ATI Med Surg Proctored Exam Practice
VERIFIED SOLUTIONS, SCORED A+
.
A .nurse .is .caring .for .a .client .who .experienced .a .traumatic .head .injury .and .has
.an .intraventricular .catheter .(Ventriculostomy) .for .ICP .monitoring. .The .nurse
.should .monitor .the .client .for .which .of .the .following .complications .related .to
.the .ventriculostomy?:
a. .Headache
b. .Infection
c. .Aphasia
d. .Hypertension .- .CORRECT .ANSWER-b. .Infection
Monitor .for .infection .and .use .strict .asepsis .to .avoid .life-threatening .meningitis.
A .nurse .is .providing .education .to .a .client .who .is .to .undergo .an .EEG .the .next
.day. .Which .of .the .following .info .should .the .nurse .include .in .the .teaching?
a. ."Do .not .wash .your .hair .the .morning .of .the .procedure."
b. ."Try .and .stay .awake .most .of .the .night .prior .to .the .procedure."
c. ."The .procedure .will .take .approximately .15 .mins."
d. ."You .will .need .to .lie .flat .for .4 .hours .after .the .procedure." .- .CORRECT
.ANSWER-b. ."Try .and .stay .awake .most .of .the .night .prior .to .the .procedure."
Tell .the .client .to .remain .awake .to .provide .cranial .stress .and .increase .the
.possibility .of .abnormal .electrical .activity
A .nurse .is .caring .for .a .client .who .is .postprocedural .following .a .lumbar
.puncture .and .reports .a .throbbing .headache .when .sitting .upright. .Which .of .the
.following .actions .should .the .nurse .take? .SATA.
a. .Use .the .GCS .scale .to .assess .the .client
b. .Assist .the .client .into .a .supine .position
c. .Administer .an .opioid .analgesic
d. .Encourage .the .client .to .increase .PO .fluid .intake
e. .Instruct .the .client .to .perform .coughing .and .deep .breathing .- .CORRECT
.ANSWER-B, .D
A .nurse .is .caring .for .a .client .who .has .continuous .bladder .irrigation .following .a
.transurethral .resection .of .the .prostate .(TURP). .Which .of .the .following .findings
.should .the .nurse .report .to .the .provider?
a .Output .equal .to .the .instilled .irrigate
,b. .Client .reports .bladder .spasms
c. .Viscous .urinary .output .with .clots
d. .Reports .of .strong .urge .to .urinate .- .CORRECT .ANSWER-c. .Viscous .urinary
.output .with .clots
Urine .that .is .bright .red .with .clots .is .an .indication .of .arterial .bleeding.
A .nurse .is .monitoring .the .ECG .of .a .client .who .has .hypocalcemia. .Which .of .the
.following .findings .should .the .nurse .expect?
a. .Flattened .T .waves
b. .Prolonged .QT .intervals
c. .Shortened .QT .intervals
d .Widened .QRS .complexes .- .CORRECT .ANSWER-b. .Prolonged .QT .intervals
Manifestations .of .hypocalcemia .include .tingling, .numbness, .tetany, .seizures,
.prolonged .QT .intervals, .and .laryngospasm.
A .nurse .is .preparing .a .client .who .has .a .brain .tumor .for .a .CT .scan. .Which .of
.the .following .factors .affects .the .manner .in .which .the .nurse .will .prepare .the
.client .for .the .scan?
a. .No .food .or .fluids .consumed .for .4 .hours
b. .Difficulty .recalling .recent .events
c. .Development .of .hives .while .eating .shrimp
d. .Paresthesia .in .both .hands .- .CORRECT .ANSWER-c. .Development .of .hives
.while .eating .shrimp
Shellfish .allergy .is .contraindication .of .use .of .contrast .media .during .a .CT .scan.
