ATI MED SURG PROCTORED 2024
EXAM WITH ALL ANSWERS
1. A nurse is caring for a client who is receiving chemotherapy and requests
information about acupuncture to relieve some of the side effects. Which of the
following findings should the nurse identify as a contraindication to receiving
this alternative therapy?
A. Urticaria
B. Lymphedema
C. Headaches
D. Mouth sores: Lymphedema
2. A nurse is preparing to administer lactated Ringer's via continuos IV infu-
sion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many
gtt/min should the nurse set the IV ump to administer?: 33
3. A nurse is providing discharge teaching to a client who has a new pre-
scription for sublingual nitroglycerin. Which of the following client statements
indicates an understanding of the teaching?
,a. "I should lie down when I take this medication."
b. "I can keep my medication for 1 year before replacing it."
c. "I should discontinue this medication if I develop a headache."
d. "I can take up to five tablets in 15 minutes before seeking medical atten-
tion.": I should lie down when I take this medication
4. A nurse is providing discharge teaching to an older adult client following
total hip arthroplasty. Which of the following instructions should the nurse
include in the teaching?
a. "You can cross your legs at the ankles when sitting down."
b. "Clean the incision daily with hydrogen peroxide."
c. "Install a raised toilet seat in your bathroom."
d. "You should use an incentive spirometer every 8 hrs.": Install a raised toilet
seat in your bathroom
5. A nurse is planning care for a client following cardiac catheterization. Which
of the following actions should the nurse take?
a. Limit the client's fluid intake to 1 L per day.
b. Change the client's dressing every 8 hr.
c. Keep the client on bed rest for 24 hr.
d. Maintain he client's affected extremity in extension.: Maintain the client's
affected extremity in extension
, 6. A nurse is caring for a client who has a lower extremity fracture and a
prescription for crutches. Which of the following client statements indicates
that the client is adapting to their role change?
a) I will need to have my partner take over shopping for groceries and cookin
the meals for us
b) it's going to be difficult to tell my parents I can't take them to their appoint-
ments anymore
c) I feel bad that I have to ask my partner to keep the house clean d) these
crutches will make it impossible to care for my child: I will need to have my
partner take over shopping for groceries and cooking the meals for us
7. A nurse is providing teaching to a client who has an impaired immune
system due to chemotherapy. Which of the following information should the
nurse include in the teaching?
a. wash your toothbrush in the dishwasher once each month
b. Wash your perineal area two times each day with antimicrobial soap
c. Change your pet's litter box daily
d. change the water in your drinking glass every 4 hours: Wash your perineal
area two times each day with anti microbial soap
8. A nurse is caring for a client who has a contusion of the brainstem and
reports thirst. The client's urinary output was 4,000 mL over the past 24
hr. The nurse should anticipate a prescription for which of the following IV
medications?
a. Nitroprusside
b. Epinephrine
c. Furosemide
d. Desmopressin: Desmopressin
9. A nurse in a clinic receives a phone call from a client who recently started
therapy with an ACE inhibitor and reports a nagging dry cough. Which of the
following responses by the nurse is appropriate?
a. "Sucking on a lozenge may reduce the frequency of your cough."
b. "Increasing your daily fluid intake may eliminate your cough."
c. "Your cough may require that you stop or change your medication."
d. "Your cough should go away in time.": C. "your cough may require that you
stop or change your medication"
EXAM WITH ALL ANSWERS
1. A nurse is caring for a client who is receiving chemotherapy and requests
information about acupuncture to relieve some of the side effects. Which of the
following findings should the nurse identify as a contraindication to receiving
this alternative therapy?
A. Urticaria
B. Lymphedema
C. Headaches
D. Mouth sores: Lymphedema
2. A nurse is preparing to administer lactated Ringer's via continuos IV infu-
sion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many
gtt/min should the nurse set the IV ump to administer?: 33
3. A nurse is providing discharge teaching to a client who has a new pre-
scription for sublingual nitroglycerin. Which of the following client statements
indicates an understanding of the teaching?
,a. "I should lie down when I take this medication."
b. "I can keep my medication for 1 year before replacing it."
c. "I should discontinue this medication if I develop a headache."
d. "I can take up to five tablets in 15 minutes before seeking medical atten-
tion.": I should lie down when I take this medication
4. A nurse is providing discharge teaching to an older adult client following
total hip arthroplasty. Which of the following instructions should the nurse
include in the teaching?
a. "You can cross your legs at the ankles when sitting down."
b. "Clean the incision daily with hydrogen peroxide."
c. "Install a raised toilet seat in your bathroom."
d. "You should use an incentive spirometer every 8 hrs.": Install a raised toilet
seat in your bathroom
5. A nurse is planning care for a client following cardiac catheterization. Which
of the following actions should the nurse take?
a. Limit the client's fluid intake to 1 L per day.
b. Change the client's dressing every 8 hr.
c. Keep the client on bed rest for 24 hr.
d. Maintain he client's affected extremity in extension.: Maintain the client's
affected extremity in extension
, 6. A nurse is caring for a client who has a lower extremity fracture and a
prescription for crutches. Which of the following client statements indicates
that the client is adapting to their role change?
a) I will need to have my partner take over shopping for groceries and cookin
the meals for us
b) it's going to be difficult to tell my parents I can't take them to their appoint-
ments anymore
c) I feel bad that I have to ask my partner to keep the house clean d) these
crutches will make it impossible to care for my child: I will need to have my
partner take over shopping for groceries and cooking the meals for us
7. A nurse is providing teaching to a client who has an impaired immune
system due to chemotherapy. Which of the following information should the
nurse include in the teaching?
a. wash your toothbrush in the dishwasher once each month
b. Wash your perineal area two times each day with antimicrobial soap
c. Change your pet's litter box daily
d. change the water in your drinking glass every 4 hours: Wash your perineal
area two times each day with anti microbial soap
8. A nurse is caring for a client who has a contusion of the brainstem and
reports thirst. The client's urinary output was 4,000 mL over the past 24
hr. The nurse should anticipate a prescription for which of the following IV
medications?
a. Nitroprusside
b. Epinephrine
c. Furosemide
d. Desmopressin: Desmopressin
9. A nurse in a clinic receives a phone call from a client who recently started
therapy with an ACE inhibitor and reports a nagging dry cough. Which of the
following responses by the nurse is appropriate?
a. "Sucking on a lozenge may reduce the frequency of your cough."
b. "Increasing your daily fluid intake may eliminate your cough."
c. "Your cough may require that you stop or change your medication."
d. "Your cough should go away in time.": C. "your cough may require that you
stop or change your medication"
