ATI MED SURG EXAM 2023 BRAND NEW!!
ACTUAL EXAM ALL 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
A home health nurse is assigned to a client who was recently discharged from a rehabilitation
center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits
should the nurse expect to find when assessing the client? (Select all that apply.) - ANS - Visual
spatial deficits, Left hemianopsia, One-sided neglect
\A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis.
The nurse should give the AP which of the following instructions? - ANS - Wear a mask.
\A nurse has received a change-of-shift report for a group of clients. Which of the following
clients should the nurse assess first? - ANS - A client who had a myocardial infarction (MI) 4
days ago and is asking for a PRN sublingual nitroglycerin tablet
\A nurse in a community clinic is caring for a client who reports an increase in the frequency of
migraine headaches. To help reduce the risk for migraine headaches, which of the following
foods should the nurse recommend the client avoid? - ANS - Aged cheese
\A nurse in a provider's office is assessing a client who has hypertension and takes propranolol.
Which of the following findings should indicate to the nurse that the client is experiencing an
adverse reaction to this medication? - ANS - Report of a night cough
\A nurse in a provider's office is assessing a client who has migraine headaches and is taking
feverfew to prevent headaches. The nurse should identify that which of the following client
medications interacts with feverfew? - ANS - Naproxen
\A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile
dysfunction. Which of the following statements should the nurse make? - ANS - "You will not be
able to use sildenafil if you are taking nitroglycerin."
\A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the
following precautions should the nurse implement? - ANS - Ensure that the client has a patent
IV.
\A nurse in an emergency department is assessing a client who has a detached retina. Which of
the following should the nurse expect the client to report? - ANS - "It's like a curtain closed over
my eye."
\A nurse in an emergency department is caring for a client who has full-thickness burns over
20% of their total body surface area. After ensuring a patent airway and administering oxygen,
which of the following items should the nurse prepare to administer first? - ANS - IV fluids
\A nurse in an emergency department is caring for a client who is experiencing a thyroid storm.
Which of the following manifestations should the nurse expect? (Select all that apply.) - ANS -
Fever, Hypertension, Tachycardia
, \A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for
the past 3 days. Which of the following findings should indicate to the nurse that the client is
experiencing fluid volume deficit? - ANS - Heart rate 110/min
\A nurse in an emergency department is reviewing the provider's prescriptions for a client who
sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the
nurse expect? - ANS - Administer an opioid analgesic to the client.
\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? - ANS - Bradycardia
\A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus.
For which of the following adverse effects should the nurse monitor? - ANS - Respiratory
paralysis
\A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago.
Which of the following findings should the nurse expect? - ANS - Stone fragments in the urine
\A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the
nurse's priority? - ANS - Tachycardia
\A nurse is assessing a client who has Graves' disease. Which of the following images should
indicate to the nurse that the client has exophthalmos? - ANS - D, with the bulging scary eyes
\A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which
of the following actions should the nurse take? - ANS - Check that one finger fits between the
cast and the leg.
\A nurse is assessing a client who has had a suspected stroke. The nurse should place the
priority on which of the following findings? - ANS - Dysphagia
\A nurse is assessing a group of clients for indications of role changes. The nurse should
identify that which of the following clients is at risk for experiencing a role change? - ANS - A
client who has multiple sclerosis and is experiencing progressive difficulty ambulating
\A nurse is assessing a male client for an inguinal hernia. Which of the following areas should
the nurse palpate to verify that the client has an inguinal hernia? (You will find hot spots to select
in the artwork below. Select only the hot spot that corresponds to your answer.) - ANS - C
\A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the
formation of a hematoma at the insertion site and a decreased pulse rate in the affected
extremity. Which of the following interventions is the nurse's priority? - ANS - Apply firm
pressure to the insertion site.
\A nurse is caring for a client has who has chronic glomerulonephritis with oliguria. Which of the
following findings should the nurse identify as a manifestation of chronic glomerulonephritis? -
ANS - Hyperkalemia
\A nurse is caring for a client who has a closed head injury and has an intraventricular catheter
placed. Which of the following findings indicates that the client is experiencing increased
intracranial pressure (ICP)? (Select all that apply.) - ANS - Sleepiness, Widening pulse
pressure, Decerbrate posturing
\A nurse is caring for a client who has a leg cast and is returning demonstration on the proper
use of crutches while climbing stairs. Identify the sequence the client should follow when
demonstrating crutch use. (Move the steps into the box on the right, placing them in the
selected order of performance. Use all the steps.) - ANS - Places body weight on the crutches.
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