MEDICAL SURGICAL ATI PROCTORED
ELABORATED EXAM WITH BEST
SOLUTIONS
A nurse is caring for a client who is receiving total parental
nutrition through a central line. The current bag is nearly
empty, and a new bag is unavailable from the pharmacy.
Which of the following actions should the nurse take?
a. Switch the infusion to a 10% dextrose solution
b. Discontinue the infusion and flush the line
c. Decrease the rate of infusion to last until the new bag
is available
d.Start an infusion of 0.45% sodium chloride solution -
CORRECT ANSWER -a. Switch the infusion to a
10% dextrose solution
A nurse is caring for a client who is 6 hr postoperative
following a thyroidectomy. The client reports tingling and
numbness in the hands. The nurse should identify this as a
sign of which of the following electrolyte imbalances?
a. Hypocalcemia
, b. Hypokalemia
c. Hypermagnesemia
d. Hypernatremia - CORRECT ANSWER -a. Hypocalcemia
A nurse is caring for a client who is caregiver for a relative
who has chronic disease. Which of the following
statements indicates the client is adapting to the role
change?
a."I had to reschedule my doctor's appointment last
week"
b. "I have lunch with my friends once a week"
c. "I've lost 15 pounds in the past 2 months"
d."I need to get my blood pressure medicine refilled" -
CORRECT ANSWER -d. "I need to get my blood pressure
medicine refilled"
A nurse is caring for a client who has a lower extremity
fracture and a prescription for crutches. Which of the
following client statements indicates that the client is
adapting to their role change?
a. I will need to have my partner take over shopping for
groceries and cooking the meals for us
, b. These crutches will make it impossible to care for my
child
c. I feel bad that I have to ask my partner to keep the
house clean
d. Its going to be difficult to tell my parents I cant take
them to their appointments anymore - CORRECT ANSWER
-a. I will need to have my partner take over shopping for
groceries and cooking the meals for us
A nurse is caring for a client who has gastroenteritis.
Which of the following assessment findings should the
nurse recognize as an indication that the client is
experiencing dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP - CORRECT ANSWER -d. Decreased BP
A nurse in an emergency department is preparing to
perform an ocular irrigation for a client. Which of the
following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
, b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation -
CORRECT ANSWER -d. Perform the irrigation with sterile
water for irrigation
A nurse is preparing to administer lactated ringer's via
continuous IV infusion at 200 ml/hr. The IV tubing has a
drop factor of 10 drops/ml. How many gtt/min should the
nurse set the IV pump to administer? Round to near whole
number - CORRECT ANSWER -33 gtt/min
A nurse is providing discharge teaching to a client who has
a new prescription for sublingual nitroglycerin. Which of
the following client statements indicates an understanding
of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a
headache
d. I can take up to five tablets in 15 minutes before seeking
medical attention - CORRECT ANSWER -b. I should lie
down when I take this medication
ELABORATED EXAM WITH BEST
SOLUTIONS
A nurse is caring for a client who is receiving total parental
nutrition through a central line. The current bag is nearly
empty, and a new bag is unavailable from the pharmacy.
Which of the following actions should the nurse take?
a. Switch the infusion to a 10% dextrose solution
b. Discontinue the infusion and flush the line
c. Decrease the rate of infusion to last until the new bag
is available
d.Start an infusion of 0.45% sodium chloride solution -
CORRECT ANSWER -a. Switch the infusion to a
10% dextrose solution
A nurse is caring for a client who is 6 hr postoperative
following a thyroidectomy. The client reports tingling and
numbness in the hands. The nurse should identify this as a
sign of which of the following electrolyte imbalances?
a. Hypocalcemia
, b. Hypokalemia
c. Hypermagnesemia
d. Hypernatremia - CORRECT ANSWER -a. Hypocalcemia
A nurse is caring for a client who is caregiver for a relative
who has chronic disease. Which of the following
statements indicates the client is adapting to the role
change?
a."I had to reschedule my doctor's appointment last
week"
b. "I have lunch with my friends once a week"
c. "I've lost 15 pounds in the past 2 months"
d."I need to get my blood pressure medicine refilled" -
CORRECT ANSWER -d. "I need to get my blood pressure
medicine refilled"
A nurse is caring for a client who has a lower extremity
fracture and a prescription for crutches. Which of the
following client statements indicates that the client is
adapting to their role change?
a. I will need to have my partner take over shopping for
groceries and cooking the meals for us
, b. These crutches will make it impossible to care for my
child
c. I feel bad that I have to ask my partner to keep the
house clean
d. Its going to be difficult to tell my parents I cant take
them to their appointments anymore - CORRECT ANSWER
-a. I will need to have my partner take over shopping for
groceries and cooking the meals for us
A nurse is caring for a client who has gastroenteritis.
Which of the following assessment findings should the
nurse recognize as an indication that the client is
experiencing dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP - CORRECT ANSWER -d. Decreased BP
A nurse in an emergency department is preparing to
perform an ocular irrigation for a client. Which of the
following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
, b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation -
CORRECT ANSWER -d. Perform the irrigation with sterile
water for irrigation
A nurse is preparing to administer lactated ringer's via
continuous IV infusion at 200 ml/hr. The IV tubing has a
drop factor of 10 drops/ml. How many gtt/min should the
nurse set the IV pump to administer? Round to near whole
number - CORRECT ANSWER -33 gtt/min
A nurse is providing discharge teaching to a client who has
a new prescription for sublingual nitroglycerin. Which of
the following client statements indicates an understanding
of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a
headache
d. I can take up to five tablets in 15 minutes before seeking
medical attention - CORRECT ANSWER -b. I should lie
down when I take this medication
