ATI MED SURG PROCTORED 2023
WITH FULL EXALAINED STUDY GUIDE
A nurse is assessing a client who has a urinary catheter. The nurse notes that the client's IV tubing is
kinked, and the urinary catheter bag is lying next to the client in the bed. The nurse should identify that
the client is at risk for which of the following conditions.
a. neurogenic bladder
b. infection
c. skin breakdown
d. phlebitis - answer✔✔✨-b. infection
a nurse is planning care for a client who has a cervical spine injury and has halo traction device in place.
which of the following actions should the nurse plan to take?
a. apply medicated power under the vest to reduce itching
b. move the client up and down the bed holding onto the halo traction device
c. ensure that there is space for one finger to fit between the vest and the client's skin
d. loosen or tighten the screws on the device as needed for the client's comfort - answer✔✔✨-c.
ensure that there is space for one finger to fit between the vest and the client's skin
a nurse is reviewing the medical record of a client who has nephrotic syndrome. which of the following
findings should the nurse expect?
a. hyperalbuminemia
b. proteinuria
c. decrease serum lipid levels
d. decreased coagulation - answer✔✔✨-b. proteinuria
,a nurse is providing teaching for a client who is taking isoniazid (INH) for tuberculosis. Which of the
following statements by the client indicates an understanding of the teaching?
a. i plan to take the medication for 1 week
b. i should take an antacid with each dose of this medication
c. this medication may cause BP to increase
d. I will have my liver function tested while i am taking this medication - answer✔✔✨-d. I will have
my liver function tested while i am taking this medication
a nurse is performing a cranial nerve assessment on a client following a head injury. which of the
following findings should the nurse expect if the client has impaired function of the vestiulocochlear
nerve (cranial nerve VIII)?
a. loss of peripheral vision
b. inability to smell
c. deviation of the tongue from midline
d. disequilibrium with movement - answer✔✔✨-d. disequilibrium with movement
a nurse is planning for a client who has developed nephrotic syndrome. which of the following dietary
recommendations should the nurse include?
a. increase phosphorus level
b. decrease carbohydrates
c. decrease protein intake
d. increase potassium intake - answer✔✔✨-c. decrease protein intake
A nurse is caring for a client who just returned from surgery with an external fixation to the left tibia.
which of the following assessment finding requires immediate intervention by the nurse?
a. the client's capillary refill in the left toe is 6 seconds
,b. the client has 100 mL blood in the closed suction drain
c. the client has an oral temperature of 38.9 C (100.9F)
d. the client reports a pain level of 7 on a scale from 0 to 10 at the operative site - answer✔✔✨-a.
the client's capillary refill in the left toe is 6 seconds
a nurse enters a client's room and observes the client having tonic-clonic seizures. which of the
following actions should the nurse take?
a. obtain VS
b. perform neurologic checks
c. turn the client on their side
d. notify the rapid response team - answer✔✔✨-c. turn the client on their side
a nurse is caring for a client who has cervical cancer and is receiving brachytherapy. which of the
following action should the nurse take?
a. discard the radiation device in the client's trashcan
b. limit the time for visitors 2 hr per day
c. instruct visitors to remain 2 ft from the client
d. keep soiled linens in the client's room - answer✔✔✨-d. keep soiled linens in the client's room
A nurse is caring for a client who has systemic lupus erythematous. during assessment, which of the
following should the nurse expect to find.
a. joint inflammation
b. bull's eye lesion
c. esophagitis
d. tophi - answer✔✔✨-a. joint inflammation
, a nurse is providing discharge teaching to a client who is recovering from a sickle cell crisis. which of the
following instruction should the nurse include?
a. limit fluid to 1.5L per day
b. avoid extremely hot and cold temperatures
c. avoid getting a flu vaccine
d. limit alcohol intake to one drink per day - answer✔✔✨-b. avoid extremely hot and cold
temperatures
a nurse is assessing a client who has anorexia. which of the following findings should the nurse identify
as a manifestation of malnutrition?
a. oily skin
b. alopecia
c. increased salivation
d. diplopia - answer✔✔✨-b. alopecia
A nurse is working in an outpatient client is planning a community education program about
reproductive cancer. the nurse should identify which of the following manifestations as a possible
indication of cervical cancer?
a. painless vaginal bleeding
b. frequent diarrhea
c. urinary hesitancy
d. unexplained weight gain - answer✔✔✨-a. painless vaginal bleeding
a nurse on an intensive care unit is planning care for a client who as increased intracranial pressure
following a head injury. which of the following IV medications should the nurse plan to administer?
