ATI Med-Surg Proctored Exam. 62 Questions and Correct answers.
1. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon?
a. Heart rate 90/min
b. Absent bowel sounds
c. Hgb 8.2 g/dl
d....
ATI Med-Surg Proctored Exam. 62
Questions and Correct answers.
1. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the
following findings should the nurse report to the surgeon?
a. Heart rate 90/min
b. Absent bowel sounds
c. Hgb 8.2 g/dl
d. Gastric pH of 3. - Correct answer c. Hgb 8.2 g/dl
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging."
2. "A nurse is caring for a client who has diabetes insipidus. Which of the following medications should
the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonat - Correct answer a. Desmopressin
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase
ADH and to stop patient on urinating."
3. "A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily
for 3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood - GI bleed
c. Urine for white blood cells
d. Serum calcium Rationale: - Correct answer b. Stool for occult blood - GI bleed
Rationale: ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools,
abdominal pain)"
4. "A nurse in the emergency department is assessing a client. Which of the following actions should
the nurse take first (Click on the "Exhibit" button for additional information about the client. There
are three tabs that contain separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansetron. - Correct answer Initiate airborne precautions"
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, 5. "A nurse is caring for a client who is to have his chest tube removed. Which of the following actions
should the nurse take?
A. Cover the insertion site with a hydrocolloid dressing after removal
B. Provide pain medication immediately after removal
C. Instruct the client to perform the Valsalva maneuver during removal
D. Delegate removal of the chest tube to a LPN - Correct answer C
The nurse should instruct the patient to perform the Valsalva maneuver during removal to maintain
the appropriate amount of negative pressure in the chest to prevent air entry into the pleural space."
6. "A nurse is caring for a client who begins having a tonic clonic seizure while sitting in a chair at the
bedside. Which of the following actions should the nurse take first?
A. Provide oxygen
B. Place the client in a side lying position
C. Provide privacy
D. Lower the client to the floor - Correct answer D"
7. "A nurse is teaching a client how to perform a breast self exam. The nurse should identify which of
the following findings as an indication of breast cancer?
A. Lumps that are mobile and tender upon palpation prior to period
B. Multiple round masses that are tender and found in both breasts
C. Bilaterally darkened areolas
D. A nontender, hard lump that is palpated in one breast - Correct answer D"
8. "A nurse is preparing to change the bed linens of a client who has AIDS and is continent of stool
Which of the following PPE should the nurse don prior to providing client care (SATA)?
A. Gown
B. Gloves
C. Mask
D. Hair cover
E. Goggles - Correct answer A B"
9. "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? –
Correct answer Encourage weight bearing exercises (such as walking because it can help maintain
bone mass by reducing bone demineralization, thus helping to prevent osteoporosis.)"
10. "A nurse is reinforcing teaching with a client who is taking insulin Glargine. What information should
the nurse include in the teaching?
Correct answer This type of insulin should be given at the same time everyday. (It is released over a
24hr period)"
11. "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? - Correct answer "I don't cross my legs anymore"."
12. "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? - Correct answer
Visitors must don a gown & gloves prior to entering the client's room."
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