ATI RN MEDICAL SURGICAL 2024 PROCTORED
ACTUAL EXAM WITH ALL 215 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse caring for a client with a prescription for enalapril should identify which
finding as an adverse effect of the medication? - ANSWER...Orthostatic
hypotension
A nurse assessing for compartment syndrome in a client with a short leg cast
should identify which finding as a manifestation of this condition? -
ANSWER...Pain that increases with passive movement
A nurse planning care for a client with full-thickness burns on the lower
extremities should include which intervention? - ANSWER...Apply new gloves
when alternating between wound care sites
A nurse caring for a client with cancer who prefers vitamins and minerals over
chemotherapy should respond by saying? - ANSWER...Tell me what you know
about chemotherapy
A nurse teaching a client about a low purine diet should instruct the client to
include which foods? - ANSWER...Nuts, Apricots
A nurse caring for a client following a total knee arthroplasty with a pain level of 6
should take which intervention? - ANSWER...Apply an ice pack to the client's
knee
A nurse caring for a client with a lower extremity fracture and crutches should
recognize adaptation when the client makes which statement? - ANSWER...I will
need to have my partner take over shopping for groceries and cooking the meals
for us
A nurse assessing a client preoperatively with a banana allergy should recognize a
risk for allergic cross-reactivity to which substance? - ANSWER...Latex
,A nurse on a medical unit should attend to which client first? - ANSWER...A client
with thrombocytopenia reporting a nosebleed
A nurse monitoring a client receiving two units packed PBCs should recognize a
hemolytic transfusion reaction by which manifestation? - ANSWER...Back pain
A nurse teaching a client with diabetes mellitus about foot care. Which instruction
to include? - ANSWER...Wear cotton rather than nylon socks
A nurse teaching a client with a DVT. Risk factor for DVT development? -
ANSWER...Oral contraceptives
A nurse caring for a client with a sealed radiation implant. Action to take? -
ANSWER...Limit family member visits to 30 minutes per day
A nurse teaching a client about peritoneal dialysis. Early indication of peritonitis? -
ANSWER...Fever
A nurse caring for a client receiving a blood transfusion. Medication to anticipate
administering? - ANSWER...Furosemide
A nurse planning care for a client with upper GI bleeding. Action to plan? -
ANSWER...Insert a large bore nasogastric tube
A nurse caring for a client with bladder cancer and WBC of 900/mm3. Action to
take? - ANSWER...Instruct the client to avoid eating raw fruit
A nurse caring for a hypotensive client. Position to place the client? -
ANSWER...Reverse Trendelenburg
A nurse planning care for a client receiving TPN. Daily protein intake in grams? -
ANSWER...69 grams
A nurse planning care for a client with a central venous access device. Action to
include? - ANSWER...Flush a catheter using a 10 mL syringe
,A nurse reviewing medical record for open heart surgery client. Contraindication
to heparin? - ANSWER...d) Thrombocytopenia
Nurse caring for older adult with dementia. Assess abstract thinking? -
ANSWER...a) What is meant by saying 'don't beat around the bush?'
Nurse notes reddened areas over bony prominences in older adult. Intervention? -
ANSWER...c) Support bony prominences with pillows
Nurse reviewing cardiac rhythm strip of client with atrial flutter. Expected finding?
