ATI MED SURG PROCTORED EXAM RETAKE (2022/2023)
e e e e e e
ATI MED SURG PROCTORED EXAM RETAKE (2024/2025)
Questions and Answers
1. Aenurseeiseassessingeaeclientewhoeise12hrepostoperativeefollowingeaecoloneresection.eWhicheofetheefollowingefindingseshoulde
theenurseereportetoetheesurgeon?
a. Hearteratee90/min
b. Absentebowelesounds
c. Hgbe8.2eg/dl
d. GastricepHeofe3.0
Rationale:eNormaleHgbeise13-18Meg/dl,e12-16eg/dl.eThisemayeindicateeaepossibleehemorrhaging.
2. Aenurseeisecaringeforeaeclientewhoehasediabeteseinsipidus.eWhicheofetheefollowingemedicationseshouldetheenurseeplanetoe
administer?
a. Desmopressin
b. Regulareinsulin
c. Furosemide
d. Lithiumecarbonate
Rationale:eDiabeteseInsipidusehasedecreasedeADH.eAdministereDesmopressin/VasopressineincreaseeADHeandetoestopepatient
e oneurinating.
3. Aenurseeiseadmittingeaeclientewhoehasearthriticepaineandereportsetakingeibuprofeneseveraletimesedailyefore3eyears.e
Whicheofetheefollowingetesteshouldetheenurseemonitor?
a. Fastingebloodeglucose
b. Stooleforeoccultebloode-eGIebleed
c. Urineeforewhiteebloodecells
d. Serumecalcium
Rationale:eATIePharme16.ePg.e485eIbuprofene(NSAIDs)emonitoreforeGIebleed
(bloody,
e tarryestools,eabdominalepain).
4. Aenurseeinetheeemergencyedepartmenteiseassessingeaeclient.eWhicheofetheefollowingeactionseshouldetheenurseetakee f
irste(Clickeonethee“Exhibit”ebuttoneforeadditionaleinformationeaboutetheeclient.eThereeareethreeetabsethatecontaineseparateecategorieseofe d
ata.)
a. Obtaineaesputumesampleeforeculture
b. Prepareetheeclienteforeaechestex-ray
c. Initiateeairborneeprecautions
d. Administereondansetron.
Rationale:eNoeideaewhatetheeExhibiteisealleabout;ewon’tebeeableetoeanswereit.
5. Aenurseeisecontactingetheeprovidereforeaeclientewhoehasecancereandeiseexperiencingebreakthroughepain.eWhicheofe
theefollowingeprescriptionseshouldetheenurseeanticipate?
a. Transmucosalefentanyl
b. Intramuscularemeperidine
c. Oraleacetaminophen
d. Intravenousedexamethasone
,ATI MED SURG PROCTORED EXAM RETAKE (2022/2023)
e e e e e e
Rationale:eATIepg.e27eMorphineesulfateeandefentanyleareeopioideagentseusedetoetreatemoderateetoesevereepain.eAe s
hort-actingepainemedicationeiseadministeredeforebreakthroughepain.
6. Aenurseeiseadmittingeaeclientewhoereportsechestepaineandehasebeeneplacedeoneaetelemetryemonitor.eWhicheofethee f
ollowingeshouldetheenurseeanalyzeetoedetermineewhetheretheeclienteiseexperiencingeaemyocardialeinfarction?
a. PReinterval
b. QRSeduration
,ATI MED SURG PROCTORED EXAM RETAKE (2022/2023)
e e e e e e
c. Tewave
d. STesegment
Rationale:eSTeelevationeindicateseMI.eSTedepressioneindicateseischemia
, ATI MED SURG PROCTORED EXAM RETAKE (2022/2023)
e e e e e e
7. Aenurseeiseteachingeaeclientewhoehaseovarianecancereabouteskinecareefollowingeradiationetreatment.eWhicheofethee
followingeinstructionseshouldetheenurseeinclude?
a. Patetheeskineonetheeradiationesiteetoedryeit
b. ApplyeOTCemoisturizeretoetheeradiationesite
c. Coveretheeradiationesiteelooselyewitheaegauzeewrapebeforeedressing
d. Useeaesoftewashclothetoecleanetheeareaearoundetheeradiationesitee
Rationale:epg.e584.eDryetheeareaethoroughlyeusingepattingemotions.
8. Aenurseeisecaringeforeaeclientewhoeisereceivingeaebloodetransfusion.eTheenurseeobservesethatetheeclientehase b
oundingeperipheralepulses,ehypertension,eandedistendedejugulareveins.eTheenurseeshouldeanticipateeadministeringewhicheofethee fo
llowingeprescribedemedications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide
Rationale:eS/Semayeindicateefluideretentioneoreheartefailure.eIteiseimportantetoeadministerediureticsetoeprevente car
diovascular/respiratoryedistress.