A .nurse .is .preparing .an .in-service .program .about .the .stages .of .acute .kidney
.injury. .Which .of .the .following .pieces .of .info .should .the .nurse .include .about
.prerenal .azotemia?
a. .Prerenal .azotemia .begins .prior .to .the .onset .of .symptoms
b. .Interference .with .renal .perfusion .causes .renal .azotemia
c. .Prerenal .azotemia .is .irreversible, .even .in .early .stages
d. .Infections .and .tumors .cause .prerenal .azotemia .- .CORRECT .ANSWER-b.
.Interference .with .renal .perfusion .causes .prerenal .azotemia.
Prerenal .= .interference .with .renal .perfusion, .such .as .from .heart .failure .or
.hypovolemic .shock.
A .nurse .is .teaching .a .client .who .has .CAD .about .the .difference .between .angina
.pectoris .and .MI. .Which .of .the .following .should .the .nurse .identify .as .indications
.of .MI? .SATA.
a. .N/V
b. .Diaphoresis .and .dizziness
c. .Chest .and .left .arm .pain .that .subsides .with .rest
d. .Anxiety .and .feelings .of .doom
e. .Bounding .pulse .and .bradypnea .- .CORRECT .ANSWER-A, .B, .D
, A .nurse .is .reviewing .the .lab .results .of .a .lumbar .puncture .for .a .client .who .has
.manifestations .of .bacterial .meningitis. .Which .of .the .following .findings .should
.the .nurse .expect?
a. .Elevated .glucose
b. .Elevated .protein
c. .Presence .of .RBCs
d. .Presence .of .D-dimer .- .CORRECT .ANSWER-b. .Elevated .protein
Manifestations .of .bacterial .meningitis .include .increase .protein .in .the .CSF,
.decreased .glucose. .RBCs .can .indicate .bleeding, .however, .WBCs .are .what
.indicates .bacterial .meningitis.
A .nurse .is .providing .teaching .to .a .client .who .has .a .new .diagnosis .of
.myasthenia .gravis .(MG). .Which .of .the .following .pieces .of .information .should
.the .nurse .include?
A. .Use .enemas .to .treat .constipation .caused .by .daily .medications
B. .Take .a .hot .bath .when .muscles .ache
C. .Eat .a .low-calorie .diet
D. .Set .an .alarm .to .ensure .medication .dosages .are .taken .on .time .- .CORRECT
.ANSWER-D. .Set .an .alarm .to .ensure .medication .dosages .are .taken .on .time
The .nurse .should .instruct .the .client .to .take .medication .dosages .on .time .to
.maintain .a .therapeutic .blood .level. .Dosages .should .not .be .missed .or
.postponed .because .this .can .cause .an .exacerbation .of .the .disease.
A .nurse .is .teaching .a .client .who .has .a .new .diagnosis .of .primary .open-angle
.glaucoma .(POAG). .Which .of .the .following .pieces .of .information .should .the
.nurse .include .in .the .teaching? .(Select .all .that .apply.)
A. .Lost .vision .can .improve .with .eye .drops.
B. .Administer .eye .drops .as .needed .for .vision .loss.
C. .Glasses .will .be .necessary .to .correct .the .accompanying .presbyopia.
D. .Driving .can .be .dangerous .due .to .the .loss .of .peripheral .vision.
E. .Laser .surgery .can .help .reestablish .the .flow .of .aqueous .humor. .- .CORRECT
.ANSWER-D. .Driving .can .be .dangerous .due .to .the .loss .of .peripheral .vision.
E. .Laser .surgery .can .help .reestablish .the .flow .of .aqueous .humor.
A .nurse .is .assessing .a .client .who .has .a .fractured .left .femur .and .is .in .skeletal
.traction. .Which .of .the .following .findings .should .the .nurse .report .to .the
.provider?
A. .Ecchymosis .of .the .thigh
B. .Serous .drainage .at .the .pin .site
C. .Chest .petechiae
D. .Muscle .spasms .in .the .left .leg .- .CORRECT .ANSWER-C. .Chest .petechiae
VERIFIED SOLUTIONS, SCORED A+
.
