EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS, MED SURG PROCTORED, ATI MED
SURG PROCTORED, ATI MED SURG /UPDATED/
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1. A nurse is caring for a client who has
hypotension, cool and clammy skin, tachycardia,
and tachypnea. In which of the following
positions should the nurse place the client? - Feet
elevated
2. A nurse is assessing a client who has a pressure
ulcer. Which of the following findings should the
nurse expect as an indication the wound is
healing? - Dark red granulation tissue
3. A nurse is providing discharge teaching for a
client who has a new tracheostomy. Which of the
following statements by the client indicates an
understanding of the teaching? - I'll cut a slit in a
clean gauze pad to use as a stoma dressing
4. A nurse is preparing to administer furosemide to
a client who has acute heart failure. Which of the
following laboratory results should the nurse
identify as a contraindication for receiving the
medication? - Potassium 3.2 mEq/L
,5. A nurse is caring for a client admitted with a skull
fracture. which of the following assessment
findings should be greatest concern to the
nurse? - Glasgow coma scale score changes
from 14 to 9
6. A nurse is assessing a client who has myasthenia
gravis. Which of the following client statements
should indicate to the nurse that the client needs
a referral for occupational therapy? - I have a
hard time with brushing my hair
7. A nurse is providing discharge teaching to a
client who will be self-administering insulin at
home. Which of the following information should
the nurse include regarding needle disposal? -
You can discard needles in an empty bleach
bottle with a lid
8. A nurse is caring for a client who has hepatic
encephalopathy that is being treated with
lactulose. The client is experiencing excessive
stools. Which of the following findings is an
adverse effect of this medication? - Hypokalemia
9. 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? -
, Instruct the client to allow the machine to
breathe for them.
10. A nurse is teaching a client who has a family
history of colorectal cancer. To help mitigate this
risk, which of the following dietary alterations
should the nurse recommend? - Add cabbage to
the diet.
11. A home health nurse is assigned to a client
who was recently discharged from a
rehabilitation center after experiencing a right-
hemispheric stroke. Which of the following
neurologic deficits should the nurse expect to
find when assessing the client? (Select all that
apply.) - Visual spatial deficits, Left hemianopsia,
One-sided neglect
12. A nurse is caring for a client who has viral
pneumonia. The client's pulse oximeter readings
have fluctuated between 79% and 88% for the
last 30 min. Which of the following oxygen
delivery systems should the nurse initiate to
provide the highest concentration of oxygen? -
Nonrebreather mask
13. A nurse is caring for a client who has
bilateral pneumonia and an SaO2 of 85%. The
client has dyspnea with a productive cough and
is using accessory muscles to breathe. Which of
, the following actions should the nurse take first?
- Place the client in high-Fowler's position.
14. A nurse is planning care for a client who has
extensive burn injuries and is
immunocompromised. Which of the following
precautions should the nurse include in the plan
of care to prevent a Pseudomonas aeruginosa
infection? - Avoid placing plants or flowers in the
client's room.
15. An older adult client is brought to an
emergency department by a family member.
Which of the following assessment findings
should cause the nurse to suspect that the client
has hypertonic dehydration? - Urine specific
gravity 1.045
16. A nurse in an emergency department is
reviewing the provider's prescriptions for a client
who sustained a rattlesnake bite to the lower leg.
Which of the following prescriptions should the
nurse expect? - Administer an opioid analgesic to
the client.
17. A nurse is assessing a client who has had a
suspected stroke. The nurse should place the
priority on which of the following findings? -
Dysphagia