Proctored Exam
TEST BANK 1 ATI PN Medical Surgical
Proctored Exam Newest /ATI PN Medical
Surgical Proctored Preparation /ATI PN
Medical Surgical Proctored Practice
Exam VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS
(RATIONALES) |ALREADY GRADED A+
A nurse in an emergency department is assessing a client who sustained a fall off of a roof. Which of
the following findings should the nurse identify as an indication of a basilar skull fracture?
A. Depressed fracture of the forehead
B. Clear fluid coming from the nares
C. Motor loss on one side of the body
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, TEST BANK ATI PN Medical Surgical
Proctored Exam
D. Bleeding from the top of the scalp –
Correct Answer :B. Clear fluid coming from the nares
Cerebrospinal fluid manifests as a clear fluid coming from the nares or ears, indicating a basilar skull
fracture.
A nurse is caring for a client who has diabetes insipidus. For which of the following findings should
the nurse monitor?
A. Proteinuria
B. Oliguria
C. Polyuria
D. Glycosuria –
Correct Answer :C. Polyuria
A client is being discharged home with oxygen therapy delivered through a nasal cannula. Which of
the following instructions should the nurse provide to the client and family members?
A. Use battery-operated equipment for personal care.
B. Apply mineral oil to protect the facial skin from irritation.
C. Remove the television set from the client's bedroom.
D. Wear cotton clothing to avoid static electricity. –
Correct Answer :D. Wear cotton clothing to avoid static electricity.
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, TEST BANK ATI PN Medical Surgical
Proctored Exam
The use of cotton clothing will limit the buildup of static electricity. Oxygen is a highly combustible
gas. The use of oxygen in high concentrations has great combustion potential and readily fuels fire.
Although it will not spontaneously burn or cause an explosion, it can easily cause a fire in a client's
room if it contacts a spark.
A nurse is monitoring a newly licensed nurse who is caring for a client. The client has active
pulmonary tuberculosis, was placed on airborne precautions, and is scheduled for a chest X-ray. The
nurse should instruct the newly licensed nurse to take which of the following actions?
A. Have the client wear a surgical mask.
B. Wear a gown for protection from the client's infection.
C. Ask the radiology staff to perform a portable chest X-ray in the client's room.
D. Place an N-95 respirator on the client. –
Correct Answer :A. Have the client wear a surgical mask.
A nurse is assessing a client who has cholecystitis. Which of the following findings should the nurse
expect?
A. Blumberg's sign
B. Ascites
C. Gastrointestinal bleeding
D. Kehr's sign –
Correct Answer :A. Blumberg's sign
The nurse should expect to find rebound tenderness (Blumberg's sign) in a client who has
cholecystitis. This response can be an indication of peritoneal inflammation.
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Proctored Exam
:B. The nurse should expect to find ascites in a client who has chronic pancreatitis or pancreatic
cancer.
C. The nurse should expect to find gastrointestinal bleeding in a client who has pancreatic cancer.
D. The nurse should expect to find a positive Kehr's sign in a client who has liver trauma.
A nurse is implementing cold therapy for a client who has an ankle sprain. Which of the following
actions should the nurse take?
A. Apply a cold pack to the edematous area
B. Check capillary refill before applying an ice pack to the affected area
C. Half-fill an ice pack with crushed ice
D. Apply an ice pack for 60 min intervals –
Correct Answer :B. Check capillary refill before applying an ice pack to the affected area
The nurse should check the affected area for adequate circulation by assessing pulses and capillary
refill because a cold pack applied to an area of impaired circulation can further decrease the blood
supply to the area.
A nurse is caring for a client following a stroke. Which of the following actions should the nurse take
first?
A. Obtain coagulation laboratory studies from the client
B. Apply pneumatic compression boots to the client
C. Request a referral for a speech-language pathologist
D. Keep the client NPO - Correct Answer :D. Keep the client NPO
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