TEST BANK: ATI MED-SURG PROCTORED EXAM 2024
itle:ATI Med-Surg Proctored Exam 2024 - Complete Test Bank
T
Includes:230 Verified Questions, Answers ✅, and Detailed Rationales
Level:Registered Nurse (RN) / NCLEX Preparation
Verified by:Senior Nursing Faculty
Quality:A+ Graded | Based on Latest 2024 Curriculum Standards
✅ATI Med-Surg Proctored 2024 – Questions, Correct Answers &
Rationales
. An ER nurse is completing an assessment on a patient that is alert
1
but struggles to answer questions. When she attempts to talk, she
slurs her speech and appears very frightened. What additional clinical
manifestation does the nurse expect to find if the symptoms have
been caused by a brain attack (stroke)?
A. A hypotensive blood pressure
B. Hyperreflexic deep tendon reflexes
✅
C. A carotid bruit
D. Decreased bowel sounds
Rationale:A carotid bruit indicates narrowed carotidarteries, which is
common in clients who have experienced a brain attack. It results from
turbulent blood flow, suggesting compromised cerebral circulation. Blood
pressure is typically elevated, not low, and reflexes may be diminished
,initially.
. Which clinical manifestation further supports an assessment of a
2
left-sided brain attack?
A. Visual field deficit on the left side
B. Spatial-perceptual deficits
C. Paresthesia of the left side
✅
D. Global aphasia
Rationale:Global aphasia is associated with damageto the left
hemisphere of the brain, which controls language and speech. The other
symptoms are more typical of a right-sided stroke.
. When preparing a patient for a non-contrast computed tomography
3
(CT) scan STAT, what nursing intervention should the nurse
implement?
A. Determine if the client has any allergies to iodine
✅
B. Explain that the client will not be able to move her head during the
CT scan
C. Premedicate the client to decrease pain
D. Provide relaxation exercises
Rationale:Motion distorts CT images, so it’s essentialthat the client
remains still during the scan. Contrast allergy is irrelevant in a non-contrast
scan.
. A neurologist prescribes an MRI of the head STAT. Which data
4
warrants immediate intervention?
A. Elevated blood pressure
B. Allergy to shellfish
✅
C. Right hip replacement
D. History of atrial fibrillation
Rationale:Metal implants, such as a hip replacement,may be
contraindications or require special precautions during an MRI due to the
powerful magnetic field.
, . A client's daughter asks what a "brain attack" means. What is the
5
best response by the nurse?
A. “I’m sorry, I can’t give information due to HIPAA.”
✅
B. “Your mother has had a stroke, and the blood supply to the brain
has been blocked.”
C. “How do you feel about what the doctor said?”
D. “I’ll call the healthcare provider for you.”
Rationale:The nurse is responsible for ensuringthe family understands
the medical situation when the client cannot. Providing a basic explanation
empowers the family to make informed decisions.
. What is the normal range for cardiac output?
6
A. 2 to 4 L/min
B. 3 to 6 L/min
✅
C. 4 to 8 L/min
D. 5 to 9 L/min
Rationale:Normal cardiac output ensures adequateperfusion to vital
organs, including the brain, and typically ranges from 4 to 8 liters per
minute.
. A client admitted with a brain attack had symptoms begin 24 hours
7
ago. Why is thrombolytic therapy contraindicated?
✅
A. Symptoms started more than 3 hours ago
B. The client has an infection
C. They are allergic to medication
D. Their platelet count is low
Rationale:Thrombolytics must be given within 3 hoursof symptom onset.
After this window, the risk of hemorrhage outweighs the benefit.
. What are plate guards?
8
A. Utensils for vision-impaired clients
B. Devices that prevent spills
✅
C. Guards to prevent food from falling off the plate
, . Straps to secure the plate to the table
D
Rationale:Plate guards are assistive devices thatallow clients with motor
deficits to feed themselves independently.
. Which condition is considered a non-modifiable risk factor for a
9
brain attack?
A. High cholesterol
B. Obesity
C. History of atrial fibrillation
✅
D. Advanced age
Rationale:Age is a non-modifiable risk factor; theolder the client, the
higher the stroke risk. The others can be altered with lifestyle or medical
treatment.
0. A client is experiencing homonymous hemianopsia. Which
1
nursing intervention is most appropriate?
A. Turn client every 2 hours
✅
B. Place needed objects on the left side
C. Speak slowly to help form words
D. Request thickened liquids
Rationale:Placing objects on the affected side helpsretrain the client to
attend to that side and reduces injury risk.
1. A PT helps a client ambulate who reports dizziness and starts to
1
fall. What documentation is most accurate?
