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ATI MEDICAL SURGICAL CARDIOVASCULAR
PROCTORED EXAM AND STUDYGUIDE NEWEST
ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST EXAM!!!
A nurse is teaching a newly licensed nurse about
collecting a 24-hr urine specimen for creatinine clearance.
Which of the following instructions should the nurse
include?
a. include the first voided specimen at the start of the
collection period
b. discard the last voided specimen at the end of the
collection period
c. place signs in the bathroom as a reminder about the
test in progress
d. instruct the client to increase exercise during the 24-hr
period - ANSWER-c. place signs in the bathroom as a
reminder about the test in progress
the nurse should place signs in the bathroom and alert
family members of the test in progress so that everyone
save the specimens appropriately throughout the test
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A nurse is caring for client who has continuous bladder
irrigation following a transurethral resection of the
prostate. Which of the following findings should the nurse
report the to provider?
a. output equal to the instilled irrigant
b. client report of bladder spasms
c. viscous urinary output with clots
d. client report of a strong urge to urinate - ANSWER-c.
viscous urinary output with clots
the nurse should report urine output that is bright red with
clots or urine that resembles ketchup to the provider
because this is an indication of arterial bleeding
A nurse is examining the ECG of a client who is having an
acute myocardial infarction. The nurse should identify that
the elevated ST segments of the ECG indicate which of
the following alterations?
a. necrosis
b. hypokalemia
c. hypomagnesemia
d. insufficiency - ANSWER-a. necrosis
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ST-segment elevation during an acute myocardial
infarction indicates necrosis. this ECG change reflects a
clot at the site of injury. therefore, the client requires
immediate revascularization of the artery
A nurse is reviewing the laboratory results of a client who
has diabetes mellitus. Which of the following results
indicates that the client's diabetes is controlled?
a. HbA1c 8.5%
b. postprandial blood glucose 190 mg/dL
c. causal blood glucose 205 mg/dL
d. fasting blood glucose 95 mg/dL - ANSWER-d. fasting
blood glucose 95 mg/dL
A fasting blood glucose of 95 mg/dL is within the expected
reference range of 70 to 110 mg/dL, which indicates that
this client's diabetes is under control
A nurse is planning care for a client following placement of
a chest tube 1 hr ago. Which of the following actions
should the nurse include in the plan of care?
a. clamp the chest tube if there is continuous bubbling in
the water seal chamber
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b. keep the chest tube drainage system at the level of the
right atrium
c. tape all connections between the chest tube and
drainage system
d. empty the collection chamber and record the amount of
drainage every 8 hr - ANSWER-c. tape all connections
between the chest tube and drainage system
the nurse should tape all connections to ensure that the
system is airtight and prevent the chest tubing from
accidentally disconnecting
A nurse is assessing a client who is receiving peritoneal
dialysis. Which of the following findings should the nurse
report to the provider immediately?
a. difficulty draining the effluent
b. redness at the access site
c. fluid flowing from the catheter site
d. cloudy effluent - ANSWER-d. cloudy effluent
a cloudy or opaque effluent indicates the client is at high
risk for peritonitis, a bacterial infection of the peritoneum.
therefore, this is priority finding for the nurse to report to
the provider
ATI MEDICAL SURGICAL CARDIOVASCULAR
PROCTORED EXAM AND STUDYGUIDE NEWEST
ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST EXAM!!!
A nurse is teaching a newly licensed nurse about
collecting a 24-hr urine specimen for creatinine clearance.
Which of the following instructions should the nurse
include?
a. include the first voided specimen at the start of the
collection period
b. discard the last voided specimen at the end of the
collection period
c. place signs in the bathroom as a reminder about the
test in progress
d. instruct the client to increase exercise during the 24-hr
period - ANSWER-c. place signs in the bathroom as a
reminder about the test in progress
the nurse should place signs in the bathroom and alert
family members of the test in progress so that everyone
save the specimens appropriately throughout the test
,2|Page
A nurse is caring for client who has continuous bladder
irrigation following a transurethral resection of the
prostate. Which of the following findings should the nurse
report the to provider?
a. output equal to the instilled irrigant
b. client report of bladder spasms
c. viscous urinary output with clots
d. client report of a strong urge to urinate - ANSWER-c.
viscous urinary output with clots
the nurse should report urine output that is bright red with
clots or urine that resembles ketchup to the provider
because this is an indication of arterial bleeding
A nurse is examining the ECG of a client who is having an
acute myocardial infarction. The nurse should identify that
the elevated ST segments of the ECG indicate which of
the following alterations?
a. necrosis
b. hypokalemia
c. hypomagnesemia
d. insufficiency - ANSWER-a. necrosis
,3|Page
ST-segment elevation during an acute myocardial
infarction indicates necrosis. this ECG change reflects a
clot at the site of injury. therefore, the client requires
immediate revascularization of the artery
A nurse is reviewing the laboratory results of a client who
has diabetes mellitus. Which of the following results
indicates that the client's diabetes is controlled?
a. HbA1c 8.5%
b. postprandial blood glucose 190 mg/dL
c. causal blood glucose 205 mg/dL
d. fasting blood glucose 95 mg/dL - ANSWER-d. fasting
blood glucose 95 mg/dL
A fasting blood glucose of 95 mg/dL is within the expected
reference range of 70 to 110 mg/dL, which indicates that
this client's diabetes is under control
A nurse is planning care for a client following placement of
a chest tube 1 hr ago. Which of the following actions
should the nurse include in the plan of care?
a. clamp the chest tube if there is continuous bubbling in
the water seal chamber
, 4|Page
b. keep the chest tube drainage system at the level of the
right atrium
c. tape all connections between the chest tube and
drainage system
d. empty the collection chamber and record the amount of
drainage every 8 hr - ANSWER-c. tape all connections
between the chest tube and drainage system
the nurse should tape all connections to ensure that the
system is airtight and prevent the chest tubing from
accidentally disconnecting
A nurse is assessing a client who is receiving peritoneal
dialysis. Which of the following findings should the nurse
report to the provider immediately?
a. difficulty draining the effluent
b. redness at the access site
c. fluid flowing from the catheter site
d. cloudy effluent - ANSWER-d. cloudy effluent
a cloudy or opaque effluent indicates the client is at high
risk for peritonitis, a bacterial infection of the peritoneum.
therefore, this is priority finding for the nurse to report to
the provider
