10/19/23, 1:33 ATI MED SERD guide - Can help with
PM midterm
ATI MED-SURG PROCTORED EXAM
1) A nurse is assessing a client who has fluid overload. Which of the following findings
should the nurse expect? (Select all that apply.)
A. Increased heart rate
B. Increased blood pressure
C. Increased respiratory rate
2) A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart
valve. Which of the following laboratory values should the nurse monitor for a therapeutic
effect of warfarin?
prothrombin time
3).A nurse is assessing a client who is receiving one unit of packed RBCs to treat
intraoperative blood loss. The client reports chills and back pain, and the client's blood
pressure is 80/64 mm Hg. Which of the following actions should the nurse take first?
stop the infusion of blood
4).A nurse is caring for a client who is receiving a unit of packed red blood cells. Fifteen
minutes following the start of the transfusion, the nurse notes that the client is febrile, with
chills and red-tinged urine. Which of the following transfusion reactions should the nurse
suspect?
hemolytic
5) A nurse in an emergency department is caring for a client who had a seizure and
became unresponsive after stating she had a sudden, severe headache and vomiting. The
client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min,
respirations of 24/min, and a temperature of 38.2° C (100.8° F). Which of the following
neurologic disorders should the nurse suspect?
Hemorrhagic strock
6) A nurse is caring for a client who returns to the nursing unit from the recovery
room after a sigmoid colon resection for adenocarcinoma. The client had an episode of
intraoperative bleeding. Which finding indicates to the nurse that the client may be
developing hypovolemic shock
increase heart rate ftom 88 to 110/min
about:bl 1/
,10/19/23, 1:33 ATI MED SERD guide - Can help with
PM midterm
7) A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to
his NPO status. Which of the following solutions should the nurse prepare to infuse for this
client?
0.45 % sodium chloride
8) A nurse is caring for a client who has pericarditis and reports feeling a new onset of
palpitations and shortness of breath. Which of the following assessments should indicate to
the nurse that the client may have developed atrial fibrillation?
Different apical and radial pulse
9) A nurse is assessing a client's radial pulse and determines that the pulse is irregular.
Which of the following actions should the nurse take ?
Assess the apial pulse for a full minute
10) A nurse is assessing an older adult client who is receiving digoxin. The nurse should
recognize that which of the following findings is a manifestation of digoxin toxicity?
anorexia
11).A nurse is assessing a client who is receiving dopamine IV to treat left ventricular
failure. Which of the following findings should indicate to the nurse that the medication is
having a therapeutic effect?
systolic BP is increased
12) A nurse in the emergency department is caring for a client who took 3 nitroglycerin
tablets sublingually for chest pain. The client reports relief from the chest pain but now
he is experiencing a headache. Which of the following statements should the nurse make?
a headache is an expecteced adverse effect of this medication
13) A nurse is providing discharge teaching for a client who has pulmonary edema and
is about to start taking furosemide. Which of the following instructions should the nurse
include?
eat food that contain potassium
loop diuretics lose potassium!
14) A nurse on a telemetry unit is caring for a client who has unstable angina and is
reporting chest pain with a severity of 6 on a 0 to 10 scale. The nurse administers 1
sublingual nitroglycerin tablet. After 5 min, the client states that his chest pain is now a
severity of 2. Which of the following actions should the nurse take?
Administer another nitroglycerin tablet
about:bl 2/
,10/19/23, 1:33 ATI MED SERD guide - Can help with
PM midterm
15) A nurse is caring for a client who is at 6 weeks of gestation and has pneumonia. While
the nurse is obtaining the client's history, the client tells the nurse that she takes the herb
feverfew for migraine headaches. Which of the following actions should the nurse take?
explain to the not take that she should not take this herb while pregnant
16) A nurse is caring for an older adult client. The nurse informs the client that
straining while defecating can cause which of the following dysrhythmias
17) A nurse is caring for a client who has a central venous catheter and suddenly
develops chest pain, dyspnea, dizziness, and tachycardia. The nurse suspects air
embolism and clamps the catheter immediately. What other action should the nurse take
at this time
place the client on his left side in trenderlenburg position
18) A nurse is caring for a client who has hypovolemic shock. Which of the following
should the nurse recognize as an expected finding?
oliguria
19) A nurse is caring for a client who is in the compensatory stage of shock. Which of
the following findings should the nurse expect?
