ATI MedSurg Proctor Questions With Complete Solutions
1.) A nurse is receiving report on a client who is postoperative
following an open repair of Zener's Diverticulum. The nurse
should anticipate the surgical incision to be in which of the
following locations? (You will find hot spots to select in the
artwork below. Select only the hot spot that corresponds to your
answer.) Correct Answer A.) Throat
10. A nurse is providing teaching to a client who has
hypertension and a new prescription for verapamil. Which of the
following statements by the client indicates an understanding of
the teaching? Correct Answer I will count my heart beats
before taking this medication.
2.) A nurse is caring for a client who has a potassium level of 3
mEq/L. Which of the following assessment findings should the
nurse expect? Correct Answer Hypoactive bowel sounds
3.)A nurse is providing discharge instructions to a client who
has a partial thickness burn of the hand. Which of the following
instructions should the nurse include? Correct Answer Wrap
fingers with individual dressings
4.) A nurse is assessing a client following the administration of
magnesium sulfate 1g IV bolus. For which of the following
adverse effects should the nurse monitor? Correct Answer
Respiratory Paralysis
,5. A nurse is assessing a client's hydration status. Which of the
following findings indicated fluid volume overload. Correct
Answer Distended neck veins
6. A nurse is assessing a client following the administration of
IV penicillin G. Which of the following findings should indicate
to the nurse that the client is experiencing an anaphylactic
reaction? Correct Answer Flushing
7. A nurse is providing teaching to a client who has a severe
form of stage II Lyme disease. Which of the following
statements made by the client reflects an understanding of the
teaching? Correct Answer My joints ache because I have Lyme
disease.
8. A nurse is caring for a client who has portal hypertension. The
client is vomiting blood mixed with food after a meal. Which of
the following actions should the nurse take first? Correct
Answer Obtain vital signs
9. A nurse is assessing a client following IV urography. Which
of the following findings is the priority? Correct Answer
Swollen lips
A charge nurse is instructing a newly licensed nurse about
caring for a client who has MRSA which of the following
statements by the newly licensed nurse indicates an
understanding of the teaching Correct Answer I will leave
assessment equipment in the room to use on this client the nurse
should follow contact precautions and use dedicated equipment
,when assessing the client to prevent cross-contamination with
other clients
A client diagnosed with emphysema is being prepared for
discharge. Which instruction reinforced by the nurse would be
beneficial for improving the client's gas exchange?
Reinforcing teaching for the client to use pursed-lip breathing
Encouraging the client to limit fluids to 1,500 mL per day
Demonstrating the proper technique for chest breathing
Reinforcing teaching about home oxygen therapy at 5 L/min
Correct Answer Reinforcing teaching for the client to use
pursed-lip breathing
Pursed-lip breathing slows expiration, prevents collapse of lung
units, and facilitates effective gas exchange.
A client diagnosed with viral encephalitis secondary to West
Nile Virus is admitted to the hospital for treatment. When
assisting in the development of a nursing care plan, which
interventions are consistent with the client's diagnosis? (Select
all that apply.)
Place the client on respiratory isolation.
Monitor vital signs every 4 hr.
Assess neurological status every 4 hr.
Assess for Brudzinski's sign.
Implement seizure precautions. Correct Answer Placing the
client on respiratory isolation is incorrect. West Nile Virus is an
arbovirus. It can be transmitted to humans only after a person is
bitten by an infected organism such as the tick. The infection
, cannot be transmitted person-to-person as with viral or bacterial
infections.
Monitoring vital signs every 4 hr is correct. It is important to
monitor vital signs to assess for changes consistent with
increased intracranial pressure.
Assessing neurological status every 4 hr is correct. Neurological
status should be monitored at least every 4 hr or more frequently
as the client's status may indicate. The course of encephalitis is
unpredictable, so the client must be monitored closely for any
signs of deteriorating neurological functioning.
Assessing for Brudzinski's sign is correct. Brudzinski's sign is
assessed by placing the client on the back and forcibly bending
the neck forward. If positive, a reflexive flexion of the knees
occurs, indicating meningeal irritation, which is one of the major
clinical manifestations of viral encephalitis.
Implementing seizure precautions is correct. Due to the
inflammatory response of the brain to the arbovirus the client is
at risk for seizures. Precautions should be implemented to ensure
client safety if a seizure does occur.
A client has a platelet count of 18,000 cells/mL. An appropriate
nursing intervention is to do which of the following?
Avoid intramuscular injections (IM).
Administer oxygen via nasal cannula.
