MED SURG ATI PROCTORED EXAM
(SENT) QUESTIONS AND ANSWERS
Atnursetintantemergencytdepartmenttistpreparingttotperformtantoculartirrigationtfortatclient.t
Whichtoftthetfollowingtactionstshouldtthetnursetplanttottake?
a.tAssesstthetclient'stvisualtacuitytpriorttotirrigation
b.tHavetthetclienttturnttheirtheadttowardtthetunaffectedteye
c.tHoldtthetirrigatortsyringet3.81tcmt(1.5tin)tabovettheteye
d.tPerformtthetirrigationtwithtsteriletwatertfortirrigationt-
tans✔✔d.tPerformtthetirrigationtwithtsteriletwatertfortirrigation
Atnursetistpreparingttotadministertlactatedtringer'stviatcontinuoustIVtinfusiontatt200tml/hr.tT
hetIVttubingthastatdroptfactortoft10tdrops/ml.tHowtmanytgtt/mintshouldtthetnursetsettthetIVtp
umpttotadminister?tRoundttotneartwholetnumbert-tans✔✔33tgtt/min
Atnursetistprovidingtdischargetteachingttotatclienttwhothastatnewtprescriptiontfortsublingualt
nitroglycerin.tWhichtoftthetfollowingtclienttstatementstindicatestantunderstandingtoftthetteac
hing?
a.tItcantkeeptmytmedicationstfort1tyeartbeforetreplacingtit
b.tItshouldtlietdowntwhentIttaketthistmedication
c.tItshouldtdiscontinuetthistmedicationtiftItdeveloptatheadache
d.tItcanttaketupttotfivettabletstint15tminutestbeforetseekingtmedicaltattentiont-
tans✔✔b.tItshouldtlietdowntwhentIttaketthistmedication
Atnursetistprovidingtdischargetteachingttotantoldertadulttclienttfollowingtatleftttotalthiptarthro
plasty.tWhichtoftthetfollowingtinstructionstshouldtthetnursetincludetintthetteaching?
a.tCleantthetincisiontdailytwiththydrogentperoxide
b.tYoutcantcrosstyourtlegstthetanklestwhentsittingtdown
c.tYoutshouldtusetantincentivetspirometerteveryt8thours
d.tInstalltatraisedttoilettseattintyourtbathroomt-
tans✔✔d.tInstalltatraisedttoilettseattintyourtbathroom
Atnursetistplanningtcaretfortatclienttfollowingtatcardiactcatheterization.tWhichtoftthetfollowin
gtactionstshouldtthetnursettake?
a.tKeeptthetclienttontbedtresttfort24thours
b.tLimittthetclient'stfluidtintakettot1tltpertday
c.tMaintaintthetclient'staffectedtextremitytintextension
,d.tChangetthetclient'stdressingteveryt8thourt-
tans✔✔c.tMaintaintthetclient'staffectedtextremitytintextension
Atnursetistcaringtfortatclienttwhothastatlowertextremitytfracturetandtatprescriptiontfortcrutche
s.tWhichtoftthetfollowingtclienttstatementstindicatestthattthetclienttistadaptingttottheirtroletch
ange?
a.tItwilltneedttothavetmytpartnerttaketovertshoppingtfortgroceriestandtcookingtthetmealstfortu
s
b.tThesetcrutchestwilltmaketittimpossiblettotcaretfortmytchild
c.tItfeeltbadtthattIthavettotasktmytpartnerttotkeeptthethousetclean
d.tItstgoingttotbetdifficultttottelltmytparentstItcantttaketthemttottheirtappointmentstanymoret-
tans✔✔a.tItwilltneedttothavetmytpartnerttaketovertshoppingtfortgroceriestandtcookingtthetme
alstfortus
Atnursetistcaringtfortatclienttwhothastgastroenteritis.tWhichtoftthetfollowingtassessmenttfindi
ngstshouldtthetnursetrecognizetastantindicationtthattthetclienttistexperiencingtdehydration?
a.tPitting,tdependenttedema
b.tDistendedtjugulartveins
c.tIncreasedtBP
d.tDecreasedtBPt-tans✔✔d.tDecreasedtBP
Atnursetistcaringtfortatclienttwhothastatcontusiontoftthetbrainstemtandtreportstthirst.tThetclie
nt'sturinarytoutputtwast4,000tmltovertthetpastt24thour.tThetnursetshouldtanticipatetatprescri
ptiontfortwhichtoftthetfollowingtIVtmedication?
