ATI Proctored Med Surg: Premier Questions from
World-Class Scholars with Thorough Explanations
for Guaranteed Academic Improvement
A nurse is assessing a client who has dry age-related macular degeneration (AMD) of the
left eye. Which of the following findings should the nurse expect?
A. Purulent dischange
B. Pain with blinking
C. Gradual decrease of central vision
D. Petechiae on the surrounding skin - CORRECT ANS- -C
Manifestation of dry AMD. As it progresses, the client will experience a total loss of the
central visual field.
A nurse in the emergency department is assessing a client who was admitted following a
traumatic brain injury (TBI). Which of the following findings should the nurse identify as an
indication of increased ICP?
A. Ecchymosis around both eyes
B. Asymmetric pupils
C. Hypotension
D. Leaking cerebral spinal fluid (CSF) from nose or ears - CORRECT ANS- -B
Ecchymosis and leaking CSF can indicate basilar skull fracture. HTN associated with
increased ICP.
A nurse is caring for a client who has DM and has a blood glucose level of 298mg/dL. Which
of the following findings should the nurse expect?
A. Anxiety
B. Abdominal cramping
C. Cool skin
,D. Tingling sensation around the mouth - CORRECT ANS- -B
GI manifestations are expected findings of hyperglycemia. All the other answers are
associated with hypoglycemia.
A nurse is testing the cranial nerves (CN) of a client who has a possible brain tumor. Which
of the following actions should the nurse take when testing CN VII?
A. Shine a penlight in the client's eyes to check for pupil constriction
B. Observe for symmetry when the client smiles
C. Ask the client to open their mouth and say "ah"
D. Palpate the client's temples as the clench the teeth - CORRECT ANS- -B
Observing the symmetry of the client's face as they smile and perform facial movements
tests CN VII, the facial nerve. Facial pain and weakness is one assessment finding in a
client who has a brainstem tumor.
A nurse is reviewing the medical record of a client who is experiencing hypovolemia and
receiving 0.9% sodium chloride IV bolus. The nurse should identify that which of the
following findings indicates a therapeutic response to the fluid therapy?
A. Pulse rate 88/min
B. Urine output of 500mL over the past 24 hr
C. Hemoglobin 20g/dL
D. Respiratory rate 24/min - CORRECT ANS- -A
A client experiencing hypovolemia has an increased pulse rate and a decreased pulse
pressure. 88/min is within expected range and indicates a therapeutic response to fluid
therapy. Urine output of 500mL/24hr is an indication of hypovolemia because it should be
30mL or more per hour. Hemoglobin 20g/dL is high and an indication of hypovolemia. RR
24/min is high and indication of hypovolemia because of a crease in blood volume.
A nurse is caring for an older adult client who is 12 hr postoperative following a total knee
arthroplasty and reports a pain level of 8 on a scale of 0-10. The nurse should expect to
, administer which of the following medications for pain management to the older adult
client?
A. Meperidine
B. Ketorolac
C. Indomethacin
D. Oxycodone - CORRECT ANS- -D
Meperidine can increase risk of CNS adverse effects (neurotoxicity and confusion) in older
adults. Ketorolac and Indomethacin can increase the risk of GI bleeding in older adults.
Oxycodone can be administered with caution because it can cause a greater analgesia
effect and have a longer duration in an older adult due to decrease in renal function and
lean body mass.
A nurse is caring for a client who has a left peripherally inserted central catheter (PICC) line
and is receiving intermittent IV antibiotics. The client has a new prescription for 1 unit of
packed RBCs. Which of the following actions should the nurse take?
A. Initiate a 22-gauge peripheral IV access in the right arm
B. Use the IV antibiotics as the flush solution before the blood administration
C. Obtain non-filtered tubing to administer the packed RBCs
D. Use the existing access line for the packed RBCs transfusion - CORRECT ANS- -D
The nurse should use the PICC line. The nurse should use either a Y-tubing or straight
tubing set with a filter for transfusion. The filter will remove sediment from blood products
during the infusion. 18-20 gauge should be used. It should be flushed with 10mL of NS.
A nurse is preparing to administer platelets to a client who has a platelet count of
9,800/mm3. Which of the following actions should the nurse plan to take?
