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ATI RN ADULT MEDICAL-SURGICAL
PROCTORED EXAM (LATEST
UPDATE OF 2025) | MULTIPLE REAL
NGN QUESTIONS & VERIFIED
ANSWERS | GRADED A+ | MED-
SURG COMPREHENSIVE RN| A
SUCCESS FOR LEARNERS
A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery the nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider - <> --Warfarin because it is an anticoagulant which increases the client's risk for bleeding and is contraindicated for a client scheduled for I or Central Nervous System since surgery A nurse is providing teaching to a female client who has a history of urinary tract infections which of the following information should the nurse include in the teaching - <> --Clean the perineum from front to back after voiding or defecating to avoid introducing bacteria to the urethra A nurse is assessing a client who has had a suspected cerebrovascular accident the nurse should place the priority on which of the following findings - <> --Dysphasia because it indicates that the client is at greatest risk for aspiration due to impaired sensation and function within the oral cavity A nurse is planning care for a client who is post-operative following a parathyroidectomy which of the following actions should the nurse identify as the priority - <> --Placed a tracheostomy tray at the bedside in case of Airway obstruction A nurse is providing teaching to a client who has Type 1 diabetes mellitus and a new prescription for insulin lispro
when there is 25 milliliters of output or less in a 24-hour period A nurse is teaching to a client who has hypertension and a new prescription for Verapamil. Which of the following juices should the nurse instruct the client to avoid - <> --Grapefruit because it inhibits the hepatic metabolism of the medication and then place the current client at risk for toxicity A nurse is providing teaching to a client who has asthma about the use of a metered dose inhaler the nurse should identify that which of the following client actions indicates an understanding of the teaching - <> -- Holding breath for 10 seconds after inhaling so that the medication can move deep into the Airways A nurse is providing instructions to a client who has Type 2 diabetes mellitus and a new prescription for metformin which of the following statements by the client indicates an understanding of the teaching - <> --I should take this medication with a meal to improve absorption and to minimize gastrointestinal distress A nurse is providing teaching to a client who has irritable bowel syndrome which of the following instructions should the nurse include in teaching - <> -- Increase fiber intake to at least 30 grams per day to produce bulky soft stools and establish regular bowel patterns
A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall during the assessment the client states last week I crashed my car because my vision suddenly became blurry which of the following actions is the nurses priority - <> --Check the clients neurologic status because the first action you should take is to assess the client A nurse is providing teaching to a client who has a new prescription for psyllium which of the following information should the nurse include in the teaching - <> --Drink 240 milliliters of water after Administration A nurse on a medical-surgical unit is receiving change of shift report on four clients which of the following clients should the nurse identify as having the greatest risk for developing an infection - <> --A client who has COPD and is receiving steroid therapy because of decreased oxygenation and increased mucus production additionally taking a steroid medication increases the client's risk for infection by suppressing the immune system and masking the presence of an infection A nurse is planning discharge teaching for a client who has an external fixation device for a fracture of the lower extremity which of the following instructions should the nurse include in the plan of care - <> -- Used crutches with rubber tips to prevent the client from slipping and decrease the risk of Falls
following actions should the nurse take - <> --Demonstrate ways to deep breathe and cough to prevent respiratory complications A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy to the nurse should recognize that which of the following complications is associated with long-term mechanical ventilation - <> --Stress ulcers because of elevated levels of hydrochloric acid in the stomach. They increase risk for systemic infection and require pharm treatment A nurse is providing discharge instructions to a client who has laryngeal cancer and received is receiving radiation treatment which of the following statements by the client indicates an understanding of the teaching - <> --I will avoid direct exposure to the Sun because the client should avoid exposure of irradiated skin areas to the Sun for at least one year after completing radiation therapy skin in the radiation path is especially sensitive to sun damage A nurse is caring for a client who has a positive culture for Clostridium difficile which of the following actions should the nurse take - <> --Implement contact precautions for the client because direct contact is the mode of transmission A nurse in a provider's office is assessing a client who has migraine headaches and is taking Feverfew to prevent her headaches the nurse should identify that which of the
