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Title: ATI med surg exams
Description: contains detailed questions and answers for examination guide. covers each field into detail
Description: contains detailed questions and answers for examination guide. covers each field into detail
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Medical-Surgical Nursing: Proctored Exam Study Guide 2023
Comprehensive Questions and Answers
Purpose of This Guide:
This guide has been meticulously crafted to support nursing students and professionals preparing for the
ATI Medical-Surgical Nursing Proctored Exams
...
Familiarizing students with real-world application questions
...
Topics Covered:
1
...
Respiratory Conditions
3
...
Endocrine Disorders
5
...
Gastrointestinal Conditions
7
...
Immune and Hematologic Disorders
9
...
Medical professionals seeking a refresher on medical-surgical concepts
...
Question:
A nurse is caring for a client who has chronic kidney disease and is on a renal diet
...
Bananas
B
...
Apples
D
...
Apples
Rationale: A client with chronic kidney disease should avoid high-potassium foods
...
2
...
Which of the following
statements by the client indicates a need for further teaching?
A
...
"
B
...
"
C
...
"
D
...
"
Answer:
C
...
"
Rationale: Clients should avoid flexing their hip beyond 90 degrees to prevent dislocation after a total hip
replacement
...
Question:
A nurse is caring for a client receiving a blood transfusion
...
Assess vital signs every 30 minutes
B
...
Administer a saline flush
ATI PN medsurg proctored 2023 – 2024 exam version
Verified
D
...
Stay with the client and monitor for transfusion reactions
Rationale: The first 15 minutes of a transfusion are critical because the risk of a severe reaction is
highest
...
4
...
Which of the following should the
nurse teach the client about managing their blood glucose levels?
A
...
"
B
...
"
C
...
"
D
...
"
Answer:
B
...
"
Rationale: Regular blood glucose monitoring helps clients understand how different factors (e
...
, diet,
exercise, medication) affect their blood sugar levels
...
Question:
A nurse is assessing a client who is post-operative after abdominal surgery
...
Absence of bowel sounds in all quadrants
B
...
8°F/37
...
The presence of dark red blood in the drainage tube
D
...
The presence of dark red blood in the drainage tube
Rationale: Dark red blood may indicate internal bleeding, which requires immediate medical attention
...
Question:
A nurse is caring for a client with acute pancreatitis
...
Encourage the client to eat small meals
ATI PN medsurg proctored 2023 – 2024 exam version
Verified
B
...
Offer fluids to the client
D
...
Administer analgesics as prescribed
Rationale: Acute pancreatitis causes severe pain, and administering pain relief is a priority intervention
...
Question:
A nurse is providing discharge teaching to a client who is recovering from a stroke
...
"It is important to perform weight-bearing exercises on the affected side
...
"You should always use a walker when ambulating
...
"Take a warm bath to promote circulation in the affected arm
...
"Notify your provider if you experience any sudden changes in vision
...
"Notify your provider if you experience any sudden changes in vision
...
8
...
The nurse should
anticipate which of the following findings during the assessment?
A
...
Hypoxia
C
...
Hypotension
Answer:
B
...
9
...
Which of the following should the
nurse instruct the client to avoid?
A
...
Drinking caffeinated beverages
C
...
Taking antiplatelet medications as prescribed
Answer:
B
...
10
...
Which of the
following is the priority nursing action?
A
...
Assess the client's respiratory rate
C
...
Encourage the client to perform deep breathing exercises
Answer:
B
...
11
...
Which of the following findings should the nurse
expect to assess?
A
...
Weight gain
C
...
Constipation
Answer:
C
...
ATI PN medsurg proctored 2023 – 2024 exam version
Verified
12
...
Which of the
following findings is expected and should be reported?
A
...
Small amount of clear drainage at the incision site
C
...
Elevated temperature of 100
...
Abdominal distension
Rationale: Abdominal distension post-op can indicate a complication such as retained gas or obstruction,
which should be reported to the healthcare provider
...
Question:
A nurse is teaching a client with heart failure about fluid restriction
...
"I can drink a small glass of water with each meal
...
"I should avoid all fluids after 6:00 PM
...
"I will drink a liter of fluid per day
...
"I can drink unlimited amounts of fluid if I restrict salt
...
"I should avoid all fluids after 6:00 PM
...
14
...
Which of the following findings is a priority?
A
...
Decreased breath sounds bilaterally
C
...
Shortness of breath with minimal exertion
ATI PN medsurg proctored 2023 – 2024 exam version
Verified
Answer:
B
...
15
...
Which of the following
laboratory tests should the nurse monitor?
A
...
Platelet count
C
...
Hemoglobin level
Answer:
C
...
16
...
Which of the following statements by the client indicates a need for further teaching?
A
...
"
B
...
"
C
...
"
D
...
"
Answer:
C
...
"
Rationale: Alcohol consumption should be limited to no more than one drink per day for women and
two drinks per day for men to help manage blood pressure
...
Question:
A nurse is providing care for a client who has a deep vein thrombosis (DVT) and is receiving warfarin
...
"You should take aspirin to prevent further blood clots
...
"Limit your intake of foods rich in vitamin K
...
"You should avoid all physical activity to prevent complications
...
