ATI MED SURG PROCTORED EXAM
2025/26 PART A REAL EXAM 200
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
A nurse is caring for client who is experiencing supraventricular tachycardia. Upon
assessing the client, the nurse observes the following findings: heart rate 200/min,
blood pressure 78/40 mm Hg, and respiratory rate 30/min. Which of the following
actions should then nurse take?
a. Defibrillate the client's heart.
b. Perform synchronized cardioversion.
c. Begin cardiopulmonary resuscitation.
d. Administer lidocaine IV bolus. - ANSWERSb. Perform synchronized cardioversion.
A nurse is caring for a client who has a potassium level of 3. Which of the following
assessment findings should the nurse expect?
A. Positive Trousseau's sign
B. 4+ deep tendon reflexes
C. Deep respirations
D. Hypoactive bowel sounds - ANSWERSD. Hypoactive bowel sounds
Deep tendon reflexes are used to monitor what electrolyte level? -
ANSWERSmagnesium
What kind of respirations occur with hypokalemia and why? - ANSWERSshallow
respirations due to respiratory muscle weakness
Trosseau's sign evaluates for what electrolyte imbalances? -
ANSWERShypocalcelmia and hypomagnesemia
What is hypokalemia's effect on the GI system? - ANSWERSIt decreases smooth
muscle contraction leading to decreased peristalsis and hypoactive bowel sounds.
Deep tendon reflexes in hypomagnesemia - ANSWERSincreased e.g. 4+
Deep tendon reflexes in hypermagnesemia - ANSWERSdecreased e.g. absent or 1+
What should be done if you are performing a cardiac assessment on a client and you
hear a murmur? - ANSWERSListen with the client on their left side so it can be
heard more clearly
The nurse should perform synchronized cardioversion for a client who has
supraventricular tachycardia.
,What rhythms are shockable? (defibrillation) - ANSWERSventricular fibrillation and
pulseless ventricular tachycarida
What dysrhythmia are amiodarone and lidocaine indicated for? -
ANSWERSventricular arrhythmias
The nurse should initiate CPR for a client who what? - ANSWERSis pulseless or not
breathing
A nurse is preparing a client who has supraventricular tachycardia for elective
cardioversion. Which of the following medications should the nurse instruct the client
to withhold for 48 hr prior to cardioversion?
A. Enoxaparin
B. Metformin
C. Diazepam
D. Digoxin - ANSWERSD. digoxin
Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. These
medications can increase ventricular irritability and put the client at risk for ventricular
fibrillation after the synchronized countershock of cardioversion
_______ are usually given prior to cardioversion to reduce anxiety and minimize
discomfort with the procedure. - ANSWERSSedatives like diazepam
Metformin is held before what kind of procedures? Example? Why? -
ANSWERSOnes that involve contrast dye like cardiac catheterization, in order to
prevent kidney damage.
__________ prevent blood clots that can be released into the circulatory system
after cardioversion. - ANSWERSAnticoagulants like enoxaparin
What kind of drugs are withheld prior to cardioversion? - ANSWERScardiac
glycosides like digoxin
exopthalmosis - ANSWERScondition produced by hyperthyroidism in which the
eyeballs protrude beyond their normal protective orbit because of swelling in the
tissues behind them
entropion - ANSWERSthe inversion of the edge of an eyelid
ectropion - ANSWERSthe eversion of the edge of an eyelid
ptosis - ANSWERSdrooping
A nurse is conducting an admission history for a client who is to undergo a CT scan
with an IV contrast agent. The nurse should identify that which of the following
findings requires further assessment?
A. History of asthma
, B. Appendectomy 1 year ago
C. Penicillin allergy
D. Total knee arthroplasty 6 months ago - ANSWERSA. History of asthma
A nurse is caring for a client who has emphysema and is receiving mechanical
ventilation. The client appears anxious and restless, and the high-pressure alarm is
sounding. Which of the following actions should the nurse take first?
A. Obtain ABGs.
B. Administer propofol to the client.
C. Instruct the client to allow the machine to breathe for them.
D. Disconnect the machine and manually ventilate the client. - ANSWERSC. Instruct
the client to allow the machine to breathe for them. When providing client care, the
nurse should first use the least restrictive intervention. Therefore, the first action the
nurse should take is to provide verbal instructions and emotional support to help the
client relax and allow the ventilator to work. Clients can exhibit anxiety and
restlessness when trying to "fight the ventilator."
The nurse should recognize that bladder spasms are an expected manifestation after
a TURP and are usually controlled by a smooth muscle relaxant such as ______. -
ANSWERSoxybutynin
Is a strong urge to urinate normal after a TURP? - ANSWERSyes
Post-TURP, the nurse should report urine output that is bright red/viscous with clots
or urine that resembles ketchup to the provider because this is an indication of
_________. - ANSWERSarterial bleeding
brachytherapy
-what position during treatment?
-avoid contact with people between treatments?
-treatment how often?
-is blood in urine expected? - ANSWERS-bed rest with limited movement (lie still in
bed)
-no need to avoid contact with people between treatments
-treatment usually 1-2 times per week
-blood in urine not expected - report to the provider
EEG special instructions - ANSWERS-eat regular meals beforehand
-shampoo hair thoroughly, no sprays or oils
-wake up at 2 or 3 am the morning of
post sigmoid colon resection with colostomy
-how will the stoma change in size?
-diet?
-what will the stools be like?
