ATI MED SURG\\ATI PN ADULT
MEDICALSURGICAL PROCTORED EXAM WITH
NGN REAL EXAM!!!
1 A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg
fiberglass cast. Which of the following findings should the nurse expect? ANSWERIntense pain with
movement
2 A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the following
manifestations indicates a hemolytic transfusion reaction? ANSWERChills
3 A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions
should the nurse take to prevent hip dislocation? ANSWERPlace two bed pillows between the legs
when in bed
,4 A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse
should recognize that the client is at risk for an allergic cross-reactivity to which of the following
substances -
ANS✔✔--Latex
5 A nurse is teaching a client about the use of an incentive spirometer. Which of the following
instructions should the nurse include in the teaching? ANSWERExhale slowly through pursed lips 6 A
nurse is caring for a client who arrives at the emergency department and reports vomiting and diarrhea
for the past 3 days. The client's serum potassium level is 2.8mEq/L. Which of the following interventions
should the nurse implement first? ANSWERInitiate cardiac monitoring for the clients
7 A nurse is preparing to administer peritoneal dialysis to a client. Which of the following actions
should the nurse take? ANSWERHang the drainage bag below the client's abdomen
8 A nurse is preforming a cranial nerve assessment on a client following a head injury. Which of
the following findings should the nurse expect if the client has impaired function of the
vestibulocochlear nerve (cranial nerve VIII)? ANSWERDisequilibrium with movement
9 A nurse is planning care for a client who is one day postoperative Following an open
cholecystectomy. Which of the following interventions should the nurse include in the plan of care?
ANSWERapply compression stockings to the lower extremities
10 A nurse is caring for a male client who has an exacerbation of heart failure. Which of the
following prescriptions should the nurse expect to receive from the provider? (click on the "exhibit"
button for additional information about the client. There are 3 tabs that contain separate categories of
data.) ANSWERAtropine 1mg IV bolus every 5 min up to 3mg
, 11 A nurse is providing a discharge teaching to a client following a modified left radical mastectomy
with breast expander. Which of the following statements by the client indicates an understanding of the
teaching? ANSWER" I should expect less than 25 mL of secretions per day in the drainage devices"
12 A nurse is teaching a client about using a metered-dose rescue inhaler. Which of the following
statements should the nurse include I the first teaching? ANSWER"Exhale Fully before bringing the
inhaler to your lips "
13 A nurse is caring for a client who has been receiving total parental nutrition (TPN) for 1 week.
For which of the following findings should the nurse notify the provider? ANSWERCalcium level 11.5
mg/dL
14 A nurse is preparing to discharge a client who has a halo device and is reviewing new
prescriptions from the provider. The nurse should clarify which of the following prescriptions with the
provider? ANSWERMay operate a motor vehicle when no longer taking analgesics
A nurse is setting up a sterile field before preforming a dressing change on a client who is postoperative.
Which of the following actions should the nurse plan to take to maintain the sterile field? (Select all that
apply) ANSWER-Grasp 2.5cm (1 in) of the outer edge to open the surgical wrap.
-Open the first flap of the sterile package toward the nurse's body.
-Place a surgical pack with a sterile drape on the work surface.
16 A nurse is an emergency department is preparing a client for emergency surgery. The clients
blood alcohol level is 180mg/dL. Which of the following actions is the nurse's priority? ANSWERApply
antiembolic stoking's
MEDICALSURGICAL PROCTORED EXAM WITH
NGN REAL EXAM!!!
1 A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg
fiberglass cast. Which of the following findings should the nurse expect? ANSWERIntense pain with
movement
2 A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the following
manifestations indicates a hemolytic transfusion reaction? ANSWERChills
3 A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions
should the nurse take to prevent hip dislocation? ANSWERPlace two bed pillows between the legs
when in bed
,4 A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse
should recognize that the client is at risk for an allergic cross-reactivity to which of the following
substances -
ANS✔✔--Latex
5 A nurse is teaching a client about the use of an incentive spirometer. Which of the following
instructions should the nurse include in the teaching? ANSWERExhale slowly through pursed lips 6 A
nurse is caring for a client who arrives at the emergency department and reports vomiting and diarrhea
for the past 3 days. The client's serum potassium level is 2.8mEq/L. Which of the following interventions
should the nurse implement first? ANSWERInitiate cardiac monitoring for the clients
7 A nurse is preparing to administer peritoneal dialysis to a client. Which of the following actions
should the nurse take? ANSWERHang the drainage bag below the client's abdomen
8 A nurse is preforming a cranial nerve assessment on a client following a head injury. Which of
the following findings should the nurse expect if the client has impaired function of the
vestibulocochlear nerve (cranial nerve VIII)? ANSWERDisequilibrium with movement
9 A nurse is planning care for a client who is one day postoperative Following an open
cholecystectomy. Which of the following interventions should the nurse include in the plan of care?
ANSWERapply compression stockings to the lower extremities
10 A nurse is caring for a male client who has an exacerbation of heart failure. Which of the
following prescriptions should the nurse expect to receive from the provider? (click on the "exhibit"
button for additional information about the client. There are 3 tabs that contain separate categories of
data.) ANSWERAtropine 1mg IV bolus every 5 min up to 3mg
, 11 A nurse is providing a discharge teaching to a client following a modified left radical mastectomy
with breast expander. Which of the following statements by the client indicates an understanding of the
teaching? ANSWER" I should expect less than 25 mL of secretions per day in the drainage devices"
12 A nurse is teaching a client about using a metered-dose rescue inhaler. Which of the following
statements should the nurse include I the first teaching? ANSWER"Exhale Fully before bringing the
inhaler to your lips "
13 A nurse is caring for a client who has been receiving total parental nutrition (TPN) for 1 week.
For which of the following findings should the nurse notify the provider? ANSWERCalcium level 11.5
mg/dL
14 A nurse is preparing to discharge a client who has a halo device and is reviewing new
prescriptions from the provider. The nurse should clarify which of the following prescriptions with the
provider? ANSWERMay operate a motor vehicle when no longer taking analgesics
A nurse is setting up a sterile field before preforming a dressing change on a client who is postoperative.
Which of the following actions should the nurse plan to take to maintain the sterile field? (Select all that
apply) ANSWER-Grasp 2.5cm (1 in) of the outer edge to open the surgical wrap.
-Open the first flap of the sterile package toward the nurse's body.
-Place a surgical pack with a sterile drape on the work surface.
16 A nurse is an emergency department is preparing a client for emergency surgery. The clients
blood alcohol level is 180mg/dL. Which of the following actions is the nurse's priority? ANSWERApply
antiembolic stoking's