"You need to have regular blood tests to monitor your glucose levels
...
"Limit your intake of foods rich in vitamin K
...
18
...
Which of the
following interventions should the nurse prioritize?
A
...
Apply heat to the knee for pain relief
C
...
Restrict fluids to prevent swelling
Answer:
A
...
19
...
Which of the following actions should the nurse
take first?
A
...
Assess the client's blood pressure
C
...
Notify the healthcare provider
Answer:
C
...
Oxygen can prevent further brain damage
...
Question:
ATI PN medsurg proctored 2023 – 2024 exam version
Verified
A nurse is caring for a client with pneumonia who is receiving antibiotic therapy
...
Increased white blood cell count
B
...
Increased production of thick, yellow sputum
D
...
Improvement in respiratory rate and oxygen saturation
Rationale: A positive response to antibiotic therapy would be indicated by improvement in respiratory
function, including a decrease in respiratory rate and improvement in oxygen saturation levels
...
Cardiovascular System
1
...
2
...
3
...
4
...
5
...
6
...
7
...
8
...
What is the first action?
A: Check the client’s apical pulse and serum digoxin levels
...
Q: What is the correct placement for AED pads during cardiopulmonary resuscitation?
A: One pad on the upper right chest and the other on the lower left chest
...
Q: What is the target blood pressure for a hypertensive client with diabetes?
A: Less than 130/80 mmHg
...
Q: What is the most common early sign of hypoxia?
A: Restlessness and confusion
...
Q: What is a priority intervention for a client with COPD?
A: Administer low-flow oxygen therapy
...
Q: What is a hallmark symptom of acute asthma exacerbation?
A: Wheezing and shortness of breath
...
Q: A client with pneumonia reports chest pain
...
15
...
16
...
17
...
18
...
19
...
20
...
Endocrine System
21
...
22
...
23
...
24
...
25
...
ATI PN medsurg proctored 2023 – 2024 exam version
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26
...
27
...
28
...
29
...
30
...
Gastrointestinal System
31
...
32
...
33
...
34
...
35
...
36
...
37
...
38
...
39
...
40
...
Neurological System
ATI PN medsurg proctored 2023 – 2024 exam version
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41
...
42
...
43
...
44
...
45
...
46
...
47
...
48
...
What is a nursing intervention?
A: Encourage purposeful movement and assist with mobility aids
...
Q: What is a classic sign of multiple sclerosis exacerbation?
A: Muscle weakness and vision changes (optic neuritis)
...
Q: What condition involves sudden, severe unilateral headache and nasal congestion?
A: Cluster headaches
...
Q: What medication is typically given for status epilepticus?
A: IV lorazepam or diazepam
...
Q: A client post-lumbar puncture complains of a headache
...
53
...
54
...
55
...
Renal and Urinary System
56
...
ATI PN medsurg proctored 2023 – 2024 exam version
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57
...
58
...
59
...
60
...
61
...
62
...
63
...
64
...
65
...
Musculoskeletal System
66
...
67
...
68
...
69
...
70
...
71
...
72
...
ATI PN medsurg proctored 2023 – 2024 exam version
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73
...
74
...
75
...
Integumentary System
76
...
77
...
78
...
79
...
80
...
81
...
82
...
83
...
84
...
85
...
Hematologic and Immune Systems
86
...
87
...
g
...
ATI PN medsurg proctored 2023 – 2024 exam version
Verified
88
...
89
...
90
...
91
...
92
...
93
...
94
...
95
...
Miscellaneous
96
...
97
...
98
...
99
...
100
...
Detailed summary Q&A
46
...
47
...
ATI PN medsurg proctored 2023 – 2024 exam version
Verified
48
...
What is a nursing intervention?
A: Encourage purposeful movement and assist with mobility aids
...
Q: What is a classic sign of multiple sclerosis exacerbation?
A: Muscle weakness and vision changes (optic neuritis)
...
Q: What condition involves sudden, severe unilateral headache and nasal congestion?
A: Cluster headaches
...
Q: What medication is typically given for status epilepticus?
A: IV lorazepam or diazepam
...
Q: A client post-lumbar puncture complains of a headache
...
53
...
54
...
55
...
Renal and Urinary System
56
...
57
...
58
...
59
...
60
...
61
...
62
...
63
...
ATI PN medsurg proctored 2023 – 2024 exam version
Verified
64
...
65
...
Musculoskeletal System
66
...
67
...
68
...
69
...
70
...
71
...
72
...
73
...
74
...
75
...
Integumentary System
76
...
77
...
78
...
ATI PN medsurg proctored 2023 – 2024 exam version
Verified
79
...
80
...
81
...
82
...
83
...
84
...
85
...
Hematologic and Immune Systems
86
...
87
...
g
...
88
...
89
...
90
...
91
...
92
...
93
...
94
...
ATI PN medsurg proctored 2023 – 2024 exam version
Verified
95
...
Miscellaneous
96
...
97
...
98
...
99
...
100
...
ATI PN medsurg proctored 2023 – 2024 exam version
Verified
Title: ATI med surg exams
Description: contains detailed questions and answers for examination guide. covers each field into detail
Description: contains detailed questions and answers for examination guide. covers each field into detail