A. Client experienced orthostatic hypotension
✅
B. PT reported client complained of dizziness, and gait belt used to
assist to bed
C. PT stated client was too dizzy to ambulate
D. Client fell; variance report completed
Rationale:Accurate, objective, and complete documentationsupports
continuity of care and legal protection.
itle:ATI Med-Surg Proctored Exam 2024 - Complete Test Bank
T
Includes:230 Verified Questions, Answers ✅, and Detailed Rationales
Level:Registered Nurse (RN) / NCLEX Preparation
Verified by:Senior Nursing Faculty
Quality:A+ Graded | Based on Latest 2024 Curriculum Standards
✅ATI Med-Surg Proctored 2024 – Questions, Correct Answers &
Rationales
. An ER nurse is completing an assessment on a patient that is alert
1
but struggles to answer questions. When she attempts to talk, she
slurs her speech and appears very frightened. What additional clinical
manifestation does the nurse expect to find if the symptoms have
been caused by a brain attack (stroke)?
A. A hypotensive blood pressure
B. Hyperreflexic deep tendon reflexes
✅
C. A carotid bruit
D. Decreased bowel sounds
Rationale:A carotid bruit indicates narrowed carotidarteries, which is
common in clients who have experienced a brain attack. It results from
turbulent blood flow, suggesting compromised cerebral circulation. Blood
pressure is typically elevated, not low, and reflexes may be diminished
,initially.
. Which clinical manifestation further supports an assessment of a
2
left-sided brain attack?
A. Visual field deficit on the left side
B. Spatial-perceptual deficits
C. Paresthesia of the left side
✅
D. Global aphasia
Rationale:Global aphasia is associated with damageto the left
hemisphere of the brain, which controls language and speech. The other
symptoms are more typical of a right-sided stroke.
. When preparing a patient for a non-contrast computed tomography
3
(CT) scan STAT, what nursing intervention should the nurse
implement?
A. Determine if the client has any allergies to iodine
✅
B. Explain that the client will not be able to move her head during the
CT scan
C. Premedicate the client to decrease pain
D. Provide relaxation exercises
Rationale:Motion distorts CT images, so it’s essentialthat the client
remains still during the scan. Contrast allergy is irrelevant in a non-contrast
scan.
. A neurologist prescribes an MRI of the head STAT. Which data
4
warrants immediate intervention?
A. Elevated blood pressure
B. Allergy to shellfish
✅
C. Right hip replacement
D. History of atrial fibrillation
Rationale:Metal implants, such as a hip replacement,may be
contraindications or require special precautions during an MRI due to the
powerful magnetic field.
, . A client's daughter asks what a "brain attack" means. What is the
5
best response by the nurse?
A. “I’m sorry, I can’t give information due to HIPAA.”
✅
B. “Your mother has had a stroke, and the blood supply to the brain
has been blocked.”
C. “How do you feel about what the doctor said?”
D. “I’ll call the healthcare provider for you.”
Rationale:The nurse is responsible for ensuringthe family understands
the medical situation when the client cannot. Providing a basic explanation
empowers the family to make informed decisions.
. What is the normal range for cardiac output?
6
A. 2 to 4 L/min
B. 3 to 6 L/min
✅
C. 4 to 8 L/min
D. 5 to 9 L/min
Rationale:Normal cardiac output ensures adequateperfusion to vital
organs, including the brain, and typically ranges from 4 to 8 liters per
minute.
. A client admitted with a brain attack had symptoms begin 24 hours
7
ago. Why is thrombolytic therapy contraindicated?
✅
A. Symptoms started more than 3 hours ago
B. The client has an infection
C. They are allergic to medication
D. Their platelet count is low
Rationale:Thrombolytics must be given within 3 hoursof symptom onset.
After this window, the risk of hemorrhage outweighs the benefit.
. What are plate guards?
8
A. Utensils for vision-impaired clients
B. Devices that prevent spills
✅
C. Guards to prevent food from falling off the plate
, . Straps to secure the plate to the table
D
Rationale:Plate guards are assistive devices thatallow clients with motor
deficits to feed themselves independently.
. Which condition is considered a non-modifiable risk factor for a
9
brain attack?
A. High cholesterol
B. Obesity
C. History of atrial fibrillation
✅
D. Advanced age
Rationale:Age is a non-modifiable risk factor; theolder the client, the
higher the stroke risk. The others can be altered with lifestyle or medical
treatment.
0. A client is experiencing homonymous hemianopsia. Which
1
nursing intervention is most appropriate?
A. Turn client every 2 hours
✅
B. Place needed objects on the left side
C. Speak slowly to help form words
D. Request thickened liquids
Rationale:Placing objects on the affected side helpsretrain the client to
attend to that side and reduces injury risk.
1. A PT helps a client ambulate who reports dizziness and starts to
1
fall. What documentation is most accurate?
A. Client experienced orthostatic hypotension
✅
B. PT reported client complained of dizziness, and gait belt used to
assist to bed
C. PT stated client was too dizzy to ambulate
D. Client fell; variance report completed
Rationale:Accurate, objective, and complete documentationsupports
continuity of care and legal protection.
