ATI MED SURGE PROCTORED EXAM 2019
FORM A
. A nurse is caring for a client who is postoperative following a tracheostomy, and has
copious and tenacious secretions. Which of the following is an acceptable method for the
nurse to use to thin this client's secretions?
1) Provide humidified oxygen. → want to hyperoxygenate prior to suction
2) Perform chest physiotherapy prior to suctioning.
3) Prelubricate the suction catheter tip with sterile saline when suctioning the airway.
4) Hyperventilate the client with 100% oxygen before suctioning the airway..
2. Following admission, a client with a vascular occlusion of the right lower extremity calls
the nurse and reports difficulty sleeping because of cold feet. Which of the following
nursing actions should the nurse take to promote the client's comfort?
1) Rub the client's feet briskly for several minutes.
2) Obtain a pair of slipper socks for the client.
3) Increase the client's oral fluid intake.
4) Place a moist heating pad under the client's feet.
3. A nurse is caring for a client who is 4 hr postoperative following a transurethral
resection of the prostate (TURP). Which of the following is the priority finding for
the nurse report to the provider?
1) Emesis of 100 mL
2) Oral temperature of 37.5° C (99.5° F)
3) Thick, red-colored urine
4) Pain level of 4 on a 0 to 10 rating scale
4. A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a
prescription for a hypothermia blanket. The nurse should monitor the client for which of
the following adverse effects of the hypothermia blanket?
1) Shivering → The process of shivering is detrimental since it counteracts cooling
induction, consumes energy, and can contribute to increased ICP, increased energy expenditure
and brain O2 consumption.
2) Infection
3) Burns
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4) Hypervolemia
5. A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes
mellitus. Which of the following statements by the client indicates an understanding of
the
teaching?
1) "I will carry a complex carbohydrate snack with me when I exercise."
2) "I should exercise first thing in the morning before eating breakfast."
3) "I should avoid injecting insulin into my thigh if I am going to go running."
4) "I will not exercise if my urine is positive for ketones." → not having enough
insulin to use, the sugar in the blood can also cause the body to burn fat for fuel.
When the body starts to burn fat for fuel, substances called ketones are produced. People
w/diabetes shouldn’t exercise if the have high levels of ketones in their blood because it can
make them really sick & cause their insulin levels to increase.
6. A nurse notes a small section of bowel protruding from the abdominal incision of a client
who is postoperative. After calling for assistance, which of the following actions should
the nurse take first?
1) Cover the client's wound with a moist, sterile dressing.
2) Have the client lie supine with knees flexed.
3) Check the client's vital signs.
4) Inform the client about the need to return to surgery.
7. A nurse is collecting data from a client who has alcohol use disorder and is experiencing
metabolic acidosis. Which of the following manifestations should the nurse expect?
1) Cool, clammy skin.
2) Hyperventilation → S/Sx of Metabolic Acidosis: jaundice, tachycardia (inc. HR)
Confusion, fatigue, rapid and shallow breathing, headache, sleepiness,
3) Increased blood pressure
4) Bradycardia
8. A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which
of the following should the nurse include in the teaching?
1) Avoid bending at the waist. → brings more pressure to the eyes; bending over can cause
a rush of blood to your head that interferes with recovery 2) Remove the eye shield at
bedtime.
,3) Limit the use of laxatives if constipated.
4) Seeing flashes of light is an expected finding following extraction.
9. A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg
daily. The client refuses breakfast and reports nausea. Which of the following actions
should the nurse take first?
1) Suggest that the client rests before eating the meal.
2) Request a dietary consult.
3) Check the client's vital signs. → adverse effect of digoxin can be nausea, and with them being
in heart failure it increases their risk of digoxin toxicity 4) Request an order for an antiemetic.
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10.A nurse is caring for a client who is 3 days postoperative following a cholecystectomy (gallbladder
removal). The nurse suspects the client's wound is infected because the drainage from the dressing is
yellow and thick. Which of the following findings should the nurse report as the type of drainage found?
