ATI MEDICINE -SURGERY PROCTORED 2025
/MED-SURG ATI PROCTORED EXAM )
COMPLETE 70
QUESTIONS & ANSWERS WITH RATIONALE
GRADED A+
1. A nurse is collecting data from a patient who has heart failure and is
on digoxin. Which of thefollowing outcomes from the medication
should the nurse expect? ---MOST ACCURATE ANSWER---
a. Increased heart rate
b. Decreased urinary output
c. Decreased shortness of breath
d. Increased weight
- EXPLANATION:The nurse should expect the patient to have decreased
shortness of breath. Digoxin increases thecontractility of the heart, which
decreases pulmonary congestion.
2. A nurse is reinforcing teaching with a patient who has Systemic
Lupus Erthematosus (SLE) and is to begin taking mythylprednisolone
orally. Which of the following statements shouldthe nurse include in
the teaching? ---MOST ACCURATE ANSWER---
a. Limit contact with large groups of people.
b. Take medication on a empty stomach
c. Follow a low- protein diet
d. Avoid taking over the counter calcium supplements
,- EXPLANATION:Glucocorticoids cause immunosuppression and may
mask infection. The patient should limitcontact with sources of possible
infections, such as large groups of people.
3. A nurse is caring for a patient who is 24 hours postoperative following
abdominal surgeryand has an NG tube. Which of the following
actions should the nurse plan to take to decrease the risk of
postoperative complications? ---MOST ACCURATE ANSWER---
a. Place one or two pillows beneath the patients knee's while he is in bed.
b. Offer sips of water to the patient following oral care
c. Massage the patients lower extremities with lotion every 2 hours.
d. Encourage the patient to use an incentive spirometer every hour while
awake.
EXPLANATION:The nurse should assist the patient to use the incentive
spirometer in addition to coughing and deep breathing every hour while
awake for the first 24 hr postoperatively and at least every 2 hrwhile awake
thereafter. An incentive spirometer will inflate the patient's alveoli and
improve ventilation to prevent postoperative pneumonia.
4. A nurse is monitoring a patient who recently had a cast placed on his
lower extremity for abone fracture. Which of the following findings
should the nurse recognize as abnormal? ---MOST ACCURATE
ANSWER---
a. Report a dull, throbbing pain
b. Lack of sensation between the first and second toes.
c. Capillary refill of three seconds in the nails of the toes.
d. Extremities that are cool bilaterally
,- EXPLANATION:Lack of sensation between the toes indicates peripheral
, impairment and is an abnormalfinding that can indicate the patient
has compartment syndrome. The nurse should notify the provider
immediately.
5. A nurse is caring for a patient who has a history of breast cancer. The patient
asks the nurse about birth control. Which of the following methods of birth
control is contraindicated withthis patient? ---MOST ACCURATE
ANSWER---
a. Combination oral contraceptives
b. Intrauterine device
c. Latex condom
d. Contraceptive sponge
EXPLANATION:The nurse should identify that combination oral
contraceptives are contraindicated for this patientbecause they increase
estrogen levels, which can stimulate the growth of any remaining
cancerous breast cells.
/MED-SURG ATI PROCTORED EXAM )
COMPLETE 70
QUESTIONS & ANSWERS WITH RATIONALE
GRADED A+
1. A nurse is collecting data from a patient who has heart failure and is
on digoxin. Which of thefollowing outcomes from the medication
should the nurse expect? ---MOST ACCURATE ANSWER---
a. Increased heart rate
b. Decreased urinary output
c. Decreased shortness of breath
d. Increased weight
- EXPLANATION:The nurse should expect the patient to have decreased
shortness of breath. Digoxin increases thecontractility of the heart, which
decreases pulmonary congestion.
2. A nurse is reinforcing teaching with a patient who has Systemic
Lupus Erthematosus (SLE) and is to begin taking mythylprednisolone
orally. Which of the following statements shouldthe nurse include in
the teaching? ---MOST ACCURATE ANSWER---
a. Limit contact with large groups of people.
b. Take medication on a empty stomach
c. Follow a low- protein diet
d. Avoid taking over the counter calcium supplements
,- EXPLANATION:Glucocorticoids cause immunosuppression and may
mask infection. The patient should limitcontact with sources of possible
infections, such as large groups of people.
3. A nurse is caring for a patient who is 24 hours postoperative following
abdominal surgeryand has an NG tube. Which of the following
actions should the nurse plan to take to decrease the risk of
postoperative complications? ---MOST ACCURATE ANSWER---
a. Place one or two pillows beneath the patients knee's while he is in bed.
b. Offer sips of water to the patient following oral care
c. Massage the patients lower extremities with lotion every 2 hours.
d. Encourage the patient to use an incentive spirometer every hour while
awake.
EXPLANATION:The nurse should assist the patient to use the incentive
spirometer in addition to coughing and deep breathing every hour while
awake for the first 24 hr postoperatively and at least every 2 hrwhile awake
thereafter. An incentive spirometer will inflate the patient's alveoli and
improve ventilation to prevent postoperative pneumonia.
4. A nurse is monitoring a patient who recently had a cast placed on his
lower extremity for abone fracture. Which of the following findings
should the nurse recognize as abnormal? ---MOST ACCURATE
ANSWER---
a. Report a dull, throbbing pain
b. Lack of sensation between the first and second toes.
c. Capillary refill of three seconds in the nails of the toes.
d. Extremities that are cool bilaterally
,- EXPLANATION:Lack of sensation between the toes indicates peripheral
, impairment and is an abnormalfinding that can indicate the patient
has compartment syndrome. The nurse should notify the provider
immediately.
5. A nurse is caring for a patient who has a history of breast cancer. The patient
asks the nurse about birth control. Which of the following methods of birth
control is contraindicated withthis patient? ---MOST ACCURATE
ANSWER---
a. Combination oral contraceptives
b. Intrauterine device
c. Latex condom
d. Contraceptive sponge
EXPLANATION:The nurse should identify that combination oral
contraceptives are contraindicated for this patientbecause they increase
estrogen levels, which can stimulate the growth of any remaining
cancerous breast cells.
