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2025 ATI MED SURG PROCTORED EXAM LATEST
REAL QUESTIONS AND CORRECT ANSWERS
GRADE A
A nurse is planning care for a client who has a full-thickness burns on
the lower extremities. Which of the following interventions should the
nurse include?
a) Limit visitation time for client's children to 40 minutes per day
b) clean the equipment in the client's room once per week
c) provide a diet of fresh fruits and vegetable for the client
d) apply new gloves when alternating between wound care sites -
CORRECT ANSWER d) apply new gloves when alternating
between wound care sites
A nurse is caring for a client who has cancer. The client tells the nurse,
"I would prefer to try vitamins and minerals instead of chemotherapy"
which of the following responses should the nurse make?
a) I have never heard of any holistic treatment that is effective
b) you should ask your provider about your plan
c) the best way to treat your cancer is chemotherapy
d) tell me what you know about chemotherapy - CORRECT
ANSWER d) tell me what you know about chemotherapy
A nurse is planning to teach a client whose provider has prescribed a
low purine diet. The nurse should plan to instruct the client that he can
include which of the following Foods in his diet (select all that apply) a)
Sardines
CORRECT ANSWER c) apply an ice pack to the clients knee
d) perform range of motion exercises to the clients knee -
c) apply an ice pack to the clients knee
b) gently massage the area around the clients incision
their appointments anymore
I feel bad that I have to ask my partner to keep the house clean
These crutches will make it impossible to care for my child -
CORRECT ANSWER a) I will need to have my partner take
over shopping for groceries and cooking the meals for us
b) Its going to be difficult to tell my parents I can't take them to
b) Latex
a) adhesive tape
d) liver
c) Apricots
e) scallops - CORRECT ANSWER b) Nuts
c) Apricots
Nurse is caring for a client following a total knee arthroplasty. The client
reports a pain level of 6 on a paint scale of 0 to 10. Which of the
following interventions should the nurse take? a) Place pillowsl under
the clients knee
A nurse is caring for a client who has lower extremity fracture and a
prescription for crutches. Which of the following client statements
indicates that the client is adapting to their role change? a) I will need to
have my partner take over shopping for groceries and cooking the meals
for us
A nurse is assessing a client who is preoperative and reports an allergy
to bananas. The nurse should recognize that the client is at risk for an
allergic cross-reactivity to which of the following substances?
c) Furosemide
b) Acetaminophen
a) Pantoprazole
Generalized abdominal pain b) Cloudy effluent
nurse identify as a risk factor for the development of the DVTs?
a) NSAID use
b) hypertension
c) oral contraceptive use
d) cirrhosis - CORRECT ANSWER c) oral contraceptive use
A nurse is caring for a client who has a sealed radiation implant.
Which of the following actions should the nurse take?
a) Remove soiled linens from the room after each change
b) Give the dosimeter badge to the oncoming nurse at the end of
the shift
c) Apply a second pair of gloves before touching the client's implant if
it dislodges d) Limit family member visits to 30 min per day -
CORRECT ANSWER d) Limit family member visits
to 30 min per day
c) Increased heart rate
d) Fever - CORRECT ANSWER d) Fever
A nurse is caring for a client who is receiving a blood transfusion. The
nurse observes that the client has bounding peripheral pulses,
hypertension, and distended jugular veins. The nurse should anticipate
administering which of the following prescribed medications?
A nurse is providing teaching to a client and his partner about
performing peritoneal dialysis at home. When discussing
peritonitis, which of the following manifestations should the
ation? a) nurse identify as the earliest indication of this complic
c) Insert a large bore nasogastric tube
b) Administer nitroprusside IV based on the client's weight
d) Ensure that the client has a 22- gauge iv line in place -
CORRECT ANSWER c) Insert a large bore nasogastric tube
c) Side lying
d) Diphenhydramine - CORRECT ANSWER c) Furosemide
A nurse is planning care for a client who has upper
gastrointestinal bleeding due to a peptic ulcer. Which of the
following actions should the nurse plan to take? a) Provide
ketorolac for abdominal pain
A nurse is caring for a client who has bladder cancer and a WBC count
of 900/mm3. Which of the following actions should the nurse take?