Blood pressure 115/68 mmhg
20) A nurse in an urgent care center is assessing a client who reports a sudden onset of
irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart
rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse
expect to find on the ECG?
A fib
21) A nurse is among the first responders to a mass-casualty incident and does not know
what type of personal protective equipment (PPE) is needed. Which of the following
actions should the nurse take
Choose highest level of proctection equipment available
22) A charge nurse is making a room assignment for a client who has scabies. In which
of the following rooms should the nurse place the client?
A private room
23A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the
following abnormalities on the client's EKG should the nurse interpret as a sign of
hypokalemia?
Adnormally prominent U wave
about:bl 3/
, 10/19/23, 1:33 ATI MED SERD guide - Can help with
PM midterm
24)A nurse is caring for a client who is in premature labor and is receiving terbutaline. The
nurse should monitor the client for which of the following adverse effects that should be
reported to the provider?
dyspnea
25).A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following
findings should the nurse expect? (Select all that apply.)
hypotension weak pulses murmur
26) A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the
following assessments is the nurse's priority immediately after admission?
auscultating the rate and characteristics of the childs heart sounds
27) A nurse is caring for a client who has a T-4 spinal cord injury. Which of the following
client findings should the nurse identify as an indication the client is at risk for
experiencing automomic dysreflexia?
distended severe hyperkalemia widened P wave before QRS
28) A nurse is teaching a client who has septic shock about the development of
disseminated intravascular coagulation (DIC). Which of the following statements should
the nurse make?
"DIC is caused by adnormal coagulation involving fibrinogen
29) A nurse is assessing a client who has disseminated intravascular coagulation (DIC).
Which of the following findings should the nurse expect?
Execesse thrombosis and bleeding
30) A nurse is assessing a client's radial pulse and determines that the pulse is irregular.
Which of the following actions should the nurse take?
Assess apical pulse for a full minute
31) A nurse is reviewing the PT, aPTT, and INR laboratory values for a client who is
experiencing an acute episode of disseminated intravascular coagulation (DIC). Which of
the following laboratory results should the nurse expect?
lab values are prolonged
about:bl 4/
PM midterm
ATI MED-SURG PROCTORED EXAM
1) A nurse is assessing a client who has fluid overload. Which of the following findings
should the nurse expect? (Select all that apply.)
A. Increased heart rate
B. Increased blood pressure
C. Increased respiratory rate
2) A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart
valve. Which of the following laboratory values should the nurse monitor for a therapeutic
effect of warfarin?
prothrombin time
3).A nurse is assessing a client who is receiving one unit of packed RBCs to treat
intraoperative blood loss. The client reports chills and back pain, and the client's blood
pressure is 80/64 mm Hg. Which of the following actions should the nurse take first?
stop the infusion of blood
4).A nurse is caring for a client who is receiving a unit of packed red blood cells. Fifteen
minutes following the start of the transfusion, the nurse notes that the client is febrile, with
chills and red-tinged urine. Which of the following transfusion reactions should the nurse
suspect?
hemolytic
5) A nurse in an emergency department is caring for a client who had a seizure and
became unresponsive after stating she had a sudden, severe headache and vomiting. The
client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min,
respirations of 24/min, and a temperature of 38.2° C (100.8° F). Which of the following
neurologic disorders should the nurse suspect?
Hemorrhagic strock
6) A nurse is caring for a client who returns to the nursing unit from the recovery
room after a sigmoid colon resection for adenocarcinoma. The client had an episode of
intraoperative bleeding. Which finding indicates to the nurse that the client may be
developing hypovolemic shock
increase heart rate ftom 88 to 110/min
about:bl 1/
,10/19/23, 1:33 ATI MED SERD guide - Can help with
PM midterm
7) A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to
his NPO status. Which of the following solutions should the nurse prepare to infuse for this
client?
0.45 % sodium chloride
8) A nurse is caring for a client who has pericarditis and reports feeling a new onset of
palpitations and shortness of breath. Which of the following assessments should indicate to
the nurse that the client may have developed atrial fibrillation?
Different apical and radial pulse
9) A nurse is assessing a client's radial pulse and determines that the pulse is irregular.
Which of the following actions should the nurse take ?
