ATI MEDICAL SURGICAL CMS PROCTORED - EXAMINATION COMPLETE QUESTIONS AND
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A nurse is providing discharge teaching to a client who
has tuberculosis. Which of the following information should the
nurse include in the teaching?
A. a. you should wear an N95 respirator mask when you are at home.
B. b. you will need to return in 2 weeks to provide a sputum specimen
C. c. you can drink alcohol after the first 6 weeks of treatment
D. d. your provider will discontinue your medications after 3 months of
therapy
Answer:
b. you will need to return in 2 weeks to provide a sputum specimen
Question 2: A nurse is assessing a client who has left-sided heart
failure. Which of the following findings should th enurse expect?
A. a. flushed skin
B. b. frothy sputum/hacking cough
C. c. jugular vein distention
D. d. bradycardia
Answer:
b. frothy sputum/hacking cough
Question 3: A nurse is planning care for a client who has
osteoarthritis of the knees. Which of the following interventions
should the nurse include in the plan?
A. a. avoid using a topical salicylate cream
B. b. administer acetaminophen for pain management
C. c. place a large pillow under the client's knees when resting
D. d. apply an ice pack directly to client's knees
,Answer:
b. administer acetaminophen for pain management
Question 4: A nurse is caring for a client who is receiving
continuous bladder irrigation following a transurethral resection of
the prostate (TURP). The client reports sharp lower abdominal pain.
Which of the following actions should the nurse first take?
A. a. increase the client's fluid intake
B. b. reposition the client in bed
C. c. check the client's urine output
D. d. administer PRN pain medication
Answer:
c. check the client's urine output
Question 5: A nurse is caring for a client who has Parkinson's
disease and is prescribed a level 1 dysphagia diet. Which of the
following should the nurse remove from the client's tray?
A. a. vanilla milkshake
B. b. peanut butter
C. c. chocolate pudding
D. d. applesauce
Answer:
b. peanut butter
Question 6: 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. a. eat a light meal 1 hour before bedtime
B. b. sleep with the head of your bed elevated 6 inches
C. c. Increase your caloric intake by 250 calories per day
, D. d. lie down for 30 minutes after each meal
Answer:
b. sleep with the head of your bed elevated 6 inches
Question 7: A nurse is caring for a client who is postoperative
following a partial thyroidectomy. Which of the following findings is
the priority for the nurse to report to the provider?
A. a. client report of pain at the incsion site
B. b. High-pitched sound on inspiration
C. c. hypoactive bowel sounds
D. d. loose tracheal secretions
Answer:
b. High-pitched sound on inspiration
Question 8: A nurse is caring for a client who is 2 days
postoperative following a below-the-knee amputation and asks
about the purpose of maintaining an elastic bandage around the
residual limb of the extremity. Which of the following is an
appropriate response by the nurse?
A. a. the elastic bandage will prevent a post-op wound infection
B. b. the elastic bandage will prevent excessive edema
C. c. the elastic bandage will keep the sutures from loosening
D. d. the elastic bandage will keep you from seeing the surgical site
Answer:
b. the elastic bandage will prevent excessive edema
Question 9: A nurse is planning care for a client who is 8 hour
post-op following a coronary artery bypass grafting. Which of the
following assessments should the nurse plan to perform first?
A. a. examine the surgical incision for drainage
, B. b. auscultate breath sounds
C. c. palpate pulses distal to the graft donor site
D. d. measure the client's core body temperature
Answer:
b. auscultate breath sounds
Question 10: A nurse is providing instructions to a client who has
primary syphilis. Which of the following instructions should the
nurse include in the discharge plan?
A. a. you will need cryotherapy for 1 to 2 weeks.
B. b. you will need to take an antiviral medication for 6 months
C. c. you will need 3 follow-up blood tests within a 24 month period
D. d. you will need to be monitored for 15 minutes after receiving each
medication dose.
Answer:
c. you will need 3 follow-up blood tests within a 24 month period
Question 11: A nurse is caring for a client who has hypotension,
cool clammy skin, tachycardia, and tachypnea. In which of the
following ositions should the nurse place the client?
A. a. reverse trendelenburg
B. b. feet elevated
C. c. high-fowlers
D. d. side lying
Answer:
c. high-fowlers
Question 12: A nurse is teaching a client how to use a quad cane
for ambulation follwing a right-hemisheric stroke. Which of the
following client actions indicates an understanding of the
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A nurse is providing discharge teaching to a client who
has tuberculosis. Which of the following information should the
nurse include in the teaching?