d) High - fowler's - CORRECT ANSWER a) Reverse
Trendelenburg
d) Apply pressure to venipuncture sites for 10 min - CORRECT
ANSWER a) Instruct client to avoid eating raw fruit
c) Use contact isolation while providing care
b) Move the client to a negative pressure room
a) Instruct client to avoid eating raw fruit
A nurse is caring for a patient who has hypotension, cool and
clammy skin, tachycardia and tachypnea. Which of the following
positions should the nurse place the client? a) Reverse
Trendelenburg
b) Feet elevated
A nurse is caring for a client who weighs 190 lb and is receiving
Total parenteral Nutrition. If the RDA Protein is 0.8g/kg of body
semia
4.Rheumatoid arthritis - CORRECT ANSWER
1.Thrombocytopenia
3.Thalas
2.COPD
ANSWER 2.Administer IV fluids to the client
4.Prepare the client for an intravenous pyelogram - CORRECT
3.Insert a urinary catheter
2.Administer IV fluids to the client
failure? 1.Imitate beta blocker therapy
3.Support bony prominences with pillows
2.Turn and reposition the client every 4 hr.
1.Exhale fully before bringing the inhaler to your lips
A nurse is completing an assessment of an older adult client and notes
reddened areas over the bony prominences, but the client's skin is intact.
Which of the following interventions should the nurse include in the
plan of care?
1.Massage the reddened areas three times daily
4.Apply an occlusive dressing - CORRECT ANSWER 3.Support
bony prominences with pillows
A nurse is reviewing the medical record of a client who is to undergo
open heart surgery. Which of the following findings should the nurse
report to the provider as a contraindication to receive heparin?
1.Thrombocytopenia
total parenteral nutrition (TPN). Which of the following findings
A nurse is caring for a client who as completed 10 daily cycles of
should the nurse take to help prevent the onset of acute kidney
gunshot wound to the abdomen. Which of the following actions
A nurse is admitting a client to the emergency department after a
after each use - CORRECT ANSWER 1.I will inspect my mouth
once each week for sores
the client's head 45 degrees
A nurse is caring for a client who is receiving continuous bladder
irrigation following a transurethral resection of the prostate
indicates that the client is receiving adequate TPN supplementation?
- Weight gain of 9.1 kg (20 lb.)
- BUN level of 15 mg/dL
- Improved mobility
- Potassium level of 2.5 mEq/L - CORRECT ANSWER
- Weight gain of 9.1 kg (20 lb.)
A nurse is providing teaching to a client who is postoperative following
a partial glossectomy. Which of the following statements by the client
indicates an understanding of the teaching?
1.I will inspect my mouth once each week for sores
- I will drink orange juice to increase my vitamin C intake 3.I
will consume canned soap whenever sores appear in my mouth
4.I will rinse my toothbrush with hydrogen peroxide and water
4.Point the tip of the syringe toward the top of the ear canal -
CORRECT ANSWER 4.Point the tip of the syringe toward the top
of the ear canal
A nurse is preforming an ear irrigation for a client. Which of the
following actions should the nurse take?
1.Use cool fluid for irrigation
2.Insert the tip of the syringe 2.5 cm (1 in) into the ear canal 3.Tilt
5.Obtain the client's daily weight
blood glucose during infusion
client's daily weight - CORRECT ANSWER 2.Monitor serum
A nurse is caring for a client who is receiving TPN nutrition (TPN).
A nurse is caring for a client in diabetic ketoacidosis (DKA). Which
A nurse is reviewing the laboratory results of a female client who
ask about acupuncture as treatment for chemotherapy-induced
nausea and vomiting. Which of the following laboratory results
A nurse is monitoring an older adult client who has an exacerbation
of chronic lymphocytic leukemia. The nurse
notes petechiae on the client's skin. 1.Institute bleeding precautions
2.Determine the client's blood type
- Avoid administering IV pain medication
- Implement airborne precautions - CORRECT ANSWER
1.Institute bleeding precautions
Which of the following actions are appropriate? (Select all tha apply.)
- Increase the rate of infusion if administration is delayed
- Monitor serum blood glucose during infusion
- Infuse 0.9% sodium chloride if the solution is not available
- Verify the solution with another RN prior to infusion 5.Obtain the
of the following is the priority intervention by the nurse?
