ATI Medical Surgical Proctored 2023
Study online at https://quizlet.com/_hh0zs6
1. A nurse is caring for a client who has a sealed radiation implant. Which of
the following actions should the nurse take?
A. Give the dosimeter badge to the oncoming nurse at the end of the shift.
B. Limit family member visits to 30 min per day.
C. Remove soiled linens from the room after each change.
D. Apply a second pair of gloves before touching the client's implant if it
dislodges.: B. Limit family member visits to 30 min per day.
2. A nurse is planning the discharge of a client who had an ischemic stroke.
The nurse should ensure that the client is discharged with which of the
following types of pharmacologic therapy?
A. Opioid analgesic
B. Anticonvulsant
C. Diuretic
D. Antithrombotic: D. Antithrombotic
3. A nurse is teaching a client who has AIDS and wishes to continue self-care
at home despite living alone. Which of the following actions by the nurse
demonstrates client advocacy?
A. Remind the client of the importance of medication adherence.
B. Tell the client to avoid places where there are large crowds of people.
C. Initiate a referral for the client to a home health agency.
D. Instruct the client to avoid eating raw vegetables.: C. Initiate a referral for the
client to a home health agency.
4. A nurse is providing teaching for a client who has diabetes mellitus about
the self-administration of insulin. The client has prescriptions for regular and
NPH insulins. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will insert the needle at a 15-degree angle."
B. "I will store prefilled syringes in the refrigerator with the needle pointed
downward."
C. "I will shake the NPH vial vigorously before drawing up the insulin."
D. "I will draw up the regular insulin into the syringe first.": D. "I will draw up the
regular insulin into the syringe first."
5. A nurse is caring for a client who has a peripherally inserted central catheter
(PICC) line in her left forearm. The client is receiving an antibiotic via intermit-
tent IV bolus every 12 hr. Which of the following actions should the nurse take
, ATI Medical Surgical Proctored 2023
Study online at https://quizlet.com/_hh0zs6
in managing the client's PICC line?
A. Change the transparent membrane dressing daily.
B. Access the catheter using a non-coring needle.
C. Maintain a continuous IV infusion through the PICC line.
D. Flush the catheter with a 0.9% sodium chloride solution after each use.: D.
Flush the catheter with a 0.9% sodium chloride solution after each use.
6. A nurse is administering furosemide 80 mg PO twice daily to a client who
has pulmonary edema. Which of the following assessment findings indicates
to the nurse that the medication is effective?
A. Elevation in blood pressure
B. Adventitious breath sounds
C. Respiratory rate of 24/min
D. Weight loss of 1.8 kg (4 lb) in the past 24 hr: D. Weight loss of 1.8 kg (4 lb) in
the past 24 hr
7. A nurse is caring for a client who has skeletal traction applied to the left leg.
Which of the following actions should the nurse take?
A. Check pressure points every 12 hr.
B. Provide the client with a trapeze bar.
C. Remove the weights before changing the client's bedlinens.
D. Instruct the client to use their elbows to reposition.: B. Provide the client with
a trapeze bar.
8. A nurse is caring for a client who has a new diagnosis of type 2 diabetes
mellitus and has a referral for dietary consult. The client tells the nurse, "I will
have to eat whatever the dietitian tells me." Which of the following statements
by the nurse encourages the client's involvement in their plan of care?
A. "I understand that the dietary choices can seem overwhelming."
B. "I can assist you with making a list of foods you like for the dietitian."
C. "The dietitian will provide you with the best food choices to manage your
diabetes."
D. "Managing your diabetes will require you to make accommodations.": B. "I
can assist you with making a list of foods you like for the dietitian."
9. A nurse is teaching a group of young adult clients about risk factors for
hearing loss. Which of the following factors should the nurse include in the
teaching? (Select all that apply.)
, ATI Medical Surgical Proctored 2023
Study online at https://quizlet.com/_hh0zs6
A. Perforation of the eardrum
B. Born with a high birth weight
C. Frequent exposure to low-volume noise
D. Chronic infections of the middle ear
E. Use of a loop diuretic: A. Perforation of the eardrum
D. Chronic infections of the middle ear
E. Use of a loop diuretic
10. A nurse suspects that a client who has diabetes mellitus is experiencing
hypoglycemia. Which of the following assessment findings supports this sus-
picion?
A. Kussmaul respirations
B. Increased urine output
C. Cool, clammy skin
D. Acetone breath: C. Cool, clammy skin
11. A nurse is caring for a client who has oral achalasia. The nurse should ask
the client which of the following questions to assess their ability to swallow?
A. "Do you feel any burning sensations in your throat?"
B. "Do you feel life you have food stuck at the base of your throat?"
C. "Do you have any feelings of fullness in the neck?"
D. "Do you have any problems with pain while swallowing?": B. "Do you feel life
you have food stuck at the base of your throat?"
