Adult Medical Surgical
RN Adult Medical Surgical Proctored Exam 2016 B
90 Q&A
, ATI RN Adult Medical Surgical
Proctored Exam 2016 B
1. A nurse is providing dietary teaching to a client who has celiac disease.
Which of the following choices should the nurse identify as an indication that
the client understands the teaching?
= Grilled chicken breast
R: Celiac disease people should avoid gluten. Grilled chicken breast does not have
gluten. Chocolate pudding contains wheat starch.
2. A nurse is developing a teaching plan for a client who has gout.
Which of the following recommendations should the nurse include?
= Decrease intake of purine meats
3. A nurse is assessing a client who has a comminuted fracture of the femur.
Which of the following should the nurse identify as an early manifestation of a
fat embolism?
= Dyspnea
R: Dyspnea, along with tachypnea and a decreased arterial oxygen level are signs of a fat
embolism.
4. A nurse is caring for a client who has a cervical spinal cord injury sustained 1
month ago. Which of the following manifestations indicates that the client is
experiencing autonomic dysreflexia?
= heart rate 52/min
R: Other manifestations include significant rise in systolic and diastolic pressures,
severe headache, and flushing.
5. A nurse caring for a client who has pancreatitis. The nurse should expect
, which of the following laboratory results to be below the expected reference
range?
= Calcium
R: Client with pancreatitis is expected to have decreased calcium and magnesium
levels due to fat necrosis.
6. A nurse is providing teaching to a client who has a recent diagnosis of
constipation-predominant irritable bowel syndrome. Which of the following
instructions should the nurse include in the teaching?
= Consume at least 30 g of fiber daily
7. A nurse is teaching a client who has a cardiac dysrhythmia about the
purpose of undergoing continuous telemetry monitoring. Which of the
following statements by the client reflects an understanding of the teaching?
= “This identifies if the pacemaker cells of my heart are working properly.”
8. A nurse is planning care for a client who has community-acquired
pneumonia. Which of the following interventions should the nurse include
in the plan of care?
= Monitor the client for confusion
R: Pneumonia is an inflammatory process resulting in increased exudate and a
thickening and narrowing of the airways, which causes hypoxia. The reduced oxygen
level places the client at risk for confusion.
9. A nurse in an ICU is assessing a client who has a traumatic brain injury.
Which of the following findings should the nurse identify as a component of
Cushing’s triad?
= Bradycardia
R: The other two components are severe hypertension and a widened pulse pressure.
10. A nurse is administering meperidine IM in the right deltoid of a client. The
RN Adult Medical Surgical Proctored Exam 2016 B
90 Q&A
, ATI RN Adult Medical Surgical
Proctored Exam 2016 B
1. A nurse is providing dietary teaching to a client who has celiac disease.
Which of the following choices should the nurse identify as an indication that
the client understands the teaching?
= Grilled chicken breast
R: Celiac disease people should avoid gluten. Grilled chicken breast does not have
gluten. Chocolate pudding contains wheat starch.
2. A nurse is developing a teaching plan for a client who has gout.
Which of the following recommendations should the nurse include?
= Decrease intake of purine meats
3. A nurse is assessing a client who has a comminuted fracture of the femur.
Which of the following should the nurse identify as an early manifestation of a
fat embolism?
= Dyspnea
R: Dyspnea, along with tachypnea and a decreased arterial oxygen level are signs of a fat
embolism.
4. A nurse is caring for a client who has a cervical spinal cord injury sustained 1
month ago. Which of the following manifestations indicates that the client is
experiencing autonomic dysreflexia?
= heart rate 52/min
R: Other manifestations include significant rise in systolic and diastolic pressures,
severe headache, and flushing.
5. A nurse caring for a client who has pancreatitis. The nurse should expect
, which of the following laboratory results to be below the expected reference
range?
= Calcium
R: Client with pancreatitis is expected to have decreased calcium and magnesium
levels due to fat necrosis.
6. A nurse is providing teaching to a client who has a recent diagnosis of
constipation-predominant irritable bowel syndrome. Which of the following
instructions should the nurse include in the teaching?
= Consume at least 30 g of fiber daily
7. A nurse is teaching a client who has a cardiac dysrhythmia about the
purpose of undergoing continuous telemetry monitoring. Which of the
following statements by the client reflects an understanding of the teaching?
= “This identifies if the pacemaker cells of my heart are working properly.”
8. A nurse is planning care for a client who has community-acquired
pneumonia. Which of the following interventions should the nurse include
in the plan of care?
= Monitor the client for confusion
R: Pneumonia is an inflammatory process resulting in increased exudate and a
thickening and narrowing of the airways, which causes hypoxia. The reduced oxygen
level places the client at risk for confusion.
9. A nurse in an ICU is assessing a client who has a traumatic brain injury.
Which of the following findings should the nurse identify as a component of
Cushing’s triad?
= Bradycardia
R: The other two components are severe hypertension and a widened pulse pressure.
10. A nurse is administering meperidine IM in the right deltoid of a client. The