-when will colostomy begin to function? - ANSWERS-it will be large and edematous
and shrink over 6-8 weeks
-quickly return to regular diet after surgery, unless patient wants to restrict foods that
cause gas or odor. no need to do soft foods
-the colostomy will begin to function 2-6 days after surgery. the first 2-6 days there
may only be mucus drainage
2025/26 PART A REAL EXAM 200
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
A nurse is caring for client who is experiencing supraventricular tachycardia. Upon
assessing the client, the nurse observes the following findings: heart rate 200/min,
blood pressure 78/40 mm Hg, and respiratory rate 30/min. Which of the following
actions should then nurse take?
a. Defibrillate the client's heart.
b. Perform synchronized cardioversion.
c. Begin cardiopulmonary resuscitation.
d. Administer lidocaine IV bolus. - ANSWERSb. Perform synchronized cardioversion.
A nurse is caring for a client who has a potassium level of 3. Which of the following
assessment findings should the nurse expect?
A. Positive Trousseau's sign
B. 4+ deep tendon reflexes
C. Deep respirations
D. Hypoactive bowel sounds - ANSWERSD. Hypoactive bowel sounds
Deep tendon reflexes are used to monitor what electrolyte level? -
ANSWERSmagnesium
What kind of respirations occur with hypokalemia and why? - ANSWERSshallow
respirations due to respiratory muscle weakness
Trosseau's sign evaluates for what electrolyte imbalances? -
ANSWERShypocalcelmia and hypomagnesemia
What is hypokalemia's effect on the GI system? - ANSWERSIt decreases smooth
muscle contraction leading to decreased peristalsis and hypoactive bowel sounds.
Deep tendon reflexes in hypomagnesemia - ANSWERSincreased e.g. 4+
Deep tendon reflexes in hypermagnesemia - ANSWERSdecreased e.g. absent or 1+
What should be done if you are performing a cardiac assessment on a client and you
hear a murmur? - ANSWERSListen with the client on their left side so it can be
heard more clearly
The nurse should perform synchronized cardioversion for a client who has
supraventricular tachycardia.
,What rhythms are shockable? (defibrillation) - ANSWERSventricular fibrillation and
pulseless ventricular tachycarida
What dysrhythmia are amiodarone and lidocaine indicated for? -
ANSWERSventricular arrhythmias
The nurse should initiate CPR for a client who what? - ANSWERSis pulseless or not
breathing
A nurse is preparing a client who has supraventricular tachycardia for elective
cardioversion. Which of the following medications should the nurse instruct the client
to withhold for 48 hr prior to cardioversion?
A. Enoxaparin
B. Metformin
C. Diazepam
D. Digoxin - ANSWERSD. digoxin
Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. These
medications can increase ventricular irritability and put the client at risk for ventricular
fibrillation after the synchronized countershock of cardioversion
_______ are usually given prior to cardioversion to reduce anxiety and minimize
discomfort with the procedure. - ANSWERSSedatives like diazepam
Metformin is held before what kind of procedures? Example? Why? -
ANSWERSOnes that involve contrast dye like cardiac catheterization, in order to
prevent kidney damage.
__________ prevent blood clots that can be released into the circulatory system
after cardioversion. - ANSWERSAnticoagulants like enoxaparin
What kind of drugs are withheld prior to cardioversion? - ANSWERScardiac
glycosides like digoxin
exopthalmosis - ANSWERScondition produced by hyperthyroidism in which the
eyeballs protrude beyond their normal protective orbit because of swelling in the
tissues behind them
entropion - ANSWERSthe inversion of the edge of an eyelid
ectropion - ANSWERSthe eversion of the edge of an eyelid
ptosis - ANSWERSdrooping
A nurse is conducting an admission history for a client who is to undergo a CT scan
with an IV contrast agent. The nurse should identify that which of the following
findings requires further assessment?
A. History of asthma
, B. Appendectomy 1 year ago
C. Penicillin allergy
D. Total knee arthroplasty 6 months ago - ANSWERSA. History of asthma
A nurse is caring for a client who has emphysema and is receiving mechanical
ventilation. The client appears anxious and restless, and the high-pressure alarm is
sounding. Which of the following actions should the nurse take first?
A. Obtain ABGs.
B. Administer propofol to the client.
C. Instruct the client to allow the machine to breathe for them.
D. Disconnect the machine and manually ventilate the client. - ANSWERSC. Instruct
the client to allow the machine to breathe for them. When providing client care, the
nurse should first use the least restrictive intervention. Therefore, the first action the
nurse should take is to provide verbal instructions and emotional support to help the
client relax and allow the ventilator to work. Clients can exhibit anxiety and
restlessness when trying to "fight the ventilator."
The nurse should recognize that bladder spasms are an expected manifestation after
a TURP and are usually controlled by a smooth muscle relaxant such as ______. -
ANSWERSoxybutynin
Is a strong urge to urinate normal after a TURP? - ANSWERSyes
Post-TURP, the nurse should report urine output that is bright red/viscous with clots
or urine that resembles ketchup to the provider because this is an indication of
_________. - ANSWERSarterial bleeding
brachytherapy
-what position during treatment?
-avoid contact with people between treatments?
-treatment how often?
-is blood in urine expected? - ANSWERS-bed rest with limited movement (lie still in
bed)
-no need to avoid contact with people between treatments
-treatment usually 1-2 times per week
-blood in urine not expected - report to the provider
EEG special instructions - ANSWERS-eat regular meals beforehand
-shampoo hair thoroughly, no sprays or oils
-wake up at 2 or 3 am the morning of
post sigmoid colon resection with colostomy
-how will the stoma change in size?
-diet?
-what will the stools be like?
-when will colostomy begin to function? - ANSWERS-it will be large and edematous
and shrink over 6-8 weeks
-quickly return to regular diet after surgery, unless patient wants to restrict foods that
cause gas or odor. no need to do soft foods
-the colostomy will begin to function 2-6 days after surgery. the first 2-6 days there
may only be mucus drainage
