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ATI RN MEDSURG PROCTORED 2019 EXAM QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A, Exams of Medical Sciences

York UniversityMedical Sciences

ATI RN MEDSURG PROCTORED 2019 EXAM QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A

Typology: Exams

2024/2025

Available from 07/03/2025

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ATI RN MEDSURG PROCTORED 2019 EXAM QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A
A nurse is performing a venipuncture on an older adult client whose veins are
difficult. Which of the following actions should the nurse take?
A. Apply cool compresses
B. Elevate the client's extremity using a pillow
C. Tap the skin around the insertion site
D. Raise the angle of the catheter to 30 degrees above the insertion site -
ANSWER-C. Tap the skin around the insertion site
A nurse is caring for a client in the ER following a myocardial infarction. Which of
the following actions should the nurse anticipate if the client develops asystole?
A. Administer atropine
B. Defibrillate with 200 joules
C. Start a continuous lidocaine infusion
D. Begin CPR - ANSWER-D. Begin CPR
A nurse is caring for a client with severe burn injury. The nurse should recognize
which of the following client findings as an indication of hypovolemic shock?
A. Potassium 5.2 mEq/L
B. Capillary refill 1.5 seconds
C. Urine output 45 mL/hr
D. PaCO3 37 mmHg - ANSWER-A. Potassium 5.2 mEq/L
A critical care nurse is assessing a client who has a severe head injury. In response
to painful stimuli the client does not open her eyes, displays decerebrate
posturing, and makes incompressible sounds. Which of the following Glasgow
coma scale scores should the nurse assign the client?
A. 2
B. 5
C. 10
D. 13 - ANSWER-B. 5
A nurse is teaching a client who has heart failure about self-management
techniques. Which of the following statements by the client indicates an
understanding of the teaching?
A. I will keep an exercise diary
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ATI RN MEDSURG PROCTORED 2019 EXAM QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A A nurse is performing a venipuncture on an older adult client whose veins are difficult. Which of the following actions should the nurse take? A. Apply cool compresses B. Elevate the client's extremity using a pillow C. Tap the skin around the insertion site D. Raise the angle of the catheter to 30 degrees above the insertion site - ANSWER-C. Tap the skin around the insertion site A nurse is caring for a client in the ER following a myocardial infarction. Which of the following actions should the nurse anticipate if the client develops asystole? A. Administer atropine B. Defibrillate with 200 joules C. Start a continuous lidocaine infusion D. Begin CPR - ANSWER-D. Begin CPR A nurse is caring for a client with severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock? A. Potassium 5.2 mEq/L B. Capillary refill 1.5 seconds C. Urine output 45 mL/hr D. PaCO3 37 mmHg - ANSWER-A. Potassium 5.2 mEq/L A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli the client does not open her eyes, displays decerebrate posturing, and makes incompressible sounds. Which of the following Glasgow coma scale scores should the nurse assign the client? A. 2 B. 5 C. 10 D. 13 - ANSWER-B. 5 A nurse is teaching a client who has heart failure about self-management techniques. Which of the following statements by the client indicates an understanding of the teaching? A. I will keep an exercise diary

B. I will take ibuprofen for mild pain C. I will expect swelling in my feet and ankle D. I will weight myself every other day - ANSWER-C. I will expect swelling in my feet and ankle A nurse is providing discharge teaching for a client who has new tracheostomy. Which of the following statements by the client indicates an understanding of the teaching? A. I'll insert the obturator after cleaning my stoma B. I'll cut a slit in a clean gauze pad to use as a stoma dressing C. I'll cleanse the cannula with half strength hydrogen peroxide D. I'll remove the soiled tracheostomy ties prior to cleaning my stoma - ANSWER- C. I'll cleans the cannula with half strength hydrogen peroxide A nurse is caring for a client who has a sealed radiation implant which of the following actions should the nurse take? A. Limit family member visits to 30 min per day B. Give the dosimeter badge to the oncoming nurse at the end of the shift C. Apply second pair of gloves before touching the clients implant if it dislodges D. Remove soiled lines from the room after each change - ANSWER-A. Limit family member visits to 30 min per day A nurse is reviewing the medical record of a client who has pneumonia. Which of the following serum laboratory values should the nurse expect? A. WBC count 15,000/mm B. Hematocrit 35% C. Sodium 130 mg/dL D. BUN 8 mg/dL - ANSWER-A. WBC count 15,000/mm A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm. Which of the following actions should the nurse include in the plan of care? A. Instruct the client to avoid lifting the right arm for 72 hr B. Check blood pressure in the right arm C. Palpate the site for thrill D. Insert a saline lock into a site 10 cm (4 in) distal to the graft - ANSWER-C. Palpate the site for thrill

