ATI RN MEDSURG PROCTORED FINAL
EXAM 3 LATEST VERSIONS (VERSION
A, B & C) 2024/2025 ACTUAL EXAM
EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS
/A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
/.A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products.
/.A nurse enters a client's room and sees smoke coming from the bathroom. Which of
the following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. -
/.A nurse is contributing to the plan of care for a client who reports difficulty eating due
to chronic arthritis.
,Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating
utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a
pureed diet.
/.A nurse is obtaining a medication history from a client who is to start taking
nitroglycerin for chest discomfort with activity. Which of the following medications should
the nurse instruct the client to avoid taking within 24 hr of using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole -
/.A nurse is preparing to obtain a postprandial blood glucose level from a client who has
diabetes mellitus. Which of the following actions should the nurse take?
a) Apply the first drop of blood to the test strip.
b) Clean the client's finger with
hexachlorophene.
c) Prick the central tip of the client's finger.
d) Hold the client's finger in a dependent
position.
/.A nurse is reinforcing teaching with a client about breast self-examinations. Which of
the following statements by the client indicates an understanding of the teaching?
a) "It is common for one breast to be larger than
the other."
b) "It is common for the skin on my breasts to
dimple."
c) "I will perform breast exams the day my
period begins."
d) "I will perform breast exams every other
month."
"
/.A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the
following statements by the client indicates an understanding of the teaching?
a) "I will need to empty the bag every 4 to 6
hours."
b) "I will use moisturizing soap to clean around
the stoma before applying the bag."
, c) "I will use a skin sealant before I apply the
bag."
d) "I will cut the wafer opening one-fourth of an
inch larger than the stoma."
/.A nurse is assisting in the plan of care for a client who is dehydrated and is receiving
IV fluid replacement. Which of the following interventions should the nurse contribute to
the plan of care?
a) Offer oral fluids every 4 hr.
b) Check for neck vein distention.
c) Limit oral fluids prior to bedtime.
d) Monitor pulse pressure every 6 hr.
/.A nurse is caring for a young adult client who has testicular cancer and expresses
concern about their sexual function following an orchiectomy of the involved testicle.
Which of the following responses should the nurse make?
a) "I'm sure any partner will understand that you
have no control over this."
b) "There are other ways to express intimacy
besides intercourse."
c) "You should focus on recovering from your
cancer right now."
d) "The removal of a single testicle will not
prevent you from having an erection."
prevent you from having an erection."
/.A nurse is collecting data from a client who has hyperthyroidism and is taking
propylthiouracil. Which of the following statements by the client indicates the medication
is effective?
a) "I no longer feel nervous."
b) "I no longer take a stool softener."
c) "I have less oily skin."
d) "I continue to lose weight." -
/.A nurse is planning care for a client who is receiving radiation therapy to treat throat
cancer and reports a change in the taste of food. Which of the following interventions
should the nurse include in the plan of care?
a) Offer artificial saliva frequently.
b) Add honey to sweeten fruit smoothies.
c) Heat food before serving.
d) Provide three large meals daily. -
EXAM 3 LATEST VERSIONS (VERSION
A, B & C) 2024/2025 ACTUAL EXAM
EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS
/A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
/.A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products.
/.A nurse enters a client's room and sees smoke coming from the bathroom. Which of
the following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. -
/.A nurse is contributing to the plan of care for a client who reports difficulty eating due
to chronic arthritis.
,Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating
utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a
pureed diet.
/.A nurse is obtaining a medication history from a client who is to start taking
nitroglycerin for chest discomfort with activity. Which of the following medications should
the nurse instruct the client to avoid taking within 24 hr of using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole -
/.A nurse is preparing to obtain a postprandial blood glucose level from a client who has
diabetes mellitus. Which of the following actions should the nurse take?
a) Apply the first drop of blood to the test strip.
b) Clean the client's finger with
hexachlorophene.
c) Prick the central tip of the client's finger.
d) Hold the client's finger in a dependent
position.
/.A nurse is reinforcing teaching with a client about breast self-examinations. Which of
the following statements by the client indicates an understanding of the teaching?
a) "It is common for one breast to be larger than
the other."
b) "It is common for the skin on my breasts to
dimple."
c) "I will perform breast exams the day my
period begins."
d) "I will perform breast exams every other
month."
"
/.A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the
following statements by the client indicates an understanding of the teaching?
a) "I will need to empty the bag every 4 to 6
hours."
b) "I will use moisturizing soap to clean around
the stoma before applying the bag."
, c) "I will use a skin sealant before I apply the
bag."
d) "I will cut the wafer opening one-fourth of an
inch larger than the stoma."
/.A nurse is assisting in the plan of care for a client who is dehydrated and is receiving
IV fluid replacement. Which of the following interventions should the nurse contribute to
the plan of care?
a) Offer oral fluids every 4 hr.
b) Check for neck vein distention.
c) Limit oral fluids prior to bedtime.
d) Monitor pulse pressure every 6 hr.
/.A nurse is caring for a young adult client who has testicular cancer and expresses
concern about their sexual function following an orchiectomy of the involved testicle.
Which of the following responses should the nurse make?
a) "I'm sure any partner will understand that you
have no control over this."
b) "There are other ways to express intimacy
besides intercourse."
c) "You should focus on recovering from your
cancer right now."
d) "The removal of a single testicle will not
prevent you from having an erection."
prevent you from having an erection."
/.A nurse is collecting data from a client who has hyperthyroidism and is taking
propylthiouracil. Which of the following statements by the client indicates the medication
is effective?
a) "I no longer feel nervous."
b) "I no longer take a stool softener."
c) "I have less oily skin."
d) "I continue to lose weight." -
/.A nurse is planning care for a client who is receiving radiation therapy to treat throat
cancer and reports a change in the taste of food. Which of the following interventions
should the nurse include in the plan of care?
a) Offer artificial saliva frequently.
b) Add honey to sweeten fruit smoothies.
c) Heat food before serving.
d) Provide three large meals daily. -
