Download A T I RN Med-Surg Proctored Final Exam 2024-2025 Latest Versions A, B, & C | 100 Questions and more Exams Nursing in PDF only on Docsity!
ATI RN MEDSURG PROCTORED FINAL EXAM 3
LATEST VERSIONS (VERSION A, B & C) 2024 AND
2025 ACTUAL EXAM EACH VERSION CONTAINS 100
QUESTIONS AND CORRECT ANSWERS From
Renowned Educators Worldwide
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 - - correct ans- - 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. - - correct ans- - 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. - - correct ans- - 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. - - correct ans- - 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
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." - - correct ans- - 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. - - correct ans- - 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." - - correct ans- - D. "The removal of a single testicle will not prevent you from having an erection." A nurse is collecting data from a client who has hyperthyroidism and is taking propylthiouracil. Which of the following statements by the client indicates the medication is effective? a) "I no longer feel nervous." b) "I no longer take a stool softener." c) "I have less oily skin." d) "I continue to lose weight." - - correct ans- - A. "I no longer feel nervous." A nurse is planning care for a client who is receiving radiation therapy to treat throat cancer and reports a change in the taste of food. Which of the following interventions should the nurse include in the plan of care? a) Offer artificial saliva frequently. b) Add honey to sweeten fruit smoothies. c) Heat food before serving. d) Provide three large meals daily. - - correct ans- - C. Heat food before serving. A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls. Which of the following actions should the nurse take? a) Raise all four side rails while the client is in bed. b) Apply a motion sensor mat to the client's bed. c) Leave the television on in the client's room. d) Move the overbed table away from the bed. - - correct ans- - B. Apply a motion sensor mat to the client's bed.
b) Plan to shampoo hair in 1 week. c) Resume exercising in 10 days. d) Close mouth when sneezing. - - correct ans- - B. Plan to shampoo hair in 1 week. A nurse is reinforcing discharge teaching about dietary changes with a client who has a new colostomy. Which of the following foods should the nurse recommend? a) Asparagus b) Bananas c) Grapes d) Broccoli - - correct ans- - B. Bananas A nurse is caring for a client who has diabetes mellitus. Which of the following laboratory results should the nurse report to the provider? a) Glycosylated hemoglobin 5.2% b) Urine positive for ketones c) Urine negative for bilirubin d) Fasting blood glucose 70 mg/dL - - correct ans- - b. Urine positive for ketones A nurse is caring for an older adult client who has heart failure. Which of the following findings should the nurse report to the provider? a) Urinary output of 1,000 mL in 12 hr b) Potassium level 4.5 mEq/L c) PaCO2 55 mm Hg d) Chest x-ray showing cardiomegaly - - correct ans- - C. PaCO2 55 mm Hg
A nurse is caring for a client who has diabetic neuropathy of the lower extremities and has a new prescription for a heating pad. The prescription reads, "Apply to the left food for 20 min." Which of the following actions should the nurse take? a) Complete Semmes-Weinstein monofilament testing following treatment. b) Apply the heating pad as prescribed by the provider. c) Clarify the prescription with the provider. d) Observe the skin 10 min after the start of treatment. - - correct ans- - C. Clarify the prescription with the provider A nurse is reinforcing teaching with a client who has a new colostomy. Which of the following statements by the client indicates an understanding of the teaching? a) "I should clean around the stoma with moisturizing soap." b) "I should avoid broccoli and chewing gum." c) "I should decrease the amount of fresh fruit in my diet." d) "I should place an aspirin in the pouch to eliminate odor." - - correct ans- - B. "I should avoid broccoli and chewing gum." A nurse is collecting data from a client who has a newly placed colostomy. Which of the following findings should indicate to the nurse the client has accepted their new altered body image? a) Denies feelings of sadness about the ostomy b) Prefers not to look at the stoma site c) Accepts that seual activity will decrease
b) Administer the medication with an antacid. c) Instruct the client to expect increased hair growth. d) Withhold the medication if the systolic blood pressure is less than 90 mm Hg. - - correct ans- - D. Withhold the medication if the systolic blood pressure is less than 90 mm Hg. A nurse is reinforcing teaching about dietary modifications to help control blood pressure with a client who has hypertension. Which of the following food choices by the client indicates an understanding of the teaching? a) A ham sandwich on rye bread b) Broiled cod with broccoli c) Beef bouillon with crackers d) Pork sausage with sauteed peppers - - correct ans- - B. Broiled cod with broccoli A nurse is reinforcing teaching with a client about heart disease prevention, which of the following client statements indicates an understanding of the teaching? a) "I will increase my dairy intake by drinking whole milk every meal." b) "I will exercise by walking twice a week for 25 minutes." c) "I will try to maintain my blood pressure around 116/72." d) "I will improve my LDL cholesterol by raising it from 100 to 130." - - correct ans- - C. "I will try to maintain my blood pressure around 116/72."
