ATI RN MEDSURG PROCTORED FINAL
EXAM 3 LATEST VERSIONS (VERSION
A, B & C) 2024/2025 ACTUAL EXAM
EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT VERIFIED
ANSWERS | WELL GRADED A+
A nurse is caring for a client who has dysphagia and left-sided weakness following a
stroke. Which of the following actions should the nurse take when assisting the client
with feeding?
a) Offer the client sticky foods such as peanut
butter.
b) Instruct the client to place their chin to their chest when swallowing.
c) Place food on the affected side of the client's mouth.
d) Position the client upright for 5 min after eating. - CORRECT ANSWERS-B. Instruct
the client to place their chin to their chest when swallowing.
A nurse is reinforcing teaching with a client who has ovarian cancer and will receive
chemotherapy through a peripherally inserted central catheter (PICC) line. Which of the
following statements by the
client indicates an understanding of the teaching?
a) "I will wear an arm immobilizer to prevent dislodgement of this device."
b) "I will monitor my temperature for fever while I have this device."
c) "It's okay to get the device wet when I shower."
d) "I should pull the dressing away from the insertion site when I change it." -
CORRECT ANSWERS-B. "I will monitor my temperature for fever while I have this
device."
A nurse is assisting with the care of a client who has a closed-chest tube drainage
system. Which of the following actions should the nurse take?
a) Replace the unit when the drainage chamber is full.
b) Clamp the tube for 30 min every 8 hr.
c) Pin the tubing to the client's bed sheets.
d) Monitor for at least 150 mL of drainage every hour. - CORRECT ANSWERS-D.
Monitor for at least 150 mL of drainage every hour.
A nurse is collecting data from a client who is 2 days postoperative following a colon
restriction. Which of the following indicates the need for nursing intervention?
a) Mild abdominal pain when coughing 30 min after receiving pain medication
,b) Dark brown drainage in the NG tube
c) Serosanguineous drainage on the wound dressing
d) Oxygen saturation 95% - CORRECT ANSWERS-B. Dark brown drainage in the NG
tube
A nurse is caring for a client who is visually impaired.
When delivering the client's meal tray, which of the
following actions should the nurse take?
a) Provide the client with a small-handled
adaptive utensil.
b) Arrange for an assistive personnel to feed the
client.
c) Describe the food placement as though the
plate were a clock.
d) Discourage conversations during the client's
mealtime. - CORRECT ANSWERS-C. Describe the food placement as though the plate
were a clock.
A nurse is reinforcing teaching with a client who is starting to take metformin extended
release. Which of the following instructions should the nurse include in the instructions?
a) Monitor blood glucose while taking this
medication.
b) Chew the medication before swallowing.
c) Expect muscle pain while taking this
medication.
d) Take the medication with breakfast. - CORRECT ANSWERS-A. Monitor blood
glucose while taking this medication.
A nurse is assisting with the plan of care for an older adult client who has a new
prescription for transdermal clonidine. Which of the following information should the
nurse include in the plan of care?
a) Advise the client about increased dry mouth.
b) Check the client for increased
hypopigmentation under the patch.
c) Monitor the client for weight loss.
d) Inform the client of the adverse effect of
diarrhea. - CORRECT ANSWERS-B. Check the client for increased hypopigmentation
under the patch.
A nurse is receiving a change-of-shift report about the care of four clients. Which of the
following clients should the nurse see first?
a) A client who displays increased confusion
over the past 4 hr
b) A client who has a blood glucose level of 128
mg/dL
c) A client who has a blood pressure of 138/88
, mm Hg
d) A client who reports a pain level of 4 on a
scale of 0 to 10 - CORRECT ANSWERS-A. A client who displays increased confusion
over the past 4 hr
A nurse is assisting care of a client whose cardiac monitor suddenly displays ventricular
tachycardia. Which of the following is the priority nursing action?
a) Determine palpable pulse.
b) Begin chest compressions.
c) Perform immediate defibrillation.
d) Provide pulmonary ventilation. - CORRECT ANSWERS-A. Determine palpable pulse.
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L - CORRECT ANSWERS-D. Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products. - CORRECT ANSWERS-A. Cleanse the client's toothbrush with
hydrogen
peroxide.
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the
following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. - CORRECT ANSWERS-C. Assist the client to a nearby common area.
A nurse is contributing to the plan of care for a client who reports difficulty eating due to
chronic arthritis.
