1
PN MED PROCTORED/ ATI PN MEDICAL
SURGICAL ACTUAL EXAM QUESTIONS AND
ANSWERS ALREADY GRADED A+
A nurse enters the room of a client whose transfusion of packed RBCs was
initiated 15 min ago by the RN. The client reports dyspnea and urticaria. Which of
the following actions should the nurse perform first?
Stop the infusion
A nurse is contributing to the plan of care for an older adult client who is at risk for
osteoporosis. Which of the following interventions should the nurse include to
prevent bone loss?
Encourage weight bearing exercises
A nurse is assisting with the care of a client who has a cardiac catheterization via
the right femoral artery. Which of the following actions should the nurse take to
prevent lost procedure complications?
Monitor the insertion site for bleeding is correct, maintain the pressure dressing,
check the clients peripheral pulses
A nurse is caring for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension, tachycardia, and tachypnea. The
nurse should recognize these findings indicate which of the following
complications? Stop the infusion
Encourage weight bearing exercises
Monitor the insertion site for bleeding is correct, maintain the pressure dressing,
check the clients peripheral pulses
A nurse is caring for a client who is
Pulmonary embolism
A nurse is caring for a client who is postoperative and is receiving an IV infusion
of cefazolin. Ten minutes after beginning the infusion, the client reports intense
itching. Which of the following actions should the nurse take first?
(REVIEWED ANSWERS)
, 2
Stop the medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the
following information should the nurse include?
You are at risk for infertility with this infection, regardless of treatment
A nurse is examining a clients IV site and notes a red line up his arm. The client
reliant a throbbing, burning pain at the IV site. The nurse should identify that the
clients manifestations indicate which of the following complications?
Thrombophlebitis
A nurse is reinforcing teaching with an adolescent client regarding testicular self
examination. Which of the following statements by the client demonstrates an
undertsmdibg of the teaching?
I understand that testicular cancer is painless
A nurse is reinforcing teaching with a client who has asthma and a new
prescription for a corticosteroid. Which of the following findings should the nurse
include as an adverse effect of the medication?
Frequent colds
A nurse is collecting data from a client who has 30% body surface area partial
thickness and full thickness burns. Which of the following findings indicates that
fluid resuscitation is adequate?
Urine output is 50 mL/hr.
A nurse is caring for a client undergoing testing for multiple sclerosis. Which of
the following findings should the nurse expect?
muscle spasticity
A nurse in a long term care facility is collecting data from a client who reports
fullness in the rectum and abdominal cramping. Which of the following findings
should indicate to the nurse that the client might have a fecal impaction?
Small liquid stools
(REVIEWED ANSWERS)
, 3
A nurse in an oncology is reinforcing teaching about Mohs surgery with a client
who has skin cancer. Which of the following information should the nurse include
in the teaching?
Mohs surgery is a horizontal shaving of thin layers of the tumor
A nurse is reinforcing teaching about GERd with a client. Which of the following
statements by the client indicates an understanding of the teaching?
I should wait at least 2 hours after eating before going to bed
A nurse is assisting with the care of a care who is reconciled 0.9 % sodium
chloride by continuous IV infusion. The client report pain and swelling at the IV
site. In which order should the nurse perform that following steps?
Check the IV site, stop the infusion, withdraw the IV catheter, elevate the affected
arm, notify the charge nurse
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client
who has an INR of 4. Available is phytonadione 10 mg/ml. How many ml should
the nurse administer?
0.7
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new
prescription for baclofen. Which of the following instructions should the nurse
include in the teaching?
Avoid stopping this medication suddenly
A nurse is planning to implement droplet precautions for a client who has
manifestation of pertussis. Which of the following interventions should the nurse
include when contributing?
Apply a mask on the client of transport is needed
A nurse is caring for an older adult client who has a reddened area over the sacrum.
Which of the following actions should the nurse take?
Minimize the time the head of the bed is elevated
A nurse is collecting data from a client and noticed several skin lesions. Which of
the following findings should the nurse report as possible melanoma?
