.
ATI MEDSURG PROCTORED FINAL EXAM 2023
GRADED +.WITH NGN
Med Surge Final Exam
1…. A nurse is reviewing the laboratory data of a client who has acute
pancreatitis. The nurse should expect to find an elevation of which of following
values? Amylase
Rational
Amylase is an enzyme that changes complex sugars into simple sugars that can be
used by the body. It is produced by the pancreas and salivary glands and released
into the mouth, stomach, and intestines to aid in digestion. The amylase level of
a client who has acute pancreatitis usually increases within 12 to 24 hr and can
remain elevated for 2 to 3 days.
2…. A nurse in a clinic is interviewing a client who has a possible diagnosis of
endometriosis. Which of the following findings in the client's history should the
nurse recognize as consistent with a diagnosis of endometriosis?
Dysmenorrhea that is unresponsive to NSAIDs.
Rational
Endometriosis is a condition in which the type of tissue that lines the uterus
implants in locations outside the uterus. This typically causes pelvic pain around
the time of the menstrual period but can cause pain at other times in the cycle.
The discomfort is often unrelieved by the use of NSAIDs.
3…. A rehabilitation nurse is caring for a client who has had a spinal cord injury
that resulted in paraplegia. After a week on the unit, the nurse notes that the
,.
client is withdrawn and increasingly resistant to rehabilitative efforts by the
staff.
Which of the following actions should the nurse take?
Establish a plan of care with the client that sets attainable goals.
Rational
The nurse should develop a plan of care for this client with mutually set goals. This
action invests the client in the rehabilitation process, which encourages feelings
of ownership for it, and sees the goals as more attainable
, .
4….A nurse in a burn treatment center is caring for a client who is admitted with
severe burns to both lower extremities and is scheduled for an escharotomy. The
client's spouse asks the nurse what the procedure entails. Which of the following
nursing statements is appropriate?
Large incisions will be made in the eschar to improve circulation.
Rational
A room with air exhaust directly to the outside environment eliminates
contamination of other client-care areas. This type of ventilation system
is referred to as an airborne infection isolation room.
12…A nurse is caring for a client who has Cushing's syndrome. Which of the
following interventions should the nurse expect to perform? (Select all that apply.)
Assess blood glucose level
Assess for neck vein distention
Incorrect. Monitor for an irregular heart rate Incorrect. Monitor for postural
hypotension Weigh the client daily
13…A nurse is teaching a client about risk factors for osteoporosis. Which of the
following factors should the nurse include in the teaching? (Select all that apply.)
Sedentary lifestyle
Incorrect. Obesity
Aging
Caffeine intake
Secondhand smoke
Sedentary lifestyle is correct. Immobility depletes bone.
Obesity is incorrect. Women who are obese have a greater capacity for storing
estrogen to help maintain acceptable levels of calcium.
Aging is correct. Women lose bone due to estrogen depletion after menopause.
Caffeine intake is correct. Excessive caffeine intake causes calcium loss in the
urine.
Secondhand smoke is correct. Smoking is a risk factor for osteoporosis, both active
and passive (secondhand) smoking.
, .
14…A nurse is caring for a client who has a history of exposure to TB and
symptoms of night sweats and hemoptysis. Which of the following tests should
the nurse realize is the most reliable to confirm the diagnosis of active pulmonary
TB?
Sputum culture for acid-fast bacillus
Rational
Although the Mantoux (skin test) and the chest x-ray may be useful screening
tools for TB, the presence of acid-fast bacillus noted in the client's sputum,
secretions, or tissues is the only method that can actually confirm the diagnosis.
15…A nurse is caring for a client who has emphysema. Which of the following
findings should the nurse expect to assess in this client? (Select all that apply.)
Dyspnea
Incorrect. Bradycardia
Barrel chest
Clubbing of the fingers
Incorrect. Deep respirations
Rational
Dyspnea is correct. Emphysema is a lung disease involving damage to the alveoli
in which they become weakened and collapse. Dyspnea is seen in clients with
emphysema as the lungs try to increase the amount of oxygen available to the
tissues.
Bradycardia is incorrect. With emphysema, the heart rate will increase as the
heart tries to compensate for less oxygen to the tissues.
Barrel chest is correct. Clients with emphysema lose lung elasticity; the
diaphragm becomes permanently flattened by hyperinflation of the lungs; the
muscles of the rib cage become rigid; and the ribs flare outward. This produces
the barrel chest typical of emphysema clients.
Clubbing of the fingers is correct. Clubbing results from chronic low arterial-
oxygen levels. The tips of the fingers enlarge and the nails become extremely
curved from front to back.