A .nurse .is .caring .for .a .client .who .experienced .a .traumatic .head .injury .and .has
.an .intraventricular .catheter .(Ventriculostomy) .for .ICP .monitoring. .The .nurse
.should .monitor .the .client .for .which .of .the .following .complications .related .to
.the .ventriculostomy?:
a. .Headache
b. .Infection
c. .Aphasia
d. .Hypertension .- .CORRECT .ANSWER-b. .Infection
Monitor .for .infection .and .use .strict .asepsis .to .avoid .life-threatening .meningitis.
A .nurse .is .providing .education .to .a .client .who .is .to .undergo .an .EEG .the .next
.day. .Which .of .the .following .info .should .the .nurse .include .in .the .teaching?
a. ."Do .not .wash .your .hair .the .morning .of .the .procedure."
b. ."Try .and .stay .awake .most .of .the .night .prior .to .the .procedure."
c. ."The .procedure .will .take .approximately .15 .mins."
d. ."You .will .need .to .lie .flat .for .4 .hours .after .the .procedure." .- .CORRECT
.ANSWER-b. ."Try .and .stay .awake .most .of .the .night .prior .to .the .procedure."
Tell .the .client .to .remain .awake .to .provide .cranial .stress .and .increase .the
.possibility .of .abnormal .electrical .activity
A .nurse .is .caring .for .a .client .who .is .postprocedural .following .a .lumbar
.puncture .and .reports .a .throbbing .headache .when .sitting .upright. .Which .of .the
.following .actions .should .the .nurse .take? .SATA.
a. .Use .the .GCS .scale .to .assess .the .client
b. .Assist .the .client .into .a .supine .position
c. .Administer .an .opioid .analgesic
d. .Encourage .the .client .to .increase .PO .fluid .intake
e. .Instruct .the .client .to .perform .coughing .and .deep .breathing .- .CORRECT
.ANSWER-B, .D
A .nurse .is .caring .for .a .client .who .has .continuous .bladder .irrigation .following .a
.transurethral .resection .of .the .prostate .(TURP). .Which .of .the .following .findings
.should .the .nurse .report .to .the .provider?
a .Output .equal .to .the .instilled .irrigate
,b. .Client .reports .bladder .spasms
c. .Viscous .urinary .output .with .clots
d. .Reports .of .strong .urge .to .urinate .- .CORRECT .ANSWER-c. .Viscous .urinary
.output .with .clots
Urine .that .is .bright .red .with .clots .is .an .indication .of .arterial .bleeding.
A .nurse .is .monitoring .the .ECG .of .a .client .who .has .hypocalcemia. .Which .of .the
.following .findings .should .the .nurse .expect?
a. .Flattened .T .waves
b. .Prolonged .QT .intervals
c. .Shortened .QT .intervals
d .Widened .QRS .complexes .- .CORRECT .ANSWER-b. .Prolonged .QT .intervals
Manifestations .of .hypocalcemia .include .tingling, .numbness, .tetany, .seizures,
.prolonged .QT .intervals, .and .laryngospasm.
A .nurse .is .preparing .a .client .who .has .a .brain .tumor .for .a .CT .scan. .Which .of
.the .following .factors .affects .the .manner .in .which .the .nurse .will .prepare .the
.client .for .the .scan?
a. .No .food .or .fluids .consumed .for .4 .hours
b. .Difficulty .recalling .recent .events
c. .Development .of .hives .while .eating .shrimp
d. .Paresthesia .in .both .hands .- .CORRECT .ANSWER-c. .Development .of .hives
.while .eating .shrimp
Shellfish .allergy .is .contraindication .of .use .of .contrast .media .during .a .CT .scan.
