RN 2023 Adult Medical Surgical ATI Proctored
1. A nurse is caring for a client who C. Thinning of the skin
has atopic dermatitis and a pre-
scription for triamcinolone oint- Thinning of the skin and delayed healing
ment. The nurse should assess are adverse effects of topical glucocor-
the client to monitor for which of ticoid
the following adverse effects? preparations. The client should only ap-
ply the ointment to dry patches of the
A. Increased pigmentation skin because
B. Localized hair loss topical steroids can cause atrophy of the
C. Thinning of the skin dermis and epidermis, which can result
D. Increased sensitivity to the sun in thinning
of the skin.
2. A nurse is assessing a client who D. Frothy sputum
has left-sided heart failure. Which
of the following findings should The nurse should identify that frothy
the nurse identify as a manifesta- sputum, dyspnea, and wheezing are
tion of left-sided heart failure? manifestations of
left-sided heart failure. Treatment in-
A. Dependent edema cludes fluid restriction and diuretics to
B. Jugular distention decrease
C. Weight gain preload and reduce pulmonary conges-
D. Frothy sputum tion. Pink-tinged frothy sputum can be
an early indication of pulmonary edema
and can be life-threatening. Therefore,
the nurse should
notify the provider immediately.
3. A nurse is caring for a client who A. Respiratory alkalosis
is experiencing anxiety as well as
numbness and tingling of the lips This pH is alkaline (increased) and the
and fingers. The client's ABGs are: PCO2 is decreased, representing alve-
pH 7.48, PCO2 30 mm Hg, HCO3- olar
24 mEq/L, PaO2 85 mm Hg. Which hyperventilation and resultant respirato-
of the following acid-base imbal- ry alkalosis.
ances should the nurse identify
that the client is experiencing?
A. Respiratory alkalosis
, RN 2023 Adult Medical Surgical ATI Proctored
B. Metabolic alkalosis
C. Respiratory acidosis
D. Metabolic acidosis
4. A nurse is assessing a client who B. Osteoporosis
has Cushing's syndrome. Which
of the following findings should Osteoporosis is a common finding with
the nurse expect? Cushing's syndrome. Bones become
thinner as a
A. Vitiligo result of mineral loss and nitrogen de-
B. Osteoporosis pletion, and the risk for fractures in-
C. Myxedema creases.
D. Heat intolerance
5. A nurse is inspecting the skin of A. A pearly, waxy nodule
a client who has basal cell carci-
noma. The nurse should identify A client who has basal cell carcinoma
which of the following lesion char- has a nodular lesion with well-defined
acteristics on the client's skin? borders and a
pearly or waxy appearance, resulting
A. A pearly, waxy nodule from overexposure to the sun, especial-
B. An irregular border on a varie- ly on the face,
gated-colored lesion head, and neck.
C. A firm, nodular, crusty, or ulcer-
ated lesion
D. A weeping vesicle
6. A nurse is assessing a client who A is correct.
has hypocalcemia. In which of the
following areas should the nurse The nurse should tap the client's cheek
tap on the client's face to detect just in front of the ear and below the
the presence of Chvostek's sign? zygomatic arch. The client who has
hypocalcemia will display a Ckvostek's
sign, which is a
twitching of the facial muscle.
, RN 2023 Adult Medical Surgical ATI Proctored
7. A nurse in an emergency depart- B. Low urine specific gravity
ment is assessing a client who
is overusing prescribed diuretics A client who has hyponatremia as a re-
and has a sodium level of 127 sult of diuretic overuse has a low urine
mEq/L. Which of the following lab- specific
oratory findings should the gravity. The increased excretion of wa-
nurse expect? ter alters the ratio of particulate matter,
which
A. High lipase affects the specific gravity.
B. Low urine specific gravity
C. Low hemoglobin
D. High creatine kinase-MB
(CK-MB)
8. A home health nurse is assisting a A. Remove clutter from rooms and hall-
client with planning care for a fam- ways.
ily member who has Alzheimer's
disease. Which of the following The nurse should instruct the family
instructions should the nurse in- member to remove clutter from rooms
clude? and hallways so the client is able to walk
without the risk of falling or tripping over
A. Remove clutter from rooms and objects. Later in the disease, the client
hallways. can experience seizures, so cluttered
B. Place a monthly calendar in the areas could be a risk to the client.
client's room.
