ATI Med Surg Proctored Exam
Practice Questions and 100% Correct
and well detailed Answers (latest
Update 2024)
A nurse is caring for a client who experienced a traumatichead injury
and has an intraventricular catheter (Ventriculostomy) for ICP
monitoring. The nurse should monitor the client for which of the
following complicationsrelated to the ventriculostomy?:
a. Headache
b. Infection
c. Aphasia
d. Hypertension - Correct Answer ✅b. Infection
Monitor for infection and use strict asepsis to avoid life-threatening
meningitis.
A nurse is caring for a client who has continuous bladder irrigation
following a transurethral resection of the prostate(TURP). Which of the
following findings should the nurse report to the provider?
a Output equal to the instilled irrigate
b. Client reports bladder spasms
c. Viscous urinary output with clots
,d. Reports of strong urge to urinate - Correct Answer ✅c.Viscous
urinary output with clots
Urine that is bright red with clots is an indication of arterialbleeding.
A nurse is preparing an in-service program about the stagesof acute
kidney injury. Which of the following pieces of info should the nurse
include about prerenal azotemia?
a. Prerenal azotemia begins prior to the onset of symptoms
b. Interference with renal perfusion causes renal azotemia
c. Prerenal azotemia is irreversible, even in early stages
d. Infections and tumors cause prerenal azotemia - CorrectAnswer
✅b. Interference with renal perfusion causes prerenal azotemia.
Prerenal = interference with renal perfusion, such as fromheart failure or
hypovolemic shock.
A nurse is providing teaching to a client who has a new diagnosis of
myasthenia gravis (MG). Which of the followingpieces of
information should the nurse include?
A. Use enemas to treat constipation caused by daily
medications
B. Take a hot bath when muscles ache
C. Eat a low-calorie diet
D. Set an alarm to ensure medication dosages are taken ontime -
,Correct Answer ✅D. Set an alarm to ensure medication dosages are
taken on time
The nurse should instruct the client to take medication dosages on time to
maintain a therapeutic blood level. Dosages should not be missed or
postponed because this cancause an exacerbation of the disease.
A nurse is assessing a client who has Kaposi's sarcoma.Which of the
following findings should the nurse expect?
A. Nonproductive cough, fever, and shortness of breath
B. Lesions on the retina that produce blurred vision
C. Onset of progressive dementia
D. Reddish-purple skin lesions - Correct Answer ✅D.
Reddish-purple skin lesions
Kaposi's sarcoma is commonly associated with AIDS and manifests as
hyperpigmented multicentric lesions that can befirm, flat, raised, or
nodular. Following a biopsy, the lesions are treated with radiation and/or
chemotherapy.
A nurse is planning care for a client who has AIDS and has
developed stomatitis. Which of the following interventions should
the nurse include in the plan of care?
A. Rinse the mouth with chlorhexidine solution every 2 hr
B. Limit fluid intake with meals
, C. Provide oral hygiene with a firm-bristled toothbrush aftereach meal
D. Avoid salty foods - Correct Answer ✅D. Avoid salty foods
Stomatitis is an inflammation of the mucosa of the mouth, usually with
ulcerations. Foods that are spicy, acidic, or salty should be avoided to
prevent further irritation and damage tothe oral mucosa.
A nurse is caring for a client during the first 72 hr following a
cerebrovascular accident (CVA). Which of the following actions
should the nurse take?
A. Turn the client's head to the side with the head of the bedelevated 60°
B. Place the head of the bed flat with pillows under theclient's
neck and feet
C. Elevate the head of the bed 25° to 30° with the client in aneutral
midline position
D. Position the client in a dorsal recumbent position withpillows
under the head and knees - Correct Answer ✅
A nurse is caring for a client with Clostridium difficile who hascontact-
isolation precautions in place. Which of the following actions should the
nurse perform?
A. Instruct visitors to maintain a distance of at least 1 m (3 ft)from the
client.
B . Wash hands with antimicrobial soap after leaving theclient's room.