9. AenurseeiseassessingeaeclientewhoeisereceivingemagnesiumesulfateeIVeforetheetreatmenteofehypomagnesemia.e
Whicheofetheefollowingefindingseindicateseeffectivenesseofetheemedication?
a. Lungseclear
b. Apicalepulsee82/min
c. Hyperactiveebowelesounds
d. Bloodepressuree90/50emmeHg
Rationale:epg.e278eConfirmedeoneansweresheet
10. Aenurseeisereviewingeaeclient’seABGeresultsepHe7.42,ePaC02e30emmeHg,eandeHCO3e21emEq/L.eTheenurseeshoulderecognizee t
heseefindingseaseindicationeofewhicheofetheefollowingeconditions?
a. Metaboliceacidosis
b. Metabolicealkalosis
c. Compensatederespiratoryealkalosis
d. Uncompensatederespiratoryeacidosis
Rationale:ebecauseetheeHCO3e21etryingetoecompensateeforerespiratoryealkalosis.
11. Aenurseeisecaringeforeaeclientewhoehaseaedeepepartialethicknesseburnseovere15%eofe herebodyewhicheofetheefollowingelabse s
houldetheenurseeexpecteduringetheefirste24ehours
A. DecreasedeBUNe(elevatededueetoefluideloss)
B. Hypoglycemiae(Highedueetoestress)
C. Hypoalbuminemiae(Lowedueetoefluideloss)
D. DecreasedeHematocrite(Elevatededueetoe3rdespacingeduringeresuscitationephase)e
Rationale:ePg.e481eATI.eTotaleproteineandealbumin-elowedueetoefluideloss.
12. Aenurseeisecaringeforeaeclientewhoehasedumpingesyndromeefollowingeaegastrectomy,ewhicheofetheefollowingeactionseshoulde t
heenurseetakes?
a. Offeretheeclientehighecarbohydrateemealeoptionse(Highefat,ehigheprotein,elowefiber,elowetoemoderateecarbsepagee 3
17,echaptere49ePepticeulcerediseaseemedesurgeATIePDFe10.0)
b. Provideetheeclientewithefourefullemealseaedaye(Smallefrequentemeals)
c. Encourageetheeclientetoedrinkeateleaste360emleofefluidsewithemealse(Eliminateeliquidsewithemealsefore1ehr.epriore a
ndefollowingeaemeal)
d. Haveetheeclientelieedownefore30eminuteseafteremealse(Lyingedowneaftereaemealeslowsetheemovementeofefood
e e e e e e
ATI MED SURG PROCTORED EXAM RETAKE (2024/2025)
Questions and Answers
1. Aenurseeiseassessingeaeclientewhoeise12hrepostoperativeefollowingeaecoloneresection.eWhicheofetheefollowingefindingseshoulde
theenurseereportetoetheesurgeon?
a. Hearteratee90/min
b. Absentebowelesounds
c. Hgbe8.2eg/dl
d. GastricepHeofe3.0
Rationale:eNormaleHgbeise13-18Meg/dl,e12-16eg/dl.eThisemayeindicateeaepossibleehemorrhaging.
2. Aenurseeisecaringeforeaeclientewhoehasediabeteseinsipidus.eWhicheofetheefollowingemedicationseshouldetheenurseeplanetoe
administer?
a. Desmopressin
b. Regulareinsulin
c. Furosemide
d. Lithiumecarbonate
Rationale:eDiabeteseInsipidusehasedecreasedeADH.eAdministereDesmopressin/VasopressineincreaseeADHeandetoestopepatient
e oneurinating.
3. Aenurseeiseadmittingeaeclientewhoehasearthriticepaineandereportsetakingeibuprofeneseveraletimesedailyefore3eyears.e
Whicheofetheefollowingetesteshouldetheenurseemonitor?
a. Fastingebloodeglucose
b. Stooleforeoccultebloode-eGIebleed
c. Urineeforewhiteebloodecells
d. Serumecalcium
Rationale:eATIePharme16.ePg.e485eIbuprofene(NSAIDs)emonitoreforeGIebleed
(bloody,
e tarryestools,eabdominalepain).
4. Aenurseeinetheeemergencyedepartmenteiseassessingeaeclient.eWhicheofetheefollowingeactionseshouldetheenurseetakee f
irste(Clickeonethee“Exhibit”ebuttoneforeadditionaleinformationeaboutetheeclient.eThereeareethreeetabsethatecontaineseparateecategorieseofe d
ata.)
a. Obtaineaesputumesampleeforeculture
b. Prepareetheeclienteforeaechestex-ray
c. Initiateeairborneeprecautions
d. Administereondansetron.
Rationale:eNoeideaewhatetheeExhibiteisealleabout;ewon’tebeeableetoeanswereit.