a. propranolol
b. dobutamine
WITH FULL EXALAINED STUDY GUIDE
A nurse is assessing a client who has a urinary catheter. The nurse notes that the client's IV tubing is
kinked, and the urinary catheter bag is lying next to the client in the bed. The nurse should identify that
the client is at risk for which of the following conditions.
a. neurogenic bladder
b. infection
c. skin breakdown
d. phlebitis - answer✔✔✨-b. infection
a nurse is planning care for a client who has a cervical spine injury and has halo traction device in place.
which of the following actions should the nurse plan to take?
a. apply medicated power under the vest to reduce itching
b. move the client up and down the bed holding onto the halo traction device
c. ensure that there is space for one finger to fit between the vest and the client's skin
d. loosen or tighten the screws on the device as needed for the client's comfort - answer✔✔✨-c.
ensure that there is space for one finger to fit between the vest and the client's skin
a nurse is reviewing the medical record of a client who has nephrotic syndrome. which of the following
findings should the nurse expect?
a. hyperalbuminemia
b. proteinuria
c. decrease serum lipid levels
d. decreased coagulation - answer✔✔✨-b. proteinuria
,a nurse is providing teaching for a client who is taking isoniazid (INH) for tuberculosis. Which of the
following statements by the client indicates an understanding of the teaching?
a. i plan to take the medication for 1 week
b. i should take an antacid with each dose of this medication
c. this medication may cause BP to increase
d. I will have my liver function tested while i am taking this medication - answer✔✔✨-d. I will have
my liver function tested while i am taking this medication
a nurse is performing a cranial nerve assessment on a client following a head injury. which of the
following findings should the nurse expect if the client has impaired function of the vestiulocochlear
nerve (cranial nerve VIII)?
a. loss of peripheral vision
b. inability to smell
c. deviation of the tongue from midline
d. disequilibrium with movement - answer✔✔✨-d. disequilibrium with movement
a nurse is planning for a client who has developed nephrotic syndrome. which of the following dietary
recommendations should the nurse include?
a. increase phosphorus level
b. decrease carbohydrates
c. decrease protein intake
d. increase potassium intake - answer✔✔✨-c. decrease protein intake
A nurse is caring for a client who just returned from surgery with an external fixation to the left tibia.
which of the following assessment finding requires immediate intervention by the nurse?
a. the client's capillary refill in the left toe is 6 seconds
,b. the client has 100 mL blood in the closed suction drain
c. the client has an oral temperature of 38.9 C (100.9F)
d. the client reports a pain level of 7 on a scale from 0 to 10 at the operative site - answer✔✔✨-a.
the client's capillary refill in the left toe is 6 seconds
a nurse enters a client's room and observes the client having tonic-clonic seizures. which of the
following actions should the nurse take?
a. obtain VS
b. perform neurologic checks
c. turn the client on their side
d. notify the rapid response team - answer✔✔✨-c. turn the client on their side
a nurse is caring for a client who has cervical cancer and is receiving brachytherapy. which of the
following action should the nurse take?
a. discard the radiation device in the client's trashcan
b. limit the time for visitors 2 hr per day
c. instruct visitors to remain 2 ft from the client
d. keep soiled linens in the client's room - answer✔✔✨-d. keep soiled linens in the client's room
A nurse is caring for a client who has systemic lupus erythematous. during assessment, which of the
following should the nurse expect to find.
a. joint inflammation
b. bull's eye lesion
c. esophagitis
d. tophi - answer✔✔✨-a. joint inflammation
, a nurse is providing discharge teaching to a client who is recovering from a sickle cell crisis. which of the
following instruction should the nurse include?
a. limit fluid to 1.5L per day
b. avoid extremely hot and cold temperatures
c. avoid getting a flu vaccine
d. limit alcohol intake to one drink per day - answer✔✔✨-b. avoid extremely hot and cold
temperatures
a nurse is assessing a client who has anorexia. which of the following findings should the nurse identify
as a manifestation of malnutrition?
a. oily skin
b. alopecia
c. increased salivation
d. diplopia - answer✔✔✨-b. alopecia
A nurse is working in an outpatient client is planning a community education program about
reproductive cancer. the nurse should identify which of the following manifestations as a possible
indication of cervical cancer?
a. painless vaginal bleeding
b. frequent diarrhea
c. urinary hesitancy
d. unexplained weight gain - answer✔✔✨-a. painless vaginal bleeding
a nurse on an intensive care unit is planning care for a client who as increased intracranial pressure
following a head injury. which of the following IV medications should the nurse plan to administer?
a. propranolol
b. dobutamine
