MED SURG ATI PROCTORED EXAM
O O O O
OQUESTIONS AND ANSWERS O O
A onurse oin oan oemergency odepartment ois opreparing oto operform oan
oocular oirrigation ofor oa oclient. oWhich oof othe ofollowing oactions oshould
othe onurse oplan oto otake?
a. oAssess othe oclient's ovisual oacuity oprior oto oirrigation
b. oHave othe oclient oturn otheir ohead otoward othe ounaffected oeye
c. oHold othe oirrigator osyringe o3.81 ocm o(1.5 oin) oabove othe oeye
d. oPerform othe oirrigation owith osterile owater ofor oirrigation o o o o o o o o oANS:
o✔- od. oPerform othe oirrigation owith osterile owater ofor oirrigation
A onurse ois opreparing oto oadminister olactated oringer's ovia ocontinuous oIV
oinfusion oat o200 oml/hr. oThe oIV otubing ohas oa odrop ofactor oof o10
odrops/ml. oHow omany ogtt/min oshould othe onurse oset othe oIV opump oto
oadminister? oRound oto onear owhole onumber o o o o o o o o oANS: o✔- o33
ogtt/min
,A onurse ois oproviding odischarge oteaching oto oa oclient owho ohas oa onew
oprescription ofor osublingual onitroglycerin. oWhich oof othe ofollowing
oclient ostatements oindicates oan ounderstanding oof othe oteaching?
a. oI ocan okeep omy omedications ofor o1 oyear obefore oreplacing oit
b. oI oshould olie odown owhen oI otake othis omedication
c. oI oshould odiscontinue othis omedication oif oI odevelop oa oheadache
d. oI ocan otake oup oto ofive otablets oin o15 ominutes obefore oseeking omedical
oattention o o o o o o o o oANS: o✔- ob. oI oshould olie odown owhen oI otake othis
omedication
A onurse ois oproviding odischarge oteaching oto oan oolder oadult oclient
ofollowing oa oleft ototal ohip oarthroplasty. oWhich oof othe ofollowing
oinstructions oshould othe onurse oinclude oin othe oteaching?
a. oClean othe oincision odaily owith ohydrogen operoxide
b. oYou ocan ocross oyour olegs othe oankles owhen ositting odown
c. oYou oshould ouse oan oincentive ospirometer oevery o8 ohours
d. oInstall oa oraised otoilet oseat oin oyour obathroom o o o o o o o o oANS: o✔- od.
oInstall oa oraised otoilet oseat oin oyour obathroom
A onurse ois oplanning ocare ofor oa oclient ofollowing oa ocardiac
ocatheterization. oWhich oof othe ofollowing oactions oshould othe onurse
otake?
a. oKeep othe oclient oon obed orest ofor o24 ohours
,b. oLimit othe oclient's ofluid ointake oto o1 ol oper oday
c. oMaintain othe oclient's oaffected oextremity oin oextension
d. oChange othe oclient's odressing oevery o8 ohour o o o o o o o o oANS: o✔- oc.
oMaintain othe oclient's oaffected oextremity oin oextension
A onurse ois ocaring ofor oa oclient owho ohas oa olower oextremity ofracture
oand oa oprescription ofor ocrutches. oWhich oof othe ofollowing oclient
ostatements oindicates othat othe oclient ois oadapting oto otheir orole
ochange?
a. oI owill oneed oto ohave omy opartner otake oover oshopping ofor ogroceries
oand ocooking othe omeals ofor ous
b. oThese ocrutches owill omake oit oimpossible oto ocare ofor omy ochild
c. oI ofeel obad othat oI ohave oto oask omy opartner oto okeep othe ohouse oclean
d. oIts ogoing oto obe odifficult oto otell omy oparents oI ocant otake othem oto
otheir oappointments oanymore o o o o o o o o oANS: o✔- oa. oI owill oneed oto ohave
omy opartner otake oover oshopping ofor ogroceries oand ocooking othe omeals
ofor ous
A onurse ois ocaring ofor oa oclient owho ohas ogastroenteritis. oWhich oof othe
ofollowing oassessment ofindings oshould othe onurse orecognize oas oan
oindication othat othe oclient ois oexperiencing odehydration?
a. oPitting, odependent oedema
b. oDistended ojugular oveins
, c. oIncreased oBP
d. oDecreased oBP o o o o o o o o oANS: o✔- od. oDecreased oBP
A onurse ois ocaring ofor oa oclient owho ohas oa ocontusion oof othe obrainstem
oand oreports othirst. oThe oclient's ourinary ooutput owas o4,000 oml oover
othe opast o24 ohour. oThe onurse oshould oanticipate oa oprescription ofor
owhich oof othe ofollowing oIV omedication?
a. oDesmopressin
b. oEpinephrine
c. oFurosemide
d. oNitroprusside o o o o o o o o oANS: o✔- oa. oDesmopressin
A onurse oin oa oclinic oreceives oa ophone ocall ofrom oa oclient owho orecently
ostarted otherapy owith oan oACE oinhibitor oand oreports oa onagging odry
ocough. oWhich oof othe ofollowing oresponses oby othe onurse ois
oappropriate?
a. o"your ocough omay orequire othat oyou ostop oor ochange oyour
omedication"
b. o"Increasing oyour odaily ofluid ointake omay oeliminate oyour ocough"
c. o"sucking oon olozenge omay oreduce othe ofrequency oof oyour ocough"
d. oYou ocough oshould ogo oaway oin otime" o o o o o o o o oANS: o✔- oa. o"your
ocough omay orequire othat oyou ostop oor ochange oyour omedication"
O O O O
OQUESTIONS AND ANSWERS O O
A onurse oin oan oemergency odepartment ois opreparing oto operform oan
oocular oirrigation ofor oa oclient. oWhich oof othe ofollowing oactions oshould
othe onurse oplan oto otake?