Assess the apial pulse for a full minute
10) A nurse is assessing an older adult client who is receiving digoxin. The nurse should
recognize that which of the following findings is a manifestation of digoxin toxicity?
anorexia
11).A nurse is assessing a client who is receiving dopamine IV to treat left ventricular
failure. Which of the following findings should indicate to the nurse that the medication is
having a therapeutic effect?
systolic BP is increased
12) A nurse in the emergency department is caring for a client who took 3 nitroglycerin
tablets sublingually for chest pain. The client reports relief from the chest pain but now
he is experiencing a headache. Which of the following statements should the nurse make?
a headache is an expecteced adverse effect of this medication
13) A nurse is providing discharge teaching for a client who has pulmonary edema and
is about to start taking furosemide. Which of the following instructions should the nurse
include?
eat food that contain potassium
loop diuretics lose potassium!
14) A nurse on a telemetry unit is caring for a client who has unstable angina and is
reporting chest pain with a severity of 6 on a 0 to 10 scale. The nurse administers 1
sublingual nitroglycerin tablet. After 5 min, the client states that his chest pain is now a
severity of 2. Which of the following actions should the nurse take?
Administer another nitroglycerin tablet
about:bl 2/
,10/19/23, 1:33 ATI MED SERD guide - Can help with
PM midterm
15) A nurse is caring for a client who is at 6 weeks of gestation and has pneumonia. While
the nurse is obtaining the client's history, the client tells the nurse that she takes the herb
feverfew for migraine headaches. Which of the following actions should the nurse take?
explain to the not take that she should not take this herb while pregnant
16) A nurse is caring for an older adult client. The nurse informs the client that
straining while defecating can cause which of the following dysrhythmias
17) A nurse is caring for a client who has a central venous catheter and suddenly
develops chest pain, dyspnea, dizziness, and tachycardia. The nurse suspects air
embolism and clamps the catheter immediately. What other action should the nurse take
at this time
place the client on his left side in trenderlenburg position
18) A nurse is caring for a client who has hypovolemic shock. Which of the following
should the nurse recognize as an expected finding?
oliguria
19) A nurse is caring for a client who is in the compensatory stage of shock. Which of
the following findings should the nurse expect?
Blood pressure 115/68 mmhg
20) A nurse in an urgent care center is assessing a client who reports a sudden onset of
irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart
rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse
expect to find on the ECG?
A fib
21) A nurse is among the first responders to a mass-casualty incident and does not know
what type of personal protective equipment (PPE) is needed. Which of the following
actions should the nurse take
Choose highest level of proctection equipment available
22) A charge nurse is making a room assignment for a client who has scabies. In which
of the following rooms should the nurse place the client?
A private room
23A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the
following abnormalities on the client's EKG should the nurse interpret as a sign of
hypokalemia?
Adnormally prominent U wave
about:bl 3/
, 10/19/23, 1:33 ATI MED SERD guide - Can help with
PM midterm
24)A nurse is caring for a client who is in premature labor and is receiving terbutaline. The
nurse should monitor the client for which of the following adverse effects that should be
reported to the provider?
dyspnea
25).A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following
findings should the nurse expect? (Select all that apply.)
hypotension weak pulses murmur
26) A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the
following assessments is the nurse's priority immediately after admission?
auscultating the rate and characteristics of the childs heart sounds
27) A nurse is caring for a client who has a T-4 spinal cord injury. Which of the following
client findings should the nurse identify as an indication the client is at risk for
experiencing automomic dysreflexia?
distended severe hyperkalemia widened P wave before QRS
28) A nurse is teaching a client who has septic shock about the development of
disseminated intravascular coagulation (DIC). Which of the following statements should
the nurse make?
"DIC is caused by adnormal coagulation involving fibrinogen
29) A nurse is assessing a client who has disseminated intravascular coagulation (DIC).
Which of the following findings should the nurse expect?
Execesse thrombosis and bleeding
30) A nurse is assessing a client's radial pulse and determines that the pulse is irregular.
Which of the following actions should the nurse take?
Assess apical pulse for a full minute
31) A nurse is reviewing the PT, aPTT, and INR laboratory values for a client who is
experiencing an acute episode of disseminated intravascular coagulation (DIC). Which of
the following laboratory results should the nurse expect?
lab values are prolonged
about:bl 4/