C. Use confrontation to manage
the client's behavior.
D. Review the daily schedule with
the client every morning.
9. A nurse is caring for a client who C. Refractory hypoxemia
has developed acute respiratory
, RN 2023 Adult Medical Surgical ATI Proctored
distress syndrome (ARDS). Which ARDS is a systemic inflammatory re-
of the following findings should sponse to trauma, sepsis, burns, pan-
the nurse identify as a manifesta- creatitis, and blood
tion of this syndrome? transfusions, when excess lung fluid di-
lutes surfactant activity in the lungs. A
A. An audible pleural friction rub client who
B. Tracheal deviation from the mid- has ARDS has refractory hypoxemia,
line which is hypoxemia that does not im-
C. Refractory hypoxemia prove with
D. Bloody expectorant when oxygen therapy. Extensive pulmonary
coughing edema evident on a chest x-ray is a
manifestation of
ARDS.
10. An emergency room nurse is as- C. Use of accessory muscles
sessing a client who has asthma
and difficulty breathing. Which of A client who has status asthmaticus
the following findings should indi- uses accessory muscles to help facili-
cate to the nurse that the client is tate breathing,
experiencing status asthmaticus? which is a manifestation of a se-
vere airflow obstruction. The situation
A. Coughing is life-threatening and the nurse should
B. Flat neck veins intervene immediately with strong sys-
C. Use of accessory muscles temic bronchodilators, epinephrine, cor-
D. Presence of coarse crackles ticosteroids, and oxygen.
11. A nurse is teaching a client who D. Skin rash
has a new prescription for pheny-
toin to treat a seizure disorder. When using the urgent vs. non-ur-
Which of the following adverse ef- gent approach to client care, the nurse
fects should the nurse instruct the should determine
client to report immediately to the that the priority finding is a rash, which
provider? can have a measles-like appearance
and progress
A. Tender, bleeding gums to exfoliative dermatitis or
B. Increased facial hair Stevens-Johnson syndrome. The client
C. Constipation should report this finding
D. Skin rash to the provider immediately.
1. A nurse is caring for a client who C. Thinning of the skin
has atopic dermatitis and a pre-
scription for triamcinolone oint- Thinning of the skin and delayed healing
ment. The nurse should assess are adverse effects of topical glucocor-
the client to monitor for which of ticoid
the following adverse effects? preparations. The client should only ap-
ply the ointment to dry patches of the
A. Increased pigmentation skin because
B. Localized hair loss topical steroids can cause atrophy of the
C. Thinning of the skin dermis and epidermis, which can result
D. Increased sensitivity to the sun in thinning
of the skin.
2. A nurse is assessing a client who D. Frothy sputum
has left-sided heart failure. Which
of the following findings should The nurse should identify that frothy
the nurse identify as a manifesta- sputum, dyspnea, and wheezing are
tion of left-sided heart failure? manifestations of
left-sided heart failure. Treatment in-
A. Dependent edema cludes fluid restriction and diuretics to
B. Jugular distention decrease
C. Weight gain preload and reduce pulmonary conges-
D. Frothy sputum tion. Pink-tinged frothy sputum can be
an early indication of pulmonary edema
and can be life-threatening. Therefore,
the nurse should
notify the provider immediately.
3. A nurse is caring for a client who A. Respiratory alkalosis
is experiencing anxiety as well as
numbness and tingling of the lips This pH is alkaline (increased) and the
and fingers. The client's ABGs are: PCO2 is decreased, representing alve-
pH 7.48, PCO2 30 mm Hg, HCO3- olar
24 mEq/L, PaO2 85 mm Hg. Which hyperventilation and resultant respirato-
of the following acid-base imbal- ry alkalosis.
ances should the nurse identify
that the client is experiencing?