a. oAssess othe oclient's ovisual oacuity oprior oto oirrigation
b. oHave othe oclient oturn otheir ohead otoward othe ounaffected oeye
c. oHold othe oirrigator osyringe o3.81 ocm o(1.5 oin) oabove othe oeye
d. oPerform othe oirrigation owith osterile owater ofor oirrigation o o o o o o o o oANS:
o✔- od. oPerform othe oirrigation owith osterile owater ofor oirrigation
A onurse ois opreparing oto oadminister olactated oringer's ovia ocontinuous oIV
oinfusion oat o200 oml/hr. oThe oIV otubing ohas oa odrop ofactor oof o10
odrops/ml. oHow omany ogtt/min oshould othe onurse oset othe oIV opump oto
oadminister? oRound oto onear owhole onumber o o o o o o o o oANS: o✔- o33
ogtt/min
,A onurse ois oproviding odischarge oteaching oto oa oclient owho ohas oa onew
oprescription ofor osublingual onitroglycerin. oWhich oof othe ofollowing
oclient ostatements oindicates oan ounderstanding oof othe oteaching?
a. oI ocan okeep omy omedications ofor o1 oyear obefore oreplacing oit
b. oI oshould olie odown owhen oI otake othis omedication
c. oI oshould odiscontinue othis omedication oif oI odevelop oa oheadache
d. oI ocan otake oup oto ofive otablets oin o15 ominutes obefore oseeking omedical
oattention o o o o o o o o oANS: o✔- ob. oI oshould olie odown owhen oI otake othis
omedication
A onurse ois oproviding odischarge oteaching oto oan oolder oadult oclient
ofollowing oa oleft ototal ohip oarthroplasty. oWhich oof othe ofollowing
oinstructions oshould othe onurse oinclude oin othe oteaching?
a. oClean othe oincision odaily owith ohydrogen operoxide
b. oYou ocan ocross oyour olegs othe oankles owhen ositting odown
c. oYou oshould ouse oan oincentive ospirometer oevery o8 ohours
d. oInstall oa oraised otoilet oseat oin oyour obathroom o o o o o o o o oANS: o✔- od.
oInstall oa oraised otoilet oseat oin oyour obathroom
A onurse ois oplanning ocare ofor oa oclient ofollowing oa ocardiac
ocatheterization. oWhich oof othe ofollowing oactions oshould othe onurse
otake?
a. oKeep othe oclient oon obed orest ofor o24 ohours
,b. oLimit othe oclient's ofluid ointake oto o1 ol oper oday
c. oMaintain othe oclient's oaffected oextremity oin oextension
d. oChange othe oclient's odressing oevery o8 ohour o o o o o o o o oANS: o✔- oc.
oMaintain othe oclient's oaffected oextremity oin oextension
A onurse ois ocaring ofor oa oclient owho ohas oa olower oextremity ofracture
oand oa oprescription ofor ocrutches. oWhich oof othe ofollowing oclient
ostatements oindicates othat othe oclient ois oadapting oto otheir orole
ochange?
a. oI owill oneed oto ohave omy opartner otake oover oshopping ofor ogroceries
oand ocooking othe omeals ofor ous
b. oThese ocrutches owill omake oit oimpossible oto ocare ofor omy ochild
c. oI ofeel obad othat oI ohave oto oask omy opartner oto okeep othe ohouse oclean
d. oIts ogoing oto obe odifficult oto otell omy oparents oI ocant otake othem oto
otheir oappointments oanymore o o o o o o o o oANS: o✔- oa. oI owill oneed oto ohave
omy opartner otake oover oshopping ofor ogroceries oand ocooking othe omeals
ofor ous
A onurse ois ocaring ofor oa oclient owho ohas ogastroenteritis. oWhich oof othe
ofollowing oassessment ofindings oshould othe onurse orecognize oas oan
oindication othat othe oclient ois oexperiencing odehydration?
a. oPitting, odependent oedema
b. oDistended ojugular oveins
, c. oIncreased oBP
d. oDecreased oBP o o o o o o o o oANS: o✔- od. oDecreased oBP
A onurse ois ocaring ofor oa oclient owho ohas oa ocontusion oof othe obrainstem
oand oreports othirst. oThe oclient's ourinary ooutput owas o4,000 oml oover
othe opast o24 ohour. oThe onurse oshould oanticipate oa oprescription ofor
owhich oof othe ofollowing oIV omedication?
a. oDesmopressin
b. oEpinephrine
c. oFurosemide
d. oNitroprusside o o o o o o o o oANS: o✔- oa. oDesmopressin
A onurse oin oa oclinic oreceives oa ophone ocall ofrom oa oclient owho orecently
ostarted otherapy owith oan oACE oinhibitor oand oreports oa onagging odry
ocough. oWhich oof othe ofollowing oresponses oby othe onurse ois
oappropriate?
a. o"your ocough omay orequire othat oyou ostop oor ochange oyour
omedication"
b. o"Increasing oyour odaily ofluid ointake omay oeliminate oyour ocough"
c. o"sucking oon olozenge omay oreduce othe ofrequency oof oyour ocough"
d. oYou ocough oshould ogo oaway oin otime" o o o o o o o o oANS: o✔- oa. o"your
ocough omay orequire othat oyou ostop oor ochange oyour omedication"
