ATI MED SURG PROCTORED 2019 EXAM & 2019 RETAKE EXAM Questions and Answers (Verified Answers by Expert)

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(Verified 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 3.0 (normal 0-4) ANS c
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 carbonate ANS a
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
   ATI MED SURG PROCTORED 2019 EXAM RETAKE

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c. Urine for white blood cells
d. Serum calcium ANS b

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 ondansertron. ANS c
5. A nurse is contacting the provider for a client who has cancer and is
   experiencing breakthrough pain.Which of the following prescriptions should
   the nurse anticipate?
   a.Transmucosal fentanyl
   b. Intramuscular meperidine
   c. Oral acetaminophen
   d. Intravenous dexamethasone ANS a
6. A nurse is admitting a client who reports chest pain and has been placed
   on a telemetry monitor.Which of the following should the nurse analyze to

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determine whether the client is experiencing a myocardial infarction?
a. PR interval
b. QRS duration
c.T wave
d. ST segment ANS d

7. A nurse is teaching a client who has ovarian cancer about skin care
   following radiation treatment.Which of the following instructions should the
   nurse include?
   a. Pat the skin on the radiation site to dry it
   b. Apply OTC moisturizer to the radiation site
   c. Cover the radiation site loosely with a gauze wrap before dressing
   d. Use a soft washcloth to clean the area around the radiation site ANS a
8. 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. Diphenhydramine
   b. Acetaminophen
   c. Pantoprazole
   d. Furosemide ANS d

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9. A nurse is assessing a client who is receiving magnesium sulfate IV for
   the treatment of hypomagnesemia.Which of the following findings indicates
   effectiveness of the medication?
   a. Lungs clear
   b. Apical pulse 82/min
   c. Hyperactive bowel sounds
   d. Blood pressure 90/50 mm Hg ANS b
10. A nurse is reviewing a client’s ABG results pH 7.42, PaC02 30 mm Hg, and
    HCO3 21 mEq/L.The nurse should recognize these findings as indication of
    which of the following conditions?
    a. Metabolic acidosis
    b. Metabolic alkalosis
    c. Compensated respiratory alkalosis
    d. Uncompensated respiratory acidosis ANS c
11. A nurse is caring for a client who has a deep partial thickness burns over
    15% of her body which of the following labs should the nurse expect during
    the first 24 hours
    a. Decreased BUN

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ATI Med Surge Proctored Exam 2019
Questions and Answers (Verified Answers)

1. A nurse is assisting with the care of a client who has a femur fracture
   and is in skeletal traction.Which of the following actions should the nurse
   take✔✔✔Ensure the client’s weights are hanging freely from the bed.
2. A nurse in a provider’s office is reinforcing teaching with a client who
   has anemia and has been taking ferrous gluconate for several weeks.Which
   of the following instructions should the nurse include?✔✔✔Take this
   medicationbetween meals
3. A nurse in a provider’s office is reinforcing teaching with a client who
   has anemia and has been taking ferrous gluconate for several weeks.Which
   of the following instructions should the nurse include?✔✔✔Take this
   medicationbetween meals.

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4. A nurse is reviewing the plan of care for a client who has cellulitis of the leg.
   Which of the following interventions should the nurse
   recommend?✔✔✔ Wash daily with an antibacterial soap.
5. A nurse is reinforcing teaching with a client who is postoperative after
   having an ileostomy established.Which of the following instructions should
   the nurse include in the teaching?✔✔✔Avoid medications in capsule or
   enteric form.
6. A nurse is caring for a client with severe burns to both lower extremities.
   The client is scheduled for an escharotomy and wants to know what the
   procedure involves.Which of the following statements is appropriate for the
   nurse to make?✔✔✔ “Large incisions will be made in the burned tissue to
   improve circulation.”
7. A nurse is collecting data from a client who has a possible cataract.
   Which of the following manifestations should the nurse expect the client to
   report?✔✔✔Decreased color perception
8. A nurse is contributing to the plan of care for a client who has an intestinal
   obstruction and is receiving continuous gastrointestinal decompression
   using a nasogastric tube. Which of the following interventions should the

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nurse include in the plan of care?✔✔✔Maintain the client in Fowler’s
position.

9. A nurse is caring for a client who has Cushing’s syndrome. Which of the
   following clinical manifestations should the nurse expect to observe? (Select
   all that apply.)✔✔✔1) Buffalo hump 2) Purple striations 3) Moon face
10. A nurse is caring for a client who is in the oliguric phase of acute kidney
    injury. Which of the following actions should the nurse take?✔✔✔
    Monitor intakeand output hourly