A nurse is reinforcing teaching about a transcutaneous electrical nerve stimulation (TENS) unit for a client who has a herniated intervertebral disk. Which of the following statements by the client indicates an understanding of the teaching? a) "I will need to charge the TENS unit for 2 hours each day." b) "The TENS unit administers a continuous dose of pain medication." c) "I should adjust the TENS unit until I feel a tingling sensation." d) "The TENS unit should be applied at least 6 inched from the actual site of my pain." - - correct ans- - C. "I should adjust the TENS unit until I feel a tingling sensation. A nurse is reviewing a client's medical record. Which of the following findings is the priority for the nurse to report? a) Urine output 200 mL/8 hr b) A client's rating of ear pain as 5 on a scale from 0 to 10 c) Potassium level 6.2 mEq/L d) Abnormal hepatoiminodiacetic acid (HIDA) scan - - correct ans- - C. Potassium level 6.2 mEq/L A nurse is reinforcing teaching about decreasing the risk of osteoporosis to a client who is postmenopausal. Which of the following instructions should the nurse include? a) Limit vitamin D intake.
b) "My provider might prescribe a glucocorticoid regimen to decrease my risk for a stroke." c) "My risk for a stroke increases if my HbA1c level is 6 percent or less." d) "I can decrease my risk for a stroke by losing excess weight." - - correct ans- - D. "I can decrease my risk for a stroke by losing excess weight." A nurse is monitoring a client who has a nasogastric (NG) tube set to intermittent suction to manage a mechanical intestinal obstruction. Which of the following findings should the nurse report? a) Potassium 4.2 mEq/L b) BUN 16 mg/dL c) Abdominal distention d) Bile-colored drainage from the NG tube - - correct ans- - C. Abdominal distention A nurse working in a provider's office is caring for a client who received penicillin 6 potassium 15 min ago to treat strep throat. Which of the following is the priority finding the nurse should report to the provider? a) Nausea b) Hypotension c) Abdominal pain d) Arthralgia - - correct ans- - C. Abdominal pain A nurse is collecting data from a client who began taking captopril 2 days ago. Which of the following findings should the nurse report to the provider immediately?
a) Lip swelling b) Dizziness c) Joint aches d) Metallic taste - - correct ans- - A. Lip swelling A nurse is caring for a client who has dysphagia and left-sided weakness following a stroke. Which of the following actions should the nurse take when assisting the client with feeding? a) Offer the client sticky foods such as peanut butter. b) Instruct the client to place their chin to their chest when swallowing. c) Place food on the affected side of the client's mouth. d) Position the client upright for 5 min after eating. - - correct ans- - B. Instruct the client to place their chin to their chest when swallowing. A nurse is reinforcing teaching with a client who has ovarian cancer and will receive chemotherapy through a peripherally inserted central catheter (PICC) line. Which of the following statements by the client indicates an understanding of the teaching? a) "I will wear an arm immobilizer to prevent dislodgement of this device." b) "I will monitor my temperature for fever while I have this device." c) "It's okay to get the device wet when I shower." d) "I should pull the dressing away from the insertion site when I change it." - - correct ans- - B. "I will monitor my temperature for fever while I have this device." A nurse is assisting with the care of a client who has a closed-chest tube drainage system. Which of the following actions should the nurse take? a) Replace the unit when the drainage chamber is full.
