ATI MED SURG PROCTORED 2023 EXAM |COMPLETE
150 QUESTIONS WITH CORRECT VERIFIED AND
DETAILED ANSWERS |PRE-EVALUATED A+
A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following
precautions should the nurse implement? - ANSWER-
Ensure the client has a patient IV
The nurse should ensure the client has IV access in the event
that the client requires medication to stop seizure activity
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the
following laboratory values should the nurse report to
the provider? -ANSWER-
Hgb 8 g/dL
The nurse should report an Hgb level of 8 g/dL, which is below
the expected reference range and is an indicator of postoperative hemorrhage or
anemia
A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of
the following findings should the nurse expect? -ANSWER-
Stone fragments in the urine
,ESWL is an effort to break the calculi so that the fragments pass down the ureter, into the bladder, and
through the urethra during voiding. Following the procedure, the nurse should strain the client's urine to
confirm the passage of stones
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough.
Which of the following actions should the nurse take first? -ANSWER-
Initiate airborne precautions
This client is exhibiting manifestations of tuberculosis. The greatest risk in this client situation is for
other people in the facility to acquire an airborne disease from this client. Therefore, the first action the
nurse should take is to initiate airborne precautions
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available
when the current infusion is nearly completed. Which of the following actions should the nurse take? -
ANSWER-
Administer dextrose 10% in water until the new bag arrives
TPN solutions have a high concentration of dextrose. Therefore, if a TPN solution is temporarily
unavailable, the nurse should administer dextrose 10% or 20% in water to avoid a precipitous drop in
the client's blood glucose level.
A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The
nurse should instruct the client that which of the following supplements can interfere with the
effectiveness of the medication? -ANSWER-
Calcium
Calcium limits the development of osteoporosis in clients who are postmenopausal and works as an
antacid. Calcium supplements can interfere with the metabolism of a number of medications, including
levothyroxine. The nurse should instruct the client to avoid taking calcium within 4 hr of levothyroxine
administration.
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client
appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions
should the nurse take first? -ANSWER-
Instruct the client to allow the machine to breathe for them.
When providing client care, the nurse should first use the least
restrictive intervention. Therefore, the first action the nurse should take is to
provide verbal instructions and emotional support to help the client relax and allow
the ventilator to work. Clients can exhibit anxiety and restlessness when trying to
"fight the ventilator."
A nurse is caring for a client who has a prescription for enalapril. The nurse should identify which of the
following findings as an adverse effect of the medication? -ANSWER-
, Orthostatic hypotension
The nurse should identify that dilation of arteries and veins causes orthostatic hypotension, which is an
adverse effect of enalapril.
A nurse is caring for a client who has a stage III pressure injury. Which of
the following findings contributes to delayed wound healing? -ANWERS-
Urine output 25 mL/hr
Urinary output reflects fluid status. Inadequate urine output can
indicate dehydration, which can delay wound healing.
A nurse is providing teaching to an older adult client who has cancer and a new prescription for an
opioid analgesic for pain management. Which of the following information should the nurse include in
the teaching? -ANSWER-
"You should void every 4 hours to decrease the risk of urinary retention."
The nurse should instruct the client to void at least every 4 hr to decrease the risk of urinary retention,
which is an adverse effect of opioid analgesics
A nurse is caring for a client who has portal hypertension. The client is vomiting blood mixed with food
after a meal. Which of the following actions should the nurse take first? -ANSWER-
Obtain vital signs.
The first action the nurse should take using the nursing process is to assess the client's vital signs. A
client who has portal hypertension can develop esophageal varices, which are fragile and can rupture,
resulting in large amounts of blood loss and shock. Obtaining vital signs provides information about the
client's condition that can contribute to decision making.
