ATI MED SURG PROCTORED
125 QUESTION AND ANSWER
GRADED A+ 2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1. A nurse in a burn treatment center is caring for a client who is admitted with severe
burns to both lower extremities and is pending an escharotomy. The client's spouse
asks the nurse what the procedure entails. Which of the following nursing statements
is appropriate?
o a. "Large incisions will be made in the eschar to improve circulation."
2. A nurse is monitoring the fluid replacement of a client who has sustained burns. Which
of the following fluids is used in the first 24 hours following a burn injury?
o d. Lactated Ringer's
3. A nurse is caring for a client who has full-thickness burns all over 75% of his body.
Which of the following methods is appropriate to accurately monitor the
cardiovascular system?
o c. Obtain a central venous pressure.
4. A nurse is assessing the depth and extent of a client who has severe burns to the face,
neck, and upper extremities. Which of the following factors is the first priority when
assessing the severity of the burn?
o c. Location of the burn.
5. A client arrives at the emergency dept following an explosion at the chemical plant. He
has deep partial and full-thickness chemical burns over more than 25% of his body
surface area. What is the nurse's priority intervention?
o d. Maintain a patent airway.
6. A nurse is caring for a client who came to the emergency dept reporting chest pain. The
provider suspects a myocardial infarction. While waiting for the laboratory to report the
client's troponin levels, the client asks what this blood test will show. The nurse should
explain that troponin is
o c. A heart muscle protein that appears in the bloodstream when there is
damage to the heart.
7. A nurse is assessing a client who has disseminated intravascular coagulation (DIC).
Which of the following should the nurse expect in the findings?
o a. Excessive thrombosis and bleeding.
8. A nurse is about to administer warfarin (Coumadin) to a client who has atrial
fibrillation. When the client asks what his medication will do, which of the following is
an appropriate nursing response?
o d. It prevents strokes in clients who have atrial fibrillation.
, 9. A nurse in a cardiac care unit is caring for a client with acute heart failure. Which of the
following findings should the nurse expect?
o b. Elevated central venous pressure (CVP).
10. A client comes into the ED reporting nausea and vomiting that worsens when lying
down and without relief from antacids. The provider suspects acute pancreatitis.
Which of the following lab test results should the nurse expect to see if the client has
acute pancreatitis?
o b. Increased serum amylase.
11. A nurse in the ICU is caring for a client who has acute respiratory distress syndrome
(ARDS) and is receiving mechanical ventilation via an endotracheal tube. The provider
plans to extubate her within the next 24 hours. Which of the following is an important
criterion for extubating the client?
o b. Adequate tidal volume without manually assisted breaths.
12. A nurse is caring for a client following a CT scan with dye who suffered from an
anaphylactic reaction. Which of the following conditions requires a priority nursing
response?
o b. Stridor.
13. A nurse is caring for a female client who came to the ED reporting shortness of breath
and pain in the lung area. Her heart rate is 110/min, respiratory rate 40/min, and blood
pressure 140/80 mm Hg. Her arterial blood gases are: pH 7.5, PaCO2 29 mm Hg,
PaO2 60 mm Hg, HCO3 20 mEq/L, and SaO2 86%. Which of the following is the
priority intervention?
o b. Administer oxygen via face mask.
14. A nurse is monitoring a client who has just had a thoracentesis to remove pleural fluid.
Which of the following clinical manifestations indicates a complication that requires
notifying the provider immediately?
o c. Increased heart rate.
15. A group of college students was attending a weekend football rally when one of the
students stumbled and fell into the bonfire. Although several friends quickly
intervened, the client sustained partial-thickness burns to both lower legs, chest, and
both forearms. Which of the following is the priority nursing action when the client is
brought to the ED?
o b. Inspect the mouth for signs of inhalation.
125 QUESTION AND ANSWER
GRADED A+ 2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1. A nurse in a burn treatment center is caring for a client who is admitted with severe
burns to both lower extremities and is pending an escharotomy. The client's spouse
asks the nurse what the procedure entails. Which of the following nursing statements
is appropriate?
o a. "Large incisions will be made in the eschar to improve circulation."
2. A nurse is monitoring the fluid replacement of a client who has sustained burns. Which
of the following fluids is used in the first 24 hours following a burn injury?
o d. Lactated Ringer's
3. A nurse is caring for a client who has full-thickness burns all over 75% of his body.
Which of the following methods is appropriate to accurately monitor the
cardiovascular system?
o c. Obtain a central venous pressure.
4. A nurse is assessing the depth and extent of a client who has severe burns to the face,
neck, and upper extremities. Which of the following factors is the first priority when
assessing the severity of the burn?
o c. Location of the burn.
5. A client arrives at the emergency dept following an explosion at the chemical plant. He
has deep partial and full-thickness chemical burns over more than 25% of his body
surface area. What is the nurse's priority intervention?
o d. Maintain a patent airway.
6. A nurse is caring for a client who came to the emergency dept reporting chest pain. The
provider suspects a myocardial infarction. While waiting for the laboratory to report the
client's troponin levels, the client asks what this blood test will show. The nurse should
explain that troponin is
o c. A heart muscle protein that appears in the bloodstream when there is
damage to the heart.
7. A nurse is assessing a client who has disseminated intravascular coagulation (DIC).
Which of the following should the nurse expect in the findings?
o a. Excessive thrombosis and bleeding.
8. A nurse is about to administer warfarin (Coumadin) to a client who has atrial
fibrillation. When the client asks what his medication will do, which of the following is
an appropriate nursing response?
o d. It prevents strokes in clients who have atrial fibrillation.
, 9. A nurse in a cardiac care unit is caring for a client with acute heart failure. Which of the
following findings should the nurse expect?
o b. Elevated central venous pressure (CVP).
10. A client comes into the ED reporting nausea and vomiting that worsens when lying
down and without relief from antacids. The provider suspects acute pancreatitis.
Which of the following lab test results should the nurse expect to see if the client has
acute pancreatitis?
o b. Increased serum amylase.
11. A nurse in the ICU is caring for a client who has acute respiratory distress syndrome
(ARDS) and is receiving mechanical ventilation via an endotracheal tube. The provider
plans to extubate her within the next 24 hours. Which of the following is an important
criterion for extubating the client?
o b. Adequate tidal volume without manually assisted breaths.
12. A nurse is caring for a client following a CT scan with dye who suffered from an
anaphylactic reaction. Which of the following conditions requires a priority nursing
response?
o b. Stridor.
13. A nurse is caring for a female client who came to the ED reporting shortness of breath
and pain in the lung area. Her heart rate is 110/min, respiratory rate 40/min, and blood
pressure 140/80 mm Hg. Her arterial blood gases are: pH 7.5, PaCO2 29 mm Hg,
PaO2 60 mm Hg, HCO3 20 mEq/L, and SaO2 86%. Which of the following is the
priority intervention?
o b. Administer oxygen via face mask.
14. A nurse is monitoring a client who has just had a thoracentesis to remove pleural fluid.
Which of the following clinical manifestations indicates a complication that requires
notifying the provider immediately?
o c. Increased heart rate.
15. A group of college students was attending a weekend football rally when one of the
students stumbled and fell into the bonfire. Although several friends quickly
intervened, the client sustained partial-thickness burns to both lower legs, chest, and
both forearms. Which of the following is the priority nursing action when the client is
brought to the ED?
o b. Inspect the mouth for signs of inhalation.
