ATI MED SURG 3 PROCTORED EXAM – STUDY GUIDE 2019 All Correct Questions & Answers

EVERYTHING CORRECT

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

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

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

c. Urine for white blood cells

d. Serum calcium

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 ondansetron.

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

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 determine whether the

client is experiencing a myocardial infarction?

a. PR interval

b. QRS duration

c. T wave

d. ST segment

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

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

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

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

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

b. Hypoglycemia

c. Hypoalbuminemia

d. Decreased Hematocrit

12. A nurse is caring for a client who has dumping syndrome following a gastrectomy,

which of the following actions should the nurse takes?

a. Offer the client high carbohydrate meal options

b. Provide the client with four full meals a day

c. Encourage the client to drink at least 360 ml of fluids with meals

d. Have the client lie down for 30 minutes after meals

13. A nurse is teaching a group of young adult clients about risk factors for hearing loss.

Which of the following factors should the nurse include in the teaching? SATA

a. Born with a high weight

b. Chronic infections of the middle ear

c. Use a loop diuretic such as furosemide and antibiotics like aminoglycoside and

gentamicin

d. Perforation of the ear drum

e. Frequent exposure to low volume noise

14. A nurse is preparing to administer fresh frozen plasma to a client. Which of the

following actions should the nurse take?

a. Administer the plasma immediately after thawing

b. Transfuse the plasma over 4 hours

c. Hold the transfusion if the client is actively bleeding

d. Administer the transfusion through a 24-gauge saline lock

15. A nurse is assessing a client who reports numbness and tingling of his toes and

exhibits a positive trousseau. Which of the following electrolyte imbalance should the

nurse suspect?

a. Hyponatremia

b. Hyperchloremia

c. Hypermagnesemia

d. Hypocalcemia