ATI Med-Surg proctored Exam
QUESTIONS AND ANSWERS. GRADED A+
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following
instructions should the nurse include in the teaching?
Take temperature 1) once a day.
2) Wash the armpits and genitals with a gentle cleanser daily.
3) Change the litter boxes while wearing gloves. 4) Wash dishes in warm water.
A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious
secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions?
Provide humidified 1) oxygen.
2) Perform chest physiotherapy prior to suctioning.
3) Prelubricate the suction catheter tip with sterile saline when suctioning the airway. 4) Hyperventilate
the client with 100% oxygen before suctioning the airway..
Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports
difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote
the client's comfort?
1) Rub the client's feet briskly for several minutes.
2) Obtain a pair of slipper socks for the client .
3) Increase the client's oral fluid intake.
4) Place a moist heating pad under the client's feet.
A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate (TURP).
Which of the following is the priority finding for the nurse report to the provider?
1) Emesis of 100 mL
2) Oral temperature of 37.5° C (99.5° F)
3) Thick, red -colored urine
4) Pain level of 4 on a 0 to 10 rating scale
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a hypothermia
blanket. The nurse should monitor the client for which of the following adverse effects of the hypothermia blanket?
Shivering 1)
2) Infection
3) Burns
4) Hypervolemia
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following
statements by the client indicates an understanding of the teaching?
1) "I will carry a complex carbohydrate snack with me when I exercise."
2) "I should exercise first thing in the morning before eating breakfast."
3) "I should avoid injecting insulin into my thigh if I am going to go running."
4) " I will not exercise if my urine is positive for ketones."
,A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative.
After calling for assistance, which of the following actions should the nurse take first?
1) Cover the client's wound with a moist, sterile dressing.
2) Have the client lie supine with knees flexed.
3) Check the client's vital signs.
4) Inform the client about the need to return to surgery.
, nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic
acidosis. Which of the following manifestations should the nurse expect?
Cool, clammy skin.
) Hyperventilation
Increased blood pressure
Bradycardia
nurse is reinf orcing discharge teaching with a client following a cataract extraction. Which of the
llowing should the nurse include in the teaching?
Avoid bend ing at the waist.
Remove the eye shield at bedtime.
Limit the u se of laxatives if constipated.
Seeing flas hes of light is an expected finding following extraction.
nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client
fuses breakfa st and reports nausea. Which of the following actions should the nurse take first?
Suggest tha t the client rests before eating the meal.
Request a dietary consult. client's vital
Check the signs. order for an
Request an antiemetic.
nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse
spects the cli ent's wound is infected because the drainage from the dressing is yellow and thick.
hich of the fol lowing findings should the nurse report as the type of drainage found?
Sanguineo us
Serous
Serosangui neous
Purul ent
nurse is reinf orcing discharge teaching to a client following arthroscopic surgery. To prevent
stoperative c omplications which of the following actions should be reinforced during the teaching?
Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises.
Place the c lient’s affected leg into the CPM machine with the machine in the flexed
o sition.
Place the c lient into a high Fowler’s position when initiating the CPM exercises.
Align the j oints of the CPM machine with the knee gatch in the client’s bed.
nurse is colle cting data from a client who has emphysema. Which of the following findings should the
u rse expect? ( Select all that apply.)
Dyspnea
Barrel chest
Clubbing of the fingers
Shallow respirations
, Bradycardia
nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene
care, the nurse notices a thin stream of clear drainage coming from out of the client's right nostril.
Which of the following actions should the nurse take first?
Take the client's temperature.
Place a dressing under the client's nose.
Notify the charge nurse.
A
1)
2
3)
4)
A fo
1)
2)
3)
4)
A
re
1)
2)
3)
4)
A
su
W
1)
2)
3)
4)
A po
1)
2)
p
3)
4)
A
n
1)
2)
3) 4)
5)
QUESTIONS AND ANSWERS. GRADED A+
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following
instructions should the nurse include in the teaching?
Take temperature 1) once a day.
2) Wash the armpits and genitals with a gentle cleanser daily.
3) Change the litter boxes while wearing gloves. 4) Wash dishes in warm water.
A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious
secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions?
Provide humidified 1) oxygen.
2) Perform chest physiotherapy prior to suctioning.
3) Prelubricate the suction catheter tip with sterile saline when suctioning the airway. 4) Hyperventilate
the client with 100% oxygen before suctioning the airway..
Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports
difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote
the client's comfort?
1) Rub the client's feet briskly for several minutes.
2) Obtain a pair of slipper socks for the client .
3) Increase the client's oral fluid intake.
4) Place a moist heating pad under the client's feet.
A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate (TURP).
Which of the following is the priority finding for the nurse report to the provider?
1) Emesis of 100 mL
2) Oral temperature of 37.5° C (99.5° F)
3) Thick, red -colored urine
4) Pain level of 4 on a 0 to 10 rating scale
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a hypothermia
blanket. The nurse should monitor the client for which of the following adverse effects of the hypothermia blanket?
Shivering 1)
2) Infection
3) Burns
4) Hypervolemia
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following
statements by the client indicates an understanding of the teaching?
1) "I will carry a complex carbohydrate snack with me when I exercise."
2) "I should exercise first thing in the morning before eating breakfast."
3) "I should avoid injecting insulin into my thigh if I am going to go running."
4) " I will not exercise if my urine is positive for ketones."
,A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative.
After calling for assistance, which of the following actions should the nurse take first?
1) Cover the client's wound with a moist, sterile dressing.
2) Have the client lie supine with knees flexed.
3) Check the client's vital signs.
4) Inform the client about the need to return to surgery.
, nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic
acidosis. Which of the following manifestations should the nurse expect?
Cool, clammy skin.
) Hyperventilation
Increased blood pressure
Bradycardia
nurse is reinf orcing discharge teaching with a client following a cataract extraction. Which of the
llowing should the nurse include in the teaching?
Avoid bend ing at the waist.
Remove the eye shield at bedtime.
Limit the u se of laxatives if constipated.
Seeing flas hes of light is an expected finding following extraction.
nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client
fuses breakfa st and reports nausea. Which of the following actions should the nurse take first?
Suggest tha t the client rests before eating the meal.
Request a dietary consult. client's vital
Check the signs. order for an
Request an antiemetic.
nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse
spects the cli ent's wound is infected because the drainage from the dressing is yellow and thick.
hich of the fol lowing findings should the nurse report as the type of drainage found?
Sanguineo us
Serous
Serosangui neous
Purul ent
nurse is reinf orcing discharge teaching to a client following arthroscopic surgery. To prevent
stoperative c omplications which of the following actions should be reinforced during the teaching?
Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises.
Place the c lient’s affected leg into the CPM machine with the machine in the flexed
o sition.
Place the c lient into a high Fowler’s position when initiating the CPM exercises.
Align the j oints of the CPM machine with the knee gatch in the client’s bed.
nurse is colle cting data from a client who has emphysema. Which of the following findings should the
u rse expect? ( Select all that apply.)
Dyspnea
Barrel chest
Clubbing of the fingers
Shallow respirations
, Bradycardia
nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene
care, the nurse notices a thin stream of clear drainage coming from out of the client's right nostril.
Which of the following actions should the nurse take first?
Take the client's temperature.
Place a dressing under the client's nose.
Notify the charge nurse.
A
1)
2
3)
4)
A fo
1)
2)
3)
4)
A
re
1)
2)
3)
4)
A
su
W
1)
2)
3)
4)
A po
1)
2)
p
3)
4)
A
n
1)
2)
3) 4)
5)
