ATI med surg proctored exam complete
with answers
A nurse is planning care for a client who has a full-
thickness burns on the lower extremities. Which of the
following interventions should the nurse include?
a) Limit visitation time for client's children to 40 minutes
per day
b) clean the equipment in the client's room once per week
c) provide a diet of fresh fruits and vegetable for the client
d) apply new gloves when alternating between wound care
sites - ANSWER -d) apply new gloves when alternating
between wound care sites
A nurse is caring for a client who has cancer. The client
tells the nurse, "I would prefer to try vitamins and minerals
instead of chemotherapy" which of the following responses
should the nurse make?
a) I have never heard of any holistic treatment that is
effective
b) you should ask your provider about your plan
c) the best way to treat your cancer is chemotherapy
d) tell me what you know about chemotherapy - ANSWER
-d) tell me what you know about chemotherapy
,A nurse is planning to teach a client whose provider has
prescribed a low purine diet. The nurse should plan to
instruct the client that he can include which of the following
Foods in his diet (select all that apply)
a) Sardines
b) Nuts
c) Apricots
d) liver
e) scallops - ANSWER -b) Nuts
c) Apricots
Nurse is caring for a client following a total knee
arthroplasty. The client reports a pain level of 6 on a paint
scale of 0 to 10. Which of the following interventions
should the nurse take?
a) Place pillowsl under the clients knee
b) gently massage the area around the clients incision
c) apply an ice pack to the clients knee
d) perform range of motion exercises to the clients knee -
ANSWER -c) apply an ice pack to the clients knee
A nurse is caring for a client who has lower extremity
fracture and a prescription for crutches. Which of the
following client statements indicates that the client is
adapting to their role change? a) I will need to have my
partner take over shopping for groceries and cooking the
meals for us
b) Its going to be difficult to tell my parents I can't take
them to their appointments anymore
c) I feel bad that I have to ask my partner to keep the
house clean
,d) These crutches will make it impossible to care for my
child - ANSWER -a) I will need to have my partner take
over shopping for groceries and cooking the meals for us
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?
a) adhesive tape
b) Latex
c) Anesthetics
d) povidone iodine - ANSWER -b) Latex
A nurse on a medical unit is planning care for a group of
clients. Which of the following clients should the nurse
attend to First?
a) A client who has chronic obstructive pulmonary disease
in oxygen saturation of 89%
b) a client who has left-sided paralysis and slurred speech
from a prior stroke
c) a client who has thrombocytopenia and reports a
nosebleed
d) a client who has multiple sclerosis and reports Ataxia
and vertigo - ANSWER -c) a client who has
thrombocytopenia and reports a nosebleed
A nurse is monitoring a client who is receiving two units
packed RBC's. Which of the following manifestation
indicates a hemolytic transfusion reaction?
a) back pain
b) Hypertension
, c) Chills
d) bradycardia - ANSWER -a) back pain
A nurse is teaching a client who has diabetes mellitus
about foot care. Which of the following instruction should
the nurse include?
a) Use a heating pad to keep your feet warm at night
b) wear loose-fitting slippers around the house
c) where cotton rather than nylon socks
d) wash your face twice per day with antibacterial soap
and hot water - ANSWER -c) where cotton rather than
nylon socks
A nurse is providing teaching to a client who has a deep
vein thrombosis (DVT) . Which of the following findings
should the nurse identify as a risk factor for the
development of the DVTs?
a) NSAID use
b) hypertension
c) oral contraceptive use
d) cirrhosis - ANSWER -c) oral contraceptive use
A nurse is caring for a client who has a sealed radiation
implant. Which of the following actions should the nurse
take?
a) Remove soiled linens from the room after each change
b) Give the dosimeter badge to the oncoming nurse at the
end of the shift
c) Apply a second pair of gloves before touching the
client's implant if it dislodges d) Limit family member visits
with answers
A nurse is planning care for a client who has a full-
thickness burns on the lower extremities. Which of the
following interventions should the nurse include?
a) Limit visitation time for client's children to 40 minutes
per day
b) clean the equipment in the client's room once per week
c) provide a diet of fresh fruits and vegetable for the client
d) apply new gloves when alternating between wound care
sites - ANSWER -d) apply new gloves when alternating
between wound care sites
A nurse is caring for a client who has cancer. The client
tells the nurse, "I would prefer to try vitamins and minerals
instead of chemotherapy" which of the following responses
should the nurse make?
a) I have never heard of any holistic treatment that is
effective
b) you should ask your provider about your plan
c) the best way to treat your cancer is chemotherapy
d) tell me what you know about chemotherapy - ANSWER
-d) tell me what you know about chemotherapy
,A nurse is planning to teach a client whose provider has
prescribed a low purine diet. The nurse should plan to
instruct the client that he can include which of the following
Foods in his diet (select all that apply)
a) Sardines
b) Nuts
c) Apricots
d) liver
e) scallops - ANSWER -b) Nuts
c) Apricots
Nurse is caring for a client following a total knee
arthroplasty. The client reports a pain level of 6 on a paint
scale of 0 to 10. Which of the following interventions
should the nurse take?
a) Place pillowsl under the clients knee
b) gently massage the area around the clients incision
c) apply an ice pack to the clients knee
d) perform range of motion exercises to the clients knee -
ANSWER -c) apply an ice pack to the clients knee
A nurse is caring for a client who has lower extremity
fracture and a prescription for crutches. Which of the
following client statements indicates that the client is
adapting to their role change? a) I will need to have my
partner take over shopping for groceries and cooking the
meals for us
b) Its going to be difficult to tell my parents I can't take
them to their appointments anymore
c) I feel bad that I have to ask my partner to keep the
house clean
,d) These crutches will make it impossible to care for my
child - ANSWER -a) I will need to have my partner take
over shopping for groceries and cooking the meals for us
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?
a) adhesive tape
b) Latex
c) Anesthetics
d) povidone iodine - ANSWER -b) Latex
A nurse on a medical unit is planning care for a group of
clients. Which of the following clients should the nurse
attend to First?
a) A client who has chronic obstructive pulmonary disease
in oxygen saturation of 89%
b) a client who has left-sided paralysis and slurred speech
from a prior stroke
c) a client who has thrombocytopenia and reports a
nosebleed
d) a client who has multiple sclerosis and reports Ataxia
and vertigo - ANSWER -c) a client who has
thrombocytopenia and reports a nosebleed
A nurse is monitoring a client who is receiving two units
packed RBC's. Which of the following manifestation
indicates a hemolytic transfusion reaction?
a) back pain
b) Hypertension
, c) Chills
d) bradycardia - ANSWER -a) back pain
A nurse is teaching a client who has diabetes mellitus
about foot care. Which of the following instruction should
the nurse include?
a) Use a heating pad to keep your feet warm at night
b) wear loose-fitting slippers around the house
c) where cotton rather than nylon socks
d) wash your face twice per day with antibacterial soap
and hot water - ANSWER -c) where cotton rather than
nylon socks
A nurse is providing teaching to a client who has a deep
vein thrombosis (DVT) . Which of the following findings
should the nurse identify as a risk factor for the
development of the DVTs?
a) NSAID use
b) hypertension
c) oral contraceptive use
d) cirrhosis - ANSWER -c) oral contraceptive use
A nurse is caring for a client who has a sealed radiation
implant. Which of the following actions should the nurse
take?
a) Remove soiled linens from the room after each change
b) Give the dosimeter badge to the oncoming nurse at the
end of the shift
c) Apply a second pair of gloves before touching the
client's implant if it dislodges d) Limit family member visits
