ATI RN MEDSURG 2024/2025 PROCTORED
EXAM- LATEST 100% CORRECT STUDY
GUIDE QUESTIONS AND ANSWERS WITH
RATIONALES. RATED A+
• A nurse is providing teaching to a client who is post-operative following a
partial glossectomy. Which of the following statements by the client
indicates an understanding of the teaching? P 601 MS ATI PDF 10.0
a. I will consume can soup whenever sores appear in my mouth
b. I will drink orange juice to increase my vitamin C intake- NO ACIDIC stuff
in the mouth
c. I will rinse my toothbrush with hydrogen peroxide and water after
each use- ONLY RINSE WITH NS SOLUTION
d. I will inspect my mouth once each week for sores.
• A nurse is performing an ear irrigation for a client. Which of the
following actions should the nurse take?
a. tilt the client's head 45 degrees
b. Insert the tip of the syringe to .5 centimeters 1 inch into the ear canal
c. Point the tip of the syringe toward the top of the ear canal
d. Use cool fluid for irrigation
• A nurse is caring for a client who is receiving continuous bladder irrigation
following a transurethral resection of the prostate (TURP). The client reports
sharp lower abdominal pain. Which of the following actions should the nurse
take first? Page 426 MS ATI PDF 10.0
©OliviaGreenways 2024, All Rights Reserved.
, a. Check the client's urine output
b. Reposition the client in bed
c. Increase the client's fluid intake
d. administer PRN pain medication
• A nurse is providing teaching for a client who has diabetes mellitus about the
self administration of insulin. The client has prescriptions for regular and NPH
insulin. Which of the following statements by the client indicates an
understanding of the teaching?
a. I will draw up regular insulin into the syringe first- yup! Clear to cloudy
b. I will insert the needle at a 15 degree angle - 45 degree
c.I will store prefilled syringes in the refrigerator with the needle pointing
downward
d.I will shake the NPH vial vigorously before drawing up the insulin= you can
only roll it to mix it
©OliviaGreenways 2024, All Rights Reserved.
, • A nurse is caring for a client who is receiving Total parenteral Nutrition
(TPN). which of the following nursing actions are appropriate? (Select all
the apply)
a.Obtain the client's weight daily
b.Increase the rate of infusion if Administration is delayed - never ever do this
because doing this will alter blood glucose significantly . it says so in the
bright yellow box on mage 298. Also HYPERGLYCEMIA can happen if you
do.
c.Monitor serum blood glucose during infusion - book says check glucose
level every 4 -6 hours for at least 24 hours
d.In to use 0.9% sodium chloride if the solution is not available - it says have
D5 10 % since that is needed in case to prevent hypoglycemia.
e.Verify the solution with another RN prior to infusion
• A nurse is caring for a client in diabetic ketoacidosis dka.
Which of the following is the priority intervention by the nurse?
PAGE 538 ati pdf 10.0
a. Check potassium levels
b. Administer 0.9% sodium chloride - always treat underlying
cause which is done by giving rapid isotonic fluid replacement
so you can Maintain perfusion to vital organs.
c. Begin bicarbonate continuous IV infusion
d. Initiate continuous IV insulin infusion
• A nurse is reviewing the laboratory results of a female client who asked
©OliviaGreenways 2024, All Rights Reserved.
, about acupuncture treatment for chemotherapy-induced nausea and
vomiting. Which of the following laboratory results indication to receiving
acupuncture?
A. Absolute
neutrophil count
500/mm3
B. C-reactive protein 0.7 mg/dl
C. platelets
160000/mm3
D.Hemoglobin
12 /dl
• nurse is assessing a client who is 12hr postoperative following a
colon resection. Which of the following findings should the nurse
report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery;
takes several days to return to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
• A nurse is caring for a client who has pneumothorax and a chest tube with
closed water seal drainage system. Which of the following actions should the
©OliviaGreenways 2024, All Rights Reserved.