following client medications interact with Feverfew - <> --Naproxen because they both impaired platelet aggregation and place the client at risk for bleeding A nurse in an emergency department is planning care for a client who has a flail chest on the right side following a motor vehicle crash which of the following actions should the nurse plan to take - <> --Prepare the client for positive pressure ventilation to promote lung expansion and stabilize the pressure within the client's chest then there should also administer analgesics to alleviate pain while breathing to achieve optimal lung reexpansion A nurse is preparing to assist with the insertion of a non tunneled percutaneous central venous catheter into a client's subclavian vein the nurse should plan to place the client in which of the following positions - <> --Trendelenburg disposition facilitates the insertion of the catheter by dilating the blood vessels of the clients neck and A nurse is teaching an older adult client about osteoporosis prevention the nurse should instruct the client that which of the following medications can increase her risk for developing osteoporosis - <> -- Fludrocortisone due to an increase in bone resorption by osteoclasts it can also reduce intestinal absorption of calcium
the nurse include in the teaching - <> -- Take an additional pair of shoes A nurse is providing teaching to a client who has hypothyroidism and is receiving Levothyroxine the nurse should instruct the client that which of the following could interfere with the absorption of the medication - <> --Calcium supplements A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy. Which of the following laboratory findings should the nurse monitor prior to the procedure? A. Prothrombin time B. Serum lipase C. Bilirubin D. Calcium - <> --A. Prothrombin time A major complication following a liver biopsy is hemorrgage. Many clients who have liver disease have clotting defects and are at risk for bleeding. A nurse is checking who was admitted with a bowel obstruction. The client reports severe abdominal pain. Which of the following findings should indicate to the nurse that a possible bowel perforation has occurred? A. Elevated blood pressure B. Bowel sounds increased in frequency and pitch C. Rigid abdomen D. Emesis of undigested food - <> --C. Rigid abdomen
Abdominal tenderness and rigidity occur with a bowel perforation. As fluid escapes into the peritoneal cavity, there is a reduction in circulating blood volume and a lowered blood pressure, or hypotension results A nurse is assisting with the card of a client who is receiving total parenteral nutrition (TPN) therapy and has just returned to the room following physical therapy. The nurse notes that the infusion pump for the client's TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for which of the following findings? A. Hypertension B. Excessive thirst C. Fever D. Diaphoresis - <> --D. Diaphoresis The nurse should recognize that the client has the potential for the development of hypoglycemia due to the sudden withdrawal of the TPN solution. A nurse is assisting with the admission of a client who has bleeding esophageal varices. The nurse should anticipate a prescription for which of the following medications? A. Famotidine B. Esomeprazole C. Vasopressin D. Omeprazole - <> --C. Vasopressin Vasopressin constricts the splanchnic bed and decreases portal pressure. It also constricts the distal esophageal and proximal gastric veins, which reduces inflow into the portal system and is used to treat bleeding varices.
C. Amylase D. Lactic dehydrogenase - <> --C. Amylase Pancreatitis is the most common diagnosis for marked elevations of serum amylase. Serum amylase begins to increase about 3 to 6 hr following the onset of acute pancreatitis. A nurse is caring for a client who has celiac disease. Which of the following foods should the nurse remove from the client's meal tray? A. Wheat toast B. Tapioca pudding C. Hard-boiled eggs D. Mashed potatoes - <> --A. Wheat toast
- celiac disease is an autoimmune disorder characterized by a permanent intolerance to wheat A nurse is assisting with the admission of the client who has fulminant hepatic failure. Which of the following procedures should the nurse expect for this client? A. Endoscopic sclerotherapy B. Liver lobectomy C. Liver transplant D. Transjugular intrahepatic portal-systemic shunt placement - <> --C. Liver transplant A nurse is collecting data from a client who has chronic pancreatitis. Which of the following findings should the nurse identify as a likely cause of the client's condition? A. High-calorie diet
B. Prior gastrointestinal illnesses C. Tobacco use D. Alcohol use - <> --D. Alcohol use Alcohol consumption is one of the major causes of chronic pancreatitis in the US A nurse is reinforcing teaching with a client who has Barrett's esophagus and is scheduled to undergo an esophagogastroduodenoscopy (EGD). Which of the following statements should the nurse include in the teaching? A. "This procedure is performed to measure the presence of acid in your esophagus." B. "This procedure can determine how well the lower part of your esophagus works." C. "This procedure is performed while you are under general anesthesia." D. "This procedure can determine if you have colon cancer." - <> --B. "This procedure can determine how well the lower part of your esophagus works." An EGD is useful in determining the function of the esophageal lining and the extend of inflammation, potential scarring, and strictures A nurse is reinforcing teaching with a group of community resident about hepatitis B. Which of the following statement should the nurse include in the teaching? A. "A hepatitis B immunization is recommended for those who travel, especially military personnel."
