ATI Medical-Surgical Proctored 2025
ATI Medical-Surgical Proctored 2025, ATI
med-surg exam, nursing proctored
exam, medical surgical questions,
detailed ATI answers, ATI 2025 test prep
A nurse is assessing a client who has a fractured left femur and is in skeletal traction. Which of
the following findings should the nurse report to the provider?
- Ecchymosis of the thigh
- Serous drainage at the pin site
- Chest petechiae
- Muscle spasms in the left leg - ANS :Chest petechiae
The nurse should identify chest petechiae as an indication of fat embolism syndrome. Clients
who have fractures of the long bones, such as the femur, are at increased risk for fat emboli.
Fat emboli typically occur 12 to 48 hr after the injury when fat droplets from the marrow enter
into the systemic circulation and are deposited in the lungs. The nurse should immediately
notify the provider because the client could progress into acute respiratory failure.
A nurse is providing teaching about antiretroviral therapy to a client who has a new diagnosis
of AIDS. Which of the following statements should the nurse include in the teaching?
- "Your provider will prescribe one single antiretroviral medication at a time."
- "You should take antiretroviral medications on a routine schedule."
A BOMB 1
, ATI Medical-Surgical Proctored 2025
- "You should increase your intake of raw fruits and vegetables while taking antiretroviral
medications."
- "Your provider will prescribe antiretroviral therapy to kill the HIV virus." –
ANS :"You should take antiretroviral medications on a routine schedule."
The nurse should inform the client of the need to take antiretroviral therapy exactly as
prescribed and to avoid delaying or skipping any doses, which can result in medication
resistance.
A nurse is caring for a client who is 72 hr post operative following an above-the-knee
amputation. Which of the following actions should the nurse take?
- Elevate the residual limb on a soft pillow.
- Assist the client to a prone position every 4 hr.
- Reapply a bandage to the residual limb every 12 hr.
- Apply dressings to the site in a proximal-to-distal direction. - ANS :Assist the client to a prone
position every 4 hr.
The nurse should assist the client to a prone position for 20 to 30 min every 3 to 4 hr following
an amputation because it reduces the risk of flexion contractures.
A home health nurse enters a client's home and finds used insulin syringe, without a cap, on
the table. Which of the following actions should the nurse take?
- Recap the needle on the syringe.
- Schedule a nurse to administer future injections for this client.
- Explain to the client that the syringe should be disposed of in the bathroom trash can.
A BOMB 2
, ATI Medical-Surgical Proctored 2025
- Place the syringe in a puncture-proof disposal container. - ANS :Place the syringe in a
puncture-proof disposal container.
The nurse should place the uncapped syringe in a puncture-proof sharps disposal container or
rigid plastic container to prevent a needlestick injury. The nurse should keep the syringe
uncapped to prevent a needlestick injury while placing the cap on the needle. The nurse
should then provide client education on safety and proper disposal of syringes.
A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose
reading of 48 mg/dL. Which of the following should the nurse expect
- Kussmaul respirations
- Diaphoresis
- Decreased skin turgor
- Ketonuria - ANS :Diaphoresis
A nurse should expect a client who has a blood glucose level below 70 mg/dL to exhibit
manifestations of hypoglycemia. Expected findings associated with hypoglycemia include
weakness, hunger, diaphoresis, nausea, shakiness, and confusion.
A nurse is providing teaching to a client who has tuberculosis and prescriptions for rifampin
and ethambutol. The nurse should identify which of the following findings as an adverse
effect of these medications that the client should report to the provider?
- Red-orange discoloration of urine
- Unexpected weight gain
- Ringing in the ears
- Decreased visual acuity - ANS :Decreased visual acuity
A BOMB 3
, ATI Medical-Surgical Proctored 2025
The nurse should identify optic neuritis as an adverse effect of ethambutol. The nurse should
instruct the client to monitor for changes in visual acuity or color identification as indications
of optic neuritis to report to the provider. This adverse effect necessitates termination of
ethambutol therapy because irreversible blindness can result.
A nurse is performing an admissions assessment for a client who has asthma and reports
several food allergies. Which of the following actions should the nurse take first?
- Document the client's food allergies on the medical record.
- Ask the client to identify the specific food allergies.
- Monitor the client for indications of anaphylaxis.
- Have epinephrine available for administration. - ANS :Ask the client to identify the specific
food allergies.
A nurse is caring for a client who is receiving intermittent peritoneal dialysis. The nurse
observes that the peritoneal fluid is not adequately draining. Which of the following actions
should the nurse take first?
- Turn the client from side to side.
- Elevate the height of the dialysate bag.
- Lower the head of the client's bed.
- Advance the catheter approximately 2.5 cm (1 in) further. - ANS :Turn the client from side to
side.
The nurse should assist the client in turning from side to side to facilitate removal of
peritoneal drainage. This action helps ensure there are no kinks in the tubing or an air lock in
the peritoneal catheter.
A nurse is providing discharge teaching about improving gas exchange to a client who has
emphysema. Which of the following instructions should the nurse include in the teaching?
