ATI ADVANCED MED SURG
PROCTORED 2023 EXAM
QUESTIONS WITH ANSWERS
🔥 Critical Care & Emergency Nursing MCQs
1. What is the purpose of an escharotomy?
✅ A. To improve circulation by making large incisions through eschar
B. To prevent infection
C. To reduce swelling
D. To relieve pain
2. What is the goal of fluid replacement therapy within 24 hours of a burn injury?
✅ A. To restore fluid balance and maintain circulation
B. To decrease edema
C. To reduce infection
D. To control body temperature
3. Which burns require cardiovascular monitoring?
✅ A. Full-thickness burns covering 75% of the body
B. Partial-thickness burns on limbs
C. Superficial burns
D. First-degree burns
4. How is burn severity determined?
✅ A. By evaluating location, depth, and cause of burns
B. By the color of burned skin
C. By the patient’s pain level
D. By body temperature
5. What is the priority intervention for chemical burns?
✅ A. Flush the affected area with copious amounts of water
B. Apply dry sterile dressing
C. Administer antibiotics
D. Apply topical ointments
6. Elevated troponin levels indicate what condition?
✅ A. Heart muscle damage
B. Kidney failure
1
,C. Liver dysfunction
D. Lung disease
7. What occurs in disseminated intravascular coagulation (DIC)?
✅ A. Simultaneous thrombosis and bleeding
B. Increased white blood cells
C. Decreased platelet function only
D. Low hematocrit levels only
8. Warfarin (Coumadin) is used to:
✅ A. Prevent strokes in atrial fibrillation
B. Reduce hypertension
C. Relieve chest pain
D. Lower blood sugar
9. What is an expected finding in acute heart failure?
✅ A. Elevated central venous pressure
B. Decreased heart rate
C. Increased urine output
D. Reduced cardiac preload
10. Which lab result supports a diagnosis of acute pancreatitis?
✅ A. Elevated serum amylase
B. Decreased bilirubin
C. Increased hemoglobin
D. Low glucose
🫁 Respiratory & Shock Management
11. Which finding indicates readiness for extubation?
✅ A. Adequate tidal volume without manual breaths
B. Increased carbon dioxide levels
C. Shallow breathing
D. Low oxygen saturation
12. What is the priority nursing action for an anaphylactic reaction?
✅ A. Address stridor immediately
B. Insert IV line
C. Obtain blood glucose
D. Measure temperature
13. What is the first action for abnormal arterial blood gas results?
✅ A. Administer oxygen via face mask
2
, B. Increase fluids
C. Notify the provider
D. Record vital signs
14. Which finding after thoracentesis requires provider notification?
✅ A. Increased heart rate
B. Low blood pressure
C. Diminished breath sounds
D. Dry cough
15. What is the priority nursing action for a burn injury?
✅ A. Cover the area with sterile gauze
B. Apply ice
C. Clean with alcohol
D. Remove all dressings
16. What is the initial action for a patient with a gunshot wound?
✅ A. Remove dressing and inspect the wound
B. Start IV fluids
C. Give pain medication
D. Apply cold compress
❤️ Cardiac & Circulatory
17. What should the nurse do when a patient shows irregular heart rate during suctioning?
✅ A. Pre-oxygenate before suctioning
B. Stop suctioning immediately
C. Increase suction pressure
D. Notify the provider
18. What is the first nursing action for a blood transfusion reaction?
✅ A. Slow the infusion and assess vital signs
B. Call the lab
C. Administer antihistamines
D. Document findings
19. What is an expected effect of dopamine in shock management?
✅ A. Improves renal perfusion by dilating renal arteries
B. Lowers blood pressure
C. Reduces heart rate
D. Causes vasoconstriction
3
PROCTORED 2023 EXAM
QUESTIONS WITH ANSWERS
🔥 Critical Care & Emergency Nursing MCQs
1. What is the purpose of an escharotomy?
✅ A. To improve circulation by making large incisions through eschar
B. To prevent infection
C. To reduce swelling
D. To relieve pain
2. What is the goal of fluid replacement therapy within 24 hours of a burn injury?
✅ A. To restore fluid balance and maintain circulation
B. To decrease edema
C. To reduce infection
D. To control body temperature
3. Which burns require cardiovascular monitoring?
✅ A. Full-thickness burns covering 75% of the body
B. Partial-thickness burns on limbs
C. Superficial burns
D. First-degree burns
4. How is burn severity determined?
✅ A. By evaluating location, depth, and cause of burns
B. By the color of burned skin
C. By the patient’s pain level
D. By body temperature
5. What is the priority intervention for chemical burns?
✅ A. Flush the affected area with copious amounts of water
B. Apply dry sterile dressing
C. Administer antibiotics
D. Apply topical ointments
6. Elevated troponin levels indicate what condition?
✅ A. Heart muscle damage
B. Kidney failure
1
,C. Liver dysfunction
D. Lung disease
7. What occurs in disseminated intravascular coagulation (DIC)?
✅ A. Simultaneous thrombosis and bleeding
B. Increased white blood cells
C. Decreased platelet function only
D. Low hematocrit levels only
8. Warfarin (Coumadin) is used to:
✅ A. Prevent strokes in atrial fibrillation
B. Reduce hypertension
C. Relieve chest pain
D. Lower blood sugar
9. What is an expected finding in acute heart failure?
✅ A. Elevated central venous pressure
B. Decreased heart rate
C. Increased urine output
D. Reduced cardiac preload
10. Which lab result supports a diagnosis of acute pancreatitis?
✅ A. Elevated serum amylase
B. Decreased bilirubin
C. Increased hemoglobin
D. Low glucose
🫁 Respiratory & Shock Management
11. Which finding indicates readiness for extubation?
✅ A. Adequate tidal volume without manual breaths
B. Increased carbon dioxide levels
C. Shallow breathing
D. Low oxygen saturation
12. What is the priority nursing action for an anaphylactic reaction?
✅ A. Address stridor immediately
B. Insert IV line
C. Obtain blood glucose
D. Measure temperature
13. What is the first action for abnormal arterial blood gas results?
✅ A. Administer oxygen via face mask
2
, B. Increase fluids
C. Notify the provider
D. Record vital signs
14. Which finding after thoracentesis requires provider notification?
✅ A. Increased heart rate
B. Low blood pressure
C. Diminished breath sounds
D. Dry cough
15. What is the priority nursing action for a burn injury?
✅ A. Cover the area with sterile gauze
B. Apply ice
C. Clean with alcohol
D. Remove all dressings
16. What is the initial action for a patient with a gunshot wound?
✅ A. Remove dressing and inspect the wound
B. Start IV fluids
C. Give pain medication
D. Apply cold compress
❤️ Cardiac & Circulatory
17. What should the nurse do when a patient shows irregular heart rate during suctioning?
✅ A. Pre-oxygenate before suctioning
B. Stop suctioning immediately
C. Increase suction pressure
D. Notify the provider
18. What is the first nursing action for a blood transfusion reaction?
✅ A. Slow the infusion and assess vital signs
B. Call the lab
C. Administer antihistamines
D. Document findings
19. What is an expected effect of dopamine in shock management?
✅ A. Improves renal perfusion by dilating renal arteries
B. Lowers blood pressure
C. Reduces heart rate
D. Causes vasoconstriction
3
