ATI Med Surg Proctored Exam (Latest 2022 / 2023)

ATI Med Surg Proctored Exam

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 alternative therapy?

✓ Lymphedema

A client who is ideal 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?

✓ Request an interpreter during the initial assessment

A nurse is teaching a client. about the nurse of the incentive spirometer. which of the

following instructions should the nurse include in the teaching?

✓ Hold breaths 3 to 5 seconds before exhaling

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?

✓ 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 10-ml syringe

b) Use clean technique when changing the dressing

c) Cleanse the site with povidone-iodine

d) Change the dressing every 24hr

A nurse in the emergency department is caring for a client who has a gunshot wound to

the abdomen. Which of the following action should the nurse take first?

a) Prepare the client for peritoneal lavage

b) Check the color of the client's skin

c) Administer an opioid analgesic

d) Remove all of the client's clothing

A nurse is caring for a client following a bronchoscopy. Which of the following action

should the nurse take first?

a) Provide the client with sips of water.

b) Instruct the client to report bleeding.

c) Inform the client they might experience a low-grade fever.

d) Check the client's gag reflex

A nurse is teaching a client about using a metered-dose rescue inhaler. which of the

following statements should the nurse include in the teaching?

✓ Exhale fully before bringing the inhaler to your lips

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 consume 250grams of carbohydrates daily while I'm sick."

b) "I will monitor my blood glucose every 8hours."

c) "I will not take my diabetes medications while I am sick."

d) I will check my urine for ketones if my blood glucose is greater than 240

mg/dL

A nurse is caring for a client who has duodenal ulcer. which of the following actions

should the nurse take? (Click on the Exhibit button for additional information.

✓ Infuse packed RBCs

A nurse is reviewing ABG results for a client who has COPD. Which of the following

findings should the nurse expect?

a) HCO3-25 mEq/L

b) PaO2 85mmHg

c) pH 7.38

d) PaCO2 48 mm Hg

A nurse is admi ng a client to a medical unit following placement of a permanent

pacemaker. Which of the following findings requires further assessment by the nurse?

a) Hiccups

b) Sneezing

c) Presence of a sharp spike prior to the QRS complex on the ECG

d) Presence of intrinsic P waves following a QRS complex on the ECG

A nurse is preparing to administer daily medications 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) Metformin

b) Metoprolol

c) Valproic acid

d) Fluticasone

A nurse is planning care for a client who is 1 day postoperative following an open

cholecystectomy. Which of the following interventions should the nurse include in the

plan of care?

a) Place pillows under the client's knees

b) Apply compression stocking socks

c) Avoid use of anticoagulants

d) Discourage leg exercises while in bed