ATI PN Medical Surgical Proctored Exam (
Version 17 ) 2022 Questions and Verified
Answers
Question 1 hg
A nurse is caring for a client who is 12 hours postoperative following a colon resection. Which
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of the following findings should the nurse report to the surgeon?
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A) Heart rate 90/min
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B) Hemoglobin 8.2 g/dL
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C) Gastric pH of 3.0
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D) Absent bowel sounds
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Correct Answer: B hg hg
Rationale: Normal hemoglobin levels are approximately 13-18 g/dL for males and 12-
hg hg hg hg hg hg hg hg hg hg hg
16 g/dL for females. A level of 8.2 g/dL is significantly low and may indicate postoperative hem
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
orrhage, which requires immediate reporting to the surgeon .
hg hg hg hg hg hg hg hg
Question 2 hg
A client is using a morphine PCA pump postoperatively. The nurse notes the client is drowsy wi
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th a respiratory rate of 8 breaths/min. What is the nurse's priority action?
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A) Encourage deep breathing and coughing
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B) Administer naloxone immediately
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C) Notify the provider and prepare to reduce PCA dose
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D) Increase oxygen flow rate to 10 L/min
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Correct Answer: C hg hg
Rationale: Respiratory depression with sedation requires dose adjustment and close monitorin
hg hg hg hg hg hg hg hg hg hg
g before naloxone administration. The priority is to notify the provider and adjust the PCA setti
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ngs to prevent further sedation while maintaining adequate pain control .
hg hg hg hg hg hg hg hg hg hg
Question 3 hg
Which findings will alert the nurse that stress is present when making a clinical decision? (Selec
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t all that apply.)
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,A) Tense muscles
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B) Reactive responses
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C) Trouble concentrating
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D) Very tired feelings
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E) Managed emotions
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Correct Answers: A, B, C, D
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Rationale: Learn to recognize when you are feeling stressed—
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your muscles will tense, you become reactive when others communicate with you, you have tro
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uble concentrating, and you feel very tired. Emotions are not managed when stressed .
hg hg hg hg hg hg hg hg hg hg hg hg hg
Question 4 hg
A client has a new diagnosis of tuberculosis (TB). The client asks the nurse why she needs to ta
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ke four different antituberculosis medications. Which reply should the nurse make?
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A) "The organism that causes TB becomes resistant to antituberculosis medications when you o
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nly take one medication."
hg hg hg
B) "People who have a severe form of TB need several antituberculosis medications, but those
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
who have less severe TB need just one medication."
hg hg hg hg hg hg hg hg
C) "Adverse effects occur more often and are more severe when you take only one antitubercul
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osis medication."
hg
D) "Taking several antituberculosis medications will protect your liver from toxic effects."
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Correct Answer: A hg hg
Rationale: The nurse should reply that the organism that causes TB becomes resistant to antit
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
uberculosis medications when you only take one medication. TB is caused by a slow-
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growing bacteria that can develop resistance to single drugs. Therefore, a combination of drug
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s is needed to prevent or treat drug-resistant TB .
hg hg hg hg hg hg hg hg hg
Question 5 hg
A client is receiving IV heparin. Which laboratory test is used to monitor heparin therapy?
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A) PT/INR
hg
B) aPTT
hg
C) Platelet count
hg hg
D) Hemoglobin A1c
hg hg
Correct Answer: B hg hg
, Rationale: Activated partial thromboplastin time (aPTT) monitors unfractionated heparin therap
hg hg hg hg hg hg hg hg hg
y. Therapeutic range is typically 1.5-2.5 times normal (60-
hg hg hg hg hg hg hg hg
80 seconds). PT/INR monitors warfarin therapy .
hg hg hg hg hg hg
Question 6 hg
A nurse is caring for a client who is 2 hours postoperative following a cardiac catheterization vi
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a the femoral artery. Which of the following actions should the nurse take?
