ATI MED SURG COMPREHENSIVE PROCTORED FINAL
EXAM:WITH EXPLANATIONS GRADE A+/CONFIRMED
ANSWERS.
A nurse is caring for a client who has a full-thickness burn injury covering 15% of their
body. Which of the following actions should the nurse take?
a. Weigh the client once per week
b. Provide the client with a protein intake of 1g/kg/day
c. Maintain a daily count of the client's calorie intake
d. Place the client on a low-carb diet - CORRECT ANSWERS -c. Maintain a daily count
of the client's calorie intake
A nurse is providing discharge teaching to a client who has an ileostomy. Which of the
following client statements indicates an understanding of the teaching?
a. "I will expect my stools to be loose"
b. "I will eat a high fiber diet'
c. "I will take a laxative when I'm constipated"
d. "I will empty my bag when it is full" - CORRECT ANSWERS -a. "I will expect my
stools to be loose"
A nurse is caring for a client who is receiving total parental nutrition through a central
line. The current bag is nearly empty, and a new bag is unavailable from the pharmacy.
Which of the following actions should the nurse take?
a. Switch the infusion to a 10% dextrose solution
b. Discontinue the infusion and flush the line
c. Decrease the rate of infusion to last until the new bag is available
d. Start an infusion of 0.45% sodium chloride solution - CORRECT ANSWERS -a.
Switch the infusion to a 10% dextrose solution
A nurse is caring for a client who is 6 hr postoperative following a thyroidectomy. The
client reports tingling and numbness in the hands. The nurse should identify this as a
sign of which of the following electrolyte imbalances?
a. Hypocalcemia
b. Hypokalemia
c. Hypermagnesemia
d. Hypernatremia - CORRECT ANSWERS -a. Hypocalcemia
A nurse is caring for a client who is caregiver for a relative who has chronic disease.
Which of the following statements indicates the client is adapting to the role change?
a. "I had to reschedule my doctor's appointment last week"
b. "I have lunch with my friends once a week"
c. "I've lost 15 pounds in the past 2 months"
d. "I need to get my blood pressure medicine refilled" - CORRECT ANSWERS -d. "I
need to get my blood pressure medicine refilled"
,A nurse is reviewing medications taken at home with a client who has angina. Which of
the following statements by the client indicates an understanding of the teaching?
a. "I should withhold my metoprolol if my heart rate is above 100 bpm"
b. "I should take my daily aspirin on an empty stomach"
c. "I should lie down before taking dose of isosorbide dinitrate"
d. "I should place a nitroglycerin tablet under my tongue every 10 minutes for up to four
doses" - CORRECT ANSWERS -c. "I should lie down before taking dose of isosorbide
dinitrate"
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?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation - CORRECT ANSWERS -d.
Perform the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion 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 - CORRECT
ANSWERS -33 gtt/min
A nurse is providing discharge teaching to a client who has a new prescription for
sublingual nitroglycerin. Which of the following client statements indicates an
understanding of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
d. I can take up to five tablets in 15 minutes before seeking medical attention -
CORRECT ANSWERS -b. I should lie down when I take this medication
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?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom - CORRECT ANSWERS -d. Install a
raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. Which of the
following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
, d. Change the client's dressing every 8 hour - CORRECT ANSWERS -c. Maintain the
client's affected extremity in extension
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?
a. I will need to have my partner take over shopping for groceries and cooking the
meals for us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. Its going to be difficult to tell my parents I cant take them to their appointments
anymore - CORRECT ANSWERS -a. I will need to have my partner take over shopping
for groceries and cooking the meals for us
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?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP - CORRECT ANSWERS -d. Decreased BP
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?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside - CORRECT ANSWERS -a. Desmopressin
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?
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time" - CORRECT ANSWERS -a. "your cough may
require that you stop or change your medication"
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?
a. Eating a strict vegetarian diet
b. A history of herpes zoster
c. Taking amiodipine for hypertension
EXAM:WITH EXPLANATIONS GRADE A+/CONFIRMED
ANSWERS.
