ATI MED SURG PROCTORED EXAM PRACTICE FORM A

ATI MED SURG PROCTORED EXAM PRACTICE FORM A 2022/2023 1. A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the following actions should the nurse take first? Check for the type and number of units of blood to administer-- check to see what needs to be administered matches 2. A nurse is providing teaching to an older adult female client who has stress incontinence and a BMI of 32. Which of the following statements by the client indicates an understanding of the teaching? I am dieting to lose weight-- excess weight creates increased abd pressure that can result in incontinence 3. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? I should take this medication with a meal-- take with or after meals to improve absorption and minimize gastrointestinal distress 4. A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? I am taking this medication to increase my energy level-- erythropoietin therapy is to increase the level of hematocrit in client who have anemia 5. A nurse is caring for a client who has a prescription for enalapril. The nurse should identify which of the following findings as an adverse effect of the medication? Orthostatic hypotension-- causes dilation of arteries and veins which can cause orthostatic hypotension 6. A nurse is caring for a client who has hypothyroidism. Which of the following manifestations should the nurse expect? Constipation-- due to the decrease in client's metabolism, resulting in slow motility of GI tract 7. A charge nurse is instructing a newly licensed nurse about caring for a client who has methicillin-resistant staphylococcus aureus (MRSA). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? I will leave assessment equipment in the room to use on this client-- follow contact precautions to avoid cross-contamination with others 8. A nurse is providing teaching to a client who has irritable bowel syndrome (IBS). Which of the following instructions should the nurse include in the teaching? Increase fiber intake to at least 30G per day-- fiber helps produce bulkly, soft stools and establish a regular bowel pattern 9. A nurse is caring for a client who has a positive culture for clostidium difficile. Which of the following actions should the nurse take? Implement contact precautions for the client-- direct contact is the mode of transportation 10. A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following is the priority assessment finding that the nurse should report to the provider? Blood pressure 170/80 mmHg-- elevated systolic finding can indicate the client is at risk for a thyroid storm 11. A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following interventions should the nurse include in the plan? Encourage the client to take deep breaths after the procedure-- deep breathing will help re-expand the lung 12. A nurse is assessing a client who has had a suspected cerebrovascular accident. The nurse should place the priority on which of the following findings? Dysphagia-- greatest risk for aspiration due to impaired sensation and function within the oral cavity 13. A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the following results should the nurse expect? PaCO2 56-- COPD clients will retain PaCO2 due to the weakening and collapse of the alveolar sacs, which decrease the area in lungs for gas exchange and cause an increase of PaCO2 14. A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation treatment. Which of the following statements by the client indicates an understanding of the teaching? I will avoid direct exposure to the sun-- should avoid exposure of irradiated skin areas to the sun for at least 1 year, skin is sensitive to sun damage 15. A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition? Pain that increases with passive movement-- results from a decrease in blood flow in the extremity because of a decrease in the muscle compartment size due to a cast that is too tight 16. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omeprazole. The nurse should instruct the client that the medication provides relief by which of the following actions? Suppressing gastric acid production-- PPI drug 17. A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse expect? Hair loss on the lower legs-- this is a result of impaired arterial circulation affecting follicular growth 18. A nurse is assessing a client following the completion of hemodialysis. Which of the following findings is the nurse's priority to report to the provider? Restlessness-- this can be an indication of disequilibrium syndrome, which is caused by rapid removal of electrolytes from client's blood and lead to dysrhythmias or seizures, other sx are nausea, vomiting, fatigue, headache 19. A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. Which of the following findings from the client's medical record should indicate to the nurse the need to withhold the medication and notify the provider? See exhibit Serum creatinine 2.1mg/dL-- this client shouldn't receive gentamicin because the medication is nephrotoxic 20. A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? Facial butterfly rash-- can disappear during times of remission