12. A nurse is caring for a client who is receiving a 0.9% sodium chloride via
IV infusion. The client has become dyspneic with a blood pressure of 140/100
mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hr.
Which of the following actions should the nurse take?
A. Administer prescribed corticosteroids.
B. Slow infusion rate and contact the provider.
C. Change infusion to lactated Ringer's and maintain rate.
D. Lower the head of the bed to semi-Fowler's.: B. Slow infusion rate and contact
the provider.
13. A nurse is caring for a client immediately following a cardiac catheteriza-
tion through the right femoral artery. Which of the following actions should
the nurse take?
A. Monitor the client's vital signs once every hour.
B. Elevate the head of the client's bed to a 45° angle.
, ATI Medical Surgical Proctored 2023
Study online at https://quizlet.com/_hh0zs6
C. Restrict the client's fluid intake.
D. Instruct the client not to bend the affected leg.: D. Instruct the client not to
bend the affected leg.
14. A nurse is reviewing the medical record of a client who has acute gout. The
nurse should expect an increase in which of the following laboratory results?
A. Intrinsic factor
B. Creatinine kinase
C. Uric acid
D. Chloride level: C. Uric acid
15. A nurse is assessing a client for a positive Chvostek's sign following a
thyroidectomy. Which of the following areas on the client's head should the
nurse tap to assess the client for tetany?: B
16. A nurse is providing teaching for the family of a client who has Alzheimer's
disease. Which of the following statements should the nurse include?
A. "Provide the client with structured activities to fill their time."
B. "Keep the client's room dark at night to promote sleep."
C. "Display a monthly calendar in the client's room."
D. "Provide plenty of stimulation in the client's room.": A. "Provide the client with
structured activities to fill their time."
17. A nurse is caring for a client who has a chest tube in the pleural space. The
nurse notices continuous bubbling in the water seal chamber of the client's
drainage system. Which of the following actions should the nurse take?
A. Raise the drainage system to the client's chest level.
B. Clamp the tubing to check for air leaks.
C. Empty the collection chamber.
D. Gently squeeze the tubing to remove excess drainage.: B. Clamp the tubing
to check for air leaks.
18. A nurse is teaching a client who has left-sided weakness how to use a quad
cane. Which of the following client actions indicates an understanding of the
teaching?
A. The client advances the weaker leg forward to the cane.
B. The client holds the cane with their left hand.
C. The client takes a step with their right foot first.
Study online at https://quizlet.com/_hh0zs6
1. A nurse is caring for a client who has a sealed radiation implant. Which of
the following actions should the nurse take?
A. Give the dosimeter badge to the oncoming nurse at the end of the shift.
B. Limit family member visits to 30 min per day.
C. Remove soiled linens from the room after each change.
D. Apply a second pair of gloves before touching the client's implant if it
dislodges.: B. Limit family member visits to 30 min per day.
2. A nurse is planning the discharge of a client who had an ischemic stroke.
The nurse should ensure that the client is discharged with which of the
following types of pharmacologic therapy?
A. Opioid analgesic
B. Anticonvulsant
C. Diuretic
D. Antithrombotic: D. Antithrombotic
3. A nurse is teaching a client who has AIDS and wishes to continue self-care
at home despite living alone. Which of the following actions by the nurse
demonstrates client advocacy?
A. Remind the client of the importance of medication adherence.
B. Tell the client to avoid places where there are large crowds of people.
C. Initiate a referral for the client to a home health agency.
D. Instruct the client to avoid eating raw vegetables.: C. Initiate a referral for the
client to a home health agency.
4. A nurse is providing teaching for a client who has diabetes mellitus about
the self-administration of insulin. The client has prescriptions for regular and
NPH insulins. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will insert the needle at a 15-degree angle."
B. "I will store prefilled syringes in the refrigerator with the needle pointed
downward."
C. "I will shake the NPH vial vigorously before drawing up the insulin."
D. "I will draw up the regular insulin into the syringe first.": D. "I will draw up the
regular insulin into the syringe first."
5. A nurse is caring for a client who has a peripherally inserted central catheter
(PICC) line in her left forearm. The client is receiving an antibiotic via intermit-
tent IV bolus every 12 hr. Which of the following actions should the nurse take
, ATI Medical Surgical Proctored 2023
Study online at https://quizlet.com/_hh0zs6
in managing the client's PICC line?
A. Change the transparent membrane dressing daily.
B. Access the catheter using a non-coring needle.
C. Maintain a continuous IV infusion through the PICC line.
D. Flush the catheter with a 0.9% sodium chloride solution after each use.: D.
Flush the catheter with a 0.9% sodium chloride solution after each use.
6. A nurse is administering furosemide 80 mg PO twice daily to a client who
has pulmonary edema. Which of the following assessment findings indicates
to the nurse that the medication is effective?
