ATI Medical Surgical Proctored 2023
1. B. Limit family A nurse is caring for a client who has a sealed radiation
member visits to implant. Which of the following actions should the nurse
30 min per day. take?
A. Give the dosimeter badge to the oncoming nurse at the
end of the shift.
B. Limit family member visits to 30 min per day.
C. Remove soiled linens from the room after each change.
D. Apply a second pair of gloves before touching the
client's implant if it dislodges.
2. D. Antithrombot- A nurse is planning the discharge of a client who had
ic an ischemic stroke. The nurse should ensure that the
client is discharged with which of the following types of
pharmacologic therapy?
A. Opioid analgesic
B. Anticonvulsant
C. Diuretic
D. Antithrombotic
3. C. Initiate a refer- A nurse is teaching a client who has AIDS and wishes
ral for the client to continue self-care at home despite living alone. Which
to a home health of the following actions by the nurse demonstrates client
agency. advocacy?
A. Remind the client of the importance of medication
adherence.
B. Tell the client to avoid places where there are large
crowds of people.
C. Initiate a referral for the client to a home health agency.
D. Instruct the client to avoid eating raw vegetables.
4. D. "I will draw A nurse is providing teaching for a client who has diabetes
up the regular in- mellitus about the self-administration of insulin. The client
sulin into the sy- has prescriptions for regular and NPH insulins. Which of
ringe first." the following statements by the client indicates an under-
standing of the teaching?
, ATI Medical Surgical Proctored 2023
A. "I will insert the needle at a 15-degree angle."
B. "I will store prefilled syringes in the refrigerator with the
needle pointed downward."
C. "I will shake the NPH vial vigorously before drawing up
the insulin."
D. "I will draw up the regular insulin into the syringe first."
5. D. Flush the A nurse is caring for a client who has a peripherally
catheter with inserted central catheter (PICC) line in her left forearm.
a 0.9% sodium The client is receiving an antibiotic via intermittent IV
chloride solution bolus every 12 hr. Which of the following actions should
after each use. the nurse take in managing the client's PICC line?
A. Change the transparent membrane dressing daily.
B. Access the catheter using a non-coring needle.
C. Maintain a continuous IV infusion through the PICC
line.
D. Flush the catheter with a 0.9% sodium chloride solution
after each use.
6. D. Weight loss of A nurse is administering furosemide 80 mg PO twice
1.8 kg (4 lb) in the daily to a client who has pulmonary edema. Which of the
past 24 hr following assessment findings indicates to the nurse that
the medication is effective?
A. Elevation in blood pressure
B. Adventitious breath sounds
C. Respiratory rate of 24/min
D. Weight loss of 1.8 kg (4 lb) in the past 24 hr
7. B. Provide the A nurse is caring for a client who has skeletal traction
client with a applied to the left leg. Which of the following actions
trapeze bar. should the nurse take?
A. Check pressure points every 12 hr.
B. Provide the client with a trapeze bar.
C. Remove the weights before changing the client's bed-
linens.
D. Instruct the client to use their elbows to reposition.
, ATI Medical Surgical Proctored 2023
8. B. "I can assist A nurse is caring for a client who has a new diagnosis of
you with making type 2 diabetes mellitus and has a referral for dietary con-
a list of foods sult. The client tells the nurse, "I will have to eat whatever
you like for the the dietitian tells me." Which of the following statements
dietitian." by the nurse encourages the client's involvement in their
plan of care?
A. "I understand that the dietary choices can seem over-
whelming."
B. "I can assist you with making a list of foods you like for
the dietitian."
C. "The dietitian will provide you with the best food choices
to manage your diabetes."
D. "Managing your diabetes will require you to make ac-
commodations."
9. A. Perforation of A nurse is teaching a group of young adult clients about
the eardrum risk factors for hearing loss. Which of the following factors
D. Chronic infec- should the nurse include in the teaching? (Select all that
tions of the mid- apply.)
dle ear
E. Use of a loop A. Perforation of the eardrum
diuretic B. Born with a high birth weight
C. Frequent exposure to low-volume noise
D. Chronic infections of the middle ear
E. Use of a loop diuretic
10. C. Cool, clammy A nurse suspects that a client who has diabetes mellitus
skin is experiencing hypoglycemia. Which of the following as-
sessment findings supports this suspicion?
