ATI Med Surg Proctored Exam
Practice Questions And Answers
A nurse is caring for a client who experienced a traumatic head
injury and has an intraventricular catheter (Ventriculostomy) for
ICP monitoring. The nurse should monitor the client for which of
the following complications related to the ventriculostomy?:
a. Headache
b. Infection
c. Aphasia
d. Hypertension - Correct Answer - b. Infection
Monitor for infection and use strict asepsis to avoid life-
threatening meningitis.
A nurse is providing education to a client who is to undergo an
EEG the next day. Which of the following info should the nurse
include in the teaching?
a. "Do not wash your hair the morning of the procedure."
b. "Try and stay awake most of the night prior to the procedure."
c. "The procedure will take approximately 15 mins."
d. "You will need to lie flat for 4 hours after the procedure." -
Correct Answer - b. "Try and stay awake most of the night prior
to the procedure."
,Tell the client to remain awake to provide cranial stress and
increase the possibility of abnormal electrical activity
A nurse is caring for a client who is postprocedural following a
lumbar puncture and reports a throbbing headache when sitting
upright. Which of the following actions should the nurse take?
SATA.
a. Use the GCS scale to assess the client
b. Assist the client into a supine position
c. Administer an opioid analgesic
d. Encourage the client to increase PO fluid intake
e. Instruct the client to perform coughing and deep breathing -
Correct Answer - B, D
A nurse is caring for a client who has continuous bladder irrigation
following a transurethral resection of the prostate (TURP). Which
of the following findings should the nurse report to the provider?
a Output equal to the instilled irrigate
b. Client reports bladder spasms
c. Viscous urinary output with clots
d. Reports of strong urge to urinate - Correct Answer - c. Viscous
urinary output with clots
Urine that is bright red with clots is an indication of arterial
bleeding.
,A nurse is monitoring the ECG of a client who has hypocalcemia.
Which of the following findings should the nurse expect?
a. Flattened T waves
b. Prolonged QT intervals
c. Shortened QT intervals
d Widened QRS complexes - Correct Answer - b. Prolonged QT
intervals
Manifestations of hypocalcemia include tingling, numbness,
tetany, seizures, prolonged QT intervals, and laryngospasm.
A nurse is preparing a client who has a brain tumor for a CT scan.
Which of the following factors affects the manner in which the
nurse will prepare the client for the scan?
a. No food or fluids consumed for 4 hours
b. Difficulty recalling recent events
c. Development of hives while eating shrimp
d. Paresthesia in both hands - Correct Answer - c. Development
of hives while eating shrimp
Shellfish allergy is contraindication of use of contrast media
during a CT scan.
A nurse is preparing an in-service program about the stages of
acute kidney injury. Which of the following pieces of info should
the nurse include about prerenal azotemia?
a. Prerenal azotemia begins prior to the onset of symptoms
, b. Interference with renal perfusion causes renal azotemia
c. Prerenal azotemia is irreversible, even in early stages
d. Infections and tumors cause prerenal azotemia - Correct
Answer - b. Interference with renal perfusion causes prerenal
azotemia.
Prerenal = interference with renal perfusion, such as from heart
failure or hypovolemic shock.
A nurse is teaching a client who has CAD about the difference
between angina pectoris and MI. Which of the following should the
nurse identify as indications of MI? SATA.
a. N/V
b. Diaphoresis and dizziness
c. Chest and left arm pain that subsides with rest
d. Anxiety and feelings of doom
e. Bounding pulse and bradypnea - Correct Answer - A, B, D
A nurse is reviewing the lab results of a lumbar puncture for a
client who has manifestations of bacterial meningitis. Which of
the following findings should the nurse expect?
a. Elevated glucose
b. Elevated protein
c. Presence of RBCs
d. Presence of D-dimer - Correct Answer - b. Elevated protein
Practice Questions And Answers
A nurse is caring for a client who experienced a traumatic head
injury and has an intraventricular catheter (Ventriculostomy) for
ICP monitoring. The nurse should monitor the client for which of
the following complications related to the ventriculostomy?:
a. Headache
b. Infection
c. Aphasia
d. Hypertension - Correct Answer - b. Infection
Monitor for infection and use strict asepsis to avoid life-
threatening meningitis.
A nurse is providing education to a client who is to undergo an
EEG the next day. Which of the following info should the nurse
include in the teaching?
a. "Do not wash your hair the morning of the procedure."
b. "Try and stay awake most of the night prior to the procedure."
c. "The procedure will take approximately 15 mins."
d. "You will need to lie flat for 4 hours after the procedure." -
Correct Answer - b. "Try and stay awake most of the night prior
to the procedure."
,Tell the client to remain awake to provide cranial stress and
increase the possibility of abnormal electrical activity
A nurse is caring for a client who is postprocedural following a
lumbar puncture and reports a throbbing headache when sitting
upright. Which of the following actions should the nurse take?
SATA.
a. Use the GCS scale to assess the client
b. Assist the client into a supine position
c. Administer an opioid analgesic
d. Encourage the client to increase PO fluid intake
e. Instruct the client to perform coughing and deep breathing -
Correct Answer - B, D
A nurse is caring for a client who has continuous bladder irrigation
following a transurethral resection of the prostate (TURP). Which
of the following findings should the nurse report to the provider?
a Output equal to the instilled irrigate
b. Client reports bladder spasms
c. Viscous urinary output with clots
d. Reports of strong urge to urinate - Correct Answer - c. Viscous
urinary output with clots
Urine that is bright red with clots is an indication of arterial
bleeding.
,A nurse is monitoring the ECG of a client who has hypocalcemia.
Which of the following findings should the nurse expect?
a. Flattened T waves
b. Prolonged QT intervals
c. Shortened QT intervals
d Widened QRS complexes - Correct Answer - b. Prolonged QT
intervals
Manifestations of hypocalcemia include tingling, numbness,
tetany, seizures, prolonged QT intervals, and laryngospasm.
A nurse is preparing a client who has a brain tumor for a CT scan.
Which of the following factors affects the manner in which the
nurse will prepare the client for the scan?
a. No food or fluids consumed for 4 hours
b. Difficulty recalling recent events
c. Development of hives while eating shrimp
d. Paresthesia in both hands - Correct Answer - c. Development
of hives while eating shrimp
Shellfish allergy is contraindication of use of contrast media
during a CT scan.
A nurse is preparing an in-service program about the stages of
acute kidney injury. Which of the following pieces of info should
the nurse include about prerenal azotemia?
a. Prerenal azotemia begins prior to the onset of symptoms
, b. Interference with renal perfusion causes renal azotemia
c. Prerenal azotemia is irreversible, even in early stages
d. Infections and tumors cause prerenal azotemia - Correct
Answer - b. Interference with renal perfusion causes prerenal
azotemia.
Prerenal = interference with renal perfusion, such as from heart
failure or hypovolemic shock.
A nurse is teaching a client who has CAD about the difference
between angina pectoris and MI. Which of the following should the
nurse identify as indications of MI? SATA.
a. N/V
b. Diaphoresis and dizziness
c. Chest and left arm pain that subsides with rest
d. Anxiety and feelings of doom
e. Bounding pulse and bradypnea - Correct Answer - A, B, D
A nurse is reviewing the lab results of a lumbar puncture for a
client who has manifestations of bacterial meningitis. Which of
the following findings should the nurse expect?
a. Elevated glucose
b. Elevated protein
c. Presence of RBCs
d. Presence of D-dimer - Correct Answer - b. Elevated protein