A. Elevation in blood pressure
B. Adventitious breath sounds
C. Respiratory rate of 24/min
D. Weight loss of 1.8 kg (4 lb) in the past 24 hr: D. Weight loss of 1.8 kg (4 lb) in
the past 24 hr
7. A nurse is caring for a client who has skeletal traction applied to the left leg.
Which of the following actions should the nurse take?
A. Check pressure points every 12 hr.
B. Provide the client with a trapeze bar.
C. Remove the weights before changing the client's bedlinens.
D. Instruct the client to use their elbows to reposition.: B. Provide the client with
a trapeze bar.
8. A nurse is caring for a client who has a new diagnosis of type 2 diabetes
mellitus and has a referral for dietary consult. The client tells the nurse, "I will
have to eat whatever the dietitian tells me." Which of the following statements
by the nurse encourages the client's involvement in their plan of care?
A. "I understand that the dietary choices can seem overwhelming."
B. "I can assist you with making a list of foods you like for the dietitian."
C. "The dietitian will provide you with the best food choices to manage your
diabetes."
D. "Managing your diabetes will require you to make accommodations.": B. "I
can assist you with making a list of foods you like for the dietitian."
9. A nurse is teaching a group of young adult clients about risk factors for
hearing loss. Which of the following factors should the nurse include in the
teaching? (Select all that apply.)
, ATI Medical Surgical Proctored 2023
Study online at https://quizlet.com/_hh0zs6
A. Perforation of the eardrum
B. Born with a high birth weight
C. Frequent exposure to low-volume noise
D. Chronic infections of the middle ear
E. Use of a loop diuretic: A. Perforation of the eardrum
D. Chronic infections of the middle ear
E. Use of a loop diuretic
10. A nurse suspects that a client who has diabetes mellitus is experiencing
hypoglycemia. Which of the following assessment findings supports this sus-
picion?
A. Kussmaul respirations
B. Increased urine output
C. Cool, clammy skin
D. Acetone breath: C. Cool, clammy skin
11. A nurse is caring for a client who has oral achalasia. The nurse should ask
the client which of the following questions to assess their ability to swallow?
A. "Do you feel any burning sensations in your throat?"
B. "Do you feel life you have food stuck at the base of your throat?"
C. "Do you have any feelings of fullness in the neck?"
D. "Do you have any problems with pain while swallowing?": B. "Do you feel life
you have food stuck at the base of your throat?"
12. A nurse is caring for a client who is receiving a 0.9% sodium chloride via
IV infusion. The client has become dyspneic with a blood pressure of 140/100
mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hr.
Which of the following actions should the nurse take?
A. Administer prescribed corticosteroids.
B. Slow infusion rate and contact the provider.
C. Change infusion to lactated Ringer's and maintain rate.
D. Lower the head of the bed to semi-Fowler's.: B. Slow infusion rate and contact
the provider.
13. A nurse is caring for a client immediately following a cardiac catheteriza-
tion through the right femoral artery. Which of the following actions should
the nurse take?
A. Monitor the client's vital signs once every hour.
B. Elevate the head of the client's bed to a 45° angle.
, ATI Medical Surgical Proctored 2023
Study online at https://quizlet.com/_hh0zs6
C. Restrict the client's fluid intake.
D. Instruct the client not to bend the affected leg.: D. Instruct the client not to
bend the affected leg.
14. A nurse is reviewing the medical record of a client who has acute gout. The
nurse should expect an increase in which of the following laboratory results?
A. Intrinsic factor
B. Creatinine kinase
C. Uric acid
D. Chloride level: C. Uric acid
15. A nurse is assessing a client for a positive Chvostek's sign following a
thyroidectomy. Which of the following areas on the client's head should the
nurse tap to assess the client for tetany?: B
16. A nurse is providing teaching for the family of a client who has Alzheimer's
disease. Which of the following statements should the nurse include?
A. "Provide the client with structured activities to fill their time."
B. "Keep the client's room dark at night to promote sleep."
C. "Display a monthly calendar in the client's room."
D. "Provide plenty of stimulation in the client's room.": A. "Provide the client with
structured activities to fill their time."
17. A nurse is caring for a client who has a chest tube in the pleural space. The
nurse notices continuous bubbling in the water seal chamber of the client's
drainage system. Which of the following actions should the nurse take?
A. Raise the drainage system to the client's chest level.
B. Clamp the tubing to check for air leaks.
C. Empty the collection chamber.
D. Gently squeeze the tubing to remove excess drainage.: B. Clamp the tubing
to check for air leaks.
18. A nurse is teaching a client who has left-sided weakness how to use a quad
cane. Which of the following client actions indicates an understanding of the
teaching?
A. The client advances the weaker leg forward to the cane.
B. The client holds the cane with their left hand.
C. The client takes a step with their right foot first.