A. a. you should wear an N95 respirator mask when you are at home.
B. b. you will need to return in 2 weeks to provide a sputum specimen
C. c. you can drink alcohol after the first 6 weeks of treatment
D. d. your provider will discontinue your medications after 3 months of
therapy
Answer:
b. you will need to return in 2 weeks to provide a sputum specimen
Question 2: A nurse is assessing a client who has left-sided heart
failure. Which of the following findings should th enurse expect?
A. a. flushed skin
B. b. frothy sputum/hacking cough
C. c. jugular vein distention
D. d. bradycardia
Answer:
b. frothy sputum/hacking cough
Question 3: A nurse is planning care for a client who has
osteoarthritis of the knees. Which of the following interventions
should the nurse include in the plan?
A. a. avoid using a topical salicylate cream
B. b. administer acetaminophen for pain management
C. c. place a large pillow under the client's knees when resting
D. d. apply an ice pack directly to client's knees
,Answer:
b. administer acetaminophen for pain management
Question 4: A nurse is caring for a client who is receiving
continuous bladder irrigation following a transurethral resection of
the prostate (TURP). The client reports sharp lower abdominal pain.
Which of the following actions should the nurse first take?
A. a. increase the client's fluid intake
B. b. reposition the client in bed
C. c. check the client's urine output
D. d. administer PRN pain medication
Answer:
c. check the client's urine output
Question 5: A nurse is caring for a client who has Parkinson's
disease and is prescribed a level 1 dysphagia diet. Which of the
following should the nurse remove from the client's tray?
A. a. vanilla milkshake
B. b. peanut butter
C. c. chocolate pudding
D. d. applesauce
Answer:
b. peanut butter
Question 6: 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. a. eat a light meal 1 hour before bedtime
B. b. sleep with the head of your bed elevated 6 inches
C. c. Increase your caloric intake by 250 calories per day
, D. d. lie down for 30 minutes after each meal
Answer:
b. sleep with the head of your bed elevated 6 inches
Question 7: A nurse is caring for a client who is postoperative
following a partial thyroidectomy. Which of the following findings is
the priority for the nurse to report to the provider?
A. a. client report of pain at the incsion site
B. b. High-pitched sound on inspiration
C. c. hypoactive bowel sounds
D. d. loose tracheal secretions
Answer:
b. High-pitched sound on inspiration
Question 8: A nurse is caring for a client who is 2 days
postoperative following a below-the-knee amputation and asks
about the purpose of maintaining an elastic bandage around the
residual limb of the extremity. Which of the following is an
appropriate response by the nurse?
A. a. the elastic bandage will prevent a post-op wound infection
B. b. the elastic bandage will prevent excessive edema
C. c. the elastic bandage will keep the sutures from loosening
D. d. the elastic bandage will keep you from seeing the surgical site
Answer:
b. the elastic bandage will prevent excessive edema
Question 9: A nurse is planning care for a client who is 8 hour
post-op following a coronary artery bypass grafting. Which of the
following assessments should the nurse plan to perform first?
A. a. examine the surgical incision for drainage
, B. b. auscultate breath sounds
C. c. palpate pulses distal to the graft donor site
D. d. measure the client's core body temperature
Answer:
b. auscultate breath sounds
Question 10: A nurse is providing instructions to a client who has
primary syphilis. Which of the following instructions should the
nurse include in the discharge plan?
A. a. you will need cryotherapy for 1 to 2 weeks.
B. b. you will need to take an antiviral medication for 6 months
C. c. you will need 3 follow-up blood tests within a 24 month period
D. d. you will need to be monitored for 15 minutes after receiving each
medication dose.
Answer:
c. you will need 3 follow-up blood tests within a 24 month period
Question 11: A nurse is caring for a client who has hypotension,
cool clammy skin, tachycardia, and tachypnea. In which of the
following ositions should the nurse place the client?
A. a. reverse trendelenburg
B. b. feet elevated
C. c. high-fowlers
D. d. side lying
Answer:
c. high-fowlers
Question 12: A nurse is teaching a client how to use a quad cane
for ambulation follwing a right-hemisheric stroke. Which of the
following client actions indicates an understanding of the
