ATI ADVANCED MED SURG PROCTORED Exam 2025 UPDATE/PRACTICE
QUESTIONS AND CORRECT VERIFIED ANSWERS(complete
solutions)ASSURED SUCCESS/GRADED A+!!!
5% Dextrose in Normal Saline - CORRECT ANSWER-Fluid used in the first 24
hours following a burn injury for fluid replacement
Central Venous Pressure - CORRECT ANSWER-Method appropriate to accurately
monitor the cardiovascular system in a client with full-thickness burns over 75%
of the body
Location of the Burn - CORRECT ANSWER-First priority factor when assessing
the severity of burns to the face, neck, and upper extremities
Fluid Resuscitation - CORRECT ANSWER-Priority intervention for a client with
deep partial and full-thickness chemical burns over more than 25% of the body
surface area
Escharotomy - CORRECT ANSWER-Surgical procedure to release constricting
eschar (dead tissue) to improve circulation
Troponin - CORRECT ANSWER-Heart muscle protein that appears in the
bloodstream when there is damage to the heart
,Disseminated Intravascular Coagulation (DIC) - CORRECT ANSWER-Condition
characterized by excessive thrombosis and bleeding
Warfarin (Coumadin) - CORRECT ANSWER-Medication that prevents strokes in
clients with atrial fibrillation
Brain Natriuretic Peptide (BNP) - CORRECT ANSWER-Finding indicating elevated
central venous pressure (CVP) in a client with acute heart failure
Serum Amylase - CORRECT ANSWER-Lab test result indicating acute pancreatitis
in a client reporting nausea and vomiting
Endotracheal Tube - CORRECT ANSWER-Criterion for extubating a client with
acute respiratory distress syndrome (ARDS)
Anaphylactic Reaction - CORRECT ANSWER-Condition requiring priority nursing
response when caring for a client following a CT scan with dye
Arterial Blood Gases (ABGs) - CORRECT ANSWER-Priority intervention for a
female client with SOB, pain in the lung area, and abnormal arterial blood gases
Thoracentesis - CORRECT ANSWER-Clinical manifestations indicating a
complication that requires notifying the provider immediately after the procedure
,Gunshot Wound to the Chest - CORRECT ANSWER-Initial action to take when
caring for a client with a blood pressure of 100/60 mm Hg, weak pulse rate of
118/min, and respiratory rate of 40/min
Myocardial Ischemia - CORRECT ANSWER-ECG changes reflecting myocardial
ischemia in a client admitted for observation after experiencing an episode of
chest pain
Hepatitis Vaccine - CORRECT ANSWER-Accurate understanding of the
immunization for a new employee at a facility
Neurogenic Shock - CORRECT ANSWER-Condition confirmed by the nurse to
help diagnose a patient with massive trauma and possible spinal cord injury
Pneumothorax - CORRECT ANSWER-Signs and symptoms supporting the
diagnosis of pneumothorax in a client admitted to the emergency department
with chest trauma
Chest Tube Drainage System - CORRECT ANSWER-Appropriate nursing action
when observing continuous bubbling in the suction chamber for a postoperative
client with a thoracotomy
Endotracheal Tube Suctioning - CORRECT ANSWER-Action required when a
client's heart rate increases and becomes irregular during the procedure
, Blood Transfusion Reaction - CORRECT ANSWER-Initial nursing action when a
client complains of low back pain and headache after receiving a blood
transfusion
Septic Shock - CORRECT ANSWER-Anticipated administration of hydrocortisone
(SoluCortef) 100 mg IV for a client with blood pressure of 76/56, temperature
102.6 degrees, resp. 24 breath/min, and severe neck and back pain
Hypovolemic Shock - CORRECT ANSWER-Best indicator that fluid resuscitation
has been successful in a patient with hypovolemic shock
Cardiogenic Shock - CORRECT ANSWER-Interventions to include in the plan of
care for a patient with cardiogenic shock
Glasgow Coma Scale - CORRECT ANSWER-Description of the score indicating the
level of consciousness in a client with a score of 8
Chemical Cardioversion - CORRECT ANSWER-Medication specific for chemical
cardioversion needed for a client with atrial fibrillation
Decorticate Posturing - CORRECT ANSWER-Description of the findings when
assessing a comatose, head-injured client with flexion of the arms, wrists, and
fingers and adduction of the upper extremities
HbA1c - CORRECT ANSWER-Considerations for about 3 months of glucose
monitoring in a client with diabetes
QUESTIONS AND CORRECT VERIFIED ANSWERS(complete
solutions)ASSURED SUCCESS/GRADED A+!!!