- ANSWER...d) Sawtooth pattern with arterial rate of 252-400/ minute
Nurse caring for client scheduled for abdominal paracentesis. Action to take? -
ANSWER...b) Ask the client to empty his bladder prior to the procedure
Nurse planning staff education session about hepatitis A. Include? - ANSWER...a)
Immunization for Hepatitis A is recommended prior to travel to high-risk areas
Nurse caring for client with advanced liver disease. Lab result to monitor? -
ANSWER...d) Serum ammonia
Nurse planning care for client in status epilepticus. Priority intervention? -
ANSWER...c) Turn the client to the lateral position during seizure activity
Nurse caring for client post total hip arthroplasty. Action to prevent hip
dislocation? - ANSWER...d) Place two bed pillows between the legs when in bed
Nurse caring for client receiving TPN. Current infusion almost complete. Action to
take? - ANSWER...a) Infuse dextrose 10% in water
A nurse caring for a client 6 hours postoperative with an external fixator for a tibial
fracture should: - ANSWER...Palpate the dorsalis pedis
A nurse caring for a client with a full-thickness burn injury should expect: -
ANSWER...Hypotension
A nurse planning care for a client with Meniere's disease should include: -
ANSWER...Encourage the client to change positions slowly
, A nurse assessing a client with colon cancer should expect: -
ANSWER...Hematochezia (rectal bleeding)
A nurse assessing a client with peripheral vascular disease should note edema on
the ankle, indicating: - ANSWER...Edema on the ankle
A nurse caring for a client with a skull fracture should be most concerned about a
Glasgow Coma Scale score change from 14 to 9 - ANSWER...Glasgow Coma
Scale score changes from 14 to 9
A nurse administering furosemide to a client with pulmonary edema should
monitor for: - ANSWER...Weight loss of 1.8 kg (4 lb) in the past 24 hours
A nurse preparing to administer furosemide to a client with acute heart failure
should be cautious if potassium level is: - ANSWER...Potassium 3.2 mEq/L
A nurse caring for a client receiving internal radiation therapy should: -
ANSWER...Wear a lead apron when providing care
A nurse monitoring long term glucose control in a client with diabetes mellitus
should check: - ANSWER...Glycosylated hemoglobin level (A1C)
A nurse is provide preoperative teaching for a client having left-sided cardiac
catheterization. What should the nurse include in the teaching? - ANSWER...You
should expect a warm sensation after the injection of the contrast dye during the
procedure
A nurse is caring for a client with anemia. What assessment finding should the
nurse anticipate? - ANSWER...Flushed skin color
A nurse is teaching a client with a new Warfarin prescription about foods affecting
the INR. Which food interacts with this medication? - ANSWER...Kale
A nurse is monitoring an older adult client with chronic lymphocytic leukemia and
notes petechiae. What action should the nurse take? - ANSWER...Institute
bleeding precautions
A nurse is providing discharge teaching for a client with genital herpes. What
statement by the client indicates teaching effectiveness? - ANSWER...I should
apply antibiotic ointment for the lesions
ACTUAL EXAM WITH ALL 215 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse caring for a client with a prescription for enalapril should identify which
finding as an adverse effect of the medication? - ANSWER...Orthostatic
hypotension
A nurse assessing for compartment syndrome in a client with a short leg cast
should identify which finding as a manifestation of this condition? -
ANSWER...Pain that increases with passive movement
A nurse planning care for a client with full-thickness burns on the lower
extremities should include which intervention? - ANSWER...Apply new gloves
when alternating between wound care sites
A nurse caring for a client with cancer who prefers vitamins and minerals over
chemotherapy should respond by saying? - ANSWER...Tell me what you know
about chemotherapy
A nurse teaching a client about a low purine diet should instruct the client to
include which foods? - ANSWER...Nuts, Apricots
A nurse caring for a client following a total knee arthroplasty with a pain level of 6
should take which intervention? - ANSWER...Apply an ice pack to the client's
knee
A nurse caring for a client with a lower extremity fracture and crutches should
recognize adaptation when the client makes which statement? - ANSWER...I will
need to have my partner take over shopping for groceries and cooking the meals
for us
A nurse assessing a client preoperatively with a banana allergy should recognize a
risk for allergic cross-reactivity to which substance? - ANSWER...Latex
,A nurse on a medical unit should attend to which client first? - ANSWER...A client
with thrombocytopenia reporting a nosebleed
A nurse monitoring a client receiving two units packed PBCs should recognize a
hemolytic transfusion reaction by which manifestation? - ANSWER...Back pain
A nurse teaching a client with diabetes mellitus about foot care. Which instruction
to include? - ANSWER...Wear cotton rather than nylon socks
A nurse teaching a client with a DVT. Risk factor for DVT development? -
ANSWER...Oral contraceptives
A nurse caring for a client with a sealed radiation implant. Action to take? -
ANSWER...Limit family member visits to 30 minutes per day
A nurse teaching a client about peritoneal dialysis. Early indication of peritonitis? -
ANSWER...Fever
A nurse caring for a client receiving a blood transfusion. Medication to anticipate
administering? - ANSWER...Furosemide
A nurse planning care for a client with upper GI bleeding. Action to plan? -
ANSWER...Insert a large bore nasogastric tube
A nurse caring for a client with bladder cancer and WBC of 900/mm3. Action to
take? - ANSWER...Instruct the client to avoid eating raw fruit
A nurse caring for a hypotensive client. Position to place the client? -
ANSWER...Reverse Trendelenburg
A nurse planning care for a client receiving TPN. Daily protein intake in grams? -
ANSWER...69 grams
A nurse planning care for a client with a central venous access device. Action to
include? - ANSWER...Flush a catheter using a 10 mL syringe
,A nurse reviewing medical record for open heart surgery client. Contraindication
to heparin? - ANSWER...d) Thrombocytopenia
Nurse caring for older adult with dementia. Assess abstract thinking? -
ANSWER...a) What is meant by saying 'don't beat around the bush?'