a) Monitor blood glucose while taking this medication. b) Chew the medication before swallowing. c) Expect muscle pain while taking this medication. d) Take the medication with breakfast. - - correct ans- - A. Monitor blood glucose while taking this medication. A nurse is assisting with the plan of care for an older adult client who has a new prescription for transdermal clonidine. Which of the following information should the nurse include in the plan of care? a) Advise the client about increased dry mouth. b) Check the client for increased hypopigmentation under the patch. c) Monitor the client for weight loss. d) Inform the client of the adverse effect of diarrhea. - - correct ans- - B. Check the client for increased hypopigmentation under the patch. A nurse is receiving a change-of-shift report about the care of four clients. Which of the following clients should the nurse see first? a) A client who displays increased confusion over the past 4 hr b) A client who has a blood glucose level of 128 mg/dL c) A client who has a blood pressure of 138/ mm Hg
d) A client who reports a pain level of 4 on a scale of 0 to 10 - - correct ans- - A. A client who displays increased confusion over the past 4 hr A nurse is assisting care of a client whose cardiac monitor suddenly displays ventricular tachycardia. Which of the following is the priority nursing action? a) Determine palpable pulse. b) Begin chest compressions. c) Perform immediate defibrillation. d) Provide pulmonary ventilation. - - correct ans- - A. Determine palpable pulse. A nurse is collecting data from a client who underwent a thyroidectomy 4 hr ago. Which of the following client findings indicates a complication of the procedure? a) Tingling of the fingers b) Report of sore throat c) Serosanguineous drainage on the dressing d) Soreness at the incision site - - correct ans- - A. Tingling of the fingers A nurse is reinforcing discharge teaching with a client who had an excisional biopsy of the left breast. Which of the following instructions should the nurse include? a) Refrain from wearing a bra for 10 days after surgery. b) Apply an ice pack to the incision site to treat discomfort. c) Expect numbness to last for up to 4 months. d) Use bandages to absorb bleeding at the
in between. - - correct ans- - A. Chew food thoroughly A nurse is preparing a client for a colposcopy following an abnormal Papanicolaous (Pap) test. Which of the following actions should the nurse take? a) Place the client in the Sims' position. b) Reinforce teaching that the procedure involves dilation of the cervix. c) Insert a tampon following the procedure. d) Instruct the client to avid sexual intercourse until the cervix is healed. - - correct ans- - D. Instruct the client to avid sexual intercourse until the cervix is healed. A nurse is assisting with the development of the plan of care for a client who has a low WBC count. Which of the following interventions should the nurse include? a) Encourage the client to eat a low-protein diet. b) Prohibit fresh flowers in the client's room. c) Obtain the client's rectal temperature every 4 hr. d) Initiate airborne precautions for the client. - - correct ans- - B. Prohibit fresh flowers in the client's room. A nurse is reinforcing teaching with a female client who has a history of urinary tract infections. Which of the following instructions should the nurse include? a) Use a vaginal douche once a week. b) Empty the bladder at least every 6 hr. c) Increase milk consumption to make the urine more alkaline.
d) Urinate before and after sexual intercourse. - - correct ans- - D. Urinate before and after sexual intercourse. A nurse is caring for a client who has a prescription for a sequential compression device (SCD). Which of the following actions should the nurse take when applying the SCD? a) Ensure two fingers fit between the leg and the sleeve. b) Wrap excess tubing to the side of each leg. c) Ensure pressure of the device is at 25 mmHg. d) Place each service under each leg with theopening at the calf. - - correct ans- - A. Ensure two fingers fit between the leg and the sleeve. A nurse is caring for a client who has bladder cancer and is 1 day postoperative following placement of an ileal conduit. Which of the following information should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.") a) Platelet count b) Stoma color c) Bowel sounds d) Urine output - - correct ans- - B. Stoma color A nurse is collecting data about immunizations for a 65-year-old client who has no identified risk factors for disease. The nurse should identify the client's need for which of the following immunizations? a) Inactivated polio virus
