ATI Med Surg Proctored Exam Practice |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Qs exam with correct answers |||\\\ |||\\\ |||\\\ |||\\\
A nurse is caring for a client who experienced a traumatic head injury and has an
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
intraventricular catheter (Ventriculostomy) for ICP monitoring. The nurse should monitor the |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
client for which of the following complications related to the ventriculostomy?:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. Headache
|||\\\
b. Infection
|||\\\
c. Aphasia
|||\\\
d. Hypertension - correct answer✔✔b. Infection
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Monitor for infection and use strict asepsis to avoid life-threatening meningitis.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A nurse is providing education to a client who is to undergo an EEG the next day. Which of the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
following info should the nurse include in the teaching? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. "Do not wash your hair the morning of the procedure."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. "Try and stay awake most of the night prior to the procedure."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. "The procedure will take approximately 15 mins."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. "You will need to lie flat for 4 hours after the procedure." - correct answer✔✔b. "Try and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
stay awake most of the night prior to the procedure."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Tell the client to remain awake to provide cranial stress and increase the possibility of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
abnormal electrical activity |||\\\ |||\\\
,A nurse is caring for a client who is postprocedural following a lumbar puncture and reports a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
throbbing headache when sitting upright. Which of the following actions should the nurse
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
take? SATA. |||\\\
a. Use the GCS scale to assess the client
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Assist the client into a supine position
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. Administer an opioid analgesic
|||\\\ |||\\\ |||\\\ |||\\\
d. Encourage the client to increase PO fluid intake
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
e. Instruct the client to perform coughing and deep breathing - correct answer✔✔B, D
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A nurse is caring for a client who has continuous bladder irrigation following a transurethral
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
resection of the prostate (TURP). Which of the following findings should the nurse report to the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
provider?
|||\\\
a Output equal to the instilled irrigate
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Client reports bladder spasms
|||\\\ |||\\\ |||\\\ |||\\\
c. Viscous urinary output with clots
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. Reports of strong urge to urinate - correct answer✔✔c. Viscous urinary output with clots
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Urine that is bright red with clots is an indication of arterial bleeding.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A nurse is monitoring the ECG of a client who has hypocalcemia. Which of the following
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
findings should the nurse expect? |||\\\ |||\\\ |||\\\ |||\\\
a. Flattened T waves
|||\\\ |||\\\ |||\\\
b. Prolonged QT intervals
|||\\\ |||\\\ |||\\\
c. Shortened QT intervals
|||\\\ |||\\\ |||\\\
d Widened QRS complexes - correct answer✔✔b. Prolonged QT intervals
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, Manifestations of hypocalcemia include tingling, numbness, tetany, seizures, prolonged QT |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
intervals, and laryngospasm. |||\\\ |||\\\
A nurse is preparing a client who has a brain tumor for a CT scan. Which of the following
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
factors affects the manner in which the nurse will prepare the client for the scan?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. No food or fluids consumed for 4 hours
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Difficulty recalling recent events
|||\\\ |||\\\ |||\\\ |||\\\
c. Development of hives while eating shrimp
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. Paresthesia in both hands - correct answer✔✔c. Development of hives while eating shrimp
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Shellfish allergy is contraindication of use of contrast media during a CT scan.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A nurse is preparing an in-service program about the stages of acute kidney injury. Which of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the following pieces of info should the nurse include about prerenal azotemia?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. Prerenal azotemia begins prior to the onset of symptoms
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Interference with renal perfusion causes renal azotemia
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. Prerenal azotemia is irreversible, even in early stages
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. Infections and tumors cause prerenal azotemia - correct answer✔✔b. Interference with
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
renal perfusion causes prerenal azotemia.
