2023 ATI Medical Surgical Proctored Exam Updated 2025
New Latest Version with All Questions and 100% Correct
Answer
A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled
for an escharotomy and wants to know what the procedure involves. Which of the following
statements is appropriate for the nurse to make?
A) "An escharotomy surgically removes dead tissue."
B) "A cannula will be inserted into the bone to infuse fluids and antibiotics."
C) "A piece of skin will be removed and grafted over the burned area."
D) "Large incisions will be made in the burned tissue to improve circulation." ---------- Correct
Answer ------------ D
A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. The
nurse should recognize the client is experiencing which of the following conditions?
A) A continuous seizure state in which seizures occur in rapid succession
B) A sensory warning that a seizure is imminent
C) A period of sleepiness following the seizure during which arousal is difficult
D) A brief loss of consciousness accompanied by staring ---------- Correct Answer ------------ B
a nurse's reinforcing teaching with a client who is scheduled for guaiac fecal occult blood test
which of the following instructions should the nurse include in the teaching ----------- Correct
Answer ------------ avoid eating red meat for 3 days prior to the test
a nurse is assisting in the care of a client who has manifestations of sepsis which of the following
provider prescriptions should the nurse implement first ----------- Correct Answer ------------
initiate oxygen at 4 l via nasal cannula
a nurse's reviewing the laboratory results of a client who has chronic kidney failure and is
receiving epoetin alfathe nursery identify that which of the following laboratory values indicates
that treatment is effective ----------- Correct Answer ------------ HGB 11
A nurse is caring for a client who just had cataract surgery. Which of the following comments
from the client should the nurse report to the provider?
A) "The bright light in this room is really bothering me."
B) "My eye really itches, but I'm trying not to rub it."
C) "It's really hard to see with a patch on one eye."
D) "I need something for the horrible pain in my eye." ---------- Correct Answer ------------ D
A nurse is caring for a client who is scheduled for a colonoscopy. The client asks the nurse if
there will be a lot of pain during the procedure. Which of the following responses should the
,nurse make?
A) "You shouldn't feel any pain since the local area is anesthetized."
B) "Most clients report more discomfort from the preparation than from the procedure itself."
C) "You may feel some cramping during the procedure."
D) "Don't worry ---------- Correct Answer ------------ you won't remember anything about the
procedure due to the effects of the medication.";C
A nurse is collecting data from a client who has a possible cataract. Which of the following
manifestations should the nurse expect the client to report?
A) Decreased color perception
B) Loss of peripheral vision
C) Bright flashes of light
D) Eyestrain ---------- Correct Answer ------------ A
A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is
receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the
following interventions should the nurse include in the plan of care?
A) Measure abdominal girth daily.
B) Use sterile water to irrigate the nasogastric tube..
C) Maintain the client in Fowler's position.
D) Moisten the client's lips with lemon-glycerin swabs. ---------- Correct Answer ------------ C
A nurse is caring for a client who has Cushing's syndrome. Which of the following clinical
manifestations should the nurse expect to observe? (Select all that apply.)
A) Buffalo hump
B) Purple striations
C) Moon face
D) Tremors
5) Obese extremities ---------- Correct Answer ------------ A B C
A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the
following actions should the nurse take?
A) Provide a diet high in protein.
B) Provide ibuprofen for retroperitoneal discomfort.
C) Monitor intake and output hourly
D) Encourage the client to consume at least B L of fluid daily. ---------- Correct Answer ----------
-- C
A nurse is reinforcing teaching about an esophagogastroduodenoscopy with a client who has
upper gastric pain. Which of the following statements should the nurse include in the teaching?
,A) "A flexible tube is introduced through the nose during the procedure."
B) "During the procedure you are in a sitting position."
C) "You will remain NPO for 8 hours before the procedure."
D) "You will be awake while the procedure is performed." ---------- Correct Answer ------------ C
A nurse is caring for a client who is difficult to arouse and very sleepy for several hours
following
a generalized tonic-clonic seizure. Which of the following descriptions should the nurse use
when documenting this finding in the medical record?
A) Aura phase
B) Presence of automatisms
C) Postictal phase
D) Presence of absence seizures ---------- Correct Answer ------------ C
A nurse is reinforcing teaching with a client who reports right shoulder pain following a
laparoscopic cholecystectomy. Which of the following statements should the nurse make?
A) "The pain results from lying in one position too long during surgery."
B) "The pain occurs as a residual pain from cholecystitis."
C) "The pain will dissipate if you ambulate frequently."
D) "The pain is caused from the nitrous dioxide injected into the abdomen." ---------- Correct
Answer ------------ C
A nurse is checking the suction control chamber of a client's chest tube and notes that there is
no bubbling in the suction control chamber. Which of the following actions should the nurse
take?
A) Notify the provider.
B) Verify that the suction regulator is on.
C) Continue to monitor the client because this is an expected finding.
D) Milk the chest tube to dislodge any clots in the tubing that may be occluding it. ----------
Correct Answer ------------ B
A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of
the following actions should the nurse take? (Select all that apply.)
A) Encourage fluid intake.
B) Monitor the puncture site for hematoma.
C) Insert a urinary catheter.
D) Elevate the client's head of bed.
5) Apply a cervical collar to the client. ---------- Correct Answer ------------ A B
A nurse is assisting with the care of a client who is postoperative following surgical repair of a
fractured mandible. The client's jaw is wired shut to repair and stabilize the fracture. The nurse
should recognize which of the following is the priority action?
, A) Relieve the client's pain.
B) Check the client's pressure points for redness.
C) Provide oral hygiene.
D) Prevent aspiration. ---------- Correct Answer ------------ D
A nurse is collecting data from a client who has scleroderma. Which of the following findings
should the nurse expect?
A) A dry raised rash
B) Excessive salivation
C) Periorbital edema
D) Hardened skin ---------- Correct Answer ------------ D
A nurse is caring for an older adult client who has dysphagia and left-sided weakness following a
stroke. Which of the following actions should the nurse take?
A) Instruct the client to tilt her head back when she swallows.
B) Place food on the left side of the client's mouth.
C) Add thickener to fluids.
D) Serve food at room temperature. ---------- Correct Answer ------------ C
A nurse is caring for a client who has partial-thickness and full-thickness burns of his head, neck,
and chest. The nurse should recognize which of the following is the priority risk to the client?
A) Airway obstruction
B) Infection
C) Fluid imbalance
D) Contractures ---------- Correct Answer ------------ A
A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and
is to start taking neostigmine. Which of the following instructions should the nurse include in the
teaching?
A) Take the medication D5 minutes before eating.
B) Expect diaphoresis as a side effect of the neostigmine.
C) If a medication dose is missed, wait until the next scheduled dose to take the medication.
D) Treat nasal rhinitis with an over-the-counter antihistamine. ---------- Correct Answer -----------
-A
A nurse is caring for a client who is AB hours postoperative following a transurethral resection
of the prostate (TURP) and has a C-way urinary catheter with continuous irrigation. The nurse
notes there has not been any urinary output in the last hour. Which of the following actions
should the nurse perform first? SATA
A) Notify the provider.
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