1. Afterabronchoscopywithbiopsy,thenurseassessestheclient.T
henurseshouldreportwhichfindingtothe health care provider?
• laryngealstridor
2. Aclienthasapluralchesttubefollowingremovalofthelowerlobe
ofthelung.Twodaysaftersurgery,thetube is accidentally
pulled out of the chest wall. What should the nurse do
first?
• Applyanocclusivedressingsuchaspetroleumjellygauze.
3. Theclientasksthenurse,―Whywon’tthehealthcareprovidertellme
exactlyhowmuchofmylegheisgoingto take off? Don’t you think I
should know that?‖ On which information should the nurse
base the response?
• theadequacyofthebloodsupplytothetissues
4. Anunlicensedassistivepersonnel(UAP)tellsthenurse,―Ithinkth
eclientisconfused.Hekeepstellingmehe has to void, but that’s
not possible because he has a catheter in place that is
draining well.‖ What should the nurse tell the UAP?
• "Theurgetovoidisusuallycreatedbythelargecatheter,andhe
maybehavingsomebladder spasms."
5. Whenassessingaclientwithadvancedchronicobstructivepul
monarydisease(COPD)whichareexpected findings?
• increasedanteroposteriorchestdiameter
6. Thenursehasplacedtheintubatedclientwithacuterespiratorydistr
esssyndrome(ARDS)inpronepositionfor 30 minutes. Which
factors would require the nurse to discontinue prone
positioning and return the client to the supine position? Select
all that apply.
• TheSpO2andPO2havedecreased.
• Theclientistachycardicwithdropinblood pressure.
• Thefacehasincreasedskinbreakdownandedema.
,ATI MED SURG PROCTORED EXAM RETAKE 2024-2025.|ALREADY GRADED A+
7. Thenurseisplanningcareforaclientwhohasjustreturnedtothem
edical-surgicalunitfollowingrepairofan aortic aneurysm. What
is a priority assessment for this client?
• decreasedurinaryoutput
8. Whichisthemostimportantinitialpostprocedurenursinga
ssessmentforaclientwhohashadacardiac
catheterization?
• Observethepuncturesiteforswellingandbleeding.
9. Aclienthashadacerebrovascularaccident,whichhasaffectedt
heleftsideoftheclient’sbrain.Thenurse should assess the
client for which symptom?
• aphasia
10. Thenurseisinstructinganunlicensedassistivepersonnel(UAP)toco
llectaurinespecimenfromanindwelling catheter. Which statement
indicates that the UAP understands the instructions?
• ―I’llgetasterilesyringeandremoveurinefromthecathete
rthroughthecollectionporttoplacein the specimen
container.‖
11. Aclientcomestothephysician'sofficeforafollow-
upvisit4weeksaftersufferingamyocardialinfarction(MI). The nurse
takes this opportunity toevaluate theclient's
knowledgeoftheorderedcardiac rehabilitation program. Which
evaluation statement suggests that the client needs more
instruction?
• "Clientwalks4miles(6.4kilometers)in1houreveryday."
12. Aclient undergoes a craniotomy with supratentorial surgery to
remove a brain tumor. On the first postoperative
,ATI MED SURG PROCTORED EXAM RETAKE 2024-2025.|ALREADY GRADED A+
day,thenursenotestheabsenceofaboneflapattheoperativesite.Hows
houldthenursepositiontheclient'she
, ATI MED SURG PROCTORED EXAM RETAKE 2024-2025.|ALREADY GRADED A+
ad?
• elevated30degrees
13. Afterdiagnosingaclientwithpulmonarytuberculosis,thephysiciantell
sfamilymembersthattheymustreceive
isoniazid(INH)asprophylaxisagainsttuberculosis.Theclient'sfamilya
sksthenursehowlongthedrugmustbe
tak
en. What is the usual duration of prophylactic isoniazid therapy?
• 6to12months
14. Thenurseisassistingaclientwithastrokewhohashomonymoushemi
anopia.Thenurseshouldunderstandthat the client will do which
when eating?
• Eatfoodononlyhalfoftheplate.
15. Aclientisarousingfromacomaandkeepssaying,―Justst
opthepain.‖Thenurserespondsbasedonthe knowledge
that the client’s first response to pain will be to do
what?
• Escapethesourceofpain.
16. Thenurseseesaclientwalkinginthehallwaywhobeginstohavease
izure.Whatshouldthenursedoinorderof priority from first to
last? All options must be used.
• Easetheclienttothefloor.
• Maintainapatentairway.
• Obtainvitalsigns.
• Recordtheseizureactivity observed.
17. Thenurseisteachingaclientwithmultiplesclerosisaboutprevention
ofurinarytractinfection(UTI)andrenal calculi. Which nutrition
recommendations by the nurse would be the most likely to
reduce the risk of these conditions?
• Increasefluids(2500mL/day)andmaintainurineaciditybydri
nkingcranberryjuice.