Med surg- proctored ATI 2023-2024 Final Exam ATI
Med Surg Proctored Actual Exam 2023-2024
Questions
A nurse is preparing a client for a bronchoscopy. Which of the following actions
should the nurse take? (Select all that apply.)
A. Explain that the client will receive sedation and will not remember the
procedure.
B. Verify that the client understands the purpose and nature of the procedure.
C. Offer the client sips of clear liquids until 1 hr before the test.
D. Obtain a pre-procedural sputum specimen.
E. Instruct the client to keep his neck in a neutral position.
A. Explain that the client will receive sedation and will not remember the
procedure.
B. Verify that the client understands the purpose and nature of the procedure.
For a bronchoscopy, clients typically receive premedication with a benzodiazepine
or an opioid to ensure sedation and amnesia. The client will have signed a consent
form, so the nurse should verify that the provider explained the procedure and
that the client understands it.
A nurse is assessing a client who has peripheral vascular disease and a venous
ulcer on the right ankle. Which of the following findings should the nurse expect
in the client's affected extremity?
A. Absent pedal pulses
B. Ankle swelling
,C. Hair loss
D. Skin atrophy
B. Ankle swelling
The nurse should identify that swelling of the ankle is a manifestation of venous
insufficiency due to poor venous return. Other manifestations can include brown
pigmentations and cellulitis.
A nurse in an emergency department is assessing a client who sustained a fall
off of a roof. Which of the following findings should the nurse identify as an
indication of a basilar skull fracture?
A. Depressed fracture of the forehead
B. Clear fluid coming from the nares
C. Motor loss on one side of the body
D. Bleeding from the top of the scalp
B. Clear fluid coming from the nares
Cerebrospinal fluid manifests as a clear fluid coming from the nares or ears,
indicating a basilar skull fracture.
A nurse is caring for a client who has diabetes insipidus. For which of the
following findings should the nurse monitor?
A. Proteinuria
B. Oliguria
C. Polyuria
D. Glycosuria
C. Polyuria
A client is being discharged home with oxygen therapy delivered through a
nasal cannula. Which of the following instructions should the nurse provide to
the client and family members?
A. Use battery-operated equipment for personal care.
,B. Apply mineral oil to protect the facial skin from irritation.
C. Remove the television set from the client's bedroom.
D. Wear cotton clothing to avoid static electricity.
D. Wear cotton clothing to avoid static electricity.
The use of cotton clothing will limit the buildup of static electricity. Oxygen is a
highly combustible gas. The use of oxygen in high concentrations has great
combustion potential and readily fuels fire. Although it will not spontaneously
burn or cause an explosion, it can easily cause a fire in a client's room if it contacts
a spark.
A nurse is monitoring a newly licensed nurse who is caring for a client. The client
has active pulmonary tuberculosis, was placed on airborne precautions, and is
scheduled for a chest X-ray. The nurse should instruct the newly licensed nurse
to take which of the following actions?
A. Have the client wear a surgical mask.
B. Wear a gown for protection from the client's infection.
C. Ask the radiology staff to perform a portable chest X-ray in the client's room.
D. Place an N-95 respirator on the client.
A. Have the client wear a surgical mask.
A nurse is assessing a client who has cholecystitis. Which of the following
findings should the nurse expect?
A. Blumberg's sign
B. Ascites
C. Gastrointestinal bleeding
D. Kehr's sign
A. Blumberg's sign
The nurse should expect to find rebound tenderness (Blumberg's sign) in a client
who has cholecystitis. This response can be an indication of peritoneal
inflammation.
, :B. The nurse should expect to find ascites in a client who has chronic pancreatitis
or pancreatic cancer.
C. The nurse should expect to find gastrointestinal bleeding in a client who has
pancreatic cancer.
D. The nurse should expect to find a positive Kehr's sign in a client who has liver
trauma.
A nurse is implementing cold therapy for a client who has an ankle sprain.
Which of the following actions should the nurse take?
A. Apply a cold pack to the edematous area
B. Check capillary refill before applying an ice pack to the affected area
C. Half-fill an ice pack with crushed ice
D. Apply an ice pack for 60 min intervals
B. Check capillary refill before applying an ice pack to the affected area
The nurse should check the affected area for adequate circulation by assessing
pulses and capillary refill because a cold pack applied to an area of impaired
circulation can further decrease the blood supply to the area.
A nurse is caring for a client following a stroke. Which of the following actions
should the nurse take first?
A. Obtain coagulation laboratory studies from the client
B. Apply pneumatic compression boots to the client
C. Request a referral for a speech-language pathologist
D. Keep the client NPO
D. Keep the client NPO
The first action the nurse should take when using the airway, breathing, and
circulation (ABC) approach to client care is to keep the client NPO due to the risk
of aspiration as a result of the stroke. The client should be screened for the ability
to swallow and should not receive anything by mouth until this has been
completed. A client who has experienced a cerebrovascular accident is at risk for
dysphagia, which increases the change of life-threating aspiration.