EXAM- LATEST 100% CORRECT STUDY
GUIDE QUESTIONS AND ANSWERS WITH
RATIONALES. RATED A+
• A nurse is providing teaching to a client who is post-operative following a
partial glossectomy. Which of the following statements by the client
indicates an understanding of the teaching? P 601 MS ATI PDF 10.0
a. I will consume can soup whenever sores appear in my mouth
b. I will drink orange juice to increase my vitamin C intake- NO ACIDIC stuff
in the mouth
c. I will rinse my toothbrush with hydrogen peroxide and water after
each use- ONLY RINSE WITH NS SOLUTION
d. I will inspect my mouth once each week for sores.
• A nurse is performing an ear irrigation for a client. Which of the
following actions should the nurse take?
a. tilt the client's head 45 degrees
b. Insert the tip of the syringe to .5 centimeters 1 inch into the ear canal
c. Point the tip of the syringe toward the top of the ear canal
d. Use cool fluid for irrigation
• A nurse is caring for a client who is receiving continuous bladder irrigation
following a transurethral resection of the prostate (TURP). The client reports
sharp lower abdominal pain. Which of the following actions should the nurse
take first? Page 426 MS ATI PDF 10.0
©OliviaGreenways 2024, All Rights Reserved.
, a. Check the client's urine output
b. Reposition the client in bed
c. Increase the client's fluid intake
d. administer PRN pain medication
• A nurse is providing teaching for a client who has diabetes mellitus about the
self administration of insulin. The client has prescriptions for regular and NPH
insulin. Which of the following statements by the client indicates an
understanding of the teaching?
a. I will draw up regular insulin into the syringe first- yup! Clear to cloudy
b. I will insert the needle at a 15 degree angle - 45 degree
c.I will store prefilled syringes in the refrigerator with the needle pointing
downward
d.I will shake the NPH vial vigorously before drawing up the insulin= you can
only roll it to mix it
©OliviaGreenways 2024, All Rights Reserved.
, • A nurse is caring for a client who is receiving Total parenteral Nutrition
(TPN). which of the following nursing actions are appropriate? (Select all
the apply)
a.Obtain the client's weight daily
b.Increase the rate of infusion if Administration is delayed - never ever do this
because doing this will alter blood glucose significantly . it says so in the
bright yellow box on mage 298. Also HYPERGLYCEMIA can happen if you
do.
c.Monitor serum blood glucose during infusion - book says check glucose
level every 4 -6 hours for at least 24 hours
d.In to use 0.9% sodium chloride if the solution is not available - it says have
D5 10 % since that is needed in case to prevent hypoglycemia.
e.Verify the solution with another RN prior to infusion
• A nurse is caring for a client in diabetic ketoacidosis dka.
Which of the following is the priority intervention by the nurse?
PAGE 538 ati pdf 10.0
a. Check potassium levels
b. Administer 0.9% sodium chloride - always treat underlying
cause which is done by giving rapid isotonic fluid replacement
so you can Maintain perfusion to vital organs.
c. Begin bicarbonate continuous IV infusion
d. Initiate continuous IV insulin infusion
• A nurse is reviewing the laboratory results of a female client who asked
©OliviaGreenways 2024, All Rights Reserved.
, about acupuncture treatment for chemotherapy-induced nausea and
vomiting. Which of the following laboratory results indication to receiving
acupuncture?
A. Absolute
neutrophil count
500/mm3
B. C-reactive protein 0.7 mg/dl
C. platelets
160000/mm3
D.Hemoglobin
12 /dl
• nurse is assessing a client who is 12hr postoperative following a
colon resection. Which of the following findings should the nurse
report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery;
takes several days to return to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
• A nurse is caring for a client who has pneumothorax and a chest tube with
closed water seal drainage system. Which of the following actions should the
©OliviaGreenways 2024, All Rights Reserved.