a.tDesmopressin
b.tEpinephrine
c.tFurosemide
d.tNitroprussidet-tans✔✔a.tDesmopressin
AtnursetintatclinictreceivestatphonetcalltfromtatclienttwhotrecentlytstartedttherapytwithtantAC
Etinhibitortandtreportstatnaggingtdrytcough.tWhichtoftthetfollowingtresponsestbytthetnursetist
appropriate?
a.t"yourtcoughtmaytrequiretthattyoutstoptortchangetyourtmedication"
b.t"Increasingtyourtdailytfluidtintaketmayteliminatetyourtcough"
c.t"suckingtontlozengetmaytreducetthetfrequencytoftyourtcough"
d.tYoutcoughtshouldtgotawaytinttime"t-
tans✔✔a.t"yourtcoughtmaytrequiretthattyoutstoptortchangetyourtmedication"
AtnursetisttakingtantadmissionthistorytfromtatclienttwhotreportstRaynaud'stdisease.tWhichto
ftthetfollowingtassessmenttfindingstshouldtthetnursetidentifytastatpotentialttriggertfortexacer
bations
oftRaynaud's?
a.tEatingtatstricttvegetariantdiet
b.tAthistorytoftherpestzoster
c.tTakingtamiodipinetforthypertension
d.tUsingtatnicotinettransdermaltpatcht-tans✔✔d.tUsingtatnicotinettransdermaltpatch
, Atnursetistcaringtfortatclienttwhothastatcentraltvenoustaccesstdevicetandtnotestthettubingtha
stbecometdisconnected.tThetclienttdevelopstdyspneatandttachycardia.tWhichtoftthetfollowi
ng
actionstshouldtthetnursettaketfirst?
a.tPerformtantECG
b.tObtaintABGtvalues
c.tTurntthetclientttothistlefttside
d.tClamptthetcathetert-tans✔✔d.tClamptthetcatheter
Atnursetistcompletingtantassessmenttoftantoldertadulttclienttandtnotestreddenedtareastovert
thetbonytprominences,tbuttthetclient'stskintistintact.tWhichtoftthetfollowingtinterventionstsho
uldtthetnursetincludetintthetplantoftcare?
a.tTurntandtrepositiontthetclientteveryt4thr
b.tApplytantocclusivetdressing
c.tSupporttbonytprominencestwithtpillows
d.tMassagetthetreddenedtareastthreettimestatdayt-
tans✔✔c.tSupporttbonytprominencestwithtpillows
Athomethealthtnursetistmakingtantinitialtvisitttotatclienttwhothastmultipletsclerosis.tWhichtoftt
hetfollowingtactionstistthetprioritytfortthetnursettottake?
a.tDiscusstrecommendationstforteatingtandtswallowingttechniques
b.tListtstrategiestfortfamilytcopingtwhentdealingtwithtpossibletroletchanges
c.tReviewtthetusetoftadaptivetgroomingtdevicesttotpromotetclienttindependence
d.tGivetthetclienttinformationtabouttthetlocaltnationaltmultipletsclerosistsocietyt-
tans✔✔a.tDiscusstrecommendationstforteatingtandtswallowingttechniques
Atnursetintthetemergencytdepartmenttistassessingtatclient.tWhichtoftthetfollowingtactionstsh
ouldtthetnursettaketfirst?tExhibit
a.tObtaintatsputumtsampletfortculture
b.tAdministertondansetron
c.tInitiatetairbornetprecautions
d.tPreparetthetclienttfortatchesttx-rayt-tans✔✔c.tInitiatetairbornetprecautions
Atnursetistreviewingtthetmedicaltrecordtoftatclientttotidentifytrisktfactorstfortcolorectaltcancer
.tThetnursetshouldtidentifytwhichtoftthetfollowingtfindingstastincreasingtthetclient'strisk?
a.tHistorytoftCrohn'stdisease
b.tBMItoft24
c.tDietthightintfiber
d.tAget46tyearst-tans✔✔a.tHistorytoftCrohn'stdisease
Atnursetistcaringtfortatclienttwhotistscheduledtfortatmastectomy.tThetclientttellstthetnurse,t"I'
mtnottsuretItwantttothavetatmastectomy."tWhichtoftthetfollowingtstatementstshouldtthetnurse
tmake?