Med Surg Proctored Actual Exam 2023-2024
Questions
A nurse is preparing a client for a bronchoscopy. Which of the following actions
should the nurse take? (Select all that apply.)
A. Explain that the client will receive sedation and will not remember the
procedure.
B. Verify that the client understands the purpose and nature of the procedure.
C. Offer the client sips of clear liquids until 1 hr before the test.
D. Obtain a pre-procedural sputum specimen.
E. Instruct the client to keep his neck in a neutral position.
A. Explain that the client will receive sedation and will not remember the
procedure.
B. Verify that the client understands the purpose and nature of the procedure.
For a bronchoscopy, clients typically receive premedication with a benzodiazepine
or an opioid to ensure sedation and amnesia. The client will have signed a consent
form, so the nurse should verify that the provider explained the procedure and
that the client understands it.
A nurse is assessing a client who has peripheral vascular disease and a venous
ulcer on the right ankle. Which of the following findings should the nurse expect
in the client's affected extremity?
A. Absent pedal pulses
B. Ankle swelling
,C. Hair loss
D. Skin atrophy
B. Ankle swelling
The nurse should identify that swelling of the ankle is a manifestation of venous
insufficiency due to poor venous return. Other manifestations can include brown
pigmentations and cellulitis.
A nurse in an emergency department is assessing a client who sustained a fall
off of a roof. Which of the following findings should the nurse identify as an
indication of a basilar skull fracture?
A. Depressed fracture of the forehead
B. Clear fluid coming from the nares
C. Motor loss on one side of the body
D. Bleeding from the top of the scalp
B. Clear fluid coming from the nares
Cerebrospinal fluid manifests as a clear fluid coming from the nares or ears,
indicating a basilar skull fracture.
A nurse is caring for a client who has diabetes insipidus. For which of the
following findings should the nurse monitor?
A. Proteinuria
B. Oliguria
C. Polyuria
D. Glycosuria
C. Polyuria
A client is being discharged home with oxygen therapy delivered through a
nasal cannula. Which of the following instructions should the nurse provide to
the client and family members?
A. Use battery-operated equipment for personal care.
,B. Apply mineral oil to protect the facial skin from irritation.
C. Remove the television set from the client's bedroom.
D. Wear cotton clothing to avoid static electricity.
D. Wear cotton clothing to avoid static electricity.
The use of cotton clothing will limit the buildup of static electricity. Oxygen is a
highly combustible gas. The use of oxygen in high concentrations has great
combustion potential and readily fuels fire. Although it will not spontaneously
burn or cause an explosion, it can easily cause a fire in a client's room if it contacts
a spark.
A nurse is monitoring a newly licensed nurse who is caring for a client. The client
has active pulmonary tuberculosis, was placed on airborne precautions, and is
scheduled for a chest X-ray. The nurse should instruct the newly licensed nurse
to take which of the following actions?
A. Have the client wear a surgical mask.
B. Wear a gown for protection from the client's infection.
C. Ask the radiology staff to perform a portable chest X-ray in the client's room.
D. Place an N-95 respirator on the client.
A. Have the client wear a surgical mask.
A nurse is assessing a client who has cholecystitis. Which of the following
findings should the nurse expect?
A. Blumberg's sign
B. Ascites
C. Gastrointestinal bleeding
D. Kehr's sign
A. Blumberg's sign
The nurse should expect to find rebound tenderness (Blumberg's sign) in a client
who has cholecystitis. This response can be an indication of peritoneal
inflammation.
, :B. The nurse should expect to find ascites in a client who has chronic pancreatitis
or pancreatic cancer.
C. The nurse should expect to find gastrointestinal bleeding in a client who has
pancreatic cancer.
D. The nurse should expect to find a positive Kehr's sign in a client who has liver
trauma.
A nurse is implementing cold therapy for a client who has an ankle sprain.
Which of the following actions should the nurse take?
A. Apply a cold pack to the edematous area
B. Check capillary refill before applying an ice pack to the affected area
C. Half-fill an ice pack with crushed ice
D. Apply an ice pack for 60 min intervals
B. Check capillary refill before applying an ice pack to the affected area
The nurse should check the affected area for adequate circulation by assessing
pulses and capillary refill because a cold pack applied to an area of impaired
circulation can further decrease the blood supply to the area.
A nurse is caring for a client following a stroke. Which of the following actions
should the nurse take first?
A. Obtain coagulation laboratory studies from the client
B. Apply pneumatic compression boots to the client
C. Request a referral for a speech-language pathologist
D. Keep the client NPO
D. Keep the client NPO
The first action the nurse should take when using the airway, breathing, and
circulation (ABC) approach to client care is to keep the client NPO due to the risk
of aspiration as a result of the stroke. The client should be screened for the ability
to swallow and should not receive anything by mouth until this has been
completed. A client who has experienced a cerebrovascular accident is at risk for
dysphagia, which increases the change of life-threating aspiration.
