, ATI MED SURG PROCTORED EXAM RETAKE
(2023/2024) with Rationale Graded A+
1. A nurse is assessing a client who is 12hr postoperative following a colon resection.
Which of the following findings should the nurse report to the surgeon?
a. Heart rate 90/min
b. Absentbowelsounds
c. Hgb 8.2 g/dl
d. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
haemorrhaging.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the
nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer
Desmopressin/Vasopressin increase ADH and to stop patient on urinating.
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen
several times daily for 3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
,Rationale: ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry
stools, abdominal pain).
4. A nurse in the emergency department is assessing a client. Which of the following
actions should the nurse take first (Click on the "Exhibit" button for additional
information about the client? There are three tabs that contain separate categories of
data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administerondansetron.
5. A nurse is contacting the provider for a client who has cancer and is experiencing
breakthrough pain. Which of the following prescriptions should the nurse anticipate?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone
Rationale: ATI pg. 27 Morphine sulfate and fentanyl are opioid agents used to treat
moderate to severe pain. A short-acting pain medication is administered for
breakthrough pain.
6. A nurse is admitting a client who reports chest pain and has been placed on a
telemetry monitor. Which of the following should the nurse analyze to determine
whether the client is experiencing a myocardial infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
7. A nurse is teaching a client who has ovarian cancer about skin care following
radiation treatment. Which of the following instructions should the nurse include?
, a. Pat the skin on the radiation site to dry it
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around the radiation site
Rationale: pg. 584. Dry the area thoroughly using patting motions.
8. A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and
distended jugular veins. The nurse should anticipate administering which of the
following prescribed medications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide
Rationale: S/S may indicate fluid retention or heart failure. It is important to administer
diuretics to prevent cardiovascular/respiratory distress.
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the
treatment of hypomagnesemia. Which of the following findings indicates
effectiveness of the medication?
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel sounds
d. Blood pressure 90/50 mm Hg
10. A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21
mEq/L. The nurse should recognize these findings as indication of which of the
following conditions?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Compensated respiratory alkalosis
d. Uncompensated respiratory acidosis
Rationale:because theHCO3 21 trying to compensate forrespiratory alkalosis.
(2023/2024) with Rationale Graded A+
1. A nurse is assessing a client who is 12hr postoperative following a colon resection.
Which of the following findings should the nurse report to the surgeon?
a. Heart rate 90/min
b. Absentbowelsounds
c. Hgb 8.2 g/dl
d. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
haemorrhaging.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the
nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer
Desmopressin/Vasopressin increase ADH and to stop patient on urinating.
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen
several times daily for 3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
,Rationale: ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry
stools, abdominal pain).
4. A nurse in the emergency department is assessing a client. Which of the following
actions should the nurse take first (Click on the "Exhibit" button for additional
information about the client? There are three tabs that contain separate categories of
data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administerondansetron.
5. A nurse is contacting the provider for a client who has cancer and is experiencing
breakthrough pain. Which of the following prescriptions should the nurse anticipate?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone
Rationale: ATI pg. 27 Morphine sulfate and fentanyl are opioid agents used to treat
moderate to severe pain. A short-acting pain medication is administered for
breakthrough pain.
6. A nurse is admitting a client who reports chest pain and has been placed on a
telemetry monitor. Which of the following should the nurse analyze to determine
whether the client is experiencing a myocardial infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
7. A nurse is teaching a client who has ovarian cancer about skin care following
radiation treatment. Which of the following instructions should the nurse include?
, a. Pat the skin on the radiation site to dry it
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around the radiation site
Rationale: pg. 584. Dry the area thoroughly using patting motions.
8. A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and
distended jugular veins. The nurse should anticipate administering which of the
following prescribed medications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide
Rationale: S/S may indicate fluid retention or heart failure. It is important to administer
diuretics to prevent cardiovascular/respiratory distress.
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the
treatment of hypomagnesemia. Which of the following findings indicates
effectiveness of the medication?
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel sounds
d. Blood pressure 90/50 mm Hg
10. A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21
mEq/L. The nurse should recognize these findings as indication of which of the
following conditions?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Compensated respiratory alkalosis
d. Uncompensated respiratory acidosis
Rationale:because theHCO3 21 trying to compensate forrespiratory alkalosis.
