ATI MED SURGE PROCTORED EXAM 2019 FORM A WITH
RATIONALE QUESTIONS WITH COMPLETE SOLUTIONS
GUARANTEED PASS brand new 2025
A nurse is teaching a client who asks about taking a glucosamine
supplement for osteoarthritis. Which of the following information
should the nurse include in the teaching?
1. "Avoid using glucosamine with chondroitin."
2. "Glucosamine can cause degradation of cartilage when used over a
long time."
3. "Avoid taking glucosamine if you have a shellfish allergy."
4. "You can take glucosamine with an anticoagulant medication." -
ANSWER - >3. "Avoid taking glucosamine if you have a shellfish allergy."
R: The client should avoid taking glucosamine if they have a shellfish
allergy because this medication is made from the exoskeletons of
shellfish, such as shrimp.
A nurse is caring for a client who has visual loss. Which of the following
actions should the nurse implement?
1. Remove all objects form the client's bedside table.
2. Instruct the client to open items on the food tray.
3. Walk a step behind the client when assisting with ambulation.
4. Count steps to the bathroom with the client. - ANSWER - >4. Count
steps to the bathroom with the client.
R: The nurse should orient the client to the room by counting the steps
to the bathroom to reduce the risk for falls.
,A nurse is discussing activity modification with a client who had a right
total hip arthroplasty. Which of the following statements should the
nurse include in the information?
1. "Plan to sit in a straight-backed chair when out of bed."
2. "Place a pillow between your legs when lying in bed."
3. "You can cross your legs at the ankles when sitting."
4. "You should bend at the waist when tying your shoes." - ANSWER -
>2. "Place a pillow between your legs when lying in bed."
R: The nurse should teach to place an abductor pillow between the legs
when lying in bed to prevent adduction of the hip and possible
dislocation.
A nurse is teaching a newly licensed nurse about preventing a catheter-
associated urinary tract infection for a client who has an indwelling
urinary catheter. Which of the following instructions should the nurse
include?
1. Ensure the urinary catheter tubing is not kinked.
2. Rest the catheter bag on the floor when the client is sitting in a chair.
3. Clean the perineal area with an antiseptic solution.
4. Empty the collection bag for the client every 12 hr. - ANSWER - >1.
Ensure the urinary catheter tubing is not kinked.
R: The nurse should instruct the newly licensed nurse to make certain
the catheter tubing if free of kinks, which could cause a blockage of
urinary flow and result in a UTI.
A nurse is planning wound management for a client who has a stage 3
pressure injury. Which of the following interventions should the nurse
include in the plan?
, 1. Measure the depth of the wound with a cotton-tipped applicator.
2. Measure the wound using a reusable tape measure.
3. Cover the wound bed with dry gauze dressings.
4. Cleanse the wound with soap and water. - ANSWER - >1. Measure
the depth of the wound with a cotton-tipped applicator.
R: The nurse should plan to reapply new dressings after checking the
depth of the wound for tunneling using a cotton-tipped applicator.
A nurse is planning care for four clients following change-of-shift
report. Which of the following clients is the nurse's priority?
1. A client who had a stroke and has expressive aphasia.
2. A client who has a hemoglobin of 11 g/dL and requires 1 unit of
blood.
3. A client who has asthma and a peak expiratory flow rate in the green
zone.
4. A client who has peptic ulcer disease and a rigid abdomen. - ANSWER
- >4. A client who has peptic ulcer disease and a rigid abdomen.
R: When using the stable vs unstable approach to client care, the nurse
should assess this client first. A client who has peptic ulcer disease and
a rigid abdomen is unstable. A rigid abdomen is a manifestation of a
perforated peptic ulcer and could lead to septicemia and shock.
A nurse is planning care for four clients following change-of-shift
report. Which of the following clients should the nurse see first?
