ATI MEDICAL SURGICAL PROCTORED EXAM 2023 WITH NGN
1. A nurse is providing dietary instructions to a client who has cardiovascular disease. The nurse
should identify that which of following statements by the client indicates an understanding of
the teaching?
a."I will limit my portions of meat to 8 ounces."
b. "I will increase my intake of canned vegetables."
c. "I will use canola oil when making salad dressing."
d. "I will drink whole milk with my cereal."
2. A nurse is caring for a client who has COPD. Click to highlight the findings below that require
immediate follow-up.
Neurological - Client is oriented to person, place, and time. Client is restless. Pupils are
reactive to light. Able to move all extremities.
Pulmonary- Client is tachypneic, cough is productive, and mucous is yellow in color. Wheezes
and crackles heard upon auscultation.
,3. A nurse is caring for a client who is experiencing an exacerbation of heart failure. Thenurse is
assessing the client 24 hr later. How should the nurse interpret the findings related to the
diagnosis of heart failure? For each finding, click to specify whether the finding is unrelated to
the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.
Diagnostic Results
Hgb 8.4 g/dL (12 to 18 g/dL)
Hct 42% (37% to 47%)
WBC count 9,800/mm3 (5,000 to 10,000/ mm3) Potassium 432
mEq/L (3.5 to 5 mEq/L)
if ME if Is anormalresult
,5. A nurse is caring for a client who has heart failure. Drag words from the choices below to fill
, in each blank in the following sentence.
The client is at risk for developing _________ and_________
Word choices: dysrhythmias, respiratory alkalosis, acute kidney injury, fluid volume
Tdeficitoad A dentaration
Hyperventilation
Diagnostic Results (exhibit 1) Day of
Admission:
Brain natriuretic peptide (BNP): 450 pg/mL (less than 100 pg/mL)
Potassium: 4.8 mEq/L (3.5 to 5 mEq/L)
Sodium: 132 mEq/L (136 to 145 mEq/L)
BUN: 10 mg/dL (10 to 20 mg/dL) Day 2 of
Hospitalization:
Brain natriuretic peptide: 110 pg/mL (less than 100 pg/mL)
Potassium: 3.3 mEq/L (3.5 to 5 mEq/L)
Sodium: 135 mEq/L (136 to 145 mEq/L)
BUN: 20 mg/dL (10 to 20 mg/dL)
Medical Administration Record (exhibit 2) Day of
Admission:
Furosemide 80 mg IV 3 times per day
Vital Signs ( exhibit 3) Day of Admission:
Temperature 36.6°C (97.8°F)
Heart rate 112/min
Respiratory rate 24/min
Blood pressure 186/84 mmHg
Oxygen saturation 93% on room air
Weight 97.5 kg (215 lb) Day 2 of
Hospitalization:
Temperature 36.6°C (97.8°F)
Heart rate 78/min
Respiratory rate 18/min
Blood pressure 102/78 mmHg
Oxygen saturation 98% on 2 L/min oxygen via nasal cannula
Weight 90.7 kg (200 lb)
6. A nurse is providing teaching for a client who has diabetes mellitus about the
selfadministration of insulin. The client has prescriptions for regular and NPH insulins. Which of
the following statements by the client indicates an understanding of the teaching?
a. "I will draw up the regular insulin into the syringe first."
b. "I will shake the NPH vial vigorously before drawing up the insulin."
c. "I will store prefilled syringes in the refrigerator with the needle pointed downward."
1. A nurse is providing dietary instructions to a client who has cardiovascular disease. The nurse
should identify that which of following statements by the client indicates an understanding of
the teaching?
a."I will limit my portions of meat to 8 ounces."
b. "I will increase my intake of canned vegetables."
c. "I will use canola oil when making salad dressing."
d. "I will drink whole milk with my cereal."
2. A nurse is caring for a client who has COPD. Click to highlight the findings below that require
immediate follow-up.
Neurological - Client is oriented to person, place, and time. Client is restless. Pupils are
reactive to light. Able to move all extremities.
Pulmonary- Client is tachypneic, cough is productive, and mucous is yellow in color. Wheezes
and crackles heard upon auscultation.
,3. A nurse is caring for a client who is experiencing an exacerbation of heart failure. Thenurse is
assessing the client 24 hr later. How should the nurse interpret the findings related to the
diagnosis of heart failure? For each finding, click to specify whether the finding is unrelated to
the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.
Diagnostic Results
Hgb 8.4 g/dL (12 to 18 g/dL)
Hct 42% (37% to 47%)
WBC count 9,800/mm3 (5,000 to 10,000/ mm3) Potassium 432
mEq/L (3.5 to 5 mEq/L)
if ME if Is anormalresult
,5. A nurse is caring for a client who has heart failure. Drag words from the choices below to fill
, in each blank in the following sentence.
The client is at risk for developing _________ and_________
Word choices: dysrhythmias, respiratory alkalosis, acute kidney injury, fluid volume
Tdeficitoad A dentaration
Hyperventilation
Diagnostic Results (exhibit 1) Day of
Admission:
Brain natriuretic peptide (BNP): 450 pg/mL (less than 100 pg/mL)
Potassium: 4.8 mEq/L (3.5 to 5 mEq/L)
Sodium: 132 mEq/L (136 to 145 mEq/L)
BUN: 10 mg/dL (10 to 20 mg/dL) Day 2 of
Hospitalization:
Brain natriuretic peptide: 110 pg/mL (less than 100 pg/mL)
Potassium: 3.3 mEq/L (3.5 to 5 mEq/L)
Sodium: 135 mEq/L (136 to 145 mEq/L)
BUN: 20 mg/dL (10 to 20 mg/dL)
Medical Administration Record (exhibit 2) Day of
Admission:
Furosemide 80 mg IV 3 times per day
Vital Signs ( exhibit 3) Day of Admission:
Temperature 36.6°C (97.8°F)
Heart rate 112/min
Respiratory rate 24/min
Blood pressure 186/84 mmHg
Oxygen saturation 93% on room air
Weight 97.5 kg (215 lb) Day 2 of
Hospitalization:
Temperature 36.6°C (97.8°F)
Heart rate 78/min
Respiratory rate 18/min
Blood pressure 102/78 mmHg
Oxygen saturation 98% on 2 L/min oxygen via nasal cannula
Weight 90.7 kg (200 lb)
6. A nurse is providing teaching for a client who has diabetes mellitus about the
selfadministration of insulin. The client has prescriptions for regular and NPH insulins. Which of
the following statements by the client indicates an understanding of the teaching?
a. "I will draw up the regular insulin into the syringe first."
b. "I will shake the NPH vial vigorously before drawing up the insulin."
c. "I will store prefilled syringes in the refrigerator with the needle pointed downward."
