ATI RN MEDSURG PROCTORED FINAL EXAM 3
LATEST VERSIONS (VERSION A, B & C)
2024/2025 ACTUAL EXAM EACH VERSION
CONTAINS 100 QUESTIONS AND CORRECT
ANSWERS
Terms in this set (100)
A charge nurse is observing A. Instructs the client to wear their own socks to the
a newly licensed nurse care bathroom
for a client who is at risk for
falls. Which of the following
findings should the nurse
identify as a risk factor for
falls?
a) Instructs the client to
wear their own socks to
the bathroom
b) Keeps the client's bed in
the low position
c) Positions the bedside
table close to the client
d) Attaches the call light to
the side rail of the
client's bed
,A nurse enters a client's C. Assist the client to a nearby common area.
room and sees smoke
coming from the bathroom.
Which of the following
actions should the nurse
take first?
a) Activate the fire alarm
system.
b) Use a fire extinguisher at
the source of the
smoke.
c) Assist the client to a
nearby common area.
d) Close the doors to the
room and to the
bathroom.
A nurse in a long-term care A. Encourage the client to ambulate with a staff
facility is providing care for member.
a client who has Alzheimer's
disease and is
agitated. Which of the
following interventions
should the nurse
implement?
a) Encourage the client to
ambulate with a staff
member.
b) Isolate the client in their
room.
c) Apply bilateral wrist
restraints to the client.
d) Administer a prescribed
oral dose of trazodone to
the client.
,A nurse is assisting care of a A. Determine palpable pulse.
client whose cardiac
monitor suddenly displays
ventricular tachycardia.
Which of the following is
the priority nursing action?
a) Determine palpable
pulse.
b) Begin chest
compressions.
c) Perform immediate
defibrillation.
d) Provide pulmonary
ventilation.
A nurse is assisting in the B. Check for neck vein distention.
plan of care for a client who
is dehydrated and is
receiving IV fluid
replacement. Which of the
following interventions
should the nurse contribute
to the plan of care?
a) Offer oral fluids every 4
hr.
b) Check for neck vein
distention.
c) Limit oral fluids prior to
bedtime.
d) Monitor pulse pressure
every 6 hr.
, A nurse is assisting with the D. Monitor for at least 150 mL of drainage every hour.
care of a client who has a
closed-chest tube drainage
system. Which of the
following actions should the
nurse take?
a) Replace the unit when
the drainage chamber is
full.
b) Clamp the tube for 30
min every 8 hr.
c) Pin the tubing to the
client's bed sheets.
d) Monitor for at least 150
mL of drainage every hour.
A nurse is assisting with the B. Vomiting
care of a postoperative
client who is receiving a unit
of packed RBCs. Which of
the following manifestations
should the nurse recognize
as an indication of a septic
reaction to the blood
transfusion?
a) Hypertension
b) Vomiting
c) Distended neck veins
d) Polyuria
LATEST VERSIONS (VERSION A, B & C)
2024/2025 ACTUAL EXAM EACH VERSION
CONTAINS 100 QUESTIONS AND CORRECT
ANSWERS
Terms in this set (100)
A charge nurse is observing A. Instructs the client to wear their own socks to the
a newly licensed nurse care bathroom
for a client who is at risk for
falls. Which of the following
findings should the nurse
identify as a risk factor for
falls?
a) Instructs the client to
wear their own socks to
the bathroom
b) Keeps the client's bed in
the low position
c) Positions the bedside
table close to the client
d) Attaches the call light to
the side rail of the
client's bed
,A nurse enters a client's C. Assist the client to a nearby common area.
room and sees smoke
coming from the bathroom.
Which of the following
actions should the nurse
take first?
a) Activate the fire alarm
system.
b) Use a fire extinguisher at
the source of the
smoke.
c) Assist the client to a
nearby common area.
d) Close the doors to the
room and to the
bathroom.
A nurse in a long-term care A. Encourage the client to ambulate with a staff
facility is providing care for member.
a client who has Alzheimer's
disease and is
agitated. Which of the
following interventions
should the nurse
implement?
a) Encourage the client to
ambulate with a staff
member.
b) Isolate the client in their
room.
c) Apply bilateral wrist
restraints to the client.
d) Administer a prescribed
oral dose of trazodone to
the client.
,A nurse is assisting care of a A. Determine palpable pulse.
client whose cardiac
monitor suddenly displays
ventricular tachycardia.
Which of the following is
the priority nursing action?
a) Determine palpable
pulse.
b) Begin chest
compressions.
c) Perform immediate
defibrillation.
d) Provide pulmonary
ventilation.
A nurse is assisting in the B. Check for neck vein distention.
plan of care for a client who
is dehydrated and is
receiving IV fluid
replacement. Which of the
following interventions
should the nurse contribute
to the plan of care?
a) Offer oral fluids every 4
hr.
b) Check for neck vein
distention.
c) Limit oral fluids prior to
bedtime.
d) Monitor pulse pressure
every 6 hr.
, A nurse is assisting with the D. Monitor for at least 150 mL of drainage every hour.
care of a client who has a
closed-chest tube drainage
system. Which of the
following actions should the
nurse take?
a) Replace the unit when
the drainage chamber is
full.
b) Clamp the tube for 30
min every 8 hr.
c) Pin the tubing to the
client's bed sheets.
d) Monitor for at least 150
mL of drainage every hour.
A nurse is assisting with the B. Vomiting
care of a postoperative
client who is receiving a unit
of packed RBCs. Which of
the following manifestations
should the nurse recognize
as an indication of a septic
reaction to the blood
transfusion?
a) Hypertension
b) Vomiting
c) Distended neck veins
d) Polyuria