A .nurse .is .preparing .an .in-service .program .about .the .stages .of .acute .kidney
.injury. .Which .of .the .following .pieces .of .info .should .the .nurse .include .about
.prerenal .azotemia?
a. .Prerenal .azotemia .begins .prior .to .the .onset .of .symptoms
b. .Interference .with .renal .perfusion .causes .renal .azotemia
c. .Prerenal .azotemia .is .irreversible, .even .in .early .stages
d. .Infections .and .tumors .cause .prerenal .azotemia .- .CORRECT .ANSWER-b.
.Interference .with .renal .perfusion .causes .prerenal .azotemia.
Prerenal .= .interference .with .renal .perfusion, .such .as .from .heart .failure .or
.hypovolemic .shock.
A .nurse .is .teaching .a .client .who .has .CAD .about .the .difference .between .angina
.pectoris .and .MI. .Which .of .the .following .should .the .nurse .identify .as .indications
.of .MI? .SATA.
a. .N/V
b. .Diaphoresis .and .dizziness
c. .Chest .and .left .arm .pain .that .subsides .with .rest
d. .Anxiety .and .feelings .of .doom
e. .Bounding .pulse .and .bradypnea .- .CORRECT .ANSWER-A, .B, .D
, A .nurse .is .reviewing .the .lab .results .of .a .lumbar .puncture .for .a .client .who .has
.manifestations .of .bacterial .meningitis. .Which .of .the .following .findings .should
.the .nurse .expect?
a. .Elevated .glucose
b. .Elevated .protein
c. .Presence .of .RBCs
d. .Presence .of .D-dimer .- .CORRECT .ANSWER-b. .Elevated .protein
Manifestations .of .bacterial .meningitis .include .increase .protein .in .the .CSF,
.decreased .glucose. .RBCs .can .indicate .bleeding, .however, .WBCs .are .what
.indicates .bacterial .meningitis.
A .nurse .is .providing .teaching .to .a .client .who .has .a .new .diagnosis .of
.myasthenia .gravis .(MG). .Which .of .the .following .pieces .of .information .should
.the .nurse .include?
A. .Use .enemas .to .treat .constipation .caused .by .daily .medications
B. .Take .a .hot .bath .when .muscles .ache
C. .Eat .a .low-calorie .diet
D. .Set .an .alarm .to .ensure .medication .dosages .are .taken .on .time .- .CORRECT
.ANSWER-D. .Set .an .alarm .to .ensure .medication .dosages .are .taken .on .time
The .nurse .should .instruct .the .client .to .take .medication .dosages .on .time .to
.maintain .a .therapeutic .blood .level. .Dosages .should .not .be .missed .or
.postponed .because .this .can .cause .an .exacerbation .of .the .disease.
A .nurse .is .teaching .a .client .who .has .a .new .diagnosis .of .primary .open-angle
.glaucoma .(POAG). .Which .of .the .following .pieces .of .information .should .the
.nurse .include .in .the .teaching? .(Select .all .that .apply.)
A. .Lost .vision .can .improve .with .eye .drops.
B. .Administer .eye .drops .as .needed .for .vision .loss.
C. .Glasses .will .be .necessary .to .correct .the .accompanying .presbyopia.
D. .Driving .can .be .dangerous .due .to .the .loss .of .peripheral .vision.
E. .Laser .surgery .can .help .reestablish .the .flow .of .aqueous .humor. .- .CORRECT
.ANSWER-D. .Driving .can .be .dangerous .due .to .the .loss .of .peripheral .vision.
E. .Laser .surgery .can .help .reestablish .the .flow .of .aqueous .humor.
A .nurse .is .assessing .a .client .who .has .a .fractured .left .femur .and .is .in .skeletal
.traction. .Which .of .the .following .findings .should .the .nurse .report .to .the
.provider?
A. .Ecchymosis .of .the .thigh
B. .Serous .drainage .at .the .pin .site
C. .Chest .petechiae
D. .Muscle .spasms .in .the .left .leg .- .CORRECT .ANSWER-C. .Chest .petechiae