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A) Keep the affected leg flexed
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B) Maintain the client on bed rest for 24 hours
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C) Elevate the head of the bed to 45 degrees
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D) Monitor the insertion site for bleeding
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Correct Answer: D hg hg
Rationale: The nurse should monitor the insertion site for bleeding, hematoma formation, or p
hg hg hg hg hg hg hg hg hg hg hg hg hg
seudoaneurysm. The affected leg should be kept straight (not flexed), bed rest duration is typic
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ally 4-6 hours (not 24), and head of bed elevation is usually limited to 30 degrees .
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
Question 7 hg
A nurse is reinforcing teaching with a client who is visually impaired about home safety measur
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es. Which instruction should the nurse include?
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A) Use low-wattage light bulbs
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B) Mark the edges of steps
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C) Leave doors slightly ajar
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D) Place throw rugs over electrical cords
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Correct Answer: B hg hg
Rationale: Marking the edges of steps helps clients with visual impairment identify potential tri
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pping hazards and navigate stairs safely .
hg hg hg hg hg hg
Question 8 hg
A client is receiving IV vancomycin and reports itching and redness on the upper chest during i
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nfusion. Vital signs are stable. What should the nurse do?
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A) Stop the infusion immediately and notify the provider
hg hg hg hg hg hg hg hg
B) Slow the infusion rate and monitor closely
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Version 17 ) 2022 Questions and Verified
Answers
Question 1 hg
A nurse is caring for a client who is 12 hours postoperative following a colon resection. Which
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
of the following findings should the nurse report to the surgeon?
hg hg hg hg hg hg hg hg hg hg
A) Heart rate 90/min
hg hg hg
B) Hemoglobin 8.2 g/dL
hg hg hg
C) Gastric pH of 3.0
hg hg hg hg
D) Absent bowel sounds
hg hg hg
Correct Answer: B hg hg
Rationale: Normal hemoglobin levels are approximately 13-18 g/dL for males and 12-
hg hg hg hg hg hg hg hg hg hg hg
16 g/dL for females. A level of 8.2 g/dL is significantly low and may indicate postoperative hem
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
orrhage, which requires immediate reporting to the surgeon .
hg hg hg hg hg hg hg hg
Question 2 hg
A client is using a morphine PCA pump postoperatively. The nurse notes the client is drowsy wi
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
th a respiratory rate of 8 breaths/min. What is the nurse's priority action?
hg hg hg hg hg hg hg hg hg hg hg hg
A) Encourage deep breathing and coughing
hg hg hg hg hg
B) Administer naloxone immediately
hg hg hg
C) Notify the provider and prepare to reduce PCA dose
hg hg hg hg hg hg hg hg hg
D) Increase oxygen flow rate to 10 L/min
hg hg hg hg hg hg hg
Correct Answer: C hg hg
Rationale: Respiratory depression with sedation requires dose adjustment and close monitorin
hg hg hg hg hg hg hg hg hg hg
g before naloxone administration. The priority is to notify the provider and adjust the PCA setti
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ngs to prevent further sedation while maintaining adequate pain control .
hg hg hg hg hg hg hg hg hg hg
Question 3 hg
Which findings will alert the nurse that stress is present when making a clinical decision? (Selec
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
t all that apply.)
hg hg hg
,A) Tense muscles
hg hg
B) Reactive responses
hg hg
C) Trouble concentrating
hg hg
D) Very tired feelings
hg hg hg
E) Managed emotions
hg hg
Correct Answers: A, B, C, D
hg hg hg hg hg
Rationale: Learn to recognize when you are feeling stressed—
hg hg hg hg hg hg hg hg
your muscles will tense, you become reactive when others communicate with you, you have tro
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
uble concentrating, and you feel very tired. Emotions are not managed when stressed .