ATI MEDSURG PROCTORED FINAL EXAM 2023
GRADED +.WITH NGN
Med Surge Final Exam
1…. A nurse is reviewing the laboratory data of a client who has acute
pancreatitis. The nurse should expect to find an elevation of which of following
values? Amylase
Rational
Amylase is an enzyme that changes complex sugars into simple sugars that can be
used by the body. It is produced by the pancreas and salivary glands and released
into the mouth, stomach, and intestines to aid in digestion. The amylase level of
a client who has acute pancreatitis usually increases within 12 to 24 hr and can
remain elevated for 2 to 3 days.
2…. A nurse in a clinic is interviewing a client who has a possible diagnosis of
endometriosis. Which of the following findings in the client's history should the
nurse recognize as consistent with a diagnosis of endometriosis?
Dysmenorrhea that is unresponsive to NSAIDs.
Rational
Endometriosis is a condition in which the type of tissue that lines the uterus
implants in locations outside the uterus. This typically causes pelvic pain around
the time of the menstrual period but can cause pain at other times in the cycle.
The discomfort is often unrelieved by the use of NSAIDs.
3…. A rehabilitation nurse is caring for a client who has had a spinal cord injury
that resulted in paraplegia. After a week on the unit, the nurse notes that the
,.
client is withdrawn and increasingly resistant to rehabilitative efforts by the
staff.
Which of the following actions should the nurse take?
Establish a plan of care with the client that sets attainable goals.
Rational
The nurse should develop a plan of care for this client with mutually set goals. This
action invests the client in the rehabilitation process, which encourages feelings
of ownership for it, and sees the goals as more attainable
, .
4….A nurse in a burn treatment center is caring for a client who is admitted with
severe burns to both lower extremities and is scheduled for an escharotomy. The
client's spouse asks the nurse what the procedure entails. Which of the following
nursing statements is appropriate?
Large incisions will be made in the eschar to improve circulation.
Rational
A room with air exhaust directly to the outside environment eliminates
contamination of other client-care areas. This type of ventilation system
is referred to as an airborne infection isolation room.
12…A nurse is caring for a client who has Cushing's syndrome. Which of the
following interventions should the nurse expect to perform? (Select all that apply.)
Assess blood glucose level
Assess for neck vein distention
Incorrect. Monitor for an irregular heart rate Incorrect. Monitor for postural
hypotension Weigh the client daily
13…A nurse is teaching a client about risk factors for osteoporosis. Which of the
following factors should the nurse include in the teaching? (Select all that apply.)
Sedentary lifestyle
Incorrect. Obesity
Aging
Caffeine intake
Secondhand smoke
Sedentary lifestyle is correct. Immobility depletes bone.
Obesity is incorrect. Women who are obese have a greater capacity for storing
estrogen to help maintain acceptable levels of calcium.
Aging is correct. Women lose bone due to estrogen depletion after menopause.
Caffeine intake is correct. Excessive caffeine intake causes calcium loss in the
urine.
Secondhand smoke is correct. Smoking is a risk factor for osteoporosis, both active
and passive (secondhand) smoking.
, .
14…A nurse is caring for a client who has a history of exposure to TB and
symptoms of night sweats and hemoptysis. Which of the following tests should
the nurse realize is the most reliable to confirm the diagnosis of active pulmonary
TB?
Sputum culture for acid-fast bacillus
Rational
Although the Mantoux (skin test) and the chest x-ray may be useful screening
tools for TB, the presence of acid-fast bacillus noted in the client's sputum,
secretions, or tissues is the only method that can actually confirm the diagnosis.
15…A nurse is caring for a client who has emphysema. Which of the following
findings should the nurse expect to assess in this client? (Select all that apply.)
Dyspnea
Incorrect. Bradycardia
Barrel chest
Clubbing of the fingers
Incorrect. Deep respirations
Rational
Dyspnea is correct. Emphysema is a lung disease involving damage to the alveoli
in which they become weakened and collapse. Dyspnea is seen in clients with
emphysema as the lungs try to increase the amount of oxygen available to the
tissues.
Bradycardia is incorrect. With emphysema, the heart rate will increase as the
heart tries to compensate for less oxygen to the tissues.
Barrel chest is correct. Clients with emphysema lose lung elasticity; the
diaphragm becomes permanently flattened by hyperinflation of the lungs; the
muscles of the rib cage become rigid; and the ribs flare outward. This produces
the barrel chest typical of emphysema clients.
Clubbing of the fingers is correct. Clubbing results from chronic low arterial-
oxygen levels. The tips of the fingers enlarge and the nails become extremely
curved from front to back.