A. Verify the client's blood type with a second nurse
B. Transfuse the platelets using a standard blood administration set with a filter
C. Transfuse the platelets as soon as they arrive in the client's room
D. Monitor the client's vital signs hourly during the transfusion - CORRECT ANS- -C
World-Class Scholars with Thorough Explanations
for Guaranteed Academic Improvement
A nurse is assessing a client who has dry age-related macular degeneration (AMD) of the
left eye. Which of the following findings should the nurse expect?
A. Purulent dischange
B. Pain with blinking
C. Gradual decrease of central vision
D. Petechiae on the surrounding skin - CORRECT ANS- -C
Manifestation of dry AMD. As it progresses, the client will experience a total loss of the
central visual field.
A nurse in the emergency department is assessing a client who was admitted following a
traumatic brain injury (TBI). Which of the following findings should the nurse identify as an
indication of increased ICP?
A. Ecchymosis around both eyes
B. Asymmetric pupils
C. Hypotension
D. Leaking cerebral spinal fluid (CSF) from nose or ears - CORRECT ANS- -B
Ecchymosis and leaking CSF can indicate basilar skull fracture. HTN associated with
increased ICP.
A nurse is caring for a client who has DM and has a blood glucose level of 298mg/dL. Which
of the following findings should the nurse expect?
A. Anxiety
B. Abdominal cramping
C. Cool skin
,D. Tingling sensation around the mouth - CORRECT ANS- -B
GI manifestations are expected findings of hyperglycemia. All the other answers are
associated with hypoglycemia.
A nurse is testing the cranial nerves (CN) of a client who has a possible brain tumor. Which
of the following actions should the nurse take when testing CN VII?
A. Shine a penlight in the client's eyes to check for pupil constriction
B. Observe for symmetry when the client smiles
C. Ask the client to open their mouth and say "ah"
D. Palpate the client's temples as the clench the teeth - CORRECT ANS- -B
Observing the symmetry of the client's face as they smile and perform facial movements
tests CN VII, the facial nerve. Facial pain and weakness is one assessment finding in a
client who has a brainstem tumor.
A nurse is reviewing the medical record of a client who is experiencing hypovolemia and
receiving 0.9% sodium chloride IV bolus. The nurse should identify that which of the
following findings indicates a therapeutic response to the fluid therapy?
A. Pulse rate 88/min
B. Urine output of 500mL over the past 24 hr
C. Hemoglobin 20g/dL
D. Respiratory rate 24/min - CORRECT ANS- -A
A client experiencing hypovolemia has an increased pulse rate and a decreased pulse
pressure. 88/min is within expected range and indicates a therapeutic response to fluid
therapy. Urine output of 500mL/24hr is an indication of hypovolemia because it should be
30mL or more per hour. Hemoglobin 20g/dL is high and an indication of hypovolemia. RR
24/min is high and indication of hypovolemia because of a crease in blood volume.
A nurse is caring for an older adult client who is 12 hr postoperative following a total knee
arthroplasty and reports a pain level of 8 on a scale of 0-10. The nurse should expect to
, administer which of the following medications for pain management to the older adult
client?
A. Meperidine
B. Ketorolac
C. Indomethacin
D. Oxycodone - CORRECT ANS- -D
Meperidine can increase risk of CNS adverse effects (neurotoxicity and confusion) in older
adults. Ketorolac and Indomethacin can increase the risk of GI bleeding in older adults.
Oxycodone can be administered with caution because it can cause a greater analgesia
effect and have a longer duration in an older adult due to decrease in renal function and
lean body mass.
A nurse is caring for a client who has a left peripherally inserted central catheter (PICC) line
and is receiving intermittent IV antibiotics. The client has a new prescription for 1 unit of
packed RBCs. Which of the following actions should the nurse take?
A. Initiate a 22-gauge peripheral IV access in the right arm
B. Use the IV antibiotics as the flush solution before the blood administration
C. Obtain non-filtered tubing to administer the packed RBCs
D. Use the existing access line for the packed RBCs transfusion - CORRECT ANS- -D
The nurse should use the PICC line. The nurse should use either a Y-tubing or straight
tubing set with a filter for transfusion. The filter will remove sediment from blood products
during the infusion. 18-20 gauge should be used. It should be flushed with 10mL of NS.
A nurse is preparing to administer platelets to a client who has a platelet count of
9,800/mm3. Which of the following actions should the nurse plan to take?
A. Verify the client's blood type with a second nurse
B. Transfuse the platelets using a standard blood administration set with a filter
C. Transfuse the platelets as soon as they arrive in the client's room
D. Monitor the client's vital signs hourly during the transfusion - CORRECT ANS- -C
