3
ATI RN MED SURG LATEST PROCTORED EXAM
(2023-2024) WITH 100% CORRECT
ANSWERS AND RATIONALE
1.A nurse isassessing a client who is 12hr postoperative following a colon
resection. Which of thefollowing findings should the nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery; takes
several days to returnto normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications shouldthe nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin
increase ADH and keepspt. on urinating
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen
several times daily for3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abd pain).
4. A nurse in the emergency department is assessing a client. Which of the following
actions should the nursetake first (Click on the “Exhibit” button for additional
information about the client. There are three tabs that contain separate categories of
data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansertron.
Rationale: No idea what the Exhibit is all about; wont be able to answer it.
5. A nurse is contacting the provider for a client who has cancer and is
experiencing breakthroughpain. Which of the following prescriptions should
the nurse anticipate?
a. Transmucosal fentanyl
, b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous
dexamethasoneRationale:ATI
pg. 27
6. A nurse is admitting a client who reports chest pain and has been placed on a telemetry
monitor. Which ofthe following should the nurse analyze to determine whether the
client is experiencing a myocardial infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
,7. A nurse is teaching a client who has ovarian cancer about skin care following radiation
treatment. Whichof the following instructions should the nurse include?
Page 1 of 16
, 3
a. Pat the skin on the radiation site to dry it
ATI RN MED SURG LATEST PROCTORED EXAM
(2023-2024) WITH 100% CORRECT
ANSWERS AND RATIONALE
1.A nurse isassessing a client who is 12hr postoperative following a colon
resection. Which of thefollowing findings should the nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery; takes
several days to returnto normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications shouldthe nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin
increase ADH and keepspt. on urinating
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen
several times daily for3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abd pain).
4. A nurse in the emergency department is assessing a client. Which of the following
actions should the nursetake first (Click on the “Exhibit” button for additional
information about the client. There are three tabs that contain separate categories of
data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansertron.
Rationale: No idea what the Exhibit is all about; wont be able to answer it.
5. A nurse is contacting the provider for a client who has cancer and is
experiencing breakthroughpain. Which of the following prescriptions should
the nurse anticipate?
a. Transmucosal fentanyl
, b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous
dexamethasoneRationale:ATI
pg. 27
6. A nurse is admitting a client who reports chest pain and has been placed on a telemetry
monitor. Which ofthe following should the nurse analyze to determine whether the
client is experiencing a myocardial infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
,7. A nurse is teaching a client who has ovarian cancer about skin care following radiation
treatment. Whichof the following instructions should the nurse include?
Page 1 of 16
, 3
a. Pat the skin on the radiation site to dry it