a.t"Itcantgivetyoutatlisttoftothertpeopletwhothadtthetsametprocedure"
b.t"Youtwilltbetcancer-freetiftyouthavetthetprocedure"
(SENT) QUESTIONS AND ANSWERS
Atnursetintantemergencytdepartmenttistpreparingttotperformtantoculartirrigationtfortatclient.t
Whichtoftthetfollowingtactionstshouldtthetnursetplanttottake?
a.tAssesstthetclient'stvisualtacuitytpriorttotirrigation
b.tHavetthetclienttturnttheirtheadttowardtthetunaffectedteye
c.tHoldtthetirrigatortsyringet3.81tcmt(1.5tin)tabovettheteye
d.tPerformtthetirrigationtwithtsteriletwatertfortirrigationt-
tans✔✔d.tPerformtthetirrigationtwithtsteriletwatertfortirrigation
Atnursetistpreparingttotadministertlactatedtringer'stviatcontinuoustIVtinfusiontatt200tml/hr.tT
hetIVttubingthastatdroptfactortoft10tdrops/ml.tHowtmanytgtt/mintshouldtthetnursetsettthetIVtp
umpttotadminister?tRoundttotneartwholetnumbert-tans✔✔33tgtt/min
Atnursetistprovidingtdischargetteachingttotatclienttwhothastatnewtprescriptiontfortsublingualt
nitroglycerin.tWhichtoftthetfollowingtclienttstatementstindicatestantunderstandingtoftthetteac
hing?
a.tItcantkeeptmytmedicationstfort1tyeartbeforetreplacingtit
b.tItshouldtlietdowntwhentIttaketthistmedication
c.tItshouldtdiscontinuetthistmedicationtiftItdeveloptatheadache
d.tItcanttaketupttotfivettabletstint15tminutestbeforetseekingtmedicaltattentiont-
tans✔✔b.tItshouldtlietdowntwhentIttaketthistmedication
Atnursetistprovidingtdischargetteachingttotantoldertadulttclienttfollowingtatleftttotalthiptarthro
plasty.tWhichtoftthetfollowingtinstructionstshouldtthetnursetincludetintthetteaching?
a.tCleantthetincisiontdailytwiththydrogentperoxide
b.tYoutcantcrosstyourtlegstthetanklestwhentsittingtdown
c.tYoutshouldtusetantincentivetspirometerteveryt8thours
d.tInstalltatraisedttoilettseattintyourtbathroomt-
tans✔✔d.tInstalltatraisedttoilettseattintyourtbathroom
Atnursetistplanningtcaretfortatclienttfollowingtatcardiactcatheterization.tWhichtoftthetfollowin
gtactionstshouldtthetnursettake?
a.tKeeptthetclienttontbedtresttfort24thours
b.tLimittthetclient'stfluidtintakettot1tltpertday
c.tMaintaintthetclient'staffectedtextremitytintextension
,d.tChangetthetclient'stdressingteveryt8thourt-
tans✔✔c.tMaintaintthetclient'staffectedtextremitytintextension
Atnursetistcaringtfortatclienttwhothastatlowertextremitytfracturetandtatprescriptiontfortcrutche
s.tWhichtoftthetfollowingtclienttstatementstindicatestthattthetclienttistadaptingttottheirtroletch
ange?
a.tItwilltneedttothavetmytpartnerttaketovertshoppingtfortgroceriestandtcookingtthetmealstfortu
s
b.tThesetcrutchestwilltmaketittimpossiblettotcaretfortmytchild
c.tItfeeltbadtthattIthavettotasktmytpartnerttotkeeptthethousetclean
d.tItstgoingttotbetdifficultttottelltmytparentstItcantttaketthemttottheirtappointmentstanymoret-
tans✔✔a.tItwilltneedttothavetmytpartnerttaketovertshoppingtfortgroceriestandtcookingtthetme
alstfortus
Atnursetistcaringtfortatclienttwhothastgastroenteritis.tWhichtoftthetfollowingtassessmenttfindi
ngstshouldtthetnursetrecognizetastantindicationtthattthetclienttistexperiencingtdehydration?
a.tPitting,tdependenttedema
b.tDistendedtjugulartveins
c.tIncreasedtBP
d.tDecreasedtBPt-tans✔✔d.tDecreasedtBP
Atnursetistcaringtfortatclienttwhothastatcontusiontoftthetbrainstemtandtreportstthirst.tThetclie
nt'sturinarytoutputtwast4,000tmltovertthetpastt24thour.tThetnursetshouldtanticipatetatprescri
ptiontfortwhichtoftthetfollowingtIVtmedication?
