ATI Med-Surg Proctored Exam Practice
VERIFIED SOLUTIONS, SCORED A+
A .nurse .is .caring .for .a .client .who .had .a .left .lower .lobectomy .to .treat .lung
.cancer. .Which .of .the .following .factors .will .have .a .significant .impact .on .the
.plan .of .care .for .this .client? .- .CORRECT .ANSWER-C. .Lung .cancer .usually .has
.metastasized .before .the .client .presents .with .symptoms.
A .nurse .is .preparing .a .plan .of .care .for .a .client .who .is .postoperative .following .a
.modified .radical .mastectomy. .Which .of .the .following .invasive .devices .should
.the .nurse .expect .this .client .to .have? .- .CORRECT .ANSWER-D. .Jackson-Pratt
.drain
A .nurse .is .monitoring .a .client .who .has .heart .failure .related .to .mitral .stenosis.
.The .client .reports .shortness .of .breath .on .exertion. .Which .of .the .following
.conditions .should .the .nurse .expect? .- .CORRECT .ANSWER-D. .Increased
.pulmonary .congestion
A .nurse .is .caring .for .a .client .who .is .postoperative .following .a .total .knee
.arthroplasty .and .has .been .prescribed .a .continuous .passive .motion .(CPM)
.machine .and .PCA. .The .client .tells .the .nurse, ."I .am .in .so .much .pain." .Which .of
.the .following .actions .should .the .nurse .take .first? .- .CORRECT .ANSWER-C. .Ask
.the .client .to .describe .the .characteristics .of .the .pain
A .nurse .is .reviewing .the .laboratory .results .of .a .lumbar .puncture .(LP) .for .a
.client .who .has .manifestations .of .bacterial .meningitis. .Which .of .the .following
.findings .should .the .nurse .expect? .- .CORRECT .ANSWER-B. .Elevated .protein
A .nurse .is .admitting .a .client .who .has .manifestations .that .suggest .tuberculosis.
.Which .of .the .following .actions .is .the .nurse's .priority? .- .CORRECT .ANSWER-A.
.Initiate .airborne .precautions
A .nurse .is .providing .information .to .a .client .who .is .scheduled .for .an .exercise
.electrocardiography .test. .Which .of .the .following .client .statements .indicates .an
.understanding .of .the .teaching? .- .CORRECT .ANSWER-A. ."I .will .not .drink .coffee
.4 .hours .prior .to .my .test."
A .nurse .is .assessing .a .client .who .has .osteoarthritis. .The .client's .medical
.record .indicates .the .presence .of .Heberden's .nodes. .Which .of .the .following
.findings .should .the .nurse .expect? .- .CORRECT .ANSWER-D. .Hard .lumps .over
.the .joints .of .the .fingers
,A .nurse .is .caring .for .a .client .who .has .a .fractured .hip .and .was .placed .in .Buck's
.traction .4 .hours .ago. .Which .of .the .following .actions .should .the .nurse .take? .-
.CORRECT .ANSWER-B. .Encourage .the .client .to .perform .dorsiflexion .of .the
.affected .extremity .every .2 .hours
A .nurse .is .auscultating .the .lungs .of .a .client .who .is .having .an .acute .asthma
.attack. .Which .of .the .following .sounds .should .the .nurse .expect .to .hear? .-
.CORRECT .ANSWER-D. .Noisy .wheezing
A .nurse .is .providing .discharge .teaching .to .the .partner .of .a .client .who .has
.acquired .immune .deficiency .syndrome .(AIDS). .Which .of .the .following
.statements .by .the .client's .partner .indicates .a .need .for .further .teaching? .-
.CORRECT .ANSWER-B."I'll .clean .up .blood .spills .immediately .with .hot .water."
A .nurse .is .preparing .an .in-service .presentation .about .the .basics .of .hematology.
.Which .of .the .following .factors .provides .a .stimulus .for .the .production .of .RBCs?
.- .CORRECT .ANSWER-D. .Tissue .hypoxia
A .nurse .is .admitting .a .client .who .is .in .sickle .cell .crisis. .Besides .pain
.management, .which .of .the .following .interventions .should .the .nurse .include .in
.the .client's .plan .of .care? .- .CORRECT .ANSWER-D. .Ample .hydration
A .nurse .is .assessing .a .client .who .has .Addison's .disease. .Which .of .the
.following .findings .should .the .nurse .expect? .- .CORRECT .ANSWER-A.
