ATI ADULT MEDICAL SURGICAL PROCTORED EXAM 2023 REVIEW

ATI ADULT MEDICAL SURGICAL PROCTORED EXAM 2023 REVIEW 1. What action should a nurse take when admitting a patient who is deaf and communicates using sign language? A) Speak loudly and slowly B) Write questions on paper C) Request an interpreter during the initial assessment D) Ask a family member to interpret ________________________________________ 2. What manifestation should a nurse expect in a patient with left-sided heart failure? A) Dependent edema B) Daytime oliguria C) Jugular vein distention D) Weight gain ________________________________________ 3. What is the first action a nurse should take when observing a patient having a tonic-clonic seizure? A) Insert an oral airway B) Turn the patient on their side C) Restrain the patient D) Record the duration ________________________________________ 4. What finding indicates that morphine IV was effective for a patient with acute heart failure? A) Increased heart rate B) Decreased anxiety C) Increased urine output D) Decreased oxygen saturation ________________________________________ 5. What manifestation of malnutrition should a nurse identify in a patient with anorexia? A) Alopecia B) Hyperpigmentation C) Petechiae D) Jaundice ________________________________________ 6. What is the purpose of maintaining an elastic bandage around the residual limb after a below-the-knee amputation? A) Prevent infection B) Reduce scarring C) Prevent excessive edema D) Increase circulation ________________________________________ 7. What is the first action a nurse should take for a patient with an electrical shock injury? A) Start IV fluids B) Obtain an ECG C) Apply ice packs D) Check deep tendon reflexes ________________________________________ 8. What is the highest priority intervention for a patient with a new onset of hyperglycemic hyperosmolar state (HHS)? A) Give insulin subcutaneously B) Monitor potassium levels C) Initiate IV fluid replacement D) Administer oxygen ________________________________________ 9. Which food allergy indicates a risk for an allergic reaction to latex for a patient scheduled for surgery? A) Strawberries B) Chicken C) Oranges D) Milk ________________________________________ 10. What instruction should a nurse provide to a patient who received a PPD skin test and has erythema with induration of 12 mm? A) Apply ice to the site B) Return in 48 hours for re-evaluation C) Take antihistamines D) Repeat the test tomorrow ________________________________________ 11. What action should a nurse take when withdrawing medication from an ampule? A) Use a filter needle after breaking the top B) Break the ampule with gloved fingers only C) Shake the ampule before opening D) Insert the needle before breaking ________________________________________ 12. What recommendation should a nurse make to a caregiver who is tired and irritable while caring for a patient with Alzheimer’s disease? A) Increase caffeine intake B) Consider respite care services C) Hire a nurse permanently D) Stop caregiving duties ________________________________________ 13. What assessment should be the priority for a nurse caring for a patient postoperative following an ORIF of the femur? A) Pain assessment B) Skin turgor C) Bowel sounds D) Appetite ________________________________________ 14. What action should a nurse take to prevent venous thromboembolism after total knee arthroplasty? A) Encourage circumduction of the feet B) Apply heat to the leg C) Keep the leg elevated continuously D) Massage the leg ________________________________________ 15. What test should a nurse monitor for a patient who has taken ibuprofen daily for 3 years? A) Serum creatinine B) Stool for occult blood C) Serum potassium D) Blood glucose ________________________________________ 16.