- Begin bicarbonate continuous IV infusion
2.Administer 0.9% sodium chloride
- Check potassium levels
- Initiate a continuous IV insulin infusion - CORRECT ANSWER
2.Administer 0.9% sodium chloride
should the nurse identify as a contraindication to receiving
acupuncture? 1.Hemoglobin 12 g/dL
2.C-reactive protein 0.7 mg/dL 3.Platelets 160,000/mm
4.Absolute neutrophil count 500/mm3 - CORRECT ANSWER
4.Absolute neutrophil count 500/mm
A nurse is caring for a client following a total knee arthroplasty. The
client reports a pain level of 6 on a pain scale of 0 to 10.
Which of the following interventions should the nurse take?
- Gently massage the area around the client's incision
- Apply an ice pack to the client's knee
- Perform range of motion exercises to the client's knee
- Place pillows under the client's knee - CORRECT ANSWER
- Apply an ice pack to the client's knee
A nurse is assessing a client who has heart failure and is receiving a
loop diuretic. Which of the following findings indicates hypokalemia?
1.Muscle weakness
- Hypertension
- Positive chvostek sign
- Oliguria - CORRECT ANSWER 1.Muscle weakness
A nurse at a long-term facility is assessing an older adult client. Which
of the following findings should the nurse identify as an indication that
the client has a recall memory impairment?
- Inability to state his current age
- Inability to name the members of his family
3.Inability to count backwards from 10
4.Inability to state what he had for dinner last night - CORRECT
ANSWER 4.Inability to state what he had for dinner last night
4.I'll check my blood pressure, so it doesn't get too high -
CORRECT ANSWER 1.I'm going to include more cantaloupe in
my diet
3.I will check my pulse before I take the medication
2.I will try to limit foods that contain salt
1.I'm going to include more cantaloupe in my diet
A nurse is providing teaching to a client who is to start furosemide
therapy for heart failure. Which of the following statements indicates
that the client understands a potential adverse effect of this medication?
A nurse is providing discharge teaching for a client who has HIV.
Which of the following information is the priority for the nurse to
review with the client?
- Describe your daily medication schedule
- Name a few things you will change about your diet
- List some ways you can cope with the stress of your illness
- Tell me why it's important to have your CD4+ count checked -
CORRECT ANSWER 1.Describe your daily medication schedule
A nurse is caring for a client who has an endotracheal tube. Which of
the following actions should the nurse take to verify the tube
placement?
- Deflate the cuff to check for tube placement
- Place the clients head and neck in a flexed position
- Document the tube length where it passes the chin
- Observe for symmetry of chest expansion - CORRECT
ANSWER 4.Observe for symmetry of chest expansion
A nurse in an emergency department is caring for a client who is
receiving treatment for excessive ingestion of antacids. The nurse
should identify that this client is at risk for which of the following
acid-base imbalances? 1.Metabolic acidosis
- Respiratory acidosis
3.Respiratory alkalosis
4.Metabolic alkalosis - CORRECT ANSWER 4.Metabolic
alkalosis
A nurse is assessing a client for a positive Chvostek's sign following a
thyroidectomy. Which of the following areas on the client's head
should the nurse tap to assess the client for tetany? (You will find hot
spots to select in the artwork below. Select only the hot spot that
corresponds to your answer.) - CORRECT ANSWER The cheek
area
A nurse is caring for a client who has advance liver disease. Which of
the following laboratory results should the nurse monitor when assessing
this client?
- Phosphate level
- Serum troponin
- Serum ammonia
- Glucose level - CORRECT ANSWER 3.Serum ammonia
A nurse is caring for a client who has a pneumothorax and a chest tube
with the closed water-seal drainage system. Which of
4.Refill the water chamber if the fluid level is low - CORRECT
ANSWER 1.Strip or clear the chest tube every 8 hours
3.Empty the system at least every 8 hours
2.Change the chest tube site dressing every 24 hr.
the following actions should the nurse take?
1.Strip or clear the chest tube every 8 hours
a) What is meant by saying "don't beat around the bush?"
d) Can you state where you were born? - CORRECT ANSWER
c) Can you count backwards from 100 in intervals of 7?
do you understand about your condition?
a) What is meant by saying "don't beat around the bush?" b)
d) massage Tourette in areas three times daily - CORRECT
ANSWER c) support bony prominences with pillows
c) support bony prominences with pillows
every 4 hours
a) Apply an occlusive dressing b) turn and reposition the client
Thrombocytopenia
d) Thrombocytopenia - CORRECT ANSWER d)
c) COPD
b) Rheumatoid arthritis
a) Thalassemia
c) Cleanse the site with Provo dine iodine
d) Change the dressing every 24 hours - CORRECT ANSWER
a) Flush a catheter using a 10 mL syringe
A nurse is reviewing the medical record of a client who is to
undergo open heart surgery. Which of the following findings
should the nurse report to the provider as a contradiction to
receiving heparin?