Practice Questions and 100% Correct
and well detailed Answers (latest
Update 2024)
A nurse is caring for a client who experienced a traumatichead injury
and has an intraventricular catheter (Ventriculostomy) for ICP
monitoring. The nurse should monitor the client for which of the
following complicationsrelated to the ventriculostomy?:
a. Headache
b. Infection
c. Aphasia
d. Hypertension - Correct Answer ✅b. Infection
Monitor for infection and use strict asepsis to avoid life-threatening
meningitis.
A nurse is caring for a client who has continuous bladder irrigation
following a transurethral resection of the prostate(TURP). Which of the
following findings should the nurse report to the provider?
a Output equal to the instilled irrigate
b. Client reports bladder spasms
c. Viscous urinary output with clots
,d. Reports of strong urge to urinate - Correct Answer ✅c.Viscous
urinary output with clots
Urine that is bright red with clots is an indication of arterialbleeding.
A nurse is preparing an in-service program about the stagesof acute
kidney injury. Which of the following pieces of info should the nurse
include about prerenal azotemia?
a. Prerenal azotemia begins prior to the onset of symptoms
b. Interference with renal perfusion causes renal azotemia
c. Prerenal azotemia is irreversible, even in early stages
d. Infections and tumors cause prerenal azotemia - CorrectAnswer
✅b. Interference with renal perfusion causes prerenal azotemia.
Prerenal = interference with renal perfusion, such as fromheart failure or
hypovolemic shock.
A nurse is providing teaching to a client who has a new diagnosis of
myasthenia gravis (MG). Which of the followingpieces of
information should the nurse include?
A. Use enemas to treat constipation caused by daily
medications
B. Take a hot bath when muscles ache
C. Eat a low-calorie diet
D. Set an alarm to ensure medication dosages are taken ontime -
,Correct Answer ✅D. Set an alarm to ensure medication dosages are
taken on time
The nurse should instruct the client to take medication dosages on time to
maintain a therapeutic blood level. Dosages should not be missed or
postponed because this cancause an exacerbation of the disease.
A nurse is assessing a client who has Kaposi's sarcoma.Which of the
following findings should the nurse expect?
A. Nonproductive cough, fever, and shortness of breath
B. Lesions on the retina that produce blurred vision
C. Onset of progressive dementia
D. Reddish-purple skin lesions - Correct Answer ✅D.
Reddish-purple skin lesions
Kaposi's sarcoma is commonly associated with AIDS and manifests as
hyperpigmented multicentric lesions that can befirm, flat, raised, or
nodular. Following a biopsy, the lesions are treated with radiation and/or
chemotherapy.
A nurse is planning care for a client who has AIDS and has
developed stomatitis. Which of the following interventions should
the nurse include in the plan of care?
A. Rinse the mouth with chlorhexidine solution every 2 hr
B. Limit fluid intake with meals
, C. Provide oral hygiene with a firm-bristled toothbrush aftereach meal
D. Avoid salty foods - Correct Answer ✅D. Avoid salty foods
Stomatitis is an inflammation of the mucosa of the mouth, usually with
ulcerations. Foods that are spicy, acidic, or salty should be avoided to
prevent further irritation and damage tothe oral mucosa.
A nurse is caring for a client during the first 72 hr following a
cerebrovascular accident (CVA). Which of the following actions
should the nurse take?
A. Turn the client's head to the side with the head of the bedelevated 60°
B. Place the head of the bed flat with pillows under theclient's
neck and feet
C. Elevate the head of the bed 25° to 30° with the client in aneutral
midline position
D. Position the client in a dorsal recumbent position withpillows
under the head and knees - Correct Answer ✅
A nurse is caring for a client with Clostridium difficile who hascontact-
isolation precautions in place. Which of the following actions should the
nurse perform?
A. Instruct visitors to maintain a distance of at least 1 m (3 ft)from the
client.
B . Wash hands with antimicrobial soap after leaving theclient's room.