5% Dextrose in Normal Saline - CORRECT ANSWER-Fluid used in the first 24
hours following a burn injury for fluid replacement
Central Venous Pressure - CORRECT ANSWER-Method appropriate to accurately
monitor the cardiovascular system in a client with full-thickness burns over 75%
of the body
Location of the Burn - CORRECT ANSWER-First priority factor when assessing
the severity of burns to the face, neck, and upper extremities
Fluid Resuscitation - CORRECT ANSWER-Priority intervention for a client with
deep partial and full-thickness chemical burns over more than 25% of the body
surface area
Escharotomy - CORRECT ANSWER-Surgical procedure to release constricting
eschar (dead tissue) to improve circulation
Troponin - CORRECT ANSWER-Heart muscle protein that appears in the
bloodstream when there is damage to the heart
,Disseminated Intravascular Coagulation (DIC) - CORRECT ANSWER-Condition
characterized by excessive thrombosis and bleeding
Warfarin (Coumadin) - CORRECT ANSWER-Medication that prevents strokes in
clients with atrial fibrillation
Brain Natriuretic Peptide (BNP) - CORRECT ANSWER-Finding indicating elevated
central venous pressure (CVP) in a client with acute heart failure
Serum Amylase - CORRECT ANSWER-Lab test result indicating acute pancreatitis
in a client reporting nausea and vomiting
Endotracheal Tube - CORRECT ANSWER-Criterion for extubating a client with
acute respiratory distress syndrome (ARDS)
Anaphylactic Reaction - CORRECT ANSWER-Condition requiring priority nursing
response when caring for a client following a CT scan with dye
Arterial Blood Gases (ABGs) - CORRECT ANSWER-Priority intervention for a
female client with SOB, pain in the lung area, and abnormal arterial blood gases
Thoracentesis - CORRECT ANSWER-Clinical manifestations indicating a
complication that requires notifying the provider immediately after the procedure
,Gunshot Wound to the Chest - CORRECT ANSWER-Initial action to take when
caring for a client with a blood pressure of 100/60 mm Hg, weak pulse rate of
118/min, and respiratory rate of 40/min
Myocardial Ischemia - CORRECT ANSWER-ECG changes reflecting myocardial
ischemia in a client admitted for observation after experiencing an episode of
chest pain
Hepatitis Vaccine - CORRECT ANSWER-Accurate understanding of the
immunization for a new employee at a facility
Neurogenic Shock - CORRECT ANSWER-Condition confirmed by the nurse to
help diagnose a patient with massive trauma and possible spinal cord injury
Pneumothorax - CORRECT ANSWER-Signs and symptoms supporting the
diagnosis of pneumothorax in a client admitted to the emergency department
with chest trauma
Chest Tube Drainage System - CORRECT ANSWER-Appropriate nursing action
when observing continuous bubbling in the suction chamber for a postoperative
client with a thoracotomy
Endotracheal Tube Suctioning - CORRECT ANSWER-Action required when a
client's heart rate increases and becomes irregular during the procedure
, Blood Transfusion Reaction - CORRECT ANSWER-Initial nursing action when a
client complains of low back pain and headache after receiving a blood
transfusion
Septic Shock - CORRECT ANSWER-Anticipated administration of hydrocortisone
(SoluCortef) 100 mg IV for a client with blood pressure of 76/56, temperature
102.6 degrees, resp. 24 breath/min, and severe neck and back pain
Hypovolemic Shock - CORRECT ANSWER-Best indicator that fluid resuscitation
has been successful in a patient with hypovolemic shock
Cardiogenic Shock - CORRECT ANSWER-Interventions to include in the plan of
care for a patient with cardiogenic shock
Glasgow Coma Scale - CORRECT ANSWER-Description of the score indicating the
level of consciousness in a client with a score of 8
Chemical Cardioversion - CORRECT ANSWER-Medication specific for chemical
cardioversion needed for a client with atrial fibrillation
Decorticate Posturing - CORRECT ANSWER-Description of the findings when
assessing a comatose, head-injured client with flexion of the arms, wrists, and
fingers and adduction of the upper extremities
HbA1c - CORRECT ANSWER-Considerations for about 3 months of glucose
monitoring in a client with diabetes