a.tDesmopressin
b.tEpinephrine
c.tFurosemide
d.tNitroprussidet-tans✔✔a.tDesmopressin
AtnursetintatclinictreceivestatphonetcalltfromtatclienttwhotrecentlytstartedttherapytwithtantAC
Etinhibitortandtreportstatnaggingtdrytcough.tWhichtoftthetfollowingtresponsestbytthetnursetist
appropriate?
a.t"yourtcoughtmaytrequiretthattyoutstoptortchangetyourtmedication"
b.t"Increasingtyourtdailytfluidtintaketmayteliminatetyourtcough"
c.t"suckingtontlozengetmaytreducetthetfrequencytoftyourtcough"
d.tYoutcoughtshouldtgotawaytinttime"t-
tans✔✔a.t"yourtcoughtmaytrequiretthattyoutstoptortchangetyourtmedication"
AtnursetisttakingtantadmissionthistorytfromtatclienttwhotreportstRaynaud'stdisease.tWhichto
ftthetfollowingtassessmenttfindingstshouldtthetnursetidentifytastatpotentialttriggertfortexacer
bations
oftRaynaud's?
a.tEatingtatstricttvegetariantdiet
b.tAthistorytoftherpestzoster
c.tTakingtamiodipinetforthypertension
d.tUsingtatnicotinettransdermaltpatcht-tans✔✔d.tUsingtatnicotinettransdermaltpatch
, Atnursetistcaringtfortatclienttwhothastatcentraltvenoustaccesstdevicetandtnotestthettubingtha
stbecometdisconnected.tThetclienttdevelopstdyspneatandttachycardia.tWhichtoftthetfollowi
ng
actionstshouldtthetnursettaketfirst?
a.tPerformtantECG
b.tObtaintABGtvalues
c.tTurntthetclientttothistlefttside
d.tClamptthetcathetert-tans✔✔d.tClamptthetcatheter
Atnursetistcompletingtantassessmenttoftantoldertadulttclienttandtnotestreddenedtareastovert
thetbonytprominences,tbuttthetclient'stskintistintact.tWhichtoftthetfollowingtinterventionstsho
uldtthetnursetincludetintthetplantoftcare?
a.tTurntandtrepositiontthetclientteveryt4thr
b.tApplytantocclusivetdressing
c.tSupporttbonytprominencestwithtpillows
d.tMassagetthetreddenedtareastthreettimestatdayt-
tans✔✔c.tSupporttbonytprominencestwithtpillows
Athomethealthtnursetistmakingtantinitialtvisitttotatclienttwhothastmultipletsclerosis.tWhichtoftt
hetfollowingtactionstistthetprioritytfortthetnursettottake?
a.tDiscusstrecommendationstforteatingtandtswallowingttechniques
b.tListtstrategiestfortfamilytcopingtwhentdealingtwithtpossibletroletchanges
c.tReviewtthetusetoftadaptivetgroomingtdevicesttotpromotetclienttindependence
d.tGivetthetclienttinformationtabouttthetlocaltnationaltmultipletsclerosistsocietyt-
tans✔✔a.tDiscusstrecommendationstforteatingtandtswallowingttechniques
Atnursetintthetemergencytdepartmenttistassessingtatclient.tWhichtoftthetfollowingtactionstsh
ouldtthetnursettaketfirst?tExhibit
a.tObtaintatsputumtsampletfortculture
b.tAdministertondansetron
c.tInitiatetairbornetprecautions
d.tPreparetthetclienttfortatchesttx-rayt-tans✔✔c.tInitiatetairbornetprecautions
Atnursetistreviewingtthetmedicaltrecordtoftatclientttotidentifytrisktfactorstfortcolorectaltcancer
.tThetnursetshouldtidentifytwhichtoftthetfollowingtfindingstastincreasingtthetclient'strisk?
a.tHistorytoftCrohn'stdisease
b.tBMItoft24
c.tDietthightintfiber
d.tAget46tyearst-tans✔✔a.tHistorytoftCrohn'stdisease
Atnursetistcaringtfortatclienttwhotistscheduledtfortatmastectomy.tThetclientttellstthetnurse,t"I'
mtnottsuretItwantttothavetatmastectomy."tWhichtoftthetfollowingtstatementstshouldtthetnurse
tmake?
a.t"Itcantgivetyoutatlisttoftothertpeopletwhothadtthetsametprocedure"
b.t"Youtwilltbetcancer-freetiftyouthavetthetprocedure"