Irregular borders
(REVIEWED ANSWERS)
PN MED PROCTORED/ ATI PN MEDICAL
SURGICAL ACTUAL EXAM QUESTIONS AND
ANSWERS ALREADY GRADED A+
A nurse enters the room of a client whose transfusion of packed RBCs was
initiated 15 min ago by the RN. The client reports dyspnea and urticaria. Which of
the following actions should the nurse perform first?
Stop the infusion
A nurse is contributing to the plan of care for an older adult client who is at risk for
osteoporosis. Which of the following interventions should the nurse include to
prevent bone loss?
Encourage weight bearing exercises
A nurse is assisting with the care of a client who has a cardiac catheterization via
the right femoral artery. Which of the following actions should the nurse take to
prevent lost procedure complications?
Monitor the insertion site for bleeding is correct, maintain the pressure dressing,
check the clients peripheral pulses
A nurse is caring for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension, tachycardia, and tachypnea. The
nurse should recognize these findings indicate which of the following
complications? Stop the infusion
Encourage weight bearing exercises
Monitor the insertion site for bleeding is correct, maintain the pressure dressing,
check the clients peripheral pulses
A nurse is caring for a client who is
Pulmonary embolism
A nurse is caring for a client who is postoperative and is receiving an IV infusion
of cefazolin. Ten minutes after beginning the infusion, the client reports intense
itching. Which of the following actions should the nurse take first?
(REVIEWED ANSWERS)
, 2
Stop the medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the
following information should the nurse include?
You are at risk for infertility with this infection, regardless of treatment
A nurse is examining a clients IV site and notes a red line up his arm. The client
reliant a throbbing, burning pain at the IV site. The nurse should identify that the
clients manifestations indicate which of the following complications?
Thrombophlebitis
A nurse is reinforcing teaching with an adolescent client regarding testicular self
examination. Which of the following statements by the client demonstrates an
undertsmdibg of the teaching?
I understand that testicular cancer is painless
A nurse is reinforcing teaching with a client who has asthma and a new
prescription for a corticosteroid. Which of the following findings should the nurse
include as an adverse effect of the medication?
Frequent colds
A nurse is collecting data from a client who has 30% body surface area partial
thickness and full thickness burns. Which of the following findings indicates that
fluid resuscitation is adequate?
Urine output is 50 mL/hr.
A nurse is caring for a client undergoing testing for multiple sclerosis. Which of
the following findings should the nurse expect?
muscle spasticity
A nurse in a long term care facility is collecting data from a client who reports
fullness in the rectum and abdominal cramping. Which of the following findings
should indicate to the nurse that the client might have a fecal impaction?
Small liquid stools
(REVIEWED ANSWERS)
, 3
A nurse in an oncology is reinforcing teaching about Mohs surgery with a client
who has skin cancer. Which of the following information should the nurse include
in the teaching?
Mohs surgery is a horizontal shaving of thin layers of the tumor
A nurse is reinforcing teaching about GERd with a client. Which of the following
statements by the client indicates an understanding of the teaching?
I should wait at least 2 hours after eating before going to bed
A nurse is assisting with the care of a care who is reconciled 0.9 % sodium
chloride by continuous IV infusion. The client report pain and swelling at the IV
site. In which order should the nurse perform that following steps?
Check the IV site, stop the infusion, withdraw the IV catheter, elevate the affected
arm, notify the charge nurse
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client
who has an INR of 4. Available is phytonadione 10 mg/ml. How many ml should
the nurse administer?
0.7
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new
prescription for baclofen. Which of the following instructions should the nurse
include in the teaching?
Avoid stopping this medication suddenly
A nurse is planning to implement droplet precautions for a client who has
manifestation of pertussis. Which of the following interventions should the nurse
include when contributing?
Apply a mask on the client of transport is needed
A nurse is caring for an older adult client who has a reddened area over the sacrum.
Which of the following actions should the nurse take?
Minimize the time the head of the bed is elevated
A nurse is collecting data from a client and noticed several skin lesions. Which of
the following findings should the nurse report as possible melanoma?
Irregular borders
(REVIEWED ANSWERS)
