ATI RN ADULT MEDICAL SURGICAL EXAM 2024/2025
PROCTORED EXAM ANSWERS @ QUESTIONS AND
ANSWER/RATIONALE/EXPLANATION
A nurse is caring for a client who has atopic dermatitis and a prescription
for triamcinolone ointment. The nurse should assess the client to monitor
for which of the following adverse effects?
A. Increased pigmentation
B. Localized hair loss
C. Thinning of the skin
D. Increased sensitivity to the sun
C. Thinning of the skin
Thinning of the skin and delayed healing are adverse effects of topical
glucocorticoid
preparations. The client should only apply the ointment to dry patches of
the skin because
topical steroids can cause atrophy of the dermis and epidermis, which can
result in thinning
of the skin.
,A nurse is providing discharge teaching about infection control at home
for a client who has tuberculosis. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I will have to move out of my family's home until I am no longer
contagious."
B. "I will place my used tissues in a plastic bag."
C. "I will cover my mouth with my hands when I have to cough."
D. "I will not go in public areas until I am cured."
B. "I will place my used tissues in a plastic bag."
The sputum of a client who has tuberculosis is considered infectious until
there are three consecutive sputum samples that test negative for
Mycobacterium tuberculosis. Tissues that are soiled with the client's
sputum should be placed in a plastic bag and sealed to avoid spreading
the infection.
A nurse is teaching a client who is scheduled to receive radioactive iodine
therapy for treatment of hyperthyroidism. Which of the following
instructions should the nurse include in the teaching?
A. Remain 0.3 m (1 ft) away from children.
B. Limit the time spent around women who are pregnant to 10 min daily.
C. Use disposable utensils for meals.
,D. Use an absorbent pad if incontinent.
C. Use disposable utensils for meals.
The client who receives radioactive iodine has radioactivity in the body
fluids, including
saliva, for several weeks following treatment. The nurse should instruct
the client to use
disposable utensils, plates, and cups during this time period to decrease
the risk for
radiation exposure to other members of the household.
A nurse is providing preoperative teaching to a client who is scheduled for
a radical prostatectomy. Which of the following information should the
nurse include in the teaching?
A. The client will be on bed rest while continuous bladder irrigation is in
place.
B. Cold compresses will be used to manage bladder spasms.
C. The client will have an NG tube in place for 48 hr postoperatively.
D. A PCA pump will be used for postoperative pain control.
D. A PCA pump will be used for postoperative pain control.
, A PCA pump is a common method of pain management in the first 24 hr
following an open
radical prostatectomy. The nurse should teach the client how to manage
pain during the
preoperative period rather than waiting until after surgery when the client
is feeling the
sedative effects of the anesthesia and pain medication.
A nurse is assessing a client's ECG strip and notes an irregular heart rate
of 98/min with no clear P waves. Which of the following cardiac
dysrhythmias should the nurse document?
A. First-degree heart block
B. Atrial fibrillation
C. Complete heart block
D. Ventricular tachycardia
B. Atrial fibrillation
With atrial fibrillation, multiple rapid impulses from many different foci
cause
depolarization of the atria in a rapid, disorganized manner. This causes a
chaotic rhythm on
the ECG strip that has no clear P waves, no atrial contractions, and an
irregular rhythm.
PROCTORED EXAM ANSWERS @ QUESTIONS AND
ANSWER/RATIONALE/EXPLANATION
A nurse is caring for a client who has atopic dermatitis and a prescription
for triamcinolone ointment. The nurse should assess the client to monitor
for which of the following adverse effects?
A. Increased pigmentation
B. Localized hair loss
C. Thinning of the skin
D. Increased sensitivity to the sun
C. Thinning of the skin
Thinning of the skin and delayed healing are adverse effects of topical
glucocorticoid
preparations. The client should only apply the ointment to dry patches of
the skin because
topical steroids can cause atrophy of the dermis and epidermis, which can
result in thinning
of the skin.
,A nurse is providing discharge teaching about infection control at home
for a client who has tuberculosis. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I will have to move out of my family's home until I am no longer
contagious."
B. "I will place my used tissues in a plastic bag."
C. "I will cover my mouth with my hands when I have to cough."
D. "I will not go in public areas until I am cured."
B. "I will place my used tissues in a plastic bag."
The sputum of a client who has tuberculosis is considered infectious until
there are three consecutive sputum samples that test negative for
Mycobacterium tuberculosis. Tissues that are soiled with the client's
sputum should be placed in a plastic bag and sealed to avoid spreading
the infection.
A nurse is teaching a client who is scheduled to receive radioactive iodine
therapy for treatment of hyperthyroidism. Which of the following
instructions should the nurse include in the teaching?
A. Remain 0.3 m (1 ft) away from children.
B. Limit the time spent around women who are pregnant to 10 min daily.
C. Use disposable utensils for meals.
,D. Use an absorbent pad if incontinent.
C. Use disposable utensils for meals.
The client who receives radioactive iodine has radioactivity in the body
fluids, including
saliva, for several weeks following treatment. The nurse should instruct
the client to use
disposable utensils, plates, and cups during this time period to decrease
the risk for
radiation exposure to other members of the household.
A nurse is providing preoperative teaching to a client who is scheduled for
a radical prostatectomy. Which of the following information should the
nurse include in the teaching?
A. The client will be on bed rest while continuous bladder irrigation is in
place.
B. Cold compresses will be used to manage bladder spasms.
C. The client will have an NG tube in place for 48 hr postoperatively.
D. A PCA pump will be used for postoperative pain control.
D. A PCA pump will be used for postoperative pain control.
, A PCA pump is a common method of pain management in the first 24 hr
following an open
radical prostatectomy. The nurse should teach the client how to manage
pain during the
preoperative period rather than waiting until after surgery when the client
is feeling the
sedative effects of the anesthesia and pain medication.
A nurse is assessing a client's ECG strip and notes an irregular heart rate
of 98/min with no clear P waves. Which of the following cardiac
dysrhythmias should the nurse document?
A. First-degree heart block
B. Atrial fibrillation
C. Complete heart block
D. Ventricular tachycardia
B. Atrial fibrillation
With atrial fibrillation, multiple rapid impulses from many different foci
cause
depolarization of the atria in a rapid, disorganized manner. This causes a
chaotic rhythm on
the ECG strip that has no clear P waves, no atrial contractions, and an
irregular rhythm.