D. The head of the bed is elevate 20 degrees - <> --D. The head of the bed is elevate 20 degrees The head of the bed should be at least 30 degrees A nurse is assisting with the care of the client who has a history of cirrhosis and is admitted with manifestations of hepatic encephalopathy. The nurse should anticipate a prescription for which of the following laboratory tests to determine the possibility of recent excessive alcohol use? A. Gamma-glutamyl transferase B. Alkaline phosphatase C. Serum bilirubin D. Alanine aminotransferase (ALT) - <> -- A. Gamma-glutamyl transferase The GGT laboratory test is specific to the hepatobiliary system in which levels can be raised by alcohol and hepatotoxic drugs. A nurse is caring for a client who is 4 hr postoperative following a laparoscopic cholecystectomy. Which of the following findings should the nurse expect? A. Right shoulder pain B. Urine output 20 mL/hr C. Temperature 38.4 degrees Celsius (101.1 degrees Fahrenheit) - <> --A. Right shoulder pain A nurse is caring for a client who is 2 days postoperative following a gastric bypass. The nurse notes that bowel sounds are present. Which of the following foods should the nurse provide at the initial feeding?
A. Vanilla pudding B. Apple juice C. Diet ginger ale D. Clear liquids - <> --D. Clear liquids A nurse is reinforcing teaching with a client who has diverticulitis about preventing acute attack. Which of the following foods should the nurse recommend? A. Foods high in vitamin C B. Foods low in fat C. Foods high in fiber D. Foods low in calories - <> --C. Foods high in fiber A nurse is collecting data from a client who is in the early stages of hepatitis A. Which of the following manifestations should the nurse expect? A. Jaundice B. Anorexia C. Dark urine D. Pale feces - <> --B. Anorexia The early manifestations of hepatitis A and is often severe. A nurse is caring for a client who is scheduled to undergo an esophagogastroduodenoscopy (EGD). The nurse should identify that the purpose of this procedure is which of the following? A. To visualize colon polyps B. To detect an ulceration in the stomach C. To identify an obstruction in the biliary duct
decrease the risk for aspiration? - <> -- Pinch the NG tube. A nurse is caring for a client who is preoperative and is receiving an IV infusion of cefazolin. Ten minutes after beginning the infusion, the client reports intense itching. Which of the following actions should the nurse take first?
- <> --Stop the medication infusion. A nurse is reinforcing discharge teaching with a client who has cirrhosis. Which of the following instructions should the nurse include? - <> --"Consume foods that are low in sodium." A nurse is reinforcing teaching with a client who is scheduled for a guaiac fecal occult blood test. Which of the following instructions should the nurse include in the teaching? - <> --Avoid eating red meat for 3 days prior to the test. A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse administer? (Round the <> to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - <> --0.7 mL A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the following information should the nurse include in the teaching? - <> --
"This type of insulin should be given at the same time every day." A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection in a surgical wound. Which of the following information should the nurse plan to share with visitors? - <> -- Visitors must don a gown and gloves prior to entering the client's room. A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot flashes. The client is interested in trying hormone replacement therapy (HRT). Which of the following should the nurse recognize as a contraindication to HRT? - <> --History of treatment for blood clots A nurse is reinforcing teaching about management of constipation with a client who has hypothyroidism. Which of the following instructions should the nurse include in the teaching? - <> --Increase intake of fiber- rich foods. A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching? - <> --Avoid stopping this medication suddenly. A nurse is caring for a client who has an area indicating potential breakdown over the sacrum. Which of the
