ATI RN MED SURG 2019
PROCTORED EXAM
1.
To reduce the risk of rebound hypoglycemia when discontinuing TPN, the nurse should:
✅ A. Discontinue TPN gradually
B. Stop the infusion immediately
C. Flush the line with normal saline
D. Administer IV insulin
2.
Which condition can occur if TPN is abruptly stopped?
✅ A. Hypoglycemia
B. Hyperglycemia
C. Constipation
D. Diarrhea
3.
Which test records the electrical activity of the heart over time?
✅ A. Electrocardiogram (ECG)
B. Echocardiogram
C. Stress test
D. Chest X-ray
4.
A patient expresses fear that an ECG might cause an electric shock. What is the correct
explanation by the nurse?
1
,✅ A. The ECG only records the heart’s electrical activity and does not deliver electricity.
B. The electrical current used is too weak to feel.
C. The shock lasts only a second.
D. The test uses mild electrical stimulation.
5.
To ensure safety and prevent electric shock during an ECG, the nurse should:
✅ A. Use insulated lead wires and cables.
B. Remove all metal jewelry.
C. Disconnect the ECG machine frequently.
D. Wear sterile gloves.
6.
The voltage of an electrocardiograph machine should be:
✅ A. Low enough to prevent discomfort.
B. High to ensure strong readings.
C. Adjusted according to heart rate.
D. Increased for older adults.
7.
What is another term for high blood pressure?
✅ A. Hypertension
B. Hypotension
C. Tachycardia
D. Bradycardia
8.
Which medication is commonly used to treat hypertension?
✅ A. Lisinopril
B. Metformin
C. Furosemide
D. Potassium chloride
2
, 9.
Which medication should the nurse instruct a patient taking lisinopril to consult the provider
about before using?
✅ A. Potassium chloride
B. Levothyroxine
C. Acetaminophen
D. Metformin
10.
Which diuretic is prescribed for pulmonary edema?
✅ A. Furosemide
B. Spironolactone
C. Hydrochlorothiazide
D. Mannitol
11.
Which finding indicates that furosemide is effective for pulmonary edema?
✅ A. Weight loss of 1.8 kg (4 lb) in 24 hours
B. Blood pressure increase
C. Respiratory rate of 24/min
D. Adventitious breath sounds
12.
A pericardial friction rub is best heard at which location?
✅ A. Erb’s Point (3rd intercostal space, left sternal border)
B. Apex of the heart
C. Aortic area
D. Mitral valve
13.
3
PROCTORED EXAM
1.
To reduce the risk of rebound hypoglycemia when discontinuing TPN, the nurse should:
✅ A. Discontinue TPN gradually
B. Stop the infusion immediately
C. Flush the line with normal saline
D. Administer IV insulin
2.
Which condition can occur if TPN is abruptly stopped?
✅ A. Hypoglycemia
B. Hyperglycemia
C. Constipation
D. Diarrhea
3.
Which test records the electrical activity of the heart over time?
✅ A. Electrocardiogram (ECG)
B. Echocardiogram
C. Stress test
D. Chest X-ray
4.
A patient expresses fear that an ECG might cause an electric shock. What is the correct
explanation by the nurse?
1
,✅ A. The ECG only records the heart’s electrical activity and does not deliver electricity.
B. The electrical current used is too weak to feel.
C. The shock lasts only a second.
D. The test uses mild electrical stimulation.
5.
To ensure safety and prevent electric shock during an ECG, the nurse should:
✅ A. Use insulated lead wires and cables.
B. Remove all metal jewelry.
C. Disconnect the ECG machine frequently.
D. Wear sterile gloves.
6.
The voltage of an electrocardiograph machine should be:
✅ A. Low enough to prevent discomfort.
B. High to ensure strong readings.
C. Adjusted according to heart rate.
D. Increased for older adults.
7.
What is another term for high blood pressure?
✅ A. Hypertension
B. Hypotension
C. Tachycardia
D. Bradycardia
8.
Which medication is commonly used to treat hypertension?
✅ A. Lisinopril
B. Metformin
C. Furosemide
D. Potassium chloride
2
, 9.
Which medication should the nurse instruct a patient taking lisinopril to consult the provider
about before using?
✅ A. Potassium chloride
B. Levothyroxine
C. Acetaminophen
D. Metformin
10.
Which diuretic is prescribed for pulmonary edema?
✅ A. Furosemide
B. Spironolactone
C. Hydrochlorothiazide
D. Mannitol
11.
Which finding indicates that furosemide is effective for pulmonary edema?
✅ A. Weight loss of 1.8 kg (4 lb) in 24 hours
B. Blood pressure increase
C. Respiratory rate of 24/min
D. Adventitious breath sounds
12.
A pericardial friction rub is best heard at which location?
✅ A. Erb’s Point (3rd intercostal space, left sternal border)
B. Apex of the heart
C. Aortic area
D. Mitral valve
13.
3