1) Sanguineous - bright red
2) Serous - clear drainage
3) Serosanguineous - pink-tinged drainage, but can look clear
4) Purulent - white, yellow or brown thick fluid (sign of an infection)
11.A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent
postoperative complications which of the following actions should be reinforced during the teaching?
1) Administer an opioid analgesic to the client 30 min prior to initiating CPM
(continuous passive motion) exercises.
2) Place the client’s affected leg into the CPM machine with the machine in the flexed
position.
3) Place the client into a high Fowler’s position when initiating the CPM exercises. 4)
Align the joints of the CPM machine with the knee gatch in the client’s bed.
12.A nurse is collecting data from a client who has emphysema. Which of the following findings should the
nurse expect? (Select all that apply.)
, 1) Dyspnea
2) Barrel chest
3) Clubbing of the fingers
4) Shallow respirations → Emphysema, think about “pink puffer”: difficulty catching their
breath, faces redden while gasping for air, clubbing at fingers & look barrel chested
5) Bradycardia
13.A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care,
the nurse notices a thin stream of clear drainage coming from out of the client's right nostril. Which of
the following actions should the nurse take first?
1) Take the client's temperature.
2) Place a dressing under the client's nose.
3) Notify the charge nurse.
4) Test the drainage for glucose.
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14.A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client
is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent
autonomic dysreflexia?
1) Monitor for elevated blood pressure.
2) Provide analgesia for headaches.
3) Prevent bladder distention.
4) Elevate the client's head.
15.A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following
findings should the nurse expect the client to report?
1) Hot flashes
2) Recurrent urinary tract infections
3) Blood in the stool
4) Abnormal vaginal bleeding → endometrial lining of the vaginal wall
16.A nurse is caring for a client following an open reduction and internal fixation of a fractured femur. Which
of the following findings is the nurse's priority?
1) Altered level of consciousness
2) Oral temperature of 37.7° C (100° C)
3) Muscle spasms
4) Headache
FORM A
. A nurse is caring for a client who is postoperative following a tracheostomy, and has
copious and tenacious secretions. Which of the following is an acceptable method for the
nurse to use to thin this client's secretions?
1) Provide humidified oxygen. → want to hyperoxygenate prior to suction
2) Perform chest physiotherapy prior to suctioning.
3) Prelubricate the suction catheter tip with sterile saline when suctioning the airway.
4) Hyperventilate the client with 100% oxygen before suctioning the airway..
2. Following admission, a client with a vascular occlusion of the right lower extremity calls
the nurse and reports difficulty sleeping because of cold feet. Which of the following
nursing actions should the nurse take to promote the client's comfort?
1) Rub the client's feet briskly for several minutes.
2) Obtain a pair of slipper socks for the client.
3) Increase the client's oral fluid intake.
4) Place a moist heating pad under the client's feet.
3. A nurse is caring for a client who is 4 hr postoperative following a transurethral
resection of the prostate (TURP). Which of the following is the priority finding for
the nurse report to the provider?
1) Emesis of 100 mL
2) Oral temperature of 37.5° C (99.5° F)
3) Thick, red-colored urine
4) Pain level of 4 on a 0 to 10 rating scale
4. A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a
prescription for a hypothermia blanket. The nurse should monitor the client for which of
the following adverse effects of the hypothermia blanket?
1) Shivering → The process of shivering is detrimental since it counteracts cooling
induction, consumes energy, and can contribute to increased ICP, increased energy expenditure
and brain O2 consumption.
2) Infection
3) Burns
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4) Hypervolemia
5. A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes
mellitus. Which of the following statements by the client indicates an understanding of
the
teaching?
1) "I will carry a complex carbohydrate snack with me when I exercise."
2) "I should exercise first thing in the morning before eating breakfast."
3) "I should avoid injecting insulin into my thigh if I am going to go running."
4) "I will not exercise if my urine is positive for ketones." → not having enough
insulin to use, the sugar in the blood can also cause the body to burn fat for fuel.