Nurse notes reddened areas over bony prominences in older adult. Intervention? -
ANSWER...c) Support bony prominences with pillows
Nurse reviewing cardiac rhythm strip of client with atrial flutter. Expected finding?
- ANSWER...d) Sawtooth pattern with arterial rate of 252-400/ minute
Nurse caring for client scheduled for abdominal paracentesis. Action to take? -
ANSWER...b) Ask the client to empty his bladder prior to the procedure
Nurse planning staff education session about hepatitis A. Include? - ANSWER...a)
Immunization for Hepatitis A is recommended prior to travel to high-risk areas
Nurse caring for client with advanced liver disease. Lab result to monitor? -
ANSWER...d) Serum ammonia
Nurse planning care for client in status epilepticus. Priority intervention? -
ANSWER...c) Turn the client to the lateral position during seizure activity
Nurse caring for client post total hip arthroplasty. Action to prevent hip
dislocation? - ANSWER...d) Place two bed pillows between the legs when in bed
Nurse caring for client receiving TPN. Current infusion almost complete. Action to
take? - ANSWER...a) Infuse dextrose 10% in water
A nurse caring for a client 6 hours postoperative with an external fixator for a tibial
fracture should: - ANSWER...Palpate the dorsalis pedis
A nurse caring for a client with a full-thickness burn injury should expect: -
ANSWER...Hypotension
A nurse planning care for a client with Meniere's disease should include: -
ANSWER...Encourage the client to change positions slowly
, A nurse assessing a client with colon cancer should expect: -
ANSWER...Hematochezia (rectal bleeding)
A nurse assessing a client with peripheral vascular disease should note edema on
the ankle, indicating: - ANSWER...Edema on the ankle
A nurse caring for a client with a skull fracture should be most concerned about a
Glasgow Coma Scale score change from 14 to 9 - ANSWER...Glasgow Coma
Scale score changes from 14 to 9
A nurse administering furosemide to a client with pulmonary edema should
monitor for: - ANSWER...Weight loss of 1.8 kg (4 lb) in the past 24 hours
A nurse preparing to administer furosemide to a client with acute heart failure
should be cautious if potassium level is: - ANSWER...Potassium 3.2 mEq/L
A nurse caring for a client receiving internal radiation therapy should: -
ANSWER...Wear a lead apron when providing care
A nurse monitoring long term glucose control in a client with diabetes mellitus
should check: - ANSWER...Glycosylated hemoglobin level (A1C)
A nurse is provide preoperative teaching for a client having left-sided cardiac
catheterization. What should the nurse include in the teaching? - ANSWER...You
should expect a warm sensation after the injection of the contrast dye during the
procedure
A nurse is caring for a client with anemia. What assessment finding should the
nurse anticipate? - ANSWER...Flushed skin color
A nurse is teaching a client with a new Warfarin prescription about foods affecting
the INR. Which food interacts with this medication? - ANSWER...Kale
A nurse is monitoring an older adult client with chronic lymphocytic leukemia and
notes petechiae. What action should the nurse take? - ANSWER...Institute
bleeding precautions
A nurse is providing discharge teaching for a client with genital herpes. What
statement by the client indicates teaching effectiveness? - ANSWER...I should
apply antibiotic ointment for the lesions
