ATI Med Surg Proctored 2025
QUESTIONS WITH CORRECT AND
VERIFIED ANSWERS Graded A+
A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the
following precautions should the nurse implement? - Correct Answer: Ensure the client has a
patient IV
The nurse should ensure the client has IV access in the event
that the client requires medication to stop seizure activity
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the
following laboratory values should the nurse report to
the provider? - Correct Answer: Hgb 8 g/dL
The nurse should report an Hgb level of 8 g/dL, which is below
the expected reference range and is an indicator of postoperative hemorrhage or
anemia
A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago.
Which of the following findings should the nurse expect? - Correct Answer: Stone fragments in
the urine
ESWL is an effort to break the calculi so that the fragments pass down the ureter, into the
bladder, and through the urethra during voiding. Following the procedure, the nurse should strain
the client's urine to confirm the passage of stones
,A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive
cough. Which of the following actions should the nurse take first? - Correct Answer: Initiate
airborne precautions
This client is exhibiting manifestations of tuberculosis. The greatest risk in this client situation is
for other people in the facility to acquire an airborne disease from this client. Therefore, the first
action the nurse should take is to initiate airborne precautions
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not
available when the current infusion is nearly completed. Which of the following actions should
the nurse take? - Correct Answer: Administer dextrose 10% in water until the new bag arrives
TPN solutions have a high concentration of dextrose. Therefore, if a TPN solution is temporarily
unavailable, the nurse should administer dextrose 10% or 20% in water to avoid a precipitous
drop in the client's blood glucose level.
A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine.
The nurse should instruct the client that which of the following supplements can interfere with
the effectiveness of the medication? - Correct Answer: Calcium
Calcium limits the development of osteoporosis in clients who are postmenopausal and works as
an antacid. Calcium supplements can interfere with the metabolism of a number of medications,
including levothyroxine. The nurse should instruct the client to avoid taking calcium within 4 hr
of levothyroxine administration.
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client appears anxious and restless, and the high-pressure alarm is sounding. Which of the
following actions should the nurse take first? - Correct Answer: Instruct the client to allow the
machine to breathe for them.
When providing client care, the nurse should first use the least
restrictive intervention. Therefore, the first action the nurse should take is to
,provide verbal instructions and emotional support to help the client relax and allow
the ventilator to work. Clients can exhibit anxiety and restlessness when trying to
"fight the ventilator."
A nurse is caring for a client who has a prescription for enalapril. The nurse should identify
which of the following findings as an adverse effect of the medication? - Correct Answer:
Orthostatic hypotension
The nurse should identify that dilation of arteries and veins causes orthostatic hypotension,
which is an adverse effect of enalapril.
A nurse is caring for a client who has a stage III pressure injury. Which of
the following findings contributes to delayed wound healing? - Correct Answer: Urine output 25
mL/hr
Urinary output reflects fluid status. Inadequate urine output can
indicate dehydration, which can delay wound healing.
A nurse is providing teaching to an older adult client who has cancer and a new prescription for
an opioid analgesic for pain management. Which of the following information should the nurse
include in the teaching? - Correct Answer: "You should void every 4 hours to decrease the risk of
urinary retention."
The nurse should instruct the client to void at least every 4 hr to decrease the risk of urinary
retention, which is an adverse effect of opioid analgesics
A nurse is caring for a client who has portal hypertension. The client is vomiting blood mixed
with food after a meal. Which of the following actions should the nurse take first? - Correct
Answer: Obtain vital signs.
, The first action the nurse should take using the nursing process is to assess the client's vital signs.
A client who has portal hypertension can develop esophageal varices, which are fragile and can
rupture, resulting in large amounts of blood loss and shock. Obtaining vital signs provides
information about the client's condition that can contribute to decision making.
A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a
gastrectomyA nurse is providing teaching for the client. Which of the following instructions
should the nurse include? - Correct Answer: - Avoid drinking fluids with meals
- Eat several small meals per day
- Consume high-protein snacks
- Avoid highly seasoned foods
:Maintain a high carbohydrate intake is incorrect. Dumping syndrome requires a low
carbohydrate diet because of reactive hypoglycemia. Eat five servings of fresh fruit per day is
incorrect. The client should limit intake to three servings of unsweetened cooked or canned fruit
per day. Avoid drinking fluids with meals is correct. The nurse should instruct the client to drink
fluids 30 min before or after meals
Eat several small meals per day is correct. The nurse should instruct the client to eat several
small, frequent meals instead of three large meals per day. Consume high-protein snacks is
correct. The client should eat snacks that are high in protein and low in carbohydrates to prevent
the gastric food boluses and reactive hypoglycemia in dumping syndrome. Avoid highly
seasoned foods is correct. The nurse should instruct the client to avoid excessive amounts of
spices and salt.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following
findings should the nurse identify as a component of Cushing's triad? - Correct Answer:
Bradycardia
A client who has increased intracranial pressure from a traumatic brain injury can develop
bradycardia, which is one component of Cushing's triad. The other components of Cushing's
triad are severe hypertension and a widened pulse pressure
QUESTIONS WITH CORRECT AND
VERIFIED ANSWERS Graded A+
A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the
following precautions should the nurse implement? - Correct Answer: Ensure the client has a
patient IV
The nurse should ensure the client has IV access in the event
that the client requires medication to stop seizure activity
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the
following laboratory values should the nurse report to
the provider? - Correct Answer: Hgb 8 g/dL
The nurse should report an Hgb level of 8 g/dL, which is below
the expected reference range and is an indicator of postoperative hemorrhage or
anemia
A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago.