|||\\\ |||\\\ |||\\\ |||\\\
Prerenal = interference with renal perfusion, such as from heart failure or hypovolemic shock.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A nurse is teaching a client who has CAD about the difference between angina pectoris and MI.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Which of the following should the nurse identify as indications of MI? SATA.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. N/V |||\\\
b. Diaphoresis and dizziness
|||\\\ |||\\\ |||\\\
c. Chest and left arm pain that subsides with rest
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Qs exam with correct answers |||\\\ |||\\\ |||\\\ |||\\\
A nurse is caring for a client who experienced a traumatic head injury and has an
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
intraventricular catheter (Ventriculostomy) for ICP monitoring. The nurse should monitor the |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
client for which of the following complications related to the ventriculostomy?:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. Headache
|||\\\
b. Infection
|||\\\
c. Aphasia
|||\\\
d. Hypertension - correct answer✔✔b. Infection
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Monitor for infection and use strict asepsis to avoid life-threatening meningitis.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A nurse is providing education to a client who is to undergo an EEG the next day. Which of the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
following info should the nurse include in the teaching? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. "Do not wash your hair the morning of the procedure."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. "Try and stay awake most of the night prior to the procedure."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. "The procedure will take approximately 15 mins."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. "You will need to lie flat for 4 hours after the procedure." - correct answer✔✔b. "Try and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
stay awake most of the night prior to the procedure."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Tell the client to remain awake to provide cranial stress and increase the possibility of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
abnormal electrical activity |||\\\ |||\\\
,A nurse is caring for a client who is postprocedural following a lumbar puncture and reports a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
throbbing headache when sitting upright. Which of the following actions should the nurse
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
take? SATA. |||\\\
a. Use the GCS scale to assess the client
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Assist the client into a supine position
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. Administer an opioid analgesic
|||\\\ |||\\\ |||\\\ |||\\\
d. Encourage the client to increase PO fluid intake
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
e. Instruct the client to perform coughing and deep breathing - correct answer✔✔B, D
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A nurse is caring for a client who has continuous bladder irrigation following a transurethral
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
resection of the prostate (TURP). Which of the following findings should the nurse report to the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
provider?
|||\\\
a Output equal to the instilled irrigate
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Client reports bladder spasms
|||\\\ |||\\\ |||\\\ |||\\\
c. Viscous urinary output with clots
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. Reports of strong urge to urinate - correct answer✔✔c. Viscous urinary output with clots
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Urine that is bright red with clots is an indication of arterial bleeding.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A nurse is monitoring the ECG of a client who has hypocalcemia. Which of the following
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
findings should the nurse expect? |||\\\ |||\\\ |||\\\ |||\\\
a. Flattened T waves
|||\\\ |||\\\ |||\\\
b. Prolonged QT intervals
|||\\\ |||\\\ |||\\\
c. Shortened QT intervals
|||\\\ |||\\\ |||\\\
d Widened QRS complexes - correct answer✔✔b. Prolonged QT intervals
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, Manifestations of hypocalcemia include tingling, numbness, tetany, seizures, prolonged QT |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
intervals, and laryngospasm. |||\\\ |||\\\
A nurse is preparing a client who has a brain tumor for a CT scan. Which of the following
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
factors affects the manner in which the nurse will prepare the client for the scan?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. No food or fluids consumed for 4 hours
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Difficulty recalling recent events
|||\\\ |||\\\ |||\\\ |||\\\
c. Development of hives while eating shrimp
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. Paresthesia in both hands - correct answer✔✔c. Development of hives while eating shrimp
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Shellfish allergy is contraindication of use of contrast media during a CT scan.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A nurse is preparing an in-service program about the stages of acute kidney injury. Which of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the following pieces of info should the nurse include about prerenal azotemia?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. Prerenal azotemia begins prior to the onset of symptoms
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. Interference with renal perfusion causes renal azotemia
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. Prerenal azotemia is irreversible, even in early stages
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
d. Infections and tumors cause prerenal azotemia - correct answer✔✔b. Interference with
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
renal perfusion causes prerenal azotemia.
|||\\\ |||\\\ |||\\\ |||\\\
Prerenal = interference with renal perfusion, such as from heart failure or hypovolemic shock.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A nurse is teaching a client who has CAD about the difference between angina pectoris and MI.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Which of the following should the nurse identify as indications of MI? SATA.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. N/V |||\\\
b. Diaphoresis and dizziness
|||\\\ |||\\\ |||\\\
c. Chest and left arm pain that subsides with rest
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
