ATI EXAM zm
Exam Solution zm
med surg ati proctored exam 2026 A+ GRADE ASSURE
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D COMPLETE SOLUTIONS AND VERIFIED ANSWERS (5D
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633)
QUESTION 1 zm
A nurse in an emergency department is preparing to perform an ocular irrigation for
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a client. Which of the following actions should the nurse plan to take?
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a. Assess the client's visual acuity prior to irrigation
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b. Have the client turn their head toward the unaffected eye
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c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
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d. Perform the irrigation with sterile water for irrigation
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ANSWER
d. Perform the irrigation with sterile water for irrigation
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QUESTION 2 zm
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200
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ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the
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nurse set the IV pump to administer? Round to near whole number
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ANSWER
33 gtt/min
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QUESTION 3 zm
A nurse is providing discharge teaching to an older adult client following a left total h
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ip arthroplasty. Which of the following instructions should the nurse include in the te
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aching?
a. Clean the incision daily with hydrogen peroxide
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b. You can cross your legs the ankles when sitting down
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c. You should use an incentive spirometer every 8 hours
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d. Install a raised toilet seat in your bathroom
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,ANSWER
d. Install a raised toilet seat in your bathroom
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QUESTION 4 zm
A nurse is planning care for a client following a cardiac catheterization. Which of the f
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ollowing actions should the nurse take?
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a. Keep the client on bed rest for 24 hours
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b. Limit the client's fluid intake to 1 l per day
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c. Maintain the client's affected extremity in extension
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d. Change the client's dressing every 8 hour
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ANSWER
c. Maintain the client's affected extremity in extension
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QUESTION 5 zm
A nurse is caring for a client who has gastroenteritis. Which of the following assessme
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nt findings should the nurse recognize as an indication that the client is experiencing
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dehydration?
a. Pitting, dependent edema
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b. Distended jugular veins
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c. Increased BP
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d. Decreased BP
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ANSWER
d. Decreased BP
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QUESTION 6 zm
A nurse is caring for a client who has a contusion of the brainstem and reports thirst.
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mThe client's urinary output was 4,000 ml over the past 24 hour. The nurse should ant
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icipate a prescription for which of the following IV medication?
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a. Desmopressin
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b. Epinephrine
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c. Furosemide
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d. Nitroprusside
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ANSWER
a. Desmopressin
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QUESTION 7 zm
, A nurse is taking an admission history from a client who reports Raynaud's disease.
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Which of the following assessment findings should the nurse identify as a potential tri
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gger for exacerbations of Raynaud's?
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a. Eating a strict vegetarian diet
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b. A history of herpes zoster
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c. Taking amiodipine for hypertension
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d. Using a nicotine transdermal patch
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ANSWER
d. Using a nicotine transdermal patch
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QUESTION 8 zm
A nurse is caring for a client who has a central venous access device and notes the tu
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bing has become disconnected. The client develops dyspnea and tachycardia. Which of
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mthe following actions should the nurse take first?
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a. Perform an ECG
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b. Obtain ABG values
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c. Turn the client to his left side
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d. Clamp the catheter
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ANSWER
d. Clamp the catheter
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QUESTION 9 zm
A nurse is completing an assessment of an older adult client and notes reddened area
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s over the bony prominences, but the client's skin is intact. Which of the following int
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erventions should the nurse include in the plan of care?
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a. Turn and reposition the client every 4 hr
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b. Apply an occlusive dressing
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c. Support bony prominences with pillows
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d. Massage the reddened areas three times a day
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ANSWER
c. Support bony prominences with pillows
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QUESTION 10 zm
A nurse is reviewing the medical record of a client to identify risk factors for colorect
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al cancer. The nurse should identify which of the following findings as increasing the
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client's risk? zm
a. History of Crohn's disease
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b. BMI of 24
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Exam Solution zm
med surg ati proctored exam 2026 A+ GRADE ASSURE
zm zm zm zm zm zm zm zm
D COMPLETE SOLUTIONS AND VERIFIED ANSWERS (5D
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633)
QUESTION 1 zm
A nurse in an emergency department is preparing to perform an ocular irrigation for
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
a client. Which of the following actions should the nurse plan to take?
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a. Assess the client's visual acuity prior to irrigation
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b. Have the client turn their head toward the unaffected eye
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c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
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d. Perform the irrigation with sterile water for irrigation
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ANSWER
d. Perform the irrigation with sterile water for irrigation
zm zm zm zm zm zm zm zm
QUESTION 2 zm
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the
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nurse set the IV pump to administer? Round to near whole number
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ANSWER
33 gtt/min
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QUESTION 3 zm
A nurse is providing discharge teaching to an older adult client following a left total h
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ip arthroplasty. Which of the following instructions should the nurse include in the te
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aching?
a. Clean the incision daily with hydrogen peroxide
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b. You can cross your legs the ankles when sitting down
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c. You should use an incentive spirometer every 8 hours
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d. Install a raised toilet seat in your bathroom
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,ANSWER
d. Install a raised toilet seat in your bathroom
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QUESTION 4 zm
A nurse is planning care for a client following a cardiac catheterization. Which of the f
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ollowing actions should the nurse take?
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a. Keep the client on bed rest for 24 hours
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b. Limit the client's fluid intake to 1 l per day
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c. Maintain the client's affected extremity in extension
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d. Change the client's dressing every 8 hour
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ANSWER
c. Maintain the client's affected extremity in extension
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QUESTION 5 zm
A nurse is caring for a client who has gastroenteritis. Which of the following assessme
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nt findings should the nurse recognize as an indication that the client is experiencing
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dehydration?
a. Pitting, dependent edema
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b. Distended jugular veins
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c. Increased BP
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d. Decreased BP
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ANSWER
d. Decreased BP
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QUESTION 6 zm
A nurse is caring for a client who has a contusion of the brainstem and reports thirst.
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mThe client's urinary output was 4,000 ml over the past 24 hour. The nurse should ant
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
icipate a prescription for which of the following IV medication?
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a. Desmopressin
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b. Epinephrine
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c. Furosemide
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d. Nitroprusside
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ANSWER
a. Desmopressin
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QUESTION 7 zm
, A nurse is taking an admission history from a client who reports Raynaud's disease.
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Which of the following assessment findings should the nurse identify as a potential tri
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gger for exacerbations of Raynaud's?
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a. Eating a strict vegetarian diet
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b. A history of herpes zoster
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c. Taking amiodipine for hypertension
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d. Using a nicotine transdermal patch
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ANSWER
d. Using a nicotine transdermal patch
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QUESTION 8 zm
A nurse is caring for a client who has a central venous access device and notes the tu
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bing has become disconnected. The client develops dyspnea and tachycardia. Which of
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mthe following actions should the nurse take first?
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a. Perform an ECG
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b. Obtain ABG values
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c. Turn the client to his left side
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d. Clamp the catheter
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ANSWER
d. Clamp the catheter
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QUESTION 9 zm
A nurse is completing an assessment of an older adult client and notes reddened area
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s over the bony prominences, but the client's skin is intact. Which of the following int
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erventions should the nurse include in the plan of care?
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a. Turn and reposition the client every 4 hr
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b. Apply an occlusive dressing
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c. Support bony prominences with pillows
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d. Massage the reddened areas three times a day
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ANSWER
c. Support bony prominences with pillows
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QUESTION 10 zm
A nurse is reviewing the medical record of a client to identify risk factors for colorect
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al cancer. The nurse should identify which of the following findings as increasing the
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client's risk? zm
a. History of Crohn's disease
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b. BMI of 24
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