A. Respiratory alkalosis
, RN 2023 Adult Medical Surgical ATI Proctored
B. Metabolic alkalosis
C. Respiratory acidosis
D. Metabolic acidosis
4. A nurse is assessing a client who B. Osteoporosis
has Cushing's syndrome. Which
of the following findings should Osteoporosis is a common finding with
the nurse expect? Cushing's syndrome. Bones become
thinner as a
A. Vitiligo result of mineral loss and nitrogen de-
B. Osteoporosis pletion, and the risk for fractures in-
C. Myxedema creases.
D. Heat intolerance
5. A nurse is inspecting the skin of A. A pearly, waxy nodule
a client who has basal cell carci-
noma. The nurse should identify A client who has basal cell carcinoma
which of the following lesion char- has a nodular lesion with well-defined
acteristics on the client's skin? borders and a
pearly or waxy appearance, resulting
A. A pearly, waxy nodule from overexposure to the sun, especial-
B. An irregular border on a varie- ly on the face,
gated-colored lesion head, and neck.
C. A firm, nodular, crusty, or ulcer-
ated lesion
D. A weeping vesicle
6. A nurse is assessing a client who A is correct.
has hypocalcemia. In which of the
following areas should the nurse The nurse should tap the client's cheek
tap on the client's face to detect just in front of the ear and below the
the presence of Chvostek's sign? zygomatic arch. The client who has
hypocalcemia will display a Ckvostek's
sign, which is a
twitching of the facial muscle.
, RN 2023 Adult Medical Surgical ATI Proctored
7. A nurse in an emergency depart- B. Low urine specific gravity
ment is assessing a client who
is overusing prescribed diuretics A client who has hyponatremia as a re-
and has a sodium level of 127 sult of diuretic overuse has a low urine
mEq/L. Which of the following lab- specific
oratory findings should the gravity. The increased excretion of wa-
nurse expect? ter alters the ratio of particulate matter,
which
A. High lipase affects the specific gravity.
B. Low urine specific gravity
C. Low hemoglobin
D. High creatine kinase-MB
(CK-MB)
8. A home health nurse is assisting a A. Remove clutter from rooms and hall-
client with planning care for a fam- ways.
ily member who has Alzheimer's
disease. Which of the following The nurse should instruct the family
instructions should the nurse in- member to remove clutter from rooms
clude? and hallways so the client is able to walk
without the risk of falling or tripping over
A. Remove clutter from rooms and objects. Later in the disease, the client
hallways. can experience seizures, so cluttered
B. Place a monthly calendar in the areas could be a risk to the client.
client's room.
C. Use confrontation to manage
the client's behavior.
D. Review the daily schedule with
the client every morning.
9. A nurse is caring for a client who C. Refractory hypoxemia
has developed acute respiratory
, RN 2023 Adult Medical Surgical ATI Proctored
distress syndrome (ARDS). Which ARDS is a systemic inflammatory re-
of the following findings should sponse to trauma, sepsis, burns, pan-
the nurse identify as a manifesta- creatitis, and blood
tion of this syndrome? transfusions, when excess lung fluid di-
lutes surfactant activity in the lungs. A
A. An audible pleural friction rub client who
B. Tracheal deviation from the mid- has ARDS has refractory hypoxemia,
line which is hypoxemia that does not im-
C. Refractory hypoxemia prove with
D. Bloody expectorant when oxygen therapy. Extensive pulmonary
coughing edema evident on a chest x-ray is a
manifestation of
ARDS.
10. An emergency room nurse is as- C. Use of accessory muscles
sessing a client who has asthma
and difficulty breathing. Which of A client who has status asthmaticus
the following findings should indi- uses accessory muscles to help facili-
cate to the nurse that the client is tate breathing,
experiencing status asthmaticus? which is a manifestation of a se-
vere airflow obstruction. The situation
A. Coughing is life-threatening and the nurse should
B. Flat neck veins intervene immediately with strong sys-
C. Use of accessory muscles temic bronchodilators, epinephrine, cor-
D. Presence of coarse crackles ticosteroids, and oxygen.
11. A nurse is teaching a client who D. Skin rash
has a new prescription for pheny-
toin to treat a seizure disorder. When using the urgent vs. non-ur-
Which of the following adverse ef- gent approach to client care, the nurse
fects should the nurse instruct the should determine
client to report immediately to the that the priority finding is a rash, which
provider? can have a measles-like appearance
and progress
A. Tender, bleeding gums to exfoliative dermatitis or
B. Increased facial hair Stevens-Johnson syndrome. The client
C. Constipation should report this finding
D. Skin rash to the provider immediately.