When the body starts to burn fat for fuel, substances called ketones are produced. People
w/diabetes shouldn’t exercise if the have high levels of ketones in their blood because it can
make them really sick & cause their insulin levels to increase.
6. A nurse notes a small section of bowel protruding from the abdominal incision of a client
who is postoperative. After calling for assistance, which of the following actions should
the nurse take first?
1) Cover the client's wound with a moist, sterile dressing.
2) Have the client lie supine with knees flexed.
3) Check the client's vital signs.
4) Inform the client about the need to return to surgery.
7. A nurse is collecting data from a client who has alcohol use disorder and is experiencing
metabolic acidosis. Which of the following manifestations should the nurse expect?
1) Cool, clammy skin.
2) Hyperventilation → S/Sx of Metabolic Acidosis: jaundice, tachycardia (inc. HR)
Confusion, fatigue, rapid and shallow breathing, headache, sleepiness,
3) Increased blood pressure
4) Bradycardia
8. A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which
of the following should the nurse include in the teaching?
1) Avoid bending at the waist. → brings more pressure to the eyes; bending over can cause
a rush of blood to your head that interferes with recovery 2) Remove the eye shield at
bedtime.
,3) Limit the use of laxatives if constipated.
4) Seeing flashes of light is an expected finding following extraction.
9. A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg
daily. The client refuses breakfast and reports nausea. Which of the following actions
should the nurse take first?
1) Suggest that the client rests before eating the meal.
2) Request a dietary consult.
3) Check the client's vital signs. → adverse effect of digoxin can be nausea, and with them being
in heart failure it increases their risk of digoxin toxicity 4) Request an order for an antiemetic.
Downloaded by: tbosse4 |
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10.A nurse is caring for a client who is 3 days postoperative following a cholecystectomy (gallbladder
removal). The nurse suspects the client's wound is infected because the drainage from the dressing is
yellow and thick. Which of the following findings should the nurse report as the type of drainage found?
1) Sanguineous - bright red
2) Serous - clear drainage
3) Serosanguineous - pink-tinged drainage, but can look clear
4) Purulent - white, yellow or brown thick fluid (sign of an infection)
11.A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent
postoperative complications which of the following actions should be reinforced during the teaching?
1) Administer an opioid analgesic to the client 30 min prior to initiating CPM
(continuous passive motion) exercises.
2) Place the client’s affected leg into the CPM machine with the machine in the flexed
position.
3) Place the client into a high Fowler’s position when initiating the CPM exercises. 4)
Align the joints of the CPM machine with the knee gatch in the client’s bed.
12.A nurse is collecting data from a client who has emphysema. Which of the following findings should the
nurse expect? (Select all that apply.)
, 1) Dyspnea
2) Barrel chest
3) Clubbing of the fingers
4) Shallow respirations → Emphysema, think about “pink puffer”: difficulty catching their
breath, faces redden while gasping for air, clubbing at fingers & look barrel chested
5) Bradycardia
13.A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care,
the nurse notices a thin stream of clear drainage coming from out of the client's right nostril. Which of
the following actions should the nurse take first?
1) Take the client's temperature.
2) Place a dressing under the client's nose.
3) Notify the charge nurse.
4) Test the drainage for glucose.
Downloaded by: tbosse4 |
Distribution of this document is illegal
Stuvia.com - The Marketplace to Buy and Sell your Study Material
14.A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client
is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent
autonomic dysreflexia?
1) Monitor for elevated blood pressure.
2) Provide analgesia for headaches.
3) Prevent bladder distention.
4) Elevate the client's head.
15.A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following
findings should the nurse expect the client to report?
1) Hot flashes
2) Recurrent urinary tract infections
3) Blood in the stool
4) Abnormal vaginal bleeding → endometrial lining of the vaginal wall
16.A nurse is caring for a client following an open reduction and internal fixation of a fractured femur. Which
of the following findings is the nurse's priority?
1) Altered level of consciousness
2) Oral temperature of 37.7° C (100° C)
3) Muscle spasms
4) Headache
