ATI Med-Serg Proctored Exam
Questions and Correct Answers
RATED A+ Updated 2024
1. include in the discharge plan? - ANSWER ✔ You will need to be
monitor for 15 minutes after receiving each medication close
2. A nurse is caring for a client who has hypotension, cool and
clammy skin, tachycardia, and tachypnea. In which of the
following positions should the nurse place the client? - ANSWER
✔ Feet elevated
3. A nurse is assessing a client who has a pressure ulcer. Which of the
following findings should the nurse expect as an indication the
wound is healing? - ANSWER ✔ Dark red granulation tissue
4. A nurse is providing discharge teaching for a client who has a new
tracheostomy. Which of the following statements by the client
indicates an understanding of the teaching? - ANSWER ✔ I'll cut
a slit in a clean gauze pad to use as a stoma dressing
5. A nurse is preparing to administer furosemide to a client who has
acute heart failure. Which of the following laboratory results
should the nurse identify as a contraindica on for receiving the
medica on? - ANSWER ✔ Potassium 3.2 mEq/L
,6. A nurse is caring for a client admitted with a skull fracture. which
of the following assessment findings should be greatest concern to
the nurse? - ANSWER ✔ Glasgow coma scale score changes
from 14 to 9
7. A nurse is assessing a client who has myasthenia gravis. Which of
the following client statements should indicate to the nurse that the
client needs a referral for occupational therapy? - ANSWER ✔ I
have a hard time with brushing my hair
8. A nurse is providing discharge teaching to a client who will be
self-administering insulin at home. Which of the following informa
on should the nurse include regarding needle disposal? - ANSWER
✔ You can discard needles in an empty bleach bottle with a lid
9. A nurse is assessing a client who has an arteriovenous (AV) gra in
the le forearm. Which of the following ndings should indicate to
the nurse a complica on of vascular access?
a. Presence of a palpable thrill
b. Dilated appearance of the AV site
c. 2+ le radial pulse
d. Absence of a bruit - ANSWER ✔ d. Absence of a bruit
10. A client who is ideal and communicates using sign language
is being admitted by a nurse who does not know sign language.
Which of the following actions should the nurse take? - ANSWER
✔ Request an interpreter during the initial assessment
, 11. A nurse is teaching a client. about the nurse of the incentive
spirometer. which of the following instructions should the nurse
include in the teaching? - ANSWER ✔ Hold breaths 3 to 5
seconds before exhaling
12. A nurse is caring for a client who sustained a spinal cord
injury in a diving accident. which of the following actions should
the nurse take? - ANSWER ✔ Monitor urine output hourly
13. 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 - ANSWER ✔ Lymphedema
14. A nurse is preparing to administer lactated Ringer's via
continuos IV infusion 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? - ANSWER ✔ 33
15. A nurse is providing discharge teaching to a client who has a
new prescription 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."
Questions and Correct Answers
RATED A+ Updated 2024
1. include in the discharge plan? - ANSWER ✔ You will need to be
monitor for 15 minutes after receiving each medication close
2. A nurse is caring for a client who has hypotension, cool and
clammy skin, tachycardia, and tachypnea. In which of the
following positions should the nurse place the client? - ANSWER
✔ Feet elevated
3. A nurse is assessing a client who has a pressure ulcer. Which of the
following findings should the nurse expect as an indication the
wound is healing? - ANSWER ✔ Dark red granulation tissue
4. A nurse is providing discharge teaching for a client who has a new
tracheostomy. Which of the following statements by the client
indicates an understanding of the teaching? - ANSWER ✔ I'll cut
a slit in a clean gauze pad to use as a stoma dressing
5. A nurse is preparing to administer furosemide to a client who has
acute heart failure. Which of the following laboratory results
should the nurse identify as a contraindica on for receiving the
medica on? - ANSWER ✔ Potassium 3.2 mEq/L
,6. A nurse is caring for a client admitted with a skull fracture. which
of the following assessment findings should be greatest concern to
the nurse? - ANSWER ✔ Glasgow coma scale score changes
from 14 to 9
7. A nurse is assessing a client who has myasthenia gravis. Which of
the following client statements should indicate to the nurse that the
client needs a referral for occupational therapy? - ANSWER ✔ I
have a hard time with brushing my hair
8. A nurse is providing discharge teaching to a client who will be
self-administering insulin at home. Which of the following informa
on should the nurse include regarding needle disposal? - ANSWER
✔ You can discard needles in an empty bleach bottle with a lid
9. A nurse is assessing a client who has an arteriovenous (AV) gra in
the le forearm. Which of the following ndings should indicate to
the nurse a complica on of vascular access?
a. Presence of a palpable thrill
b. Dilated appearance of the AV site
c. 2+ le radial pulse
d. Absence of a bruit - ANSWER ✔ d. Absence of a bruit
10. A client who is ideal and communicates using sign language
is being admitted by a nurse who does not know sign language.
Which of the following actions should the nurse take? - ANSWER
✔ Request an interpreter during the initial assessment
, 11. A nurse is teaching a client. about the nurse of the incentive
spirometer. which of the following instructions should the nurse
include in the teaching? - ANSWER ✔ Hold breaths 3 to 5
seconds before exhaling
12. A nurse is caring for a client who sustained a spinal cord
injury in a diving accident. which of the following actions should
the nurse take? - ANSWER ✔ Monitor urine output hourly
13. 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 - ANSWER ✔ Lymphedema
14. A nurse is preparing to administer lactated Ringer's via
continuos IV infusion 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? - ANSWER ✔ 33
15. A nurse is providing discharge teaching to a client who has a
new prescription 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."
