1
Med surg- proctored ATI Questions and
Correct Answers
An older adult is brought to an emergency department by a family member.
Which of the following assessment findings should cause the nurse to suspect
that the client has hypertonic dehydration?
Ans✅✅: Urine Specific gravity 1.045
A urine specific gravity greater than 1.030 indicates a decrease in urine
volume and an increase in osmolarity, which is a manifestation of
hypertonic dehydration.
A nurse in a community clinic is caring for a client who reports an increase in
the frequency of migraine headaches. To help reduce the risk for migraine
headaches, which of the following foods should the nurse recommend the client
avoid?
Ans✅✅: Aged cheese
Foods that contain tyramine, such as aged cheese and sausage, can trigger
migraine headaches.
A nurse is planning teaching for a client who has bladder cancer and is to
undergo a cutaneous diversion procedure to establish a ureterostomy. Which of
the following statements should the nurse include in the teaching?
Ans✅✅: "You should cut the opening of the skin barrier one-eight inch
wider than the stoma."
The client should cut the opening of the skin barrier 0.3 cm (1/8in)
wider than the stoma to minimize irritation of the skin from exposure to
urine.
Pretest - Stuvia US
,2
A nurse is providing teaching to a client who has hypothyroidism and is
receiving levothyroxine. The nurse should instruct the client that which of the
following supplements can interfere with the effectiveness of the medication?
Ans✅✅: Calcium
Calcium limits the development of osteoporosis in clients who are
postmenopausal and works as an antacid. Calcium supplements can interfere
with the metabolism of a number of medications, including levothyroxine.
The nurse should instruct the client to avoid taking calcium within 4 hr
of levothyroxine administration.
A nurse is conducting an admission history for a client who is to undergo a CT
scan with an IV contrast agent. The nurse should identify that which of the
following findings requires further assessment?
Ans✅✅: History of asthma
A client who has a history of asthma has a greater risk of reacting to
the contrast dye used during the procedure. Other conditions that can
result in a reaction to contrast media include allergies to foods, such
as shellfish, eggs, milk, and chocolate.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which
of the following findings should the nurse identify as a component of Cushing's
triad?
Ans✅✅: Bradycardia
A client who has increased intracranial pressure from a traumatic brain
injury can develop bradycardia, which is one component of Cushing's
triad. The other components of Cushing's triad are severe hypertension
and a widened pulse pressure.
A nurse is planning to irrigate and dress a clean, granulating wound for a client
who has a pressure injury. Which of the following actions should the nurse
take?
Pretest - Stuvia US
,3
Ans✅✅: Use a 30-mL syringe
The nurse should use a 30-mL to 60-mL syringe with an 18- or 19- gauge
catheter to deliver the ideal pressure of 8 pounds per square inch (psi)
when irrigating a wound. To maintain healthy granulation tissue, the
wound irrigation should be delivered at between 4 and 15 psi.
A nurse in an emergency department is reviewing the provider's prescriptions
for a client who sustained a rattlesnake bite to the lower leg. Which of the
following prescriptions should the expect?
Ans✅✅: Administer an opioid analgesic to the client.
The nurse should expect a prescription for an opioid analgesic to promote
comfort following a rattlesnake bite.
A nurse is reviewing the health record of a client who is scheduled for allergy
skin testing. The nurse should postpone the testing and report to the provider
which of the following findings? (Click on the "Exhibit" button for additional
information about the client).
Ans✅✅: Current medications
The nurse should review the client's medication record and identify
medications, including ACE inhibitors, beta blockers, theophylline,
nifedipine, and glucocorticoids, such as prednisone, that can alter the
allergy skin test results. These medications can diminish the client's
reaction to the allergens. The nurse should notify the provider and
instruct the client to discontinue prednisone for 2 weeks before allergy
skin testing.
A nurse is a caring for a client who is on bed rest and has a new prescription
for enoxaparin subcutaneous. Which of the following actions should the nurse
take?
Pretest - Stuvia US
, 4
Ans✅✅: Inject the medication into the anterolateral abdominal wall.
The nurse should inject the medication into the anterolateral or
posterolateral abdominal wall to enhance medication absorption and
prevent hematoma formation.
A nurse is caring for a client who has a stage III pressure injury. Which if the
following findings contribute to delayed wound healing?
Ans✅✅: Urine output 25 mL/hr
Urinary output reflects fluid status. Inadequate urine output can
indicate dehydration, which can delay wound healing.
A nurse is caring for a client who has a new prescription for total parenteral
nutrition (TPN). The client is to receive 2,000 kcal per day. The TPN solution
has 500kcal/L. The IV pump should be set at how many mL/hr? (Rounding to
the nearest whole number.)
Ans✅✅: 167 mL/hr
A nurse is teaching a client who has a family history of colorectal cancer. To
help mitigate this risk, which of the following dietary alterations should the
nurse recommend?
Ans✅✅: Add cabbage to the diet.
To help reduce the risk for colorectal cancer, the client should consume
a diet that is high in fiber, low in fat, and low in refined
carbohydrates. Brassica vegetables such as cabbage, cauliflower, and
broccoli, are high in fiber.
A nurse is caring for a client who has a prescription for silver sulfadiazine
cream to be applied to her burn wounds. The nurse should evaluate the client
for which of the following laboratory findings?