A. Kussmaul respirations
B. Increased urine output
C. Cool, clammy skin
D. Acetone breath
11. B. "Do you feel A nurse is caring for a client who has oral achalasia.
life you have The nurse should ask the client which of the following
food stuck at questions to assess their ability to swallow?
, ATI Medical Surgical Proctored 2023
the base of your
throat?" A. "Do you feel any burning sensations in your throat?"
B. "Do you feel life you have food stuck at the base of your
throat?"
C. "Do you have any feelings of fullness in the neck?"
D. "Do you have any problems with pain while swallow-
ing?"
12. B. Slow infusion A nurse is caring for a client who is receiving a 0.9%
rate and contact sodium chloride via IV infusion. The client has become
the provider. dyspneic with a blood pressure of 140/100 mm Hg, a fluid
intake of 960 mL, and an output of 300 mL in the past 12
hr. Which of the following actions should the nurse take?
A. Administer prescribed corticosteroids.
B. Slow infusion rate and contact the provider.
C. Change infusion to lactated Ringer's and maintain rate.
D. Lower the head of the bed to semi-Fowler's.
13. D. Instruct the A nurse is caring for a client immediately following a
client not to bend cardiac catheterization through the right femoral artery.
the affected leg. Which of the following actions should the nurse take?
A. Monitor the client's vital signs once every hour.
B. Elevate the head of the client's bed to a 45° angle.
C. Restrict the client's fluid intake.
D. Instruct the client not to bend the affected leg.
14. C. Uric acid A nurse is reviewing the medical record of a client who
has acute gout. The nurse should expect an increase in
which of the following laboratory results?
A. Intrinsic factor
B. Creatinine kinase
C. Uric acid
D. Chloride level
15. B A nurse is assessing a client for a positive Chvostek's sign
following a thyroidectomy. Which of the following areas on
1. B. Limit family A nurse is caring for a client who has a sealed radiation
member visits to implant. Which of the following actions should the nurse
30 min per day. take?
A. Give the dosimeter badge to the oncoming nurse at the
end of the shift.
B. Limit family member visits to 30 min per day.
C. Remove soiled linens from the room after each change.
D. Apply a second pair of gloves before touching the
client's implant if it dislodges.
2. D. Antithrombot- A nurse is planning the discharge of a client who had
ic an ischemic stroke. The nurse should ensure that the
client is discharged with which of the following types of
pharmacologic therapy?
A. Opioid analgesic
B. Anticonvulsant
C. Diuretic
D. Antithrombotic
3. C. Initiate a refer- A nurse is teaching a client who has AIDS and wishes
ral for the client to continue self-care at home despite living alone. Which
to a home health of the following actions by the nurse demonstrates client
agency. advocacy?
A. Remind the client of the importance of medication
adherence.
B. Tell the client to avoid places where there are large
crowds of people.
C. Initiate a referral for the client to a home health agency.
D. Instruct the client to avoid eating raw vegetables.
4. D. "I will draw A nurse is providing teaching for a client who has diabetes
up the regular in- mellitus about the self-administration of insulin. The client
sulin into the sy- has prescriptions for regular and NPH insulins. Which of
ringe first." the following statements by the client indicates an under-
standing of the teaching?
, ATI Medical Surgical Proctored 2023
A. "I will insert the needle at a 15-degree angle."
B. "I will store prefilled syringes in the refrigerator with the
needle pointed downward."
C. "I will shake the NPH vial vigorously before drawing up
the insulin."
D. "I will draw up the regular insulin into the syringe first."
5. D. Flush the A nurse is caring for a client who has a peripherally
catheter with inserted central catheter (PICC) line in her left forearm.
a 0.9% sodium The client is receiving an antibiotic via intermittent IV
chloride solution bolus every 12 hr. Which of the following actions should
after each use. the nurse take in managing the client's PICC line?