A. Hemoglobin 10 mg/dL B. Serosanguineous exudate noted on dressing change C. Report pain of 4/10 when coughing D. WBC count 8400/mm - ANSWER-A. Hemoglobin 10 mg/dL A nurse is reviewing medications taken at home with a client who has angina. Which of the following statements by the client indicates an understanding of the teaching? A. I should withhold my metoprolol if my heart rate is above 100 bpm B. I should place a nitroglycerin tablet under my tongue every 10 min for up to 4 doses C. I should lie down before taking dose of isosorbide dinitrate D. I should take my daily aspirin on an empty stomach - ANSWER-C. I should lie down before taking dose of isosorbide dinitrate A nurse is instructing a client who has a new diagnosis of type 1 diabetes mellitus about the sick-day rules. Which of the following statements by the client indicates an understanding of the teaching? A. "I will monitor my blood glucose every 8 hours" B. "I will consume 250 grams of carbohydrates daily while I'm sick" C. "I will check my urine for ketones if my blood glucose is greater than 240 mg/dL" D. "I will not take my diabetes mediation while I am sick - ANSWER-C. "I will check my urine for ketone if my blood glucose is greater than 240 mg/dL" A nurse is caring for a client who has contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications? A. Desmopressin B. Epinephrine C. Furosemide D. Nitroprusside - ANSWER-A. Desmopressin A nurse is preparing to administer daily medication to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold? A. Valproic acid

B. Metformin C. Metoprolol D. Fluticasone - ANSWER-B. Metformin A nurse is preparing a client who is to undergo a thoracentesis. The nurse should place the client in which of the following positions? A. On her affected side with her head lowered B. In high-Fowler's position with her arms at her side C. Prone position with her arms above her head D. Upright on the edge of the bed leaning over the bedside table - ANSWER-D. Upright on the edge of the bed leaning over the beside table A nurse is teaching a client about the use of an incentive spirometer. Which of the following instruction should the nurse include in the teaching? A. Position the mouthpiece 2.5 cm (1in) from the mouth B. Hold breaths 3-5 seconds before exhaling C. Place hands on the upper abdomen during inhalation D. Exhale slowly through pursed lips - ANSWER-B. Hold breaths 3-5 seconds before exhaling A nurse is caring for a client who is 2 days postoperative following abdominal surgery and has a prescription for opioid analgesia. Which of the following actions should the nurse implement to help facilitate the client's recovery? A. Provide analgesic medication prior to physical activity B. Inform the client to monitor for loose stools while taking opioid analgesia C. Withhold analgesic medication unless the client reports pain D. Administer naloxone if the client's respiratory rate is greater than 24/min - ANSWER-A. Provide analgesic medication prior to physical activity A nurse is preparing to assist the provider with thoracentesis for a client who has left pleural effusion. Which of the following interventions is the priority for the nurse? A. Describe the sensation the client will feel during the procedure B. Reinforce the importance of lying still during the procedure C. Determine whether the client has an allergy to local anesthetics - ANSWER-C. Determine whether the client has an allergy to local anesthetics