Which of the following findings should the nurse expect? - Correct Answer: Stone fragments in
the urine
ESWL is an effort to break the calculi so that the fragments pass down the ureter, into the
bladder, and through the urethra during voiding. Following the procedure, the nurse should strain
the client's urine to confirm the passage of stones
,A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive
cough. Which of the following actions should the nurse take first? - Correct Answer: Initiate
airborne precautions
This client is exhibiting manifestations of tuberculosis. The greatest risk in this client situation is
for other people in the facility to acquire an airborne disease from this client. Therefore, the first
action the nurse should take is to initiate airborne precautions
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not
available when the current infusion is nearly completed. Which of the following actions should
the nurse take? - Correct Answer: Administer dextrose 10% in water until the new bag arrives
TPN solutions have a high concentration of dextrose. Therefore, if a TPN solution is temporarily
unavailable, the nurse should administer dextrose 10% or 20% in water to avoid a precipitous
drop in the client's blood glucose level.
A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine.
The nurse should instruct the client that which of the following supplements can interfere with
the effectiveness of the medication? - Correct Answer: Calcium
Calcium limits the development of osteoporosis in clients who are postmenopausal and works as
an antacid. Calcium supplements can interfere with the metabolism of a number of medications,
including levothyroxine. The nurse should instruct the client to avoid taking calcium within 4 hr
of levothyroxine administration.
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client appears anxious and restless, and the high-pressure alarm is sounding. Which of the
following actions should the nurse take first? - Correct Answer: Instruct the client to allow the
machine to breathe for them.
When providing client care, the nurse should first use the least
restrictive intervention. Therefore, the first action the nurse should take is to
,provide verbal instructions and emotional support to help the client relax and allow
the ventilator to work. Clients can exhibit anxiety and restlessness when trying to
"fight the ventilator."
A nurse is caring for a client who has a prescription for enalapril. The nurse should identify
which of the following findings as an adverse effect of the medication? - Correct Answer:
Orthostatic hypotension
The nurse should identify that dilation of arteries and veins causes orthostatic hypotension,
which is an adverse effect of enalapril.
A nurse is caring for a client who has a stage III pressure injury. Which of
the following findings contributes to delayed wound healing? - Correct Answer: Urine output 25
mL/hr
Urinary output reflects fluid status. Inadequate urine output can
indicate dehydration, which can delay wound healing.
A nurse is providing teaching to an older adult client who has cancer and a new prescription for
an opioid analgesic for pain management. Which of the following information should the nurse
include in the teaching? - Correct Answer: "You should void every 4 hours to decrease the risk of
urinary retention."
The nurse should instruct the client to void at least every 4 hr to decrease the risk of urinary
retention, which is an adverse effect of opioid analgesics
A nurse is caring for a client who has portal hypertension. The client is vomiting blood mixed
with food after a meal. Which of the following actions should the nurse take first? - Correct
Answer: Obtain vital signs.
, The first action the nurse should take using the nursing process is to assess the client's vital signs.
A client who has portal hypertension can develop esophageal varices, which are fragile and can
rupture, resulting in large amounts of blood loss and shock. Obtaining vital signs provides
information about the client's condition that can contribute to decision making.
A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a
gastrectomyA nurse is providing teaching for the client. Which of the following instructions
should the nurse include? - Correct Answer: - Avoid drinking fluids with meals
- Eat several small meals per day
- Consume high-protein snacks
- Avoid highly seasoned foods
:Maintain a high carbohydrate intake is incorrect. Dumping syndrome requires a low
carbohydrate diet because of reactive hypoglycemia. Eat five servings of fresh fruit per day is
incorrect. The client should limit intake to three servings of unsweetened cooked or canned fruit
per day. Avoid drinking fluids with meals is correct. The nurse should instruct the client to drink
fluids 30 min before or after meals
Eat several small meals per day is correct. The nurse should instruct the client to eat several
small, frequent meals instead of three large meals per day. Consume high-protein snacks is
correct. The client should eat snacks that are high in protein and low in carbohydrates to prevent
the gastric food boluses and reactive hypoglycemia in dumping syndrome. Avoid highly
seasoned foods is correct. The nurse should instruct the client to avoid excessive amounts of
spices and salt.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following
findings should the nurse identify as a component of Cushing's triad? - Correct Answer:
Bradycardia
A client who has increased intracranial pressure from a traumatic brain injury can develop
bradycardia, which is one component of Cushing's triad. The other components of Cushing's
triad are severe hypertension and a widened pulse pressure
