ATI MED-SURG PROCTORED EXAM 100 QUESTIONS WITH
ANSWERS
1. A nurse in an emergency department is preparing to perform an ocular irrigation for a client.
Which of the following actions should the nurse plan to take?: Perform the irrigation with sterile
water specific for irrigation
2. A nurse is preparing to administer lactated ringer's via continuous IV infu- sion at 200
ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the nurse set
the IV pump to administer?
Round to near whole number.: 33 gtt/min
3. A nurse is providing discharge teaching to a client who has a new pre- scription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the
teaching?: I should lie down when I take this medication.
4. A nurse is providing discharge teaching to an older adult client following a left total hip
arthroplasty. Which of the following instructions should the nurse include in the teaching?: Install
a raised toilet seat in your bathroom
5. A nurse is planning care for a client following a cardiac catheterization. Which of the
following actions should the nurse take?: Maintain the client's affected extremity in extension
6. A nurse is caring for a client who has a lower extremity fracture and a prescription for
crutches. Which of the following client statements indicates that the client is adapting to their
role change?: I will need to have my partner take over shopping for groceries and cooking the meals
for us
1/9
,7. A nurse is caring for a client who has gastroenteritis. Which of the following assessment
findings should the nurse recognize as an indication that the client is experiencing dehydration?:
Decreased BP
8. A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The
client's urinary output was 4,000 ml over the past 24 hour. The nurse should anticipate a
prescription for which of the following IV medication?: Desmopressin
9. A nurse in a clinic receives a phone call from a client who recently started therapy with an
ACE inhibitor and reports a nagging dry cough. Which of the following responses by the nurse is
appropriate?: Your cough may require that you stop or change your medication
10.A nurse is taking an admission history from a client who reports Raynaud's disease. Which of
the following assessment findings should the nurse identify as a potential trigger for
exacerbations of Raynaud's?: Using a nicotine trans- dermal patch
11. A nurse is caring for a patient who has a central venous access device and notes the tubing
has become disconnected. The client develops dyspnea and
2/9
, tachycardia. Which of the following actions should the nurse take first?: Clamp the catheter
12. A nurse is completing an assessment of an older adult client and notes reddened areas
over the bony prominences, but the client's skin is intact.
Which of the following
interventions should the nurse include in the plan of care?: Support bony prominences with pillows
13. A home health nurse is making an initial visit to a client who has multiple sclerosis. Which
of the following actions is the priority for the nurse to take?-
: Discuss recommendations for eating + swallowing techniques
14.A nurse in the emergency department is assessing a client. Which of the following actions
should the nurse take first?: Initiate airborne precautions
15.A nurse is reviewing the medical record of a client to identify risk factors for colorectal
cancer. The nurse should identify which of the following findings as increasing the client's risk?:
History of Crohn's disease
16.A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse,
"I'm not sure I want to have a mastectomy." Which of the following statements should the
nurse make?: I can give you additional information about the procedure
17. A nurse is preparing to administer a unit of packed RBCs to a client who is anemic.
Identify the sequence of steps the nurse should follow.
1 - Obtain venous access using a 19-gauge needle
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ANSWERS
1. A nurse in an emergency department is preparing to perform an ocular irrigation for a client.
Which of the following actions should the nurse plan to take?: Perform the irrigation with sterile
water specific for irrigation
2. A nurse is preparing to administer lactated ringer's via continuous IV infu- sion at 200
ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the nurse set
the IV pump to administer?
Round to near whole number.: 33 gtt/min
3. A nurse is providing discharge teaching to a client who has a new pre- scription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the
teaching?: I should lie down when I take this medication.
4. A nurse is providing discharge teaching to an older adult client following a left total hip
arthroplasty. Which of the following instructions should the nurse include in the teaching?: Install
a raised toilet seat in your bathroom
5. A nurse is planning care for a client following a cardiac catheterization. Which of the
following actions should the nurse take?: Maintain the client's affected extremity in extension
6. A nurse is caring for a client who has a lower extremity fracture and a prescription for
crutches. Which of the following client statements indicates that the client is adapting to their
role change?: I will need to have my partner take over shopping for groceries and cooking the meals
for us
1/9
,7. A nurse is caring for a client who has gastroenteritis. Which of the following assessment
findings should the nurse recognize as an indication that the client is experiencing dehydration?:
Decreased BP
8. A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The
client's urinary output was 4,000 ml over the past 24 hour. The nurse should anticipate a
prescription for which of the following IV medication?: Desmopressin
9. A nurse in a clinic receives a phone call from a client who recently started therapy with an
ACE inhibitor and reports a nagging dry cough. Which of the following responses by the nurse is
appropriate?: Your cough may require that you stop or change your medication
10.A nurse is taking an admission history from a client who reports Raynaud's disease. Which of
the following assessment findings should the nurse identify as a potential trigger for
exacerbations of Raynaud's?: Using a nicotine trans- dermal patch
11. A nurse is caring for a patient who has a central venous access device and notes the tubing
has become disconnected. The client develops dyspnea and
2/9
, tachycardia. Which of the following actions should the nurse take first?: Clamp the catheter
12. A nurse is completing an assessment of an older adult client and notes reddened areas
over the bony prominences, but the client's skin is intact.
Which of the following
interventions should the nurse include in the plan of care?: Support bony prominences with pillows
13. A home health nurse is making an initial visit to a client who has multiple sclerosis. Which
of the following actions is the priority for the nurse to take?-
: Discuss recommendations for eating + swallowing techniques
14.A nurse in the emergency department is assessing a client. Which of the following actions
should the nurse take first?: Initiate airborne precautions
15.A nurse is reviewing the medical record of a client to identify risk factors for colorectal
cancer. The nurse should identify which of the following findings as increasing the client's risk?:
History of Crohn's disease
16.A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse,
"I'm not sure I want to have a mastectomy." Which of the following statements should the
nurse make?: I can give you additional information about the procedure
17. A nurse is preparing to administer a unit of packed RBCs to a client who is anemic.
Identify the sequence of steps the nurse should follow.
1 - Obtain venous access using a 19-gauge needle
3/9