B. pH 7. C. PaO2 95 mmHg D. HCO3 20 mEq/L - ANSWER-A. PaCO2 50 mmHg A nurse is caring for a client who has atrial fibrillation. Which of the following should the nurse expect to administer? A. Dobutamine B. Lidocaine C. Atropine D. Amiodarone - ANSWER-D. Amiodarone A nurse is caring for a client who is receiving epidural analgesia. Which of the following findings is the nurse's priority? A. Bladder distension B. Weakness to lower extremities C. Hypotension D. Hypoactive bowel sounds - ANSWER-C. Hypotension A nurse is planning care for a client who has chest drainage system set to low suction following a thoracotomy. Which of the following nursing actions is appropriate to include in the plan of care? A. Check for bubbling in the water seal chamber B. Empty the collection C. Keep the water seal chamber at chest level D. Loop excess tubing below the chest wall - ANSWER-A. Check for bubbling in the water seal chamber A nurse is caring for an older adult client who is prescribed packed RBCs. Which of the following actions is appropriate for the nurse to take? A. Obtain vital signs every hour during transfusion B. Administer the transfusion over a 4-hour period C. Infuse lactated Ringer's solution while transfusing the blood produce D. Use a 24-gauge needle for the transfusion - ANSWER-B. Administer the transfusion over a 4-hour period A nurse is preparing the discontinue long term TPN therapy for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects?

A. Hyperglycemia B. Diarrhea C. Constipation D. Hypoglycemia - ANSWER-D. Hypoglycemia A nurse is preparing a client for an ECG. The client is anxious and says that he is afraid the equipment will give an electric shock. Which of the following is an appropriate response by the nurse? A. The machine only sense and records electrical currents coming from your heart B. The lead wires and cables are insulated for your safety C. The electrode pads will prevent conduction of electricity to your skin D. The machine voltage delivery is low enough that you won't feel any discomfort

  • ANSWER-A. The machine only sense and records electrical currents coming from your heart A nurse is caring for a client who has hypertension and a new prescription for lisinopril. The nurse should consult with the provider about which of the following medications in the client's administration record? A. Potassium chloride B. Levothyroxine C. Acetaminophen D. Metformin - ANSWER-D. Metformin A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective? A. Elevation in blood pressure B. Adventitious breath sounds C. Weight loss of 1.8 kg (4lb) in the past 24 hr D. Respiratory rate of 24/min - ANSWER-C. Weight loss of 1.8 kg (4lb) in the past 24 hr A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the nurse indicates an understanding of the teaching? A. I will increase the amount of fresh veggies

D. "I will take this medication with fiber to help prevent constipation" - ANSWER- A. "I will notify the provider if I experience muscle weakness" A nurse is assessing a client following the insertion of a central venous catheter. Which of the following findings indicates a pneumothorax? A. Diminished breath sounds B. Distended neck veins C. Irregular heart rate D. Itching over the incision - ANSWER-A. Diminished breath sounds A nurse is caring for a client who is 2 days postoperative following below the knee amputation and asks about the purpose of maintaining an elastic bandage around residual limb of the extremity. Which of the following is the appropriate response by the nurse? A. The elastic bandage will prevent a postoperative wound infection B. The elastic bandage will prevent excess edema C. The elastic bandage will keep you from seeing the surgical site D. The elastic bandage will keep the sutures from loosening - ANSWER-B. The elastic bandage will prevent excess edema A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect? A. Hyperproteinemia B. Cachexia C. Diplopia D. Hypermagnesemia - ANSWER-B. Cachexia A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alterative therapy? A. Lymphedema B. Urticaria C. Mouth sores D. Headache - ANSWER-A. Lymphedema

