2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL EXAM WI
2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL EXAM WI
2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL EXAM WI
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2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL EXAM WITH NGN QUESTION AND CORRECT DETAILED ANSWERS WITH RATIONALES RATED AGRADE.
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2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL EXAM WI
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2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL EXAM WI
2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL EXAM WITH NGN QUESTION AND CORRECT DETAILED ANSWERS WITH RATIONALES RATED AGRADE.2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL EXAM WITH NGN QUESTION AND CORRECT DETAILED ANSWERS WITH RATIONALES RATED AGRADE.2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL EXAM WIT...
2023 rn ati adult medsurg proctored actual exam wi
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2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL EXAM WI
2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL EXAM WI
2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL EXAM WI
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2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL
EXAM WITH NGN QUESTION AND CORRECT DETAILED
ANSWERS WITH RATIONALES RATED AGRADE.
A home health nurse is caring for a client who has COPD. The client tells the nurse that he becomes
short of breath while eating despite the use of home oxygen. What instructions should the nurse include?
- ansDrink beverages at the end of meals
A home health nurse is reinforcing teaching with a client about preventing complications of peripheral
vascular disease. What statement by the client indicates that they are adhering to the nurse's
instructions? - ans"I don't cross my legs anymore".
A nurse enters the room of a client whose transfusion of packed RBCs was initiated 15 min ago by the
RN. The client reports dyspnea and urticaria. What action should the nurse perform first? - ansStop the
infusion
A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. What
instructions should the nurse include to promote comfort? - ansSleep on a firm mattress
A nurse is admitting a client who is suspected having active tuberculosis (TB). What action should should
the nurse take first? - ansInstitute airborne precautions
A nurse is assisting in the care of a client who has manifestations of sepsis. What provider prescriptions
should the nurse implement first? - ansInitiate oxygen at 4 L/min via nasal cannula
A nurse is assisting in the plan of care for a client who has a recent left hemispheric stroke. What action
should the nurse include in the plan? - ansUse simple verbal cues when directing tasks
A nurse is assisting with an educational program for clients who have newly diagnosed with diabetes
mellitus. What instruction should the nurse include in the program regarding insulin? - ansOpened insulin
can be stored on a cool countertop away from light
A nurse is caring for a client following a gastrectomy. What action should the nurse take to decrease
episodes of dumping syndrome? - ansPlace the client in the supine position after meals
A nurse is caring for a client who has a methicillin-resistant Staphlococcus aureus (MRSA) infections in a
surgical wound. What information should the nurse plan to share with visitors? - ansVisitors must don a
gown & gloves prior to entering the client's room.
A nurse is caring for a client who has a new cast on her left forearm and report severe pain in the affected
arm with numbness in the fingers. The nurse finds the skin is pale and cold with sluggish capillary refill.
What fracture complication should the nurse suspect? - ansCompartment syndrome
A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily. While taking the client's
apical pulse, the nurse notes a rate of 58/ min. What action should the nurse take? - ansWithhold the
dose
,2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL
EXAM WITH NGN QUESTION AND CORRECT DETAILED
ANSWERS WITH RATIONALES RATED AGRADE.
A nurse is caring for a client who has an intestinal obstruction & reports a new onset of nausea. The client
has an NG tube set at low intermittent suction & is receiving continuous IV infusion of 0.9% sodium
chloride. What action should the nurse take first? - ansCheck for kinks in the NG tube
A nurse is caring for a client who has dementia due to Alzheimer's disease. What action should the nurse
take to reduce the client's confusion? - ansEncourage reminiscence of past experiences
A nurse is caring for a client who has meningococal pneumonia. Which of the following personal
protective equipment should the nurse use? - ansMask (this disease requires droplet precautions)
A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I don't think I can go
on any longer." What response should the nurse make? - ans"Tell me more about the way you are
feeling."
A nurse is caring for a client who is 1 day post operative following a hip arthroplasty. The client is
exhibiting hypotension, tachycardia, & tacky-nearly. The nurse should recognize these findings as what
complication? - ansPulmonary Embolism
A nurse is caring for a client who is 24hr postoperative following abdominal surgery & has an NG tube.
What action should the nurse plan to take to decrease the risk of postoperative complications? -
ansEncourage the client to use an incentive spirometer every hour while awake
A nurse is caring for a client who is 24hr postoperative following an abdominal surgery. What finding
requires immediate attention from the nurse? - ansOxygen saturation of 88%
A nurse is caring for a client who is in Buck's traction. What intervention should the nurse perform to
reduce skin breakdown? - ansKeep the skin dry and free of perspiration
A nurse is caring for a client who is post operative following a transurethral resection of the prostate
(TURP) and is receiving continuous bladder irrigation. The nurse notes decreased output from the
urethral catheter. What prescription should the nurse expect the provider to order? - ansIrrigate the
urethral catheter with 0.9% sodium chloride
A nurse is caring for a client who reports shortness of breath and has an oxygen saturation of 90%. What
action should the nurse take? - ansAdminister oxygen via nasal cannula
A nurse is caring for a female client who is being treated for dehydration due to nausea & vomiting. What
finding should the nurse report to the provider? - ansHeart rate 120/ min
A nurse is caring for four clients. What conditions should the nurse identify as a risk for developing
vascular disease? - ansDiabetes mellitus
A nurse is collecting data from a client who has chronic kidney disease with hyperkalemia. What finding
should the nurse expect related to hyperkalemia? - ansBradycardia
,2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL
EXAM WITH NGN QUESTION AND CORRECT DETAILED
ANSWERS WITH RATIONALES RATED AGRADE.
