ATI Med-Surg proctoredExam|| Updated 2025/2026
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following
instructions should the nurse include in the teaching?
1) Take temperatureoncea day.
2) Wash the armpits and genitals with a gentle cleanserdaily.
3) Change the litter boxeswhile wearinggloves.
4) Wash dishes in warm water.
A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Whic
of the following is an acceptable method for the nurse to use to thin this client's secretions?
1) Provide humidified oxygen.
2) Perform chestphysiotherapyprior to suctioning.
3) Prelubricatethe suction cathetertip with sterilesaline whensuctioning the airway.
4) Hyperventilatethe client with 100% oxygen beforesuctioning the airway..
Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty
sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
1) Rub the client's feetbriskly for severalminutes.
2) Obtain a pair of slipper socks for the client.
3) Increasethe client'soral fluid intake.
4) Place a moist heating pad under the client's feet.
A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate
(TURP). Which of
the following is the priority finding for thenursereportto the provider?
1) Emesis of 100 mL
2) Oral temperatureof 37.5° C (99.5° F)
3) Thick, red-colored urine
4) Pain level of 4 on a 0 to 10 rating scale
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a hypothermia
blanket.
The nurse should monitor theclient for which of the followingadverseeffectsof the hypothermia blanket?
1) Shivering
2) Infection
3) Burns
4) Hypervolemia
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following
statements by the client indicates an understanding of the teaching?
1) "I will carry a complex carbohydratesnack with me whenI exercise."
2) "I should exercisefirst thing in the morning beforeeating breakfast."
3) "I should avoid injecting insulin into my thigh if I am going to go running."
4) "I will not exerciseif my urine is positivefor ketones."
,A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative.calling
After
for assistance, which ofthe following actions should the nurse take first?
1) Cover the client'swoundwith a moist, steriledressing.
2) Have the client lie supine with kneesflexed.
3) Check the client'svital signs.
4) Inform the client aboutthe needto return to surgery.
,A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the
following manifestations should the nurse expect?
1) Cool, clammy skin.
2) Hyperventilation
3) Increased blood pressure
4) Bradycardia
A nurse is reinforcing discharge teaching
with a client followinga cataract extraction.Which of the following should the nurse
include in the teaching?
1) Avoid bending at thewaist.
2) Removethe eyeshield atbedtime.
3) Limit the use of laxativesif constipated.
4) Seeing flashesof light is an expectedfinding following extraction.
A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast
and
reports nausea. Which of the following actions should the nurse take first?
1) Suggest that the client rests beforeeating the meal.
2) Requesta dietary consult.
3) Check the client'svital signs.
4) Requestan order for an antiemetic.
A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's is
wound
infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report
as the type of drainage found?
1) Sanguineous
2) Serous
3) Serosanguineous
4) Purulent
A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent postoperative complications
which of the following actions should be reinforced during the teaching?
1) Administer an opioid analgesicto theclient 30min prior to initiating CPM exercises.
2) Place the client’s affectedleg into the CPM machine with the machinein the flexed position.
3) Place the client into a high Fowler’s position wheninitiating the CPM exercises.
4) Align the joints of the CPM machine with the kneegatch in the client’s bed.
A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? (Selec
all that apply.)
1) Dyspnea
2) Barrel chest
3) Clubbing of the fingers
4) Shallow respirations
5) Bradycardia
A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care, the nurse notices
a
, thin stream of clear drainage coming from out of the client's right nostril.
Which of the followingactions should the nursetake first?
1) Take theclient'stemperature.
2) Place a dressing under the client's nose.
3) Notify the chargenurse.
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following
instructions should the nurse include in the teaching?
1) Take temperatureoncea day.
2) Wash the armpits and genitals with a gentle cleanserdaily.
3) Change the litter boxeswhile wearinggloves.
4) Wash dishes in warm water.
A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Whic
of the following is an acceptable method for the nurse to use to thin this client's secretions?
1) Provide humidified oxygen.
2) Perform chestphysiotherapyprior to suctioning.
3) Prelubricatethe suction cathetertip with sterilesaline whensuctioning the airway.
4) Hyperventilatethe client with 100% oxygen beforesuctioning the airway..
Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty
sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
1) Rub the client's feetbriskly for severalminutes.
2) Obtain a pair of slipper socks for the client.
3) Increasethe client'soral fluid intake.
4) Place a moist heating pad under the client's feet.
A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate
(TURP). Which of
the following is the priority finding for thenursereportto the provider?
1) Emesis of 100 mL
2) Oral temperatureof 37.5° C (99.5° F)
3) Thick, red-colored urine
4) Pain level of 4 on a 0 to 10 rating scale
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a hypothermia
blanket.
The nurse should monitor theclient for which of the followingadverseeffectsof the hypothermia blanket?
1) Shivering
2) Infection
3) Burns
4) Hypervolemia
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following
statements by the client indicates an understanding of the teaching?
1) "I will carry a complex carbohydratesnack with me whenI exercise."
2) "I should exercisefirst thing in the morning beforeeating breakfast."
3) "I should avoid injecting insulin into my thigh if I am going to go running."
4) "I will not exerciseif my urine is positivefor ketones."
,A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative.calling
After
for assistance, which ofthe following actions should the nurse take first?
1) Cover the client'swoundwith a moist, steriledressing.
2) Have the client lie supine with kneesflexed.
3) Check the client'svital signs.
4) Inform the client aboutthe needto return to surgery.
,A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the
following manifestations should the nurse expect?
1) Cool, clammy skin.
2) Hyperventilation
3) Increased blood pressure
4) Bradycardia
A nurse is reinforcing discharge teaching
with a client followinga cataract extraction.Which of the following should the nurse
include in the teaching?
1) Avoid bending at thewaist.
2) Removethe eyeshield atbedtime.
3) Limit the use of laxativesif constipated.
4) Seeing flashesof light is an expectedfinding following extraction.
A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast
and
reports nausea. Which of the following actions should the nurse take first?
1) Suggest that the client rests beforeeating the meal.
2) Requesta dietary consult.
3) Check the client'svital signs.
4) Requestan order for an antiemetic.
A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's is
wound
infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report
as the type of drainage found?
1) Sanguineous
2) Serous
3) Serosanguineous
4) Purulent
A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent postoperative complications
which of the following actions should be reinforced during the teaching?
1) Administer an opioid analgesicto theclient 30min prior to initiating CPM exercises.
2) Place the client’s affectedleg into the CPM machine with the machinein the flexed position.
3) Place the client into a high Fowler’s position wheninitiating the CPM exercises.
4) Align the joints of the CPM machine with the kneegatch in the client’s bed.
A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? (Selec
all that apply.)
1) Dyspnea
2) Barrel chest
3) Clubbing of the fingers
4) Shallow respirations
5) Bradycardia
A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care, the nurse notices
a
, thin stream of clear drainage coming from out of the client's right nostril.
Which of the followingactions should the nursetake first?
1) Take theclient'stemperature.
2) Place a dressing under the client's nose.
3) Notify the chargenurse.