A nurse is caring for an older adult client who has dementia. Which of
the following question should the nurse ask to assess the client's
abstract thinking?
What
A Nurse is completing an assessment of an older adult client and notes
reddened areas over the bony prominences, but the client's skin is intact.
Which of the following interventions should the nurse include in the
plan of care?
the procedure
d) assist the client into the left lateral position during the
procedure - CORRECT ANSWER b) ask the client to empty
his bladder prior to the procedure
c) instruct the client to take deep breaths and hold them during
b) ask the client to empty his bladder prior to the procedure
A nurse is caring for a client admitted with a skull fracture.
b) undetectable p waves
a) Progressively longer PR durations
expect?
atrial flutter. Which of the following findings should the nurse
d) Sawtooth pattern with atrial rate of 252 400 / minutes -
c) absent PR intervals with ventricular rate of 40 to 60 / minutes
A nurse is reviewing a cardiac Rhythm strip of a client who has
CORRECT ANSWER d) Sawtooth pattern with atrial rate of 252
400 / minutes
A nurse is caring for a client who is scheduled for an abdominal
paracentesis. The nurse should plan to take which of the following
actions?
a) Administer a stool softener following the procedure
Which
of the following assessment findings should be of greatest concern to
the nurse?
a) Pulse pressure changes from 30 to 20 mmhg
b) bilateral pupil diameter changes from 4 to 2 mm
c) WBC count changes from 9,000 to 16,000 / mm 3
d) Glasgow Coma Scale score changes from 14 to 9 - CORRECT
ANSWER d) Glasgow Coma Scale score changes from 14 to 9
contrast dye during the procedure
you should expect warm sensation after the injection of th
contrast dye during the procedure - CORRECT ANSWER
d) you should expect warm sensation after the injection of the
c) Yogurt
b) beef
c) heat intolerance
a) Glycosylated hemoglobin level
b) fasting blood glucose level c) oral glucose tolerance test results
d) post-prandial blood glucose level - CORRECT ANSWER a)
Glycosylated hemoglobin level
A nurse is providing preoperative teaching for a client who is having
left-sided cardiac catheterization. Which of the following information
should the nurse include in the teaching?
a) You should plan to remain in bed for 18 hours after the
procedure
b) you will have blood pressure measurement every 5 minutes for the
first two hours after the procedure
c) You will receive a general anesthetic during the procedure
d)
e
d) flushed skin color - CORRECT ANSWER d) flushed skin
color
A nurse is teaching a client who has a new prescription for Warfarin
about foods that affect the INR. The nurse should include in the
teaching that which of the following Foods
interact with this medication? a) Kale
stew
A nurse is caring for a client who has anemia. Which of the
following assessment findings should the nurse anticipate with the
client's condition? a) Bradycardia
b) Headache
emergency surgery. The client's blood alcohol level is
A nurse in an emergency department is preparing a client for
CORRECT ANSWER b) I should apply antibiotic ointment to
d) I should use natural skin condoms during sexual intercourse -
c) I should expect my lesions to resolve in 6 weeks
b) I should apply antibiotic ointment to the lesions
Insert an NG Tube
d) orange juice - CORRECT ANSWER a) Kale
A nurse is monitoring an older adult client who has an extrapolation of
chronic lymphocytic leukemia. The nurse notes patikayy on the client's
skin which of the following actions should the nurse take?
a) Determine the client's blood type
b) avoid administering IV pain medication
c) Implement airborne precautions
d) Institute bleeding precautions - CORRECT ANSWER d)
Institute bleeding precautions
A nurse is providing discharge teaching for a client who is receiving
treatment for genital herpes. Which of the following statements by the
client indicates effectiveness of the teaching?
a) I should expect to take my medication for three weeks
the lesions
180 mg /
DL which of the following action is the nurse's priority? a)
b) obtain consent for surgery c) apply anti embolic stockings
d) insert an indwelling urinary catheter - CORRECT ANSWER
a) Insert an NG Tube