Pretest - Stuvia US
Med surg- proctored ATI Questions and
Correct Answers
An older adult is brought to an emergency department by a family member.
Which of the following assessment findings should cause the nurse to suspect
that the client has hypertonic dehydration?
Ans✅✅: Urine Specific gravity 1.045
A urine specific gravity greater than 1.030 indicates a decrease in urine
volume and an increase in osmolarity, which is a manifestation of
hypertonic dehydration.
A nurse in a community clinic is caring for a client who reports an increase in
the frequency of migraine headaches. To help reduce the risk for migraine
headaches, which of the following foods should the nurse recommend the client
avoid?
Ans✅✅: Aged cheese
Foods that contain tyramine, such as aged cheese and sausage, can trigger
migraine headaches.
A nurse is planning teaching for a client who has bladder cancer and is to
undergo a cutaneous diversion procedure to establish a ureterostomy. Which of
the following statements should the nurse include in the teaching?
Ans✅✅: "You should cut the opening of the skin barrier one-eight inch
wider than the stoma."
The client should cut the opening of the skin barrier 0.3 cm (1/8in)
wider than the stoma to minimize irritation of the skin from exposure to
urine.
Pretest - Stuvia US
,2
A nurse is providing teaching to a client who has hypothyroidism and is
receiving levothyroxine. The nurse should instruct the client that which of the
following supplements can interfere with the effectiveness of the medication?
Ans✅✅: Calcium
Calcium limits the development of osteoporosis in clients who are
postmenopausal and works as an antacid. Calcium supplements can interfere
with the metabolism of a number of medications, including levothyroxine.
The nurse should instruct the client to avoid taking calcium within 4 hr
of levothyroxine administration.
A nurse is conducting an admission history for a client who is to undergo a CT
scan with an IV contrast agent. The nurse should identify that which of the
following findings requires further assessment?
Ans✅✅: History of asthma
A client who has a history of asthma has a greater risk of reacting to
the contrast dye used during the procedure. Other conditions that can
result in a reaction to contrast media include allergies to foods, such
as shellfish, eggs, milk, and chocolate.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which
of the following findings should the nurse identify as a component of Cushing's
triad?
Ans✅✅: Bradycardia
A client who has increased intracranial pressure from a traumatic brain
injury can develop bradycardia, which is one component of Cushing's
triad. The other components of Cushing's triad are severe hypertension
and a widened pulse pressure.
A nurse is planning to irrigate and dress a clean, granulating wound for a client
who has a pressure injury. Which of the following actions should the nurse
take?
Pretest - Stuvia US
,3
Ans✅✅: Use a 30-mL syringe
The nurse should use a 30-mL to 60-mL syringe with an 18- or 19- gauge
catheter to deliver the ideal pressure of 8 pounds per square inch (psi)
when irrigating a wound. To maintain healthy granulation tissue, the
wound irrigation should be delivered at between 4 and 15 psi.
A nurse in an emergency department is reviewing the provider's prescriptions
for a client who sustained a rattlesnake bite to the lower leg. Which of the
following prescriptions should the expect?
Ans✅✅: Administer an opioid analgesic to the client.
The nurse should expect a prescription for an opioid analgesic to promote
comfort following a rattlesnake bite.
A nurse is reviewing the health record of a client who is scheduled for allergy
skin testing. The nurse should postpone the testing and report to the provider
which of the following findings? (Click on the "Exhibit" button for additional
information about the client).
Ans✅✅: Current medications
The nurse should review the client's medication record and identify
medications, including ACE inhibitors, beta blockers, theophylline,
nifedipine, and glucocorticoids, such as prednisone, that can alter the
allergy skin test results. These medications can diminish the client's
reaction to the allergens. The nurse should notify the provider and
instruct the client to discontinue prednisone for 2 weeks before allergy
skin testing.
A nurse is a caring for a client who is on bed rest and has a new prescription
for enoxaparin subcutaneous. Which of the following actions should the nurse
take?
Pretest - Stuvia US
, 4
Ans✅✅: Inject the medication into the anterolateral abdominal wall.
The nurse should inject the medication into the anterolateral or
posterolateral abdominal wall to enhance medication absorption and
prevent hematoma formation.
A nurse is caring for a client who has a stage III pressure injury. Which if the
following findings contribute to delayed wound healing?
Ans✅✅: Urine output 25 mL/hr
Urinary output reflects fluid status. Inadequate urine output can
indicate dehydration, which can delay wound healing.
A nurse is caring for a client who has a new prescription for total parenteral
nutrition (TPN). The client is to receive 2,000 kcal per day. The TPN solution
has 500kcal/L. The IV pump should be set at how many mL/hr? (Rounding to
the nearest whole number.)
Ans✅✅: 167 mL/hr
A nurse is teaching a client who has a family history of colorectal cancer. To
help mitigate this risk, which of the following dietary alterations should the
nurse recommend?
Ans✅✅: Add cabbage to the diet.
To help reduce the risk for colorectal cancer, the client should consume
a diet that is high in fiber, low in fat, and low in refined
carbohydrates. Brassica vegetables such as cabbage, cauliflower, and
broccoli, are high in fiber.
A nurse is caring for a client who has a prescription for silver sulfadiazine
cream to be applied to her burn wounds. The nurse should evaluate the client
for which of the following laboratory findings?
Pretest - Stuvia US