hg hg hg hg hg hg hg hg hg hg hg hg hg
Question 4 hg
A client has a new diagnosis of tuberculosis (TB). The client asks the nurse why she needs to ta
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ke four different antituberculosis medications. Which reply should the nurse make?
hg hg hg hg hg hg hg hg hg hg
A) "The organism that causes TB becomes resistant to antituberculosis medications when you o
hg hg hg hg hg hg hg hg hg hg hg hg hg
nly take one medication."
hg hg hg
B) "People who have a severe form of TB need several antituberculosis medications, but those
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
who have less severe TB need just one medication."
hg hg hg hg hg hg hg hg
C) "Adverse effects occur more often and are more severe when you take only one antitubercul
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
osis medication."
hg
D) "Taking several antituberculosis medications will protect your liver from toxic effects."
hg hg hg hg hg hg hg hg hg hg hg
Correct Answer: A hg hg
Rationale: The nurse should reply that the organism that causes TB becomes resistant to antit
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
uberculosis medications when you only take one medication. TB is caused by a slow-
hg hg hg hg hg hg hg hg hg hg hg hg hg
growing bacteria that can develop resistance to single drugs. Therefore, a combination of drug
hg hg hg hg hg hg hg hg hg hg hg hg hg
s is needed to prevent or treat drug-resistant TB .
hg hg hg hg hg hg hg hg hg
Question 5 hg
A client is receiving IV heparin. Which laboratory test is used to monitor heparin therapy?
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
A) PT/INR
hg
B) aPTT
hg
C) Platelet count
hg hg
D) Hemoglobin A1c
hg hg
Correct Answer: B hg hg
, Rationale: Activated partial thromboplastin time (aPTT) monitors unfractionated heparin therap
hg hg hg hg hg hg hg hg hg
y. Therapeutic range is typically 1.5-2.5 times normal (60-
hg hg hg hg hg hg hg hg
80 seconds). PT/INR monitors warfarin therapy .
hg hg hg hg hg hg
Question 6 hg
A nurse is caring for a client who is 2 hours postoperative following a cardiac catheterization vi
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
a the femoral artery. Which of the following actions should the nurse take?
hg hg hg hg hg hg hg hg hg hg hg hg
A) Keep the affected leg flexed
hg hg hg hg hg
B) Maintain the client on bed rest for 24 hours
hg hg hg hg hg hg hg hg hg
C) Elevate the head of the bed to 45 degrees
hg hg hg hg hg hg hg hg hg
D) Monitor the insertion site for bleeding
hg hg hg hg hg hg
Correct Answer: D hg hg
Rationale: The nurse should monitor the insertion site for bleeding, hematoma formation, or p
hg hg hg hg hg hg hg hg hg hg hg hg hg
seudoaneurysm. The affected leg should be kept straight (not flexed), bed rest duration is typic
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ally 4-6 hours (not 24), and head of bed elevation is usually limited to 30 degrees .
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
Question 7 hg
A nurse is reinforcing teaching with a client who is visually impaired about home safety measur
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
es. Which instruction should the nurse include?
hg hg hg hg hg hg
A) Use low-wattage light bulbs
hg hg hg hg
B) Mark the edges of steps
hg hg hg hg hg
C) Leave doors slightly ajar
hg hg hg hg
D) Place throw rugs over electrical cords
hg hg hg hg hg hg
Correct Answer: B hg hg
Rationale: Marking the edges of steps helps clients with visual impairment identify potential tri
hg hg hg hg hg hg hg hg hg hg hg hg hg
pping hazards and navigate stairs safely .
hg hg hg hg hg hg
Question 8 hg
A client is receiving IV vancomycin and reports itching and redness on the upper chest during i
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
nfusion. Vital signs are stable. What should the nurse do?
hg hg hg hg hg hg hg hg hg
A) Stop the infusion immediately and notify the provider
hg hg hg hg hg hg hg hg
B) Slow the infusion rate and monitor closely
hg hg hg hg hg hg hg