.Hypotension
A .nurse .is .teaching .a .client .who .has .chronic .kidney .disease .(CKD). .Which .of
.the .following .instructions .should .the .nurse .include? .- .CORRECT .ANSWER-A.
.Limit .fluid .intake
A .nurse .is .teaching .a .group .of .clients .about .the .functions .of .the .liver .and
.gallbladder. .Which .of .the .following .should .the .nurse .include .in .the .teaching .as
.the .purpose .of .bile? .- .CORRECT .ANSWER-A. .Digesting .fats
A .nurse .is .assessing .an .older .adult .client .for .physiological .changes .that .can
.occur .with .age. .Which .of .the .following .findings .should .the .nurse .expect? .-
.CORRECT .ANSWER-B. .Decreased .sense .of .taste
A .nurse .is .caring .for .a .client .with .Addison's .disease .who .has .been .admitted
.with .muscle .weakness, .dehydration, .and .nausea .and .vomiting .for .the .past .2
.days. .Which .of .the .following .prescribed .medications .should .the .nurse .plan .to
.administer? .- .CORRECT .ANSWER-C. .Hydrocortisone
A .nurse .is .developing .a .plan .of .care .for .a .client .who .as .gastroesophageal
.refulx .disease .(GERD). .The .nurse .should .plan .to .monitor .the .client .for .which .of
.the .following .complications? .- .CORRECT .ANSWER-A. .Aspiration
, A .female .client .who .has .recurrent .cystitis .asks .the .nurse .about .preventing
.future .episodes. .For .which .of .the .following .client .statements .should .the .nurse
.provide .future .teaching? .- .CORRECT .ANSWER-B. ."I .prefer .taking .tub .baths .to
.showering."
A .nurse .is .assessing .the .abdominal .incision .of .a .client .who .is .3 .days
.postoperative. .The .incision .is .slightly .edematous .and .pink .with .crusting .on .the
.edges .and .is .draining .serosanguineous .fluid. .Which .of .the .following
.assessments .describes .the .incision? .- .CORRECT .ANSWER-C. .The .incision .is
.showing .signs .of .healing .without .complications
A .nurse .is .assisting .a .provider .with .performing .a .paracentesis .on .a .client.
.Which .of .the .following .actions .should .the .nurse .take? .- .CORRECT .ANSWER-A.
.Ask .the .client .to .empty .his .bladder .before .the .procedure
A .nurse .is .examining .the .ECG .of .a .client .who .has .frequent .premature
.ventricular .contractions .(PVCs). .Which .of .the .following .QRS .changes .should
.the .nurse .expect .to .see .on .the .client's .ECG? .- .CORRECT .ANSWER-B. .Much
.greater .amplitude .than .the .usual .QRS .complexes
A .nurse .is .teaching .a .group .of .clients .about .skin .cancer. .The .nurse .should
.explain .that .basal .cell .carcinoma .originates .from .which .of .the .following
.tissues? .- .CORRECT .ANSWER-B. .Epidermis
A .nurse .is .admitting .a .client .who .has .cirrhosis. .Which .of .the .following
.prescriptions .should .the .nurse .anticipate? .(Select .all .that .apply) .- .CORRECT
.ANSWER-A. .Obtain .the .client's .PT .and .INR .measurements
B. .Administer .lactulose .30 .mL .PO .4 .times .daily
C. .Obtain .daily .weights .and .abdominal .girth .measurements
D. .Administer .a .daily .multivitamin
A .nurse .is .caring .for .a .client .who .is .concerned .about .the .possibility .of
.contracting .Lyme .disease .after .receiving .a .tick .bite. .For .which .of .the .following
.early .manifestations .of .Lyme .disease .should .the .nurse .assess .the .client? .-
.CORRECT .ANSWER-D. .Progressive .circular .rash
A .nurse .is .monitoring .a .newly .licensed .nurse .who .is .caring .for .a .client. .The
.client .has .active .pulmonary .tuberculosis, .was .placed .on .airborne .precautions,
.and .is .scheduled .for .a .chest .X-ray. .The .nurse .should .instruct .the .newly
.licensed .nurse .to .take .which .of .the .following .actions? .- .CORRECT .ANSWER-A.
