ATI RN MED SURG PROCTORED NEWEST TEST BANK
EXAM ACTUAL EXAM ALL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES VERIFIED
ANSWERS ALREADY GRADED A+
ATI RN Med-Surg Proctored Exam —
Questions
1. A client with pneumonia has SpO2 88% on room air. Priority
intervention?
A. Encourage ambulation
B. Administer supplemental oxygen ✔
C. Document only
D. Restrict fluids
Rationale: Hypoxia requires oxygen therapy to prevent organ dysfunction.
2. A client with heart failure has 3+ pitting edema. Nursing intervention?
A. Encourage ambulation
B. Administer prescribed diuretics and monitor weight ✔
C. Increase sodium intake
D. Restrict fluids only
Rationale: Diuretics reduce fluid overload and prevent complications.
3. A client with DKA has glucose 480 mg/dL and ketones present. Priority
action?
,A. Encourage oral intake
B. Administer IV fluids and insulin per protocol ✔
C. Monitor only
D. Give oral carbohydrates
Rationale: Hyperglycemia with ketones is life-threatening; requires prompt intervention.
4. A client with hypokalemia presents with muscle weakness. Nursing
action?
A. Encourage diet
B. Administer potassium as prescribed and monitor cardiac rhythm ✔
C. Provide fluids only
D. Document
Rationale: Correcting potassium and monitoring for arrhythmias is priority.
5. A client with MI has ST-segment elevation. Priority nursing action?
A. Obtain history only
B. Prepare for emergent PCI or thrombolytics ✔
C. Administer acetaminophen
D. Encourage ambulation
Rationale: STEMI requires immediate reperfusion therapy.
6. A client with hypoglycemia is unconscious. Nursing action?
A. Give juice
B. Administer IV glucose or IM glucagon ✔
C. Encourage oral intake
D. Document only
Rationale: Immediate treatment is required to prevent brain injury.
7. A client with COPD reports increased dyspnea and sputum production.
Nursing intervention?
A. Encourage rest
B. Administer bronchodilator and monitor oxygenation ✔
C. Limit fluids
, D. Wait for labs
Rationale: Immediate intervention improves airway patency and oxygenation.
8. A client on heparin develops bruising and nosebleeds. Nursing action?
A. Encourage activity
B. Notify provider for possible dose adjustment ✔
C. Give vitamin K
D. Document only
Rationale: Excess anticoagulation increases bleeding risk; dose adjustment may be needed.
9. A client with pulmonary edema has pink frothy sputum. Nursing
intervention?
A. Administer oxygen and diuretics ✔
B. Encourage fluids
C. Document only
D. Promote ambulation
Rationale: Pulmonary edema is life-threatening; oxygen and diuretics are priority.
10. A client on digoxin reports nausea and visual halos. Nursing action?
A. Administer next dose
B. Hold digoxin and notify provider ✔
C. Encourage fluids
D. Document only
Rationale: These are signs of digoxin toxicity.
11. A client on warfarin reports bleeding gums. Nursing action?
A. Encourage brushing
B. Notify provider and check INR ✔
C. Stop medication immediately
D. Document only
Rationale: Bleeding risk needs prompt evaluation.
EXAM ACTUAL EXAM ALL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES VERIFIED
ANSWERS ALREADY GRADED A+
ATI RN Med-Surg Proctored Exam —
Questions
1. A client with pneumonia has SpO2 88% on room air. Priority
intervention?
A. Encourage ambulation
B. Administer supplemental oxygen ✔
C. Document only
D. Restrict fluids
Rationale: Hypoxia requires oxygen therapy to prevent organ dysfunction.
2. A client with heart failure has 3+ pitting edema. Nursing intervention?
A. Encourage ambulation
B. Administer prescribed diuretics and monitor weight ✔
C. Increase sodium intake
D. Restrict fluids only
Rationale: Diuretics reduce fluid overload and prevent complications.
3. A client with DKA has glucose 480 mg/dL and ketones present. Priority
action?
,A. Encourage oral intake
B. Administer IV fluids and insulin per protocol ✔
C. Monitor only
D. Give oral carbohydrates
Rationale: Hyperglycemia with ketones is life-threatening; requires prompt intervention.
4. A client with hypokalemia presents with muscle weakness. Nursing
action?
A. Encourage diet
B. Administer potassium as prescribed and monitor cardiac rhythm ✔
C. Provide fluids only
D. Document
Rationale: Correcting potassium and monitoring for arrhythmias is priority.
5. A client with MI has ST-segment elevation. Priority nursing action?
A. Obtain history only
B. Prepare for emergent PCI or thrombolytics ✔
C. Administer acetaminophen
D. Encourage ambulation
Rationale: STEMI requires immediate reperfusion therapy.
6. A client with hypoglycemia is unconscious. Nursing action?
A. Give juice
B. Administer IV glucose or IM glucagon ✔
C. Encourage oral intake
D. Document only
Rationale: Immediate treatment is required to prevent brain injury.
7. A client with COPD reports increased dyspnea and sputum production.
Nursing intervention?
A. Encourage rest
B. Administer bronchodilator and monitor oxygenation ✔
C. Limit fluids
, D. Wait for labs
Rationale: Immediate intervention improves airway patency and oxygenation.
8. A client on heparin develops bruising and nosebleeds. Nursing action?
A. Encourage activity
B. Notify provider for possible dose adjustment ✔
C. Give vitamin K
D. Document only
Rationale: Excess anticoagulation increases bleeding risk; dose adjustment may be needed.
9. A client with pulmonary edema has pink frothy sputum. Nursing
intervention?
A. Administer oxygen and diuretics ✔
B. Encourage fluids
C. Document only
D. Promote ambulation
Rationale: Pulmonary edema is life-threatening; oxygen and diuretics are priority.
10. A client on digoxin reports nausea and visual halos. Nursing action?
A. Administer next dose
B. Hold digoxin and notify provider ✔
C. Encourage fluids
D. Document only
Rationale: These are signs of digoxin toxicity.
11. A client on warfarin reports bleeding gums. Nursing action?
A. Encourage brushing
B. Notify provider and check INR ✔
C. Stop medication immediately
D. Document only
Rationale: Bleeding risk needs prompt evaluation.