A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a
gastrectomyA nurse is providing teaching for the client. Which of the following instructions should the
nurse include? -ANSWER-
- Avoid drinking fluids with meals
- Eat several small meals per day
- Consume high-protein snacks
- Avoid highly seasoned foods
:Maintain a high carbohydrate intake is incorrect. Dumping syndrome requires a low carbohydrate diet
because of reactive hypoglycemia. Eat five servings of fresh fruit per day is incorrect. The client should
limit intake to three servings of unsweetened cooked or canned fruit per day. Avoid drinking fluids with
meals is correct. The nurse should instruct the client to drink fluids 30 min before or after meals
Eat several small meals per day is correct. The nurse should instruct the client to eat several small,
frequent meals instead of three large meals per day. Consume high-protein snacks is correct. The client
should eat snacks that are high in protein and low in carbohydrates to prevent the gastric food boluses
150 QUESTIONS WITH CORRECT VERIFIED AND
DETAILED ANSWERS |PRE-EVALUATED A+
A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following
precautions should the nurse implement? - ANSWER-
Ensure the client has a patient IV
The nurse should ensure the client has IV access in the event
that the client requires medication to stop seizure activity
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the
following laboratory values should the nurse report to
the provider? -ANSWER-
Hgb 8 g/dL
The nurse should report an Hgb level of 8 g/dL, which is below
the expected reference range and is an indicator of postoperative hemorrhage or
anemia
A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of
the following findings should the nurse expect? -ANSWER-
Stone fragments in the urine
,ESWL is an effort to break the calculi so that the fragments pass down the ureter, into the bladder, and
through the urethra during voiding. Following the procedure, the nurse should strain the client's urine to
confirm the passage of stones
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough.
Which of the following actions should the nurse take first? -ANSWER-
Initiate airborne precautions
This client is exhibiting manifestations of tuberculosis. The greatest risk in this client situation is for
other people in the facility to acquire an airborne disease from this client. Therefore, the first action the
nurse should take is to initiate airborne precautions
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available
when the current infusion is nearly completed. Which of the following actions should the nurse take? -
ANSWER-
Administer dextrose 10% in water until the new bag arrives
TPN solutions have a high concentration of dextrose. Therefore, if a TPN solution is temporarily
unavailable, the nurse should administer dextrose 10% or 20% in water to avoid a precipitous drop in
the client's blood glucose level.
A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The
nurse should instruct the client that which of the following supplements can interfere with the
effectiveness of the medication? -ANSWER-
Calcium
Calcium limits the development of osteoporosis in clients who are postmenopausal and works as an
antacid. Calcium supplements can interfere with the metabolism of a number of medications, including
levothyroxine. The nurse should instruct the client to avoid taking calcium within 4 hr of levothyroxine
administration.
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client
appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions
should the nurse take first? -ANSWER-
Instruct the client to allow the machine to breathe for them.
When providing client care, the nurse should first use the least
restrictive intervention. Therefore, the first action the nurse should take is to
provide verbal instructions and emotional support to help the client relax and allow
the ventilator to work. Clients can exhibit anxiety and restlessness when trying to
"fight the ventilator."
A nurse is caring for a client who has a prescription for enalapril. The nurse should identify which of the
following findings as an adverse effect of the medication? -ANSWER-
, Orthostatic hypotension
The nurse should identify that dilation of arteries and veins causes orthostatic hypotension, which is an
adverse effect of enalapril.
A nurse is caring for a client who has a stage III pressure injury. Which of
the following findings contributes to delayed wound healing? -ANWERS-
Urine output 25 mL/hr
Urinary output reflects fluid status. Inadequate urine output can
indicate dehydration, which can delay wound healing.
A nurse is providing teaching to an older adult client who has cancer and a new prescription for an
opioid analgesic for pain management. Which of the following information should the nurse include in
the teaching? -ANSWER-
"You should void every 4 hours to decrease the risk of urinary retention."
The nurse should instruct the client to void at least every 4 hr to decrease the risk of urinary retention,
which is an adverse effect of opioid analgesics
A nurse is caring for a client who has portal hypertension. The client is vomiting blood mixed with food
after a meal. Which of the following actions should the nurse take first? -ANSWER-
Obtain vital signs.
The first action the nurse should take using the nursing process is to assess the client's vital signs. A
client who has portal hypertension can develop esophageal varices, which are fragile and can rupture,
resulting in large amounts of blood loss and shock. Obtaining vital signs provides information about the
client's condition that can contribute to decision making.
A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a
gastrectomyA nurse is providing teaching for the client. Which of the following instructions should the
nurse include? -ANSWER-
- Avoid drinking fluids with meals
- Eat several small meals per day
- Consume high-protein snacks
- Avoid highly seasoned foods
:Maintain a high carbohydrate intake is incorrect. Dumping syndrome requires a low carbohydrate diet
because of reactive hypoglycemia. Eat five servings of fresh fruit per day is incorrect. The client should
limit intake to three servings of unsweetened cooked or canned fruit per day. Avoid drinking fluids with
meals is correct. The nurse should instruct the client to drink fluids 30 min before or after meals
Eat several small meals per day is correct. The nurse should instruct the client to eat several small,
frequent meals instead of three large meals per day. Consume high-protein snacks is correct. The client
should eat snacks that are high in protein and low in carbohydrates to prevent the gastric food boluses
