lOMoARcPSD|12504245
MED-SURG ATI PROCTORED EXAM 2019
- A nurse is assessing a client who has a diagnosis of colon cancer.
Which of the following should the nurse expect?
o Hematochezia - A nurse is assessing a client admitted with peripheral vascular
disease,Which of the following findings indicates a venous vascular
disorder?
o Edema of the ankle - A nurse is assessing a client who has pericarditis. In which of the
following areas of the client’s chest should the nurse place the
stethoscope to best hear a pericardial friction rub? (select HOT spot)
o Below right nipple (pt left side)- D - Older adult client who has a new diagnosis of heart failure. Which of
the following is the priority topic for the nurse to review with the
client?
o Changes in weight - A nurse is caring for a client who has a chest tube. The client asks
why the fluid in the water-seal chamber rises and falls. Which of the
following statements should the nurse make?
o your breathing pattern causes this - What would you do for wound evisceration?
o Saline wound cover - Seizure precautions?
o Position client on the floor, maintain patent airway, turn client to
the side,
loosen restrictive clothing - What would you do for asthma emergency management of a bee sting?
o Epinephrine - A nurse is monitoring a client who recently had a cast placed on his
lower extremity for a bone fracture. Which of the following findings
should the nurse recognize as abnormal?
o Lack of sensation b/w the first and second toes - A nurse is caring for a client who has a history of breast cancer. The
client asks the nurse about birth control. Which of the following
methods of birth control is contraindicated with this client?
o Combination of oral contraceptives - A nurse is preparing to administer thrombolytic therapy to a client
who had an ischemic stroke. Which of the following is an
appropriate nursing action?
o Elevate the head of the bed between 25 and 30 degrees - A nurse is teaching a client about the use of an incentive
spirometer. Which of the following instructions should the nurse
include in the teaching?
o Hold breath about 3 to 5 seconds before exhaling - A nurse is assessing a client who is 12 hr. postoperative following a
colon resection. Which of the following findings should the nurse report
to the surgeon?
o Absent bowel sounds
lOMoARcPSD|12504245
- A nurse is caring for a client who has diabetes insipidus. Which of
the following medications should the nurse plan to administer?
lOMoARcPSD|12504245
o Desmopressin
- A nurse is collecting data from a client who has heart failure and is
on digoxin. Which of the following outcomes from the medication
should the nurse expect?
o Decreased shortness of breath - 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?
o Stool occult blood - A nurse is reinforcing teaching with a client who has Systemic Lupus
Erythematosus (SLE) and is to begin taking methylprednisolone
orally. Which of the following statements should the nurse include in
the teaching?
o Limit contact with large groups of people - 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.)
o Initiate airborne precautions - A nurse is contacting the provider of a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions
should the nurse anticipate?
o Transmucosal fentanyl - A nurse is caring for a client who is 24 hours postoperative following
abdominal surgery and has an NG tube. Which of the following
actions should the nurse plan to take to decrease the risk of
postoperative complications?
o Encourage the client to use an incentive spirometer every
hour while awake. - 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 determine whether the client is experiencing a
myocardial infarction?
o ST segment - 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?
o Pat the skin on the radiation site to dry it. - 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?
o Furosemide - 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?
o Apical pulse 82/min - A nurse is preparing a client for a lumbar puncture. Which of the
following images indicates the position the nurse should assist the
client into for this procedure?
o “Cannonball position on the side”