ATI MED SURG PROCTORED EXAM 2023 PART A REAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) | ALREADY GRADED A+
ATI MED SURG PROCTORED EXAM 2023 PART A
REAL EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) | ALREADY GRADED A+
A nurse is preparing to administer furosemide to a client who has acute heart
failure. Which of the following laboratory results should the nurse identify as
contraindications for receiving the medications?
a. BUN 18 mg/dl
b. Creatinine 0.8 mg/dl
c. Potassium 3.2 mEq/l
d. Sodium 136 meEq/l – ANSWER- c. Potassium 3.2 mEq/l
A nurse is caring for a client admitted with a skull fracture. Which of the following
assessment findings should be of greatest concern to the nurse?
a. Bilateral pupil diameter changes from 4 to 2 mm
b. WBC count changes from 9,000 to 16,000/mm3
c. Pulse pressure changes from 30 to 20 mm Hg
d. Glasgow Coma Scale score changes from 14 to 9 – ANSWER- d. Glasgow
Coma Scale score changes from 14 to 9
A nurse is assessing a client who has myasthenia gravis. Which of the following
client statements should indicate to the nurse that the client needs a referral for
occupational therapy?
a. “I have a hard time with brushing my hair”
b. “I would rather be in a wheelchair than use a walker to get around”
c. “I’ve been having problems with bladder control”
d. “I have difficulty swallowing food” – ANSWER- a. “I have a hard time with
brushing my hair”
A nurse is providing discharge teaching to a client who will be self-administering
insulin at home. Which of the following information should the nurse include
regarding needle disposal?
a. “secure the cap tightly over the needle before you discard it”
b. “remove the needle from the syringe before you place it in the trash”
c. “you can discard needles in an empty bleach bottle with a lid”
d. “place your storage container in a recycle bin when it is full” – ANSWER- c.
“you can discard needles in an empty bleach bottle with a lid”
A nurse is assessing a client who has arteriovenous (AV) graft in the left forearm.
Which of the following findings should indicate to the nurse a complication of
vascular access?
a. 2+ left radical pulse
b. Absence of a bruit
c. Presence of a palpable thrill
d. Dilated appearance of the AV site – ANSWER- b. Absence of a bruit
A client who is deaf and communicates using sign language is being admitted by a
nurse who does not know sign language. Which of the following actions should the
nurse take?
a. Familiarize themselves with commonly used sign language
b. Ask a family member to be present during the admission
c. Obtain a board that uses colored pictures as communication
d. Request an interpreter during the initial assessment – ANSWER- d. Request an
interpreter during the initial assessment
A nurse is planning care for a client who has unrepaired intertrochanteric fracture
and has Buck’s traction placed to the affected leg. Which of the following
interventions should the
nurse include?
a. Situate the client’s heel in the heel of the traction boot
b. Apply weights of the traction to total 9.1 kg (20lb)
c. Place the footplate against the foot of the bed
d. Remove the boot for skin inspection every 12 hours. – ANSWER- a. Situate the
client’s heel in the heel of the traction boot
A nurse is caring for a client who sustained a spinal cord injury in a diving
accident. Which of the following actions should the nurse take?
a. Assess the client’s neurological status every 8 hour
b. Monitor urine output hourly
c. Provide the client with a low-fiber diet
d. Log roll the client every 4 hour – ANSWER- b. Monitor urine output hourly
A nurse is planning care for a client who has a central venous access device for
intermittent infusions. Which of the following actions should the nurse include in
the plan of care?
a. Flush the catheter using a 10ml syringe
b. Change the dressing every 24 hour
c. Use clean technique when changing the dressing
d. Cleanse the site with povidone-iodine – ANSWER- a. Flush the catheter using a
10ml syringe
A nurse in the emergency department is caring for a client who has a gunshot
wound to the abdomen. Which of the following actions should the nurse take first?
a. Check the color of the client’s skin
b. Remove all of the client’s clothing
c. Administer an opioid analgesic
d. Prepare the client for periorbital lavage – ANSWER- a. Check the color of the
client’s skin
A nurse is caring for a client following a bronchoscopy. Which of the following
actions should the nurse take first?
a. Check the client’s gag reflex
b. Inform the client they might experience a low-grade fever
c. Instruct the client to report bleeding
d. Provide the client with sips of water – ANSWER- a. Check the client’s gag reflex
A nurse is developing a plan of care for a client who is returning from the PACU
following a left below-the-knee amputation. Which of the following interventions
should the nurse include in the plan?
a. Provide the client with a firm mattress
b. Wrap the client’s residual limb with elastic bandage in a distal to proximal
direction
c. Place the client’s residual limb in a dependent position when possible
d. Keep the client in a supine position for 48 hours – ANSWER- a. Provide the
client with a firm mattress
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