EXAM 3 LATEST VERSIONS (VERSION
A, B & C) 2024/2025 ACTUAL EXAM
EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT VERIFIED
ANSWERS | WELL GRADED A+
A nurse is caring for a client who has dysphagia and left-sided weakness following a
stroke. Which of the following actions should the nurse take when assisting the client
with feeding?
a) Offer the client sticky foods such as peanut
butter.
b) Instruct the client to place their chin to their chest when swallowing.
c) Place food on the affected side of the client's mouth.
d) Position the client upright for 5 min after eating. - CORRECT ANSWERS-B. Instruct
the client to place their chin to their chest when swallowing.
A nurse is reinforcing teaching with a client who has ovarian cancer and will receive
chemotherapy through a peripherally inserted central catheter (PICC) line. Which of the
following statements by the
client indicates an understanding of the teaching?
a) "I will wear an arm immobilizer to prevent dislodgement of this device."
b) "I will monitor my temperature for fever while I have this device."
c) "It's okay to get the device wet when I shower."
d) "I should pull the dressing away from the insertion site when I change it." -
CORRECT ANSWERS-B. "I will monitor my temperature for fever while I have this
device."
A nurse is assisting with the care of a client who has a closed-chest tube drainage
system. Which of the following actions should the nurse take?
a) Replace the unit when the drainage chamber is full.
b) Clamp the tube for 30 min every 8 hr.
c) Pin the tubing to the client's bed sheets.
d) Monitor for at least 150 mL of drainage every hour. - CORRECT ANSWERS-D.
Monitor for at least 150 mL of drainage every hour.
A nurse is collecting data from a client who is 2 days postoperative following a colon
restriction. Which of the following indicates the need for nursing intervention?
a) Mild abdominal pain when coughing 30 min after receiving pain medication
,b) Dark brown drainage in the NG tube
c) Serosanguineous drainage on the wound dressing
d) Oxygen saturation 95% - CORRECT ANSWERS-B. Dark brown drainage in the NG
tube
A nurse is caring for a client who is visually impaired.
When delivering the client's meal tray, which of the
following actions should the nurse take?
a) Provide the client with a small-handled
adaptive utensil.
b) Arrange for an assistive personnel to feed the
client.
c) Describe the food placement as though the
plate were a clock.
d) Discourage conversations during the client's
mealtime. - CORRECT ANSWERS-C. Describe the food placement as though the plate
were a clock.
A nurse is reinforcing teaching with a client who is starting to take metformin extended
release. Which of the following instructions should the nurse include in the instructions?
a) Monitor blood glucose while taking this
medication.
b) Chew the medication before swallowing.
c) Expect muscle pain while taking this
medication.
d) Take the medication with breakfast. - CORRECT ANSWERS-A. Monitor blood
glucose while taking this medication.
A nurse is assisting with the plan of care for an older adult client who has a new
prescription for transdermal clonidine. Which of the following information should the
nurse include in the plan of care?
a) Advise the client about increased dry mouth.
b) Check the client for increased
hypopigmentation under the patch.
c) Monitor the client for weight loss.
d) Inform the client of the adverse effect of
diarrhea. - CORRECT ANSWERS-B. Check the client for increased hypopigmentation
under the patch.
A nurse is receiving a change-of-shift report about the care of four clients. Which of the
following clients should the nurse see first?
a) A client who displays increased confusion
over the past 4 hr
b) A client who has a blood glucose level of 128
mg/dL
c) A client who has a blood pressure of 138/88
, mm Hg
d) A client who reports a pain level of 4 on a
scale of 0 to 10 - CORRECT ANSWERS-A. A client who displays increased confusion
over the past 4 hr
A nurse is assisting care of a client whose cardiac monitor suddenly displays ventricular
tachycardia. Which of the following is the priority nursing action?
a) Determine palpable pulse.
b) Begin chest compressions.
c) Perform immediate defibrillation.
d) Provide pulmonary ventilation. - CORRECT ANSWERS-A. Determine palpable pulse.
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L - CORRECT ANSWERS-D. Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products. - CORRECT ANSWERS-A. Cleanse the client's toothbrush with
hydrogen
peroxide.
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the
following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. - CORRECT ANSWERS-C. Assist the client to a nearby common area.
A nurse is contributing to the plan of care for a client who reports difficulty eating due to
chronic arthritis.