A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching? A. I will take a laxative when I am constipated B. I will expect my stool to be loose C. I will eat a higher-fiber diet D. I will empty my bag when it is full - ANSWER-B. I will expect my stool to be loose A nurse is providing instructions about foot care for a client who has peripheral disease. The nurse should identify that which f the following statements by the client indicates an understanding of the teaching? A. I soak my feet in hot water before trimming my toenails B. I rest in my recliner with my feet elevated for about an hour every afternoon C. I use my heating pad on low setting to keep my feet warm D. I apply a lubricating lotion to the cracked area on the soles of my feet - ANSWER-B. I rest in my recliner with my feet elevated for about an hour every afternoon A nurse is planning care for a client who has a pulmonary embolism and a prescription for enoxaparin via subcutaneous injection. Which of the following interventions should the nurse include? A. Assess the client's stools for occult blood B. Massage the injection site C. Instruct the client to limit vitamin K intake D. Monitor the client's PT levels - ANSWER-A. Assess the client's stools for occult blood A nurse is caring for a client who is receiving total parenteral nutrition through central line. The current bag is nearly empty, and a new bag is unavailable from the pharmacy. Which of the following actions should the nurse take? A. Discontinue the infusion and flush the line B. Decrease the rate of the infusion to last until the new bag is available C. Switch the infusion to a 10% dextrose solution D. Start an infusion of 0.45% sodium chloride solution - ANSWER-C. Switch the infusion to a 10% dextrose solution

C. Fluid volume excess D. Aspiration - ANSWER-C. Fluid volume excess A nurse is preparing instructions for a client who is prescribed metoprolol. Which of the following should the nurse plan to include in the teaching? A. Monitor for hyperglycemia when taking the medication B. Expect excess production of saliva after taking the medication C. Take radial pulse before administering the medication D. Notify the provider if hearing loss occurs - ANSWER-C. Take radial pulse before administering the medication A nurse in a long-term care facility is caring for a bedridden client. Which of the following findings should alert the nurse to a potential complication of the client's immobility? A. Confusion B. Polyuria C. Blurred vision D. Diarrhea - ANSWER-A. Confusion A nurse is providing teaching to a client who has diabetes mellitus. Which of the following instructions should the nurse provide to the client to help prevent the development of nephropathy? A. Limiting protein intake B. Voiding every 2 hr C. Decreased potassium intake D. Controlling hypertension - ANSWER-D. Controlling hypertension A nurse is teaching a client who has asthma about the use of a peak flow meter. After setting the meter to the zero baseline, what is the sequence of steps the nurse should instruct the client to take? A. "stand upright" B. "Fill your lungs with a deep breath" C. "Seal your lips around the mouthpiece" D. "Exhale forcefully and quickly" E. "Record the highest of three consecutive readings" - ANSWER-Stand upright Seal your lips around the mouthpiece Fill your lungs with a deep breath

Exhale forcefully and quickly Record the highest of three consecutive readings A nurse is caring for a client who has rheumatoid arthritis and reports increasing fatigue. The nurse should instruct the client to take which of the following actions to conserve energy? A. Avoid using large muscle groups B. Allow others to perform her self-care activities C. Determine priority activities to accomplish D. Limit iron intake - ANSWER-C. Determine priority activities to accomplish A nurse is caring for a client who had a total hip arthroplasty. Which of the following action should the nurse take to prevent hip dislocation? A. Place two bed pillows between the legs when in bed B. Encourage the client to lean forward when attempting to stand C. Elevate the knees higher than the hips when sitting D. Remove the wedge device when turning - ANSWER-A. Place two bed pillows between the legs when in bed A nurse is working in the emergency department is assessing a client admitted with atrial fibrillation. Which of the following findings should the nurse report to the provider immediately? A. Ventricular rate 120/min B. Syncope C. Atrial rate of 350/min D. Shortness of breath - ANSWER-D. Shortness of breath A nurse is caring for a client who is admitted with heart failure. Which of the following laboratory findings should the nurse report to the provider? A. Hematocrit 24% B. Sodium 137 mEq/L C. Glucose 112 mg/dL D. BUN 19 mg/dL - ANSWER-A. Hematocrit 24% A nurse is caring for a client who develops third-degree heart block with a heart rate of 30/min. Which of the following actions should the nurse take? A. Instruct the client to perform the Valsalva Maneuver

C. Oatmeal D. Fresh peaches - ANSWER-B. Poached egg