.Have .the .client .wear .a .surgical .mask
A .home .health .nurse .is .planning .care .for .a .client .who .is .receiving
.chemotherapy .and .has .neutropenia. .Which .of .the .following .foods .should .the
.nurse .include .in .the .client's .plan .of .care? .- .CORRECT .ANSWER-D. .Baked
.chicken
VERIFIED SOLUTIONS, SCORED A+
A .nurse .is .caring .for .a .client .who .had .a .left .lower .lobectomy .to .treat .lung
.cancer. .Which .of .the .following .factors .will .have .a .significant .impact .on .the
.plan .of .care .for .this .client? .- .CORRECT .ANSWER-C. .Lung .cancer .usually .has
.metastasized .before .the .client .presents .with .symptoms.
A .nurse .is .preparing .a .plan .of .care .for .a .client .who .is .postoperative .following .a
.modified .radical .mastectomy. .Which .of .the .following .invasive .devices .should
.the .nurse .expect .this .client .to .have? .- .CORRECT .ANSWER-D. .Jackson-Pratt
.drain
A .nurse .is .monitoring .a .client .who .has .heart .failure .related .to .mitral .stenosis.
.The .client .reports .shortness .of .breath .on .exertion. .Which .of .the .following
.conditions .should .the .nurse .expect? .- .CORRECT .ANSWER-D. .Increased
.pulmonary .congestion
A .nurse .is .caring .for .a .client .who .is .postoperative .following .a .total .knee
.arthroplasty .and .has .been .prescribed .a .continuous .passive .motion .(CPM)
.machine .and .PCA. .The .client .tells .the .nurse, ."I .am .in .so .much .pain." .Which .of
.the .following .actions .should .the .nurse .take .first? .- .CORRECT .ANSWER-C. .Ask
.the .client .to .describe .the .characteristics .of .the .pain
A .nurse .is .reviewing .the .laboratory .results .of .a .lumbar .puncture .(LP) .for .a
.client .who .has .manifestations .of .bacterial .meningitis. .Which .of .the .following
.findings .should .the .nurse .expect? .- .CORRECT .ANSWER-B. .Elevated .protein
A .nurse .is .admitting .a .client .who .has .manifestations .that .suggest .tuberculosis.
.Which .of .the .following .actions .is .the .nurse's .priority? .- .CORRECT .ANSWER-A.
.Initiate .airborne .precautions
A .nurse .is .providing .information .to .a .client .who .is .scheduled .for .an .exercise
.electrocardiography .test. .Which .of .the .following .client .statements .indicates .an
.understanding .of .the .teaching? .- .CORRECT .ANSWER-A. ."I .will .not .drink .coffee
.4 .hours .prior .to .my .test."
A .nurse .is .assessing .a .client .who .has .osteoarthritis. .The .client's .medical
.record .indicates .the .presence .of .Heberden's .nodes. .Which .of .the .following
.findings .should .the .nurse .expect? .- .CORRECT .ANSWER-D. .Hard .lumps .over
.the .joints .of .the .fingers
,A .nurse .is .caring .for .a .client .who .has .a .fractured .hip .and .was .placed .in .Buck's
.traction .4 .hours .ago. .Which .of .the .following .actions .should .the .nurse .take? .-
.CORRECT .ANSWER-B. .Encourage .the .client .to .perform .dorsiflexion .of .the
.affected .extremity .every .2 .hours
A .nurse .is .auscultating .the .lungs .of .a .client .who .is .having .an .acute .asthma
.attack. .Which .of .the .following .sounds .should .the .nurse .expect .to .hear? .-
.CORRECT .ANSWER-D. .Noisy .wheezing
A .nurse .is .providing .discharge .teaching .to .the .partner .of .a .client .who .has
.acquired .immune .deficiency .syndrome .(AIDS). .Which .of .the .following
.statements .by .the .client's .partner .indicates .a .need .for .further .teaching? .-
.CORRECT .ANSWER-B."I'll .clean .up .blood .spills .immediately .with .hot .water."
A .nurse .is .preparing .an .in-service .presentation .about .the .basics .of .hematology.
.Which .of .the .following .factors .provides .a .stimulus .for .the .production .of .RBCs?
.- .CORRECT .ANSWER-D. .Tissue .hypoxia
A .nurse .is .admitting .a .client .who .is .in .sickle .cell .crisis. .Besides .pain
.management, .which .of .the .following .interventions .should .the .nurse .include .in
.the .client's .plan .of .care? .- .CORRECT .ANSWER-D. .Ample .hydration
A .nurse .is .assessing .a .client .who .has .Addison's .disease. .Which .of .the
.following .findings .should .the .nurse .expect? .- .CORRECT .ANSWER-A.