A nurse is caring for a client who has a full-thickness burn injury covering 15% of their
body. Which of the following actions should the nurse take?
a. Weigh the client once per week
b. Provide the client with a protein intake of 1g/kg/day
c. Maintain a daily count of the client's calorie intake
d. Place the client on a low-carb diet - CORRECT ANSWERS -c. Maintain a daily count
of the client's calorie intake
A nurse is providing discharge teaching to a client who has an ileostomy. Which of the
following client statements indicates an understanding of the teaching?
a. "I will expect my stools to be loose"
b. "I will eat a high fiber diet'
c. "I will take a laxative when I'm constipated"
d. "I will empty my bag when it is full" - CORRECT ANSWERS -a. "I will expect my
stools to be loose"
A nurse is caring for a client who is receiving total parental nutrition through a central
line. The current bag is nearly empty, and a new bag is unavailable from the pharmacy.
Which of the following actions should the nurse take?
a. Switch the infusion to a 10% dextrose solution
b. Discontinue the infusion and flush the line
c. Decrease the rate of infusion to last until the new bag is available
d. Start an infusion of 0.45% sodium chloride solution - CORRECT ANSWERS -a.
Switch the infusion to a 10% dextrose solution
A nurse is caring for a client who is 6 hr postoperative following a thyroidectomy. The
client reports tingling and numbness in the hands. The nurse should identify this as a
sign of which of the following electrolyte imbalances?
a. Hypocalcemia
b. Hypokalemia
c. Hypermagnesemia
d. Hypernatremia - CORRECT ANSWERS -a. Hypocalcemia
A nurse is caring for a client who is caregiver for a relative who has chronic disease.
Which of the following statements indicates the client is adapting to the role change?
a. "I had to reschedule my doctor's appointment last week"
b. "I have lunch with my friends once a week"
c. "I've lost 15 pounds in the past 2 months"
d. "I need to get my blood pressure medicine refilled" - CORRECT ANSWERS -d. "I
need to get my blood pressure medicine refilled"
,A nurse is reviewing medications taken at home with a client who has angina. Which of
the following statements by the client indicates an understanding of the teaching?
a. "I should withhold my metoprolol if my heart rate is above 100 bpm"
b. "I should take my daily aspirin on an empty stomach"
c. "I should lie down before taking dose of isosorbide dinitrate"
d. "I should place a nitroglycerin tablet under my tongue every 10 minutes for up to four
doses" - CORRECT ANSWERS -c. "I should lie down before taking dose of isosorbide
dinitrate"
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?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation - CORRECT ANSWERS -d.
Perform the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion 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 - CORRECT
ANSWERS -33 gtt/min
A nurse is providing discharge teaching to a client who has a new prescription for
sublingual nitroglycerin. Which of the following client statements indicates an
understanding of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
d. I can take up to five tablets in 15 minutes before seeking medical attention -
CORRECT ANSWERS -b. I should lie down when I take this medication
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?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom - CORRECT ANSWERS -d. Install a
raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. Which of the
following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
, d. Change the client's dressing every 8 hour - CORRECT ANSWERS -c. Maintain the
client's affected extremity in extension
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?
a. I will need to have my partner take over shopping for groceries and cooking the
meals for us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. Its going to be difficult to tell my parents I cant take them to their appointments
anymore - CORRECT ANSWERS -a. I will need to have my partner take over shopping
for groceries and cooking the meals for us
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?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP - CORRECT ANSWERS -d. Decreased BP
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?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside - CORRECT ANSWERS -a. Desmopressin
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?
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time" - CORRECT ANSWERS -a. "your cough may
require that you stop or change your medication"
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?
a. Eating a strict vegetarian diet
b. A history of herpes zoster
c. Taking amiodipine for hypertension