A nurse is collecting data from a client who has hypokalemia. What finding should the nurse identify as
the priority? - ansDysrhythmia
A nurse is collecting data from a client who has hypothyroidism. What manifestation should the nurse
expect? - ansBradycardia
A nurse is contributing to the plan of care for a client who has a methicillin-resistant Staphylococcus
aureus (MRSA) infections and is on contract isolation precautions. What action should the nurse take? -
ansHave a designated stethoscope in the client's room
A nurse is contributing to the plan of care for a client who has just transferred to the medical-surgical unit
from PACU following a right total knee arthroplasty. What interventions should the nurse include in the
plan? - ansAssist the client to change position every 2hr
A nurse is contributing to the plan of care for a client who has pericarditis. What position should the nurse
plan to place the client to decrease plan? - ansUpright, leaning forward
A nurse is contributing to the plan of care for a client who has tuberculosis (TB). What intervention should
the nurse include? - ansPlace the client in a negative pressure airflow room
A nurse is contributing to the plan of care for an older adult client who is at risk for Osteoporosis. Which
intervention should the nurse include to prevent bone loss? - ansEncourage weight bearing exercises
(such as walking because it can help maintain bone mass by reducing bone demineralization, thus
helping to prevent osteoporosis.)
A nurse is monitoring a client who has a wrist cast and reports intense itching underneath the cast. What
action should the nurse take? - ansBlow cool air into the cast using a blow dryer on a cool setting
A nurse is monitoring a client who recently had a cast placed on the right lower extremity for a bone
fracture. What finding should the nurse recognize as abnormal? - ansLack of sensation between the first
and second toes
A nurse is planning care for a group of clients after receiving change-of-shift report. What client should the
nurse see first? - ansA client who is dehydrated, has mental confusion, & was found getting out of bed
several times during the night.
A nurse is planning to administer the first dose of iron dextran. What actions should the nurse plan to
take? - ansAdminister a small test dose before giving the full dose.
Infuse the medication over 30 seconds
Monitor the client closely for hypertension after the infusion.
Administer cyanocobalamin as an antidote if iron dextran toxicity occurs.
A nurse is preparing to administer furosemide to a client who has heart failure. What should the nurse
report before administering the medication? - ansDecreased potassium
, 2023 RN ATI ADULT MEDSURG PROCTORED ACTUAL
EXAM WITH NGN QUESTION AND CORRECT DETAILED
ANSWERS WITH RATIONALES RATED AGRADE.
A nurse is preparing to auscultate the bowel sounds of a client who has a mechanical bowel obstruction in
the descending colon. When listening in the left upper quadrant, the nurse should identify this sound as
what? - ansHyperactive bowel sounds
A nurse is reinforcing discharge teaching with a client who has hearing loss. What action should the nurse
take when communicating with the client? - ansRephrase client instructions when not understood.
A nurse is reinforcing teaching about joint protection with a client who has an acute exacerbation of
rheumatoid arthritis. What information should the nurse include in the teaching? - ansApply cold packs to
the joints
A nurse is reinforcing teaching to a client about preventing osteoporosis. What statement indicates an
understanding of the teaching? - ansI will limit my coffee intake
A nurse is reinforcing teaching with a client who has a new diagnosis of genital herpes. What information
should the nurse include in the teaching? - ansThe virus can be transmitted without lesions present
A nurse is reinforcing teaching with a client who has chronic kidney disease about management. What
statement by the client indicates an understanding of the teaching? - ansI will limit my daily intake of
protein
A nurse is reinforcing teaching with a client who has circulatory comprise in the lower extremities due to
peripheral vascular disease. What action should the nurse take? - ansEducate the client about choosing
low-fat, low cholesterol foods
A nurse is reinforcing teaching with a client who has coronary artery disease and is taking a statin
medication to lower cholesterol levels. What instruction should the nurse include in the teaching? -
ansAdd oily fish to your diet
A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for regular
and NPH insulin. What instructions on preparing the insulin should the nurse include? - ansWithdraw the
regular insulin before withdrawing the NPH insulin
A nurse is reinforcing teaching with a client who has heart failure and a new prescription for
hydrochlorothiazide. What should the client report to the provider? - ansOnset of nausea
A nurse is reinforcing teaching with a client who is postoperative following a cemented total hip
arthroplasty. What instructions should the nurse include in the teaching? - ansMaintain hip flex ion to 90
or less when sitting
A nurse is reinforcing teaching with a client who is taking insulin Glargine. What information should the
nurse include in the teaching? - ansThis type of insulin should be given at the same time everyday. (It is
released over a 24hr period)
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