correct Answer: Notify the provider.. Determine the patency of the tubing.
A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses fear about the
procedure and asks the nurse if the biopsy will hurt. Which of the following responses should the nurse
make? - Correct Answer: "The biopsy can be uncomfortable, but we will try to keep you as comfortable
as possible."
A nurse is assisting with planning care for a client who is recovering from a left-hemispheric stroke.
Which of the following interventions should the nurse include in the plan? - Correct Answer: Re-
establish communication.
, A nurse is assisting with the care of a client who has diabetes insipidus. The nurse should monitor the
client for which of the following manifestations? - Correct Answer: Hypotension
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the
following instructions should the nurse include in the teaching? - Correct Answer: Take temperature
once a day
A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and
tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this
client's secretions? - Correct Answer: Provide humidified oxygen.
Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and
reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse
take to promote the client's comfort? - Correct Answer: Obtain a pair of slipper socks for the client.
A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the
prostate (TURP). Which of the following is the priority finding for the nurse report to the provider? -
Correct Answer: Thick, red-colored urine
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a
hypothermia blanket. The nurse should monitor the client for which of the following adverse effects of
the hypothermia blanket? - Correct Answer: Shivering
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of
the following statements by the client indicates an understanding of the teaching? - Correct Answer: "I
will not exercise if my urine is positive for ketones."
A nurse notes a small section of bowel protruding from the abdominal incision of a client who is
postoperative. After calling for assistance, which of the following actions should the nurse take first? -
Correct Answer: Cover the client's wound with a moist, sterile dressing.
A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic
acidosis. Which of the following manifestations should the nurse expect? - Correct Answer:
Hyperventilation
(2026) UPDATE Verified Questions And
Answers | With 100% Correct Answers
graded A+ Guaranteed Success!!
A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of
the following actions should the nurse take - Correct Answer: Ensure the client's weights are hanging
freely from the bed.
A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking
ferrous gluconate for several weeks. Which of the following instructions should the nurse include? -
Correct Answer: Take this medication between meals.
A nurse is preparing a plan of care for a client who is postoperative following
a modified radical mastectomy. Which of the following invasive devices should the nurse expect this
client to have? - Correct Answer: jackson-pratt drain
A nurse is caring for a client who had a left lower lobectomy to treat lung cancer. Which of the following
factors will have a significant impact on the plan of care for this client? - Correct Answer: lung cancer
usually has metastasized before the client presents with symptoms
A nurse is reviewing the plan of care for a client who has cellulitis of the leg. Which of the following
interventions should the nurse recommend? - Correct Answer: Wash daily with an antibacterial soap.
A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established.
Which of the following instructions should the nurse include in the teaching? - Correct Answer: Avoid
medications in capsule or enteric form.
A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an
escharotomy and wants to know what the procedure involves. Which of the following statements is
appropriate for the nurse to make? - Correct Answer: "Large incisions will be made in the burned tissue
to improve circulation."
,A nurse is collecting data from a client who has a possible cataract. Which of the following
manifestations should the nurse expect the client to report? - Correct Answer: Decreased color
perception
A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving
continuous gastrointestinal decompression using a nasogastric tube. Which of the following
interventions should the nurse include in the plan of care? - Correct Answer: Maintain the client in
Fowler's position.
A nurse is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations
should the nurse expect to observe? (Select all that apply.) - Correct Answer: 1) Buffalo hump 2) Purple
striations 3) Moon face
A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following
actions should the nurse take? - Correct Answer: Monitor intake and output hourly
A nurse is reinforcing teaching about an esophagogastroduodenoscopy with a client who has upper
gastric pain. Which of the following statements should the nurse include in the teaching? - Correct
Answer: "You will remain NPO for 8 hours before the procedure."
A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a
generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when
documenting this finding in the medical record? - Correct Answer: Postictal phase
A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic
cholecystectomy. Which of the following statements should the nurse make? - Correct Answer: "The
pain will dissipate if you ambulate frequently."
A nurse is checking the suction control chamber of a client's chest tube and notes that there is no
bubbling in the suction control chamber. Which of the following actions should the nurse take? - Correct
Answer: Verify that the suction regulator is on.
,A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the
following actions should the nurse take? (Select all that apply.) - Correct Answer: Encourage fluid intake.
2) Monitor the puncture site for hematoma.
A nurse is assisting with the care of a client who is postoperative following surgical repair of a fractured
mandible. The client's jaw is wired shut to repair and stabilize the fracture. The nurse should recognize
which of the following is the priority action? - Correct Answer: Prevent aspiration.
A nurse is collecting data from a client who has scleroderma. Which of the following findings should the
nurse expect? - Correct Answer: Hardened skin
A nurse is caring for an older adult client who has dysphagia and left-sided weakness following a stroke.
Which of the following actions should the nurse take? - Correct Answer: Add thickener to fluids.
A nurse is caring for a client who has partial-thickness and full-thickness burns of his head, neck, and
chest. The nurse should recognize which of the following is the priority risk to the client? - Correct
Answer: Airway obstruction
A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to
start taking neostigmine. Which of the following instructions should the nurse include in the teaching? -
Correct Answer: 1) Take the medication 45 minutes before eating.
A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the
prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there has
not been any urinary output in the last hour. Which of the following actions should the nurse perform
first? - Correct Answer: Notify the provider.. Determine the patency of the tubing.
A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses fear about the
procedure and asks the nurse if the biopsy will hurt. Which of the following responses should the nurse
make? - Correct Answer: "The biopsy can be uncomfortable, but we will try to keep you as comfortable
as possible."
A nurse is assisting with planning care for a client who is recovering from a left-hemispheric stroke.
Which of the following interventions should the nurse include in the plan? - Correct Answer: Re-
establish communication.
, A nurse is assisting with the care of a client who has diabetes insipidus. The nurse should monitor the
client for which of the following manifestations? - Correct Answer: Hypotension
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the
following instructions should the nurse include in the teaching? - Correct Answer: Take temperature
once a day
A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and
tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this
client's secretions? - Correct Answer: Provide humidified oxygen.
Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and
reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse
take to promote the client's comfort? - Correct Answer: Obtain a pair of slipper socks for the client.
A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the
prostate (TURP). Which of the following is the priority finding for the nurse report to the provider? -
Correct Answer: Thick, red-colored urine
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a
hypothermia blanket. The nurse should monitor the client for which of the following adverse effects of
the hypothermia blanket? - Correct Answer: Shivering
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of
the following statements by the client indicates an understanding of the teaching? - Correct Answer: "I
will not exercise if my urine is positive for ketones."
A nurse notes a small section of bowel protruding from the abdominal incision of a client who is
postoperative. After calling for assistance, which of the following actions should the nurse take first? -
Correct Answer: Cover the client's wound with a moist, sterile dressing.
A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic
acidosis. Which of the following manifestations should the nurse expect? - Correct Answer:
Hyperventilation
