Actual RN 2023 Adult Medical Surgical
ATI Proctored Exam Questions And
Answers A+ Passed
Terms In This Set (90)
A nurse is caring for a client who C. Thinning of the skin
has atopic dermatitis and a
prescription for triamcinolone Thinning of the skin and delayed healing are adverse effects of topical
ointment. The nurse glucocorticoid preparations. The client should only apply the ointment to
Should assess the client to monitor dry patches of the skin because topical steroids can cause atrophy of the
for which of the following adverse dermis and epidermis, which can result in thinning of the skin.
effects?
A. Increased pigmentation
B. Localized hair loss
C. Thinning of the skin
D. Increased sensitivity to the sun
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 sputum, dyspnea, and wheezing are
the nurse manifestations of
identify as a manifestation of left- left-sided heart failure. Treatment includes fluid restriction and diuretics to
sided heart failure? decrease
preload and reduce pulmonary congestion. Pink-tinged frothy sputum
A. Dependent edema can be an early indication of pulmonary edema and can be life-
B. Jugular distention threatening.
C. Weight gain
Therefore, the nurse should
D. Frothy sputum
notify the provider immediately.
A nurse is caring for a client who is A. Respiratory alkalosis
experiencing anxiety as well as
numbness and tingling of the lips and This pH is alkaline (increased) and the PCO2 is decreased, representing
fingers. The client's ABGs are: pH 7.48, alveolar
PCO2 30 mm Hg, HCO3- 24 mEq/L, hyperventilation and resultant respiratory alkalosis.
PaO2 85 mm Hg. Which of
the following acid-base
imbalances
,C. Respiratory acidosis
D. Metabolic acidosis
A nurse is assessing a client who has B. Osteoporosis
Cushing's syndrome. Which of the
following findings should the nurse Osteoporosis is a common finding with Cushing's syndrome. Bones
expect? become thinner as a
result of mineral loss and nitrogen depletion, and the risk for fractures
A. Vitiligo increases.
B. Osteoporosis
C. Myxedema
D. Heat intolerance
A nurse is inspecting the skin of a A. A pearly, waxy nodule
client who has basal cell
carcinoma. The nurse should A client who has basal cell carcinoma has a nodular lesion with well-
identify which of the following defined borders and a
lesion characteristics on the client's
pearly or waxy appearance, resulting from overexposure to the sun,
skin?
especially on the face,
head, and neck.
A. A pearly, waxy nodule
B. An irregular border on a
variegated- colored lesion
C. A firm, nodular, crusty, or
ulcerated lesion
D. A weeping vesicle
A is correct.
A nurse is assessing a client who has
hypocalcemia. In which of the The nurse should tap the client's cheek just in
following areas should the nurse tap front of the ear and below the zygomatic
on the client's face to detect the arch. The client who has hypocalcemia will
presence of Chvostek's sign? display a Ckvostek's sign, which is a
twitching of the facial muscle.
,A nurse in an emergency B. Low urine specific gravity
department is assessing a client
who is overusing prescribed A client who has hyponatremia as a result of diuretic overuse has a low
diuretics and has a sodium level of urine specific
127 mEq/L. Which of the
gravity. The increased excretion of water alters the ratio of particulate
following laboratory findings matter, which
should the
affects the specific gravity.
nurse expect?
A. High lipase
B. Low urine specific gravity
C. Low hemoglobin
D. High creatine kinase-MB (CK-MB)
A home health nurse is assisting a A. Remove clutter from rooms and hallways.
client with planning care for a family
member who has Alzheimer's disease. The nurse should instruct the family member to remove clutter from rooms
Which of the following instructions and hallways so the client is able to walk without the risk of falling or
should the nurse include? tripping over objects. Later in the disease, the client can experience
seizures, so cluttered areas could be a risk to the client.
A. Remove clutter from rooms
and hallways.
B. Place a monthly calendar in
the client's room.
C. Use confrontation to manage
the client's behavior.
D. Review the daily schedule with
the client every morning.
