ATI MEDSURG PROCTORED FINAL EXAM 2023/2024
GRADED +
1…. A nurse is reviewing the laboratory data of a client who has
acute pancreatitis. The nurse should expect to find an elevation of
which of following values? Amylase
Rational
Amylase is an enzyme that changes complex sugars into simple
sugars that can be used by the body. It is produced by the
pancreas and salivary glands and released into the mouth,
stomach, and intestines to aid in digestion. The amylase level of
a client who has acute pancreatitis usually increases within 12 to
24 hr and can remain elevated for 2 to 3 days.
2…. A nurse in a clinic is interviewing a client who has a
possible diagnosis of endometriosis. Which of the following
findings in the client's history should the nurse recognize as
consistent with a diagnosis of endometriosis? Dysmenorrhea
that is unresponsive to NSAIDs.
Rational
Endometriosis is a condition in which the type of tissue that
lines the uterus implants in locations outside the uterus. This
typically causes pelvic pain around the time of the menstrual
,period but can cause pain at other times in the cycle. The
discomfort is often unrelieved by the use of NSAIDs.
3…. A rehabilitation nurse is caring for a client who has had a
spinal cord injury that resulted in paraplegia. After a week on
the unit, the nurse notes that the client is withdrawn and
increasingly resistant to rehabilitative efforts by the staff.
Which of the following actions should the nurse take?
Establish a plan of care with the client that sets attainable
goals.
Rational
The nurse should develop a plan of care for this client with
mutually set goals. This action invests the client in the
rehabilitation process, which encourages feelings of ownership for
it, and sees the goals as more attainable
4….A nurse in a burn treatment center is caring for a client who
is admitted with severe burns to both lower extremities and is
scheduled for an escharotomy. The client's spouse asks the
nurse what the procedure entails. Which of the following nursing
statements is appropriate?
Large incisions will be made in the eschar to improve
circulation.
,Rational
An escharotomy is a surgical incision made to release pressure
and improve circulation in a part of the body that has a deep burn
and is experiencing excessive swelling. Burn injuries that encircle
a body part, such as an arm or the chest, can cause swelling and
tightness in the affected area, resulting in reduced circulation.
Making surgical incisions into the burned tissue allows the skin to
expand, reduces tightness and pressure, and improves circulation.
5….A nurse is caring for a client who has suspected cholecystitis.
The nurse should expect the client's urine to appear which of the
following colors? Dark and foamy
Rational
The nurse should expect the client to have dark and foamy urine,
which indicates the kidneys are filtering excess bilirubin from the
blood.
6….A nurse is caring for an older adult client who has rheumatoid
arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which
of the following diagnostic tests should the nurse monitor to
evaluate the effectiveness of this medication? Erythrocyte
sedimentation rate (ESR)
, Rational
Rheumatoid arthritis is a chronic inflammatory disease. ESR is
useful in detecting and monitoring tissue inflammation in clients
with RA. As the disease improves the ESR decreases.
7….A nurse is providing dietary teaching to a client who has a
history of recurring calcium oxalate kidney stones. Which of the
following instructions should the nurse include in the teaching?
Drink 3 L of fluid every day.
Rational
The nurse should instruct the client to drink at least 3 to 4 L of
fluid every day to dilute the urine and reduce the risk for stone
formation.
8….A nurse is assessing a client who has disseminated
intravascular coagulation (DIC). Which of the following findings
should the nurse expect? Excessive thrombosis and
bleeding
Rational
The nurse should expect excessive thrombosis and bleeding
of mucous membranes because both DIC impairs both
coagulation and anticoagulation pathways.
9….A nurse is caring for a middle adult client who has just
received the diagnosis of endometrial cancer. In taking a
GRADED +
1…. A nurse is reviewing the laboratory data of a client who has
acute pancreatitis. The nurse should expect to find an elevation of
which of following values? Amylase
Rational
Amylase is an enzyme that changes complex sugars into simple
sugars that can be used by the body. It is produced by the
pancreas and salivary glands and released into the mouth,
stomach, and intestines to aid in digestion. The amylase level of
a client who has acute pancreatitis usually increases within 12 to
24 hr and can remain elevated for 2 to 3 days.
2…. A nurse in a clinic is interviewing a client who has a
possible diagnosis of endometriosis. Which of the following
findings in the client's history should the nurse recognize as
consistent with a diagnosis of endometriosis? Dysmenorrhea
that is unresponsive to NSAIDs.
Rational
Endometriosis is a condition in which the type of tissue that
lines the uterus implants in locations outside the uterus. This
typically causes pelvic pain around the time of the menstrual
,period but can cause pain at other times in the cycle. The
discomfort is often unrelieved by the use of NSAIDs.
3…. A rehabilitation nurse is caring for a client who has had a
spinal cord injury that resulted in paraplegia. After a week on
the unit, the nurse notes that the client is withdrawn and
increasingly resistant to rehabilitative efforts by the staff.
Which of the following actions should the nurse take?
Establish a plan of care with the client that sets attainable
goals.
Rational
The nurse should develop a plan of care for this client with
mutually set goals. This action invests the client in the
rehabilitation process, which encourages feelings of ownership for
it, and sees the goals as more attainable
4….A nurse in a burn treatment center is caring for a client who
is admitted with severe burns to both lower extremities and is
scheduled for an escharotomy. The client's spouse asks the
nurse what the procedure entails. Which of the following nursing
statements is appropriate?
Large incisions will be made in the eschar to improve
circulation.
,Rational
An escharotomy is a surgical incision made to release pressure
and improve circulation in a part of the body that has a deep burn
and is experiencing excessive swelling. Burn injuries that encircle
a body part, such as an arm or the chest, can cause swelling and
tightness in the affected area, resulting in reduced circulation.
Making surgical incisions into the burned tissue allows the skin to
expand, reduces tightness and pressure, and improves circulation.
5….A nurse is caring for a client who has suspected cholecystitis.
The nurse should expect the client's urine to appear which of the
following colors? Dark and foamy
Rational
The nurse should expect the client to have dark and foamy urine,
which indicates the kidneys are filtering excess bilirubin from the
blood.
6….A nurse is caring for an older adult client who has rheumatoid
arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which
of the following diagnostic tests should the nurse monitor to
evaluate the effectiveness of this medication? Erythrocyte
sedimentation rate (ESR)
, Rational
Rheumatoid arthritis is a chronic inflammatory disease. ESR is
useful in detecting and monitoring tissue inflammation in clients
with RA. As the disease improves the ESR decreases.
7….A nurse is providing dietary teaching to a client who has a
history of recurring calcium oxalate kidney stones. Which of the
following instructions should the nurse include in the teaching?
Drink 3 L of fluid every day.
Rational
The nurse should instruct the client to drink at least 3 to 4 L of
fluid every day to dilute the urine and reduce the risk for stone
formation.
8….A nurse is assessing a client who has disseminated
intravascular coagulation (DIC). Which of the following findings
should the nurse expect? Excessive thrombosis and
bleeding
Rational
The nurse should expect excessive thrombosis and bleeding
of mucous membranes because both DIC impairs both
coagulation and anticoagulation pathways.
9….A nurse is caring for a middle adult client who has just
received the diagnosis of endometrial cancer. In taking a