Maintain a no visitors policy.
1.) A nurse is receiving report on a client who is postoperative
following an open repair of Zener's Diverticulum. The nurse
should anticipate the surgical incision to be in which of the
following locations? (You will find hot spots to select in the
artwork below. Select only the hot spot that corresponds to your
answer.) Correct Answer A.) Throat
10. A nurse is providing teaching to a client who has
hypertension and a new prescription for verapamil. Which of the
following statements by the client indicates an understanding of
the teaching? Correct Answer I will count my heart beats
before taking this medication.
2.) A nurse is caring for a client who has a potassium level of 3
mEq/L. Which of the following assessment findings should the
nurse expect? Correct Answer Hypoactive bowel sounds
3.)A nurse is providing discharge instructions to a client who
has a partial thickness burn of the hand. Which of the following
instructions should the nurse include? Correct Answer Wrap
fingers with individual dressings
4.) A nurse is assessing a client following the administration of
magnesium sulfate 1g IV bolus. For which of the following
adverse effects should the nurse monitor? Correct Answer
Respiratory Paralysis
,5. A nurse is assessing a client's hydration status. Which of the
following findings indicated fluid volume overload. Correct
Answer Distended neck veins
6. A nurse is assessing a client following the administration of
IV penicillin G. Which of the following findings should indicate
to the nurse that the client is experiencing an anaphylactic
reaction? Correct Answer Flushing
7. A nurse is providing teaching to a client who has a severe
form of stage II Lyme disease. Which of the following
statements made by the client reflects an understanding of the
teaching? Correct Answer My joints ache because I have Lyme
disease.
8. A nurse is caring for a client who has portal hypertension. The
client is vomiting blood mixed with food after a meal. Which of
the following actions should the nurse take first? Correct
Answer Obtain vital signs
9. A nurse is assessing a client following IV urography. Which
of the following findings is the priority? Correct Answer
Swollen lips
A charge nurse is instructing a newly licensed nurse about
caring for a client who has MRSA which of the following
statements by the newly licensed nurse indicates an
understanding of the teaching Correct Answer I will leave
assessment equipment in the room to use on this client the nurse
should follow contact precautions and use dedicated equipment
,when assessing the client to prevent cross-contamination with
other clients
A client diagnosed with emphysema is being prepared for
discharge. Which instruction reinforced by the nurse would be
beneficial for improving the client's gas exchange?
Reinforcing teaching for the client to use pursed-lip breathing
Encouraging the client to limit fluids to 1,500 mL per day
Demonstrating the proper technique for chest breathing
Reinforcing teaching about home oxygen therapy at 5 L/min
Correct Answer Reinforcing teaching for the client to use
pursed-lip breathing
Pursed-lip breathing slows expiration, prevents collapse of lung
units, and facilitates effective gas exchange.
A client diagnosed with viral encephalitis secondary to West
Nile Virus is admitted to the hospital for treatment. When
assisting in the development of a nursing care plan, which
interventions are consistent with the client's diagnosis? (Select
all that apply.)
Place the client on respiratory isolation.
Monitor vital signs every 4 hr.
Assess neurological status every 4 hr.
Assess for Brudzinski's sign.
Implement seizure precautions. Correct Answer Placing the
client on respiratory isolation is incorrect. West Nile Virus is an
arbovirus. It can be transmitted to humans only after a person is
bitten by an infected organism such as the tick. The infection
, cannot be transmitted person-to-person as with viral or bacterial
infections.
Monitoring vital signs every 4 hr is correct. It is important to
monitor vital signs to assess for changes consistent with
increased intracranial pressure.
Assessing neurological status every 4 hr is correct. Neurological
status should be monitored at least every 4 hr or more frequently
as the client's status may indicate. The course of encephalitis is
unpredictable, so the client must be monitored closely for any
signs of deteriorating neurological functioning.
Assessing for Brudzinski's sign is correct. Brudzinski's sign is
assessed by placing the client on the back and forcibly bending
the neck forward. If positive, a reflexive flexion of the knees
occurs, indicating meningeal irritation, which is one of the major
clinical manifestations of viral encephalitis.
Implementing seizure precautions is correct. Due to the
inflammatory response of the brain to the arbovirus the client is
at risk for seizures. Precautions should be implemented to ensure
client safety if a seizure does occur.
A client has a platelet count of 18,000 cells/mL. An appropriate
nursing intervention is to do which of the following?
Avoid intramuscular injections (IM).
Administer oxygen via nasal cannula.
Maintain a no visitors policy.