, A nurse is caring for a client who C. Refractory hypoxemia
has developed acute respiratory
distress syndrome (ARDS). Which ARDS is a systemic inflammatory response to trauma, sepsis, burns,
of the pancreatitis, and blood
following findings should the nurse transfusions, when excess lung fluid dilutes surfactant activity in the lungs.
identify as a manifestation of this A client who
syndrome?
has ARDS has refractory hypoxemia, which is hypoxemia that does not
improve with
A. An audible pleural friction rub
oxygen therapy. Extensive pulmonary edema evident on a chest x-ray is a
B. Tracheal deviation from the midline
manifestation of
C. Refractory hypoxemia
D. Bloody expectorant when coughing
ARDS.
An emergency room nurse is C. Use of accessory muscles
assessing a client who has asthma
and difficulty breathing. Which of A client who has status asthmaticus uses accessory muscles to help
the following findings should facilitate breathing,
indicate to the nurse
which is a manifestation of a severe airflow obstruction. The situation is
that the client is experiencing status life- threatening and the nurse should intervene immediately with
asthmaticus? strong systemic bronchodilators, epinephrine, corticosteroids, and
oxygen.
A. Coughing
B. Flat neck veins
C. Use of accessory muscles
D. Presence of coarse crackles
A nurse is teaching a client who has D. Skin rash
a new prescription for phenytoin to
treat a seizure disorder. Which of When using the urgent vs. non-urgent approach to client care, the nurse
the should determine
following adverse effects should that the priority finding is a rash, which can have a measles-like appearance
the nurse instruct the client to and progress
report
to exfoliative dermatitis or Stevens-Johnson syndrome. The client should
immediately to the provider? report this finding
to the provider immediately.
A. Tender, bleeding gums
B. Increased facial hair
C. Constipation
D. Skin rash
A nurse is monitoring a client B. Clear drainage on the dressings
following a lumbar laminectomy. The
client has a drain and indwelling The nurse should identify clear drainage on or around the dressing as an
urinary catheter. The nurse should indication of a
identify which of the following
cerebral spinal leak and should report this finding to the provider
ATI Proctored Exam Questions And
Answers A+ Passed
Terms In This Set (90)
A nurse is caring for a client who C. Thinning of the skin
has atopic dermatitis and a
prescription for triamcinolone Thinning of the skin and delayed healing are adverse effects of topical
ointment. The nurse glucocorticoid preparations. The client should only apply the ointment to
Should assess the client to monitor dry patches of the skin because topical steroids can cause atrophy of the
for which of the following adverse dermis and epidermis, which can result in thinning of the skin.
effects?
A. Increased pigmentation
B. Localized hair loss
C. Thinning of the skin
D. Increased sensitivity to the sun
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 sputum, dyspnea, and wheezing are
the nurse manifestations of
identify as a manifestation of left- left-sided heart failure. Treatment includes fluid restriction and diuretics to
sided heart failure? decrease
preload and reduce pulmonary congestion. Pink-tinged frothy sputum
A. Dependent edema can be an early indication of pulmonary edema and can be life-
B. Jugular distention threatening.
C. Weight gain
Therefore, the nurse should
D. Frothy sputum
notify the provider immediately.
A nurse is caring for a client who is A. Respiratory alkalosis
experiencing anxiety as well as
numbness and tingling of the lips and This pH is alkaline (increased) and the PCO2 is decreased, representing
fingers. The client's ABGs are: pH 7.48, alveolar
PCO2 30 mm Hg, HCO3- 24 mEq/L, hyperventilation and resultant respiratory alkalosis.
PaO2 85 mm Hg. Which of
the following acid-base
imbalances
,C. Respiratory acidosis
D. Metabolic acidosis
A nurse is assessing a client who has B. Osteoporosis
Cushing's syndrome. Which of the
following findings should the nurse Osteoporosis is a common finding with Cushing's syndrome. Bones
expect? become thinner as a
result of mineral loss and nitrogen depletion, and the risk for fractures
A. Vitiligo increases.
B. Osteoporosis
C. Myxedema
D. Heat intolerance
A nurse is inspecting the skin of a A. A pearly, waxy nodule
client who has basal cell
carcinoma. The nurse should A client who has basal cell carcinoma has a nodular lesion with well-
identify which of the following defined borders and a
lesion characteristics on the client's
pearly or waxy appearance, resulting from overexposure to the sun,
skin?
especially on the face,
head, and neck.