A BOMB 4
ATI Medical-Surgical Proctored 2025, ATI
med-surg exam, nursing proctored
exam, medical surgical questions,
detailed ATI answers, ATI 2025 test prep
A nurse is assessing a client who has a fractured left femur and is in skeletal traction. Which of
the following findings should the nurse report to the provider?
- Ecchymosis of the thigh
- Serous drainage at the pin site
- Chest petechiae
- Muscle spasms in the left leg - ANS :Chest petechiae
The nurse should identify chest petechiae as an indication of fat embolism syndrome. Clients
who have fractures of the long bones, such as the femur, are at increased risk for fat emboli.
Fat emboli typically occur 12 to 48 hr after the injury when fat droplets from the marrow enter
into the systemic circulation and are deposited in the lungs. The nurse should immediately
notify the provider because the client could progress into acute respiratory failure.
A nurse is providing teaching about antiretroviral therapy to a client who has a new diagnosis
of AIDS. Which of the following statements should the nurse include in the teaching?
- "Your provider will prescribe one single antiretroviral medication at a time."
- "You should take antiretroviral medications on a routine schedule."
A BOMB 1
, ATI Medical-Surgical Proctored 2025
- "You should increase your intake of raw fruits and vegetables while taking antiretroviral
medications."
- "Your provider will prescribe antiretroviral therapy to kill the HIV virus." –
ANS :"You should take antiretroviral medications on a routine schedule."
The nurse should inform the client of the need to take antiretroviral therapy exactly as
prescribed and to avoid delaying or skipping any doses, which can result in medication
resistance.
A nurse is caring for a client who is 72 hr post operative following an above-the-knee
amputation. Which of the following actions should the nurse take?
- Elevate the residual limb on a soft pillow.
- Assist the client to a prone position every 4 hr.
- Reapply a bandage to the residual limb every 12 hr.
- Apply dressings to the site in a proximal-to-distal direction. - ANS :Assist the client to a prone
position every 4 hr.
The nurse should assist the client to a prone position for 20 to 30 min every 3 to 4 hr following
an amputation because it reduces the risk of flexion contractures.
A home health nurse enters a client's home and finds used insulin syringe, without a cap, on
the table. Which of the following actions should the nurse take?
- Recap the needle on the syringe.
- Schedule a nurse to administer future injections for this client.
- Explain to the client that the syringe should be disposed of in the bathroom trash can.
A BOMB 2
, ATI Medical-Surgical Proctored 2025
- Place the syringe in a puncture-proof disposal container. - ANS :Place the syringe in a
puncture-proof disposal container.
The nurse should place the uncapped syringe in a puncture-proof sharps disposal container or
rigid plastic container to prevent a needlestick injury. The nurse should keep the syringe
uncapped to prevent a needlestick injury while placing the cap on the needle. The nurse
should then provide client education on safety and proper disposal of syringes.
A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose
reading of 48 mg/dL. Which of the following should the nurse expect
- Kussmaul respirations
- Diaphoresis
- Decreased skin turgor
- Ketonuria - ANS :Diaphoresis
A nurse should expect a client who has a blood glucose level below 70 mg/dL to exhibit
manifestations of hypoglycemia. Expected findings associated with hypoglycemia include
weakness, hunger, diaphoresis, nausea, shakiness, and confusion.
A nurse is providing teaching to a client who has tuberculosis and prescriptions for rifampin
and ethambutol. The nurse should identify which of the following findings as an adverse
effect of these medications that the client should report to the provider?
- Red-orange discoloration of urine
- Unexpected weight gain
- Ringing in the ears
- Decreased visual acuity - ANS :Decreased visual acuity
A BOMB 3
, ATI Medical-Surgical Proctored 2025
The nurse should identify optic neuritis as an adverse effect of ethambutol. The nurse should
instruct the client to monitor for changes in visual acuity or color identification as indications
of optic neuritis to report to the provider. This adverse effect necessitates termination of
ethambutol therapy because irreversible blindness can result.
A nurse is performing an admissions assessment for a client who has asthma and reports
several food allergies. Which of the following actions should the nurse take first?
- Document the client's food allergies on the medical record.
- Ask the client to identify the specific food allergies.
- Monitor the client for indications of anaphylaxis.
- Have epinephrine available for administration. - ANS :Ask the client to identify the specific
food allergies.
A nurse is caring for a client who is receiving intermittent peritoneal dialysis. The nurse
observes that the peritoneal fluid is not adequately draining. Which of the following actions
should the nurse take first?
- Turn the client from side to side.
- Elevate the height of the dialysate bag.
- Lower the head of the client's bed.
- Advance the catheter approximately 2.5 cm (1 in) further. - ANS :Turn the client from side to
side.
The nurse should assist the client in turning from side to side to facilitate removal of
peritoneal drainage. This action helps ensure there are no kinks in the tubing or an air lock in
the peritoneal catheter.
A nurse is providing discharge teaching about improving gas exchange to a client who has
emphysema. Which of the following instructions should the nurse include in the teaching?
A BOMB 4