1. A client who is receiving propranolol and has a heart rate of 55/min.
2. A client who is receiving warfarin and has an INR of 2.5.
3. A client who has a pacemaker and has persistent hiccupping.
RATIONALE QUESTIONS WITH COMPLETE SOLUTIONS
GUARANTEED PASS brand new 2025
A nurse is teaching a client who asks about taking a glucosamine
supplement for osteoarthritis. Which of the following information
should the nurse include in the teaching?
1. "Avoid using glucosamine with chondroitin."
2. "Glucosamine can cause degradation of cartilage when used over a
long time."
3. "Avoid taking glucosamine if you have a shellfish allergy."
4. "You can take glucosamine with an anticoagulant medication." -
ANSWER - >3. "Avoid taking glucosamine if you have a shellfish allergy."
R: The client should avoid taking glucosamine if they have a shellfish
allergy because this medication is made from the exoskeletons of
shellfish, such as shrimp.
A nurse is caring for a client who has visual loss. Which of the following
actions should the nurse implement?
1. Remove all objects form the client's bedside table.
2. Instruct the client to open items on the food tray.
3. Walk a step behind the client when assisting with ambulation.
4. Count steps to the bathroom with the client. - ANSWER - >4. Count
steps to the bathroom with the client.
R: The nurse should orient the client to the room by counting the steps
to the bathroom to reduce the risk for falls.
,A nurse is discussing activity modification with a client who had a right
total hip arthroplasty. Which of the following statements should the
nurse include in the information?
1. "Plan to sit in a straight-backed chair when out of bed."
2. "Place a pillow between your legs when lying in bed."
3. "You can cross your legs at the ankles when sitting."
4. "You should bend at the waist when tying your shoes." - ANSWER -
>2. "Place a pillow between your legs when lying in bed."
R: The nurse should teach to place an abductor pillow between the legs
when lying in bed to prevent adduction of the hip and possible
dislocation.
A nurse is teaching a newly licensed nurse about preventing a catheter-
associated urinary tract infection for a client who has an indwelling
urinary catheter. Which of the following instructions should the nurse
include?
1. Ensure the urinary catheter tubing is not kinked.
2. Rest the catheter bag on the floor when the client is sitting in a chair.
3. Clean the perineal area with an antiseptic solution.
4. Empty the collection bag for the client every 12 hr. - ANSWER - >1.
Ensure the urinary catheter tubing is not kinked.
R: The nurse should instruct the newly licensed nurse to make certain
the catheter tubing if free of kinks, which could cause a blockage of
urinary flow and result in a UTI.
A nurse is planning wound management for a client who has a stage 3
pressure injury. Which of the following interventions should the nurse
include in the plan?
, 1. Measure the depth of the wound with a cotton-tipped applicator.
2. Measure the wound using a reusable tape measure.
3. Cover the wound bed with dry gauze dressings.
4. Cleanse the wound with soap and water. - ANSWER - >1. Measure
the depth of the wound with a cotton-tipped applicator.
R: The nurse should plan to reapply new dressings after checking the
depth of the wound for tunneling using a cotton-tipped applicator.
A nurse is planning care for four clients following change-of-shift
report. Which of the following clients is the nurse's priority?
1. A client who had a stroke and has expressive aphasia.
2. A client who has a hemoglobin of 11 g/dL and requires 1 unit of
blood.
3. A client who has asthma and a peak expiratory flow rate in the green
zone.
4. A client who has peptic ulcer disease and a rigid abdomen. - ANSWER
- >4. A client who has peptic ulcer disease and a rigid abdomen.
R: When using the stable vs unstable approach to client care, the nurse
should assess this client first. A client who has peptic ulcer disease and
a rigid abdomen is unstable. A rigid abdomen is a manifestation of a
perforated peptic ulcer and could lead to septicemia and shock.
A nurse is planning care for four clients following change-of-shift
report. Which of the following clients should the nurse see first?
1. A client who is receiving propranolol and has a heart rate of 55/min.
2. A client who is receiving warfarin and has an INR of 2.5.
3. A client who has a pacemaker and has persistent hiccupping.