.Hypotension
A .nurse .is .teaching .a .client .who .has .chronic .kidney .disease .(CKD). .Which .of
.the .following .instructions .should .the .nurse .include? .- .CORRECT .ANSWER-A.
.Limit .fluid .intake
A .nurse .is .teaching .a .group .of .clients .about .the .functions .of .the .liver .and
.gallbladder. .Which .of .the .following .should .the .nurse .include .in .the .teaching .as
.the .purpose .of .bile? .- .CORRECT .ANSWER-A. .Digesting .fats
A .nurse .is .assessing .an .older .adult .client .for .physiological .changes .that .can
.occur .with .age. .Which .of .the .following .findings .should .the .nurse .expect? .-
.CORRECT .ANSWER-B. .Decreased .sense .of .taste
A .nurse .is .caring .for .a .client .with .Addison's .disease .who .has .been .admitted
.with .muscle .weakness, .dehydration, .and .nausea .and .vomiting .for .the .past .2
.days. .Which .of .the .following .prescribed .medications .should .the .nurse .plan .to
.administer? .- .CORRECT .ANSWER-C. .Hydrocortisone
A .nurse .is .developing .a .plan .of .care .for .a .client .who .as .gastroesophageal
.refulx .disease .(GERD). .The .nurse .should .plan .to .monitor .the .client .for .which .of
.the .following .complications? .- .CORRECT .ANSWER-A. .Aspiration
, A .female .client .who .has .recurrent .cystitis .asks .the .nurse .about .preventing
.future .episodes. .For .which .of .the .following .client .statements .should .the .nurse
.provide .future .teaching? .- .CORRECT .ANSWER-B. ."I .prefer .taking .tub .baths .to
.showering."
A .nurse .is .assessing .the .abdominal .incision .of .a .client .who .is .3 .days
.postoperative. .The .incision .is .slightly .edematous .and .pink .with .crusting .on .the
.edges .and .is .draining .serosanguineous .fluid. .Which .of .the .following
.assessments .describes .the .incision? .- .CORRECT .ANSWER-C. .The .incision .is
.showing .signs .of .healing .without .complications
A .nurse .is .assisting .a .provider .with .performing .a .paracentesis .on .a .client.
.Which .of .the .following .actions .should .the .nurse .take? .- .CORRECT .ANSWER-A.
.Ask .the .client .to .empty .his .bladder .before .the .procedure
A .nurse .is .examining .the .ECG .of .a .client .who .has .frequent .premature
.ventricular .contractions .(PVCs). .Which .of .the .following .QRS .changes .should
.the .nurse .expect .to .see .on .the .client's .ECG? .- .CORRECT .ANSWER-B. .Much
.greater .amplitude .than .the .usual .QRS .complexes
A .nurse .is .teaching .a .group .of .clients .about .skin .cancer. .The .nurse .should
.explain .that .basal .cell .carcinoma .originates .from .which .of .the .following
.tissues? .- .CORRECT .ANSWER-B. .Epidermis
A .nurse .is .admitting .a .client .who .has .cirrhosis. .Which .of .the .following
.prescriptions .should .the .nurse .anticipate? .(Select .all .that .apply) .- .CORRECT
.ANSWER-A. .Obtain .the .client's .PT .and .INR .measurements
B. .Administer .lactulose .30 .mL .PO .4 .times .daily
C. .Obtain .daily .weights .and .abdominal .girth .measurements
D. .Administer .a .daily .multivitamin
A .nurse .is .caring .for .a .client .who .is .concerned .about .the .possibility .of
.contracting .Lyme .disease .after .receiving .a .tick .bite. .For .which .of .the .following
.early .manifestations .of .Lyme .disease .should .the .nurse .assess .the .client? .-
.CORRECT .ANSWER-D. .Progressive .circular .rash
A .nurse .is .monitoring .a .newly .licensed .nurse .who .is .caring .for .a .client. .The
.client .has .active .pulmonary .tuberculosis, .was .placed .on .airborne .precautions,
.and .is .scheduled .for .a .chest .X-ray. .The .nurse .should .instruct .the .newly
.licensed .nurse .to .take .which .of .the .following .actions? .- .CORRECT .ANSWER-A.
.Have .the .client .wear .a .surgical .mask
A .home .health .nurse .is .planning .care .for .a .client .who .is .receiving
.chemotherapy .and .has .neutropenia. .Which .of .the .following .foods .should .the
.nurse .include .in .the .client's .plan .of .care? .- .CORRECT .ANSWER-D. .Baked
.chicken
