MEDSURG ATI PROCTORED FINAL EXAM UPDATED QUESTIONS AND ANSWERS 2024

MEDSURG ATI PROCTORED FINAL EXAM UPDATED QUESTIONS AND ANSWERS 2024 A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting for 2 days. Which of the following laboratory values should the nurse report to the provider? a) Potassium 4.0 mEq/L b) Lithium 0.9 mEq/L c) BUN 12 mg/dL d) Sodium 132 mEq/L - ANSWERS D. Sodium 132 mEq/L A nurse is caring for a client who has cancer and has a WBC count of 4,000/mm3. Which of the following actions should the nurse take? a) Cleanse the client's toothbrush with hydrogen peroxide. b) Instruct the client to use a disposable razor to shave. c) Decrease the client's protein intake. d) Encourage the client to eat unpasteurized dairy products. - ANSWERS A. Cleanse the client's toothbrush with hydrogen peroxide. A nurse enters a client's room and sees smoke coming from the bathroom. Which of the following actions should the nurse take first? a) Activate the fire alarm system. b) Use a fire extinguisher at the source of the smoke. c) Assist the client to a nearby common area. d) Close the doors to the room and to the bathroom. - ANSWERS C. Assist the client to a nearby common area. A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic arthritis. Which of the following interventions should the nurse include in the plan? a) Apply foam handles to the client's eating utensils. b) Obtain a referral for physical therapy. c) Have an assistive personnel feed the client. d) Ask the provider for a prescription for a pureed diet. - ANSWERS A. Apply foam handles to the client's eating utensils. A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for chest discomfort with activity. Which of the following medications should the nurse instruct the client to avoid taking within 24 hr of using nitroglycerin? a) Atorvastatin b) Metformin c) Sildenafil d) Omeprazole - ANSWERS C. Sildenafil A nurse is preparing to obtain a postprandial blood glucose level from a client who has diabetes mellitus. Which of the following actions should the nurse take? a) Apply the first drop of blood to the test strip. b) Clean the client's finger with hexachlorophene. c) Prick the central tip of the client's finger. d) Hold the client's finger in a dependent position. - ANSWERS D. Hold the client's finger in a dependent position. A nurse is reinforcing teaching with a client about breast self-examinations. Which of the following statements by the client indicates an understanding of the teaching? a) "It is common for one breast to be larger than the other." b) "It is common for the skin on my breasts to dimple." c) "I will perform breast exams the day my period begins." d) "I will perform breast exams every other month." - ANSWERS A. "It is common for one breast to be larger than the other." A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following statements by the client indicates an understanding of the teaching? a) "I will need to empty the bag every 4 to 6 hours." b) "I will use moisturizing soap to clean around the stoma before applying the bag." c) "I will use a skin sealant before I apply the bag." d) "I will cut the wafer opening one-fourth of an inch larger than the stoma." - ANSWERS C. "I will use a skin sealant before I apply the bag." A nurse is assisting in the plan of care for a client who is dehydrated and is receiving IV fluid replacement. Which of the following interventions should the nurse contribute to the plan of care? a) Offer oral fluids every 4 hr. b) Check for neck vein distention. c) Limit oral fluids prior to bedtime. d) Monitor pulse pressure every 6 hr. - ANSWERS B. Check for neck vein distention. A nurse is caring for a young adult client who has testicular cancer and expresses concern about their sexual function following an orchiectomy of the involved testicle. Which of the following responses should the nurse make? a) "I'm sure any partner will understand that you have no control over this." b) "There are other ways to express intimacy besides intercourse." c) "You should focus on recovering from your cancer right now." d) "The removal of a single testicle will not prevent you from having an erection." - ANSWERS D. "The removal of a single testicle will not prevent you from having an erection.