A. A pearly, waxy nodule
B. An irregular border on a
variegated- colored lesion
C. A firm, nodular, crusty, or
ulcerated lesion
D. A weeping vesicle
A is correct.
A nurse is assessing a client who has
hypocalcemia. In which of the The nurse should tap the client's cheek just in
following areas should the nurse tap front of the ear and below the zygomatic
on the client's face to detect the arch. The client who has hypocalcemia will
presence of Chvostek's sign? display a Ckvostek's sign, which is a
twitching of the facial muscle.
,A nurse in an emergency B. Low urine specific gravity
department is assessing a client
who is overusing prescribed A client who has hyponatremia as a result of diuretic overuse has a low
diuretics and has a sodium level of urine specific
127 mEq/L. Which of the
gravity. The increased excretion of water alters the ratio of particulate
following laboratory findings matter, which
should the
affects the specific gravity.
nurse expect?
A. High lipase
B. Low urine specific gravity
C. Low hemoglobin
D. High creatine kinase-MB (CK-MB)
A home health nurse is assisting a A. Remove clutter from rooms and hallways.
client with planning care for a family
member who has Alzheimer's disease. The nurse should instruct the family member to remove clutter from rooms
Which of the following instructions and hallways so the client is able to walk without the risk of falling or
should the nurse include? tripping over objects. Later in the disease, the client can experience
seizures, so cluttered areas could be a risk to the client.
A. Remove clutter from rooms
and hallways.
B. Place a monthly calendar in
the client's room.
C. Use confrontation to manage
the client's behavior.
D. Review the daily schedule with
the client every morning.
, A nurse is caring for a client who C. Refractory hypoxemia
has developed acute respiratory
distress syndrome (ARDS). Which ARDS is a systemic inflammatory response to trauma, sepsis, burns,
of the pancreatitis, and blood
following findings should the nurse transfusions, when excess lung fluid dilutes surfactant activity in the lungs.
identify as a manifestation of this A client who
syndrome?
has ARDS has refractory hypoxemia, which is hypoxemia that does not
improve with
A. An audible pleural friction rub
oxygen therapy. Extensive pulmonary edema evident on a chest x-ray is a
B. Tracheal deviation from the midline
manifestation of
C. Refractory hypoxemia
D. Bloody expectorant when coughing
ARDS.
An emergency room nurse is C. Use of accessory muscles
assessing a client who has asthma
and difficulty breathing. Which of A client who has status asthmaticus uses accessory muscles to help
the following findings should facilitate breathing,
indicate to the nurse
which is a manifestation of a severe airflow obstruction. The situation is
that the client is experiencing status life- threatening and the nurse should intervene immediately with
asthmaticus? strong systemic bronchodilators, epinephrine, corticosteroids, and
oxygen.
A. Coughing
B. Flat neck veins
C. Use of accessory muscles
D. Presence of coarse crackles
A nurse is teaching a client who has D. Skin rash
a new prescription for phenytoin to
treat a seizure disorder. Which of When using the urgent vs. non-urgent approach to client care, the nurse
the should determine
following adverse effects should that the priority finding is a rash, which can have a measles-like appearance
the nurse instruct the client to and progress
report
to exfoliative dermatitis or Stevens-Johnson syndrome. The client should
immediately to the provider? report this finding
to the provider immediately.
A. Tender, bleeding gums
B. Increased facial hair
C. Constipation
D. Skin rash
A nurse is monitoring a client B. Clear drainage on the dressings
following a lumbar laminectomy. The
client has a drain and indwelling The nurse should identify clear drainage on or around the dressing as an
urinary catheter. The nurse should indication of a
identify which of the following
cerebral spinal leak and should report this finding to the provider