A. Change the transparent membrane dressing daily.
B. Access the catheter using a non-coring needle.
C. Maintain a continuous IV infusion through the PICC
line.
D. Flush the catheter with a 0.9% sodium chloride solution
after each use.
6. D. Weight loss of A nurse is administering furosemide 80 mg PO twice
1.8 kg (4 lb) in the daily to a client who has pulmonary edema. Which of the
past 24 hr following assessment findings indicates to the nurse that
the medication is effective?
A. Elevation in blood pressure
B. Adventitious breath sounds
C. Respiratory rate of 24/min
D. Weight loss of 1.8 kg (4 lb) in the past 24 hr
7. B. Provide the A nurse is caring for a client who has skeletal traction
client with a applied to the left leg. Which of the following actions
trapeze bar. should the nurse take?
A. Check pressure points every 12 hr.
B. Provide the client with a trapeze bar.
C. Remove the weights before changing the client's bed-
linens.
D. Instruct the client to use their elbows to reposition.
, ATI Medical Surgical Proctored 2023
8. B. "I can assist A nurse is caring for a client who has a new diagnosis of
you with making type 2 diabetes mellitus and has a referral for dietary con-
a list of foods sult. The client tells the nurse, "I will have to eat whatever
you like for the the dietitian tells me." Which of the following statements
dietitian." by the nurse encourages the client's involvement in their
plan of care?
A. "I understand that the dietary choices can seem over-
whelming."
B. "I can assist you with making a list of foods you like for
the dietitian."
C. "The dietitian will provide you with the best food choices
to manage your diabetes."
D. "Managing your diabetes will require you to make ac-
commodations."
9. A. Perforation of A nurse is teaching a group of young adult clients about
the eardrum risk factors for hearing loss. Which of the following factors
D. Chronic infec- should the nurse include in the teaching? (Select all that
tions of the mid- apply.)
dle ear
E. Use of a loop A. Perforation of the eardrum
diuretic B. Born with a high birth weight
C. Frequent exposure to low-volume noise
D. Chronic infections of the middle ear
E. Use of a loop diuretic
10. C. Cool, clammy A nurse suspects that a client who has diabetes mellitus
skin is experiencing hypoglycemia. Which of the following as-
sessment findings supports this suspicion?
A. Kussmaul respirations
B. Increased urine output
C. Cool, clammy skin
D. Acetone breath
11. B. "Do you feel A nurse is caring for a client who has oral achalasia.
life you have The nurse should ask the client which of the following
food stuck at questions to assess their ability to swallow?
, ATI Medical Surgical Proctored 2023
the base of your
throat?" A. "Do you feel any burning sensations in your throat?"
B. "Do you feel life you have food stuck at the base of your
throat?"
C. "Do you have any feelings of fullness in the neck?"
D. "Do you have any problems with pain while swallow-
ing?"
12. B. Slow infusion A nurse is caring for a client who is receiving a 0.9%
rate and contact sodium chloride via IV infusion. The client has become
the provider. dyspneic with a blood pressure of 140/100 mm Hg, a fluid
intake of 960 mL, and an output of 300 mL in the past 12
hr. Which of the following actions should the nurse take?
A. Administer prescribed corticosteroids.
B. Slow infusion rate and contact the provider.
C. Change infusion to lactated Ringer's and maintain rate.
D. Lower the head of the bed to semi-Fowler's.
13. D. Instruct the A nurse is caring for a client immediately following a
client not to bend cardiac catheterization through the right femoral artery.
the affected leg. Which of the following actions should the nurse take?
A. Monitor the client's vital signs once every hour.
B. Elevate the head of the client's bed to a 45° angle.
C. Restrict the client's fluid intake.
D. Instruct the client not to bend the affected leg.
14. C. Uric acid A nurse is reviewing the medical record of a client who
has acute gout. The nurse should expect an increase in
which of the following laboratory results?
A. Intrinsic factor
B. Creatinine kinase
C. Uric acid
D. Chloride level
15. B A nurse is assessing a client for a positive Chvostek's sign
following a thyroidectomy. Which of the following areas on