5. Aenurseeisecontactingetheeprovidereforeaeclientewhoehasecancereandeiseexperiencingebreakthroughepain.eWhicheofe
theefollowingeprescriptionseshouldetheenurseeanticipate?
a. Transmucosalefentanyl
b. Intramuscularemeperidine
c. Oraleacetaminophen
d. Intravenousedexamethasone
,ATI MED SURG PROCTORED EXAM RETAKE (2022/2023)
e e e e e e
Rationale:eATIepg.e27eMorphineesulfateeandefentanyleareeopioideagentseusedetoetreatemoderateetoesevereepain.eAe s
hort-actingepainemedicationeiseadministeredeforebreakthroughepain.
6. Aenurseeiseadmittingeaeclientewhoereportsechestepaineandehasebeeneplacedeoneaetelemetryemonitor.eWhicheofethee f
ollowingeshouldetheenurseeanalyzeetoedetermineewhetheretheeclienteiseexperiencingeaemyocardialeinfarction?
a. PReinterval
b. QRSeduration
,ATI MED SURG PROCTORED EXAM RETAKE (2022/2023)
e e e e e e
c. Tewave
d. STesegment
Rationale:eSTeelevationeindicateseMI.eSTedepressioneindicateseischemia
, ATI MED SURG PROCTORED EXAM RETAKE (2022/2023)
e e e e e e
7. Aenurseeiseteachingeaeclientewhoehaseovarianecancereabouteskinecareefollowingeradiationetreatment.eWhicheofethee
followingeinstructionseshouldetheenurseeinclude?
a. Patetheeskineonetheeradiationesiteetoedryeit
b. ApplyeOTCemoisturizeretoetheeradiationesite
c. Coveretheeradiationesiteelooselyewitheaegauzeewrapebeforeedressing
d. Useeaesoftewashclothetoecleanetheeareaearoundetheeradiationesitee
Rationale:epg.e584.eDryetheeareaethoroughlyeusingepattingemotions.
8. Aenurseeisecaringeforeaeclientewhoeisereceivingeaebloodetransfusion.eTheenurseeobservesethatetheeclientehase b
oundingeperipheralepulses,ehypertension,eandedistendedejugulareveins.eTheenurseeshouldeanticipateeadministeringewhicheofethee fo
llowingeprescribedemedications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide
Rationale:eS/Semayeindicateefluideretentioneoreheartefailure.eIteiseimportantetoeadministerediureticsetoeprevente car
diovascular/respiratoryedistress.
9. AenurseeiseassessingeaeclientewhoeisereceivingemagnesiumesulfateeIVeforetheetreatmenteofehypomagnesemia.e
Whicheofetheefollowingefindingseindicateseeffectivenesseofetheemedication?
a. Lungseclear
b. Apicalepulsee82/min
c. Hyperactiveebowelesounds
d. Bloodepressuree90/50emmeHg
Rationale:epg.e278eConfirmedeoneansweresheet
10. Aenurseeisereviewingeaeclient’seABGeresultsepHe7.42,ePaC02e30emmeHg,eandeHCO3e21emEq/L.eTheenurseeshoulderecognizee t
heseefindingseaseindicationeofewhicheofetheefollowingeconditions?
a. Metaboliceacidosis
b. Metabolicealkalosis
c. Compensatederespiratoryealkalosis
d. Uncompensatederespiratoryeacidosis
Rationale:ebecauseetheeHCO3e21etryingetoecompensateeforerespiratoryealkalosis.
11. Aenurseeisecaringeforeaeclientewhoehaseaedeepepartialethicknesseburnseovere15%eofe herebodyewhicheofetheefollowingelabse s
houldetheenurseeexpecteduringetheefirste24ehours
A. DecreasedeBUNe(elevatededueetoefluideloss)
B. Hypoglycemiae(Highedueetoestress)
C. Hypoalbuminemiae(Lowedueetoefluideloss)
D. DecreasedeHematocrite(Elevatededueetoe3rdespacingeduringeresuscitationephase)e
Rationale:ePg.e481eATI.eTotaleproteineandealbumin-elowedueetoefluideloss.
12. Aenurseeisecaringeforeaeclientewhoehasedumpingesyndromeefollowingeaegastrectomy,ewhicheofetheefollowingeactionseshoulde t
heenurseetakes?
a. Offeretheeclientehighecarbohydrateemealeoptionse(Highefat,ehigheprotein,elowefiber,elowetoemoderateecarbsepagee 3
17,echaptere49ePepticeulcerediseaseemedesurgeATIePDFe10.0)
b. Provideetheeclientewithefourefullemealseaedaye(Smallefrequentemeals)
c. Encourageetheeclientetoedrinkeateleaste360emleofefluidsewithemealse(Eliminateeliquidsewithemealsefore1ehr.epriore a
ndefollowingeaemeal)
d. Haveetheeclientelieedownefore30eminuteseafteremealse(Lyingedowneaftereaemealeslowsetheemovementeofefood
