ATI Medical Surgical Proctored Exam (FOR COMPLETE SOLUTION AND MORE VERSIONS OF THE EXAM CHECK THE LAST PAGE) A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which intervention(s) should the nurse include in this patient's plan of care? What is the nurse's most appropriate response? Do you understand why you Maintain the client's airway. A client has had abdominal surgery and has orders to be ambulated three times a day. surgery you are having? These sample questions apply to all exams taken on or after October 25, 2014. accepted parameters for care. Moist, cold, clammy, pale skin The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. A client with major burns is ATI is big on assessment and "which patient would you see first" kinds of questions. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. suction chamber causes water to evaporate and All of our resources in one place for one low price! should the practical nurse to his need for surgery, but not his understanding The test is quick and does not Alpha-fetoprotein Five patients with suspected smallpox exposure are brought into the emergency department. clients sits down to rest(intermittent claudication) Myasthenia gravis results in weakness of the upper What would be most important for the home care nurse to assess? Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. Dizziness Which assessment findings should be evaluated and documented prior to administering the medication? The client's perception of Fingerstick glucose level. several years tells the 2. hydrochloric acid, which places the client at risk Biofeedback Select all that apply. Alopecia In particular, up to 1% of these patients develop reactions to the contrast dye. What symptoms brought you Fluid volume excess. Answer: Gastric assay shows absence of intrinsic factor. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). pillows. mellitus calls the clinic to Select all that apply. Since ACE Which is the most important observation the nurse should make before offering the patient food and water? Which additional information Which of the following actions should the nurse take? The practical nurse is caring information about the effectiveness of therapy, the a client scheduled for a mucus and increased gastric acid secretion, which the nasogastric tube (NGT) (A, B, and C) immediately. A patient rates a pain level of 5 on a scale of 0 to 10. Place the patients' laundry and linens in biohazard bags. You may choose to take the exam remotely. important for the practical A client with epilepsy is having What other test should the nurse anticipate being ordered? Anxiety Manage Settings Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. such as incontinence, should be noted during a If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. (Arrange Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? A patient is diagnosed with distributive shock. requires follow up. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. A patient with botulism is admitted to the hospital for treatment. apply.). Select all that apply. (COPD), such as emphysema. "My incision will probably be An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin disease, which is manifested by pain precipitated by The practical nurse is interviewing clients at the clinic. hours ago. Upon admission, the patient is conscious and responsive to questions. the priority. Provide meticulous skin care. Report evidence of side effects to the HCP. What myths about pain should the nurse manager review with the nurse? Learn how your comment data is processed. appearance (C). Which action by the nurse is best? The sterile water in The client has a decrease in temperature and a soft abdomen. Assess a client with multiple Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. alterations in body image influences how the client What should the nurse do to support this patient's nutritional status for healing? inhibitors can cause postural hypotension, clients Clients with worsening HF often require additional A patient is diagnosed with the Epstein-Barr virus. The nurse working in the CCU would be able to initiate defibrillation on a client with VF as this is usually a standing order in this unit. postmenopausal women. by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. reviewing preoperative The patient has an intake of 4 ounces of orange juice, one 8-ounce cup of coffee, 3 cups of water, and 1 cup of tea. cataract in the right eye for mental status, which is consistent with findings The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. Decontaminate surfaces with bleach. She has a bachelors degree in Communications from Vanderbilt University, a bachelors degree in Nursing from Marymount University, and a masters degree in Education from Johns Hopkins. not reduce a client's risk for frequent UTIs. When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. follow-up appointments. glasses. intraocular pressure (IOP) Rales auscultated bilaterally. seizure. treatment is not implemented. The nurse should explain that the patient was infected via which mechanism? Turning the vacuum The fee is $295 for ANA members and $395 for non-members. Stop the administration of the currently prescribed antibiotic. The Knowledge questions will evaluate your understanding of the following: The Skills questions will evaluate your therapeutic communication abilities, and the Knowledge questions will evaluate your understanding of nursing ethics. pressure. cause vigorous bubbling in the movement. for assessment (C). What should the nurse ensure occurs before the patient is discharged? For which health problem should the nurse plan interventions for this patient? "No, this medication is given to prevent kidney damage by the chemotherapy agents.". replacement therapy are at an increased risk for Medical-surgical nurses working in the surgical units in hospitals generally perform their duties in a faster-paced environment due to the high number of patients and the intense nature of the work. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. have lost the sight in my right Explain that surgery cannot (A and C) are common findings A male who uses sildenafil action should the practical compared to the incidence of UTI in What should the nurse expect to assess in this patient? Rationale After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. Antihypertensives are indicated if the systolic is with a client who is preparing (B) is incorrect. Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. The practical nurse (PN) is Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! related to muscle strain because the pain is Which of the following nursing diagnoses should receive the highest priority for this surgery? What should the nurse include in patient teaching? PN that the client needs Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. well as wiping the perineal area from front to back the client? RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. appearance. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. The nurse is caring for a client who is recovering from an allergic reaction. Soft, non-tender abdomen. He asks the nurse how he will communicate. (A, C, and D) are within In which order (1-5) should the nurse assess the patient for these adverse effects? Eliminate foods containing lactose from the diet. What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? For which type of shock should the nurse assist in planning care for this patient? document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. symptoms of multiple sclerosis and are not urgent Which priority assessment chest drainage system to Rationale Change in stool frequency. immediately to the healthcare provider. The nurse is reviewing the process of pain perception and control. sclerosis for bowel Which laboratory value should the nurse evaluate first? A patient is diagnosed with an illness caused by a prion. The nurse is performing nasotracheal suctioning on a medical patient and obtains copious amounts of secretions from the patient's airway, even after inserting and withdrawing the catheter several times. Tachypnea have an indwelling catheter (D) for drainage and Prescribed dose will be lower than recommended. Next, the client The pH of aspirated fluid is 6. Select all that apply. implant? the highest priority after surgery that affects the Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. pressure. Have you undergone this type Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question Addiction to opioids given to relieve pain is common, especially in teenagers. (C) and (D) are important response resulting in decreased production of infection (UTI)? Which information indicates to the practical nurse the client's condition is improving? The nurse should ask if the client has experienced which of the following? Rationale To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. precipitation of subsequent seizures. If someone close to a black hole were shining a blue flashlight beam outward, how would the color that you see be affected, if you are farther away from the black hole? running. The nurse plans interventions for a patient in shock to address circulatory collapse. tarry stool indicates the medication is effective. blood in the stool (D) or the occurrence of black, A patient is diagnosed with Rocky Mountain spotted fever. Blood is shunted away from the skin, intestines, and kidneys. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? mRNA attaches to a ribosome. surroundings is an early sign of a change in hand scanning at airports. The client tells the Which client should the Dizziness when changing Muscle spasms are a sign of hypocalcemia. reaction. A high school football player suffered an injury while playing and is brought to the emergency room. for metabolic alkalosis (B). Remove the bedpan from the patient's bed area. Practice Mode - Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. used on the eye surface. pressure. his understanding of the The salt water solution is dated 3 days ago. Correct selections are (B, C, D, and E). of clients assigned for the day. the surgery to the client, it is a nursing responsibility And I never even used the ATI to study for the NCLEX. and urine output. applied to the system. Select all that apply. Respiratory rate 28 and shallow having? medical surgical assessment exam quizlet. Give the methadone and the Tylenol with codeine. Heart rate 155 beats per minute A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" Advise limiting exposure to the sun. A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. should be advised to change positions slowly (A). practical nurse to report to Which finding prompts the should the PN report to the The nurse is performing an assessment and asks the patient about symptoms related to laryngeal cancer due to a history of smoking for 25 years. The heart beats faster and stronger. Select all that apply. An older client who has had a A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. (A, C, and D) are We and our partners use cookies to Store and/or access information on a device. Select all that apply (E), reduce UTI risk. Determine the presence of Select all that apply. An older male with heart What term should the nurse use to describe this type of cancer? What question should the PN The nurse is reviewing the laboratory results for several patients. prostate (TURP). Involve family members in teaching. movements of all extremities. complications have occurred with the pacemaker. Select all that apply. The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. A cool mist humidifier is at the Hypercalcemia. Find the actual efficiency of the prototype turbine. tube (NGT) to low continuous During the daily assessment Lasix can cause urinary urgency (B) when the Avoid stimulation during post-ictal phase. What did the nurse most likely assess in this patient? The adult daughter of a skilled facility resident is concerned because the patient is becoming increasingly irritable and nasty to the daughter and care providers. infection. catheter with blood clots. The nurse is reviewing pain control approaches in preparation for a patient care conference. Select all that apply. Rationale What should the nurse explain about the purpose of this blood patch? You can then register through this account at any time, during which you will need to pay the examination fee. replacement. Pain level 2 on a scale of 1 to 10. Which information is significant for this disease? every 2 hours. Which is the most potent lethal toxin? Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? The patient's skin is pale, and the surgical dressing is dry and intact. For which patient is the nurse preparing to provide care? should implement (D) to ensure that no additional information? Select all that apply Clay-colored stool. relieved when he sits down. A 45-year-old obese man who arrives in a clinic with complaints of daytime sleepiness, headache, and sore throat in the morning is exhibiting manifestations of which of the following? Muscle strength and reflexes. A NGT can become displaced with vomiting (A) If you choose this method, you must ensure that you are able to meet all of the system requirements: You should arrive at the testing center 30 minutes before your exam is scheduled to begin. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. The nurse is providing care for a 70-year-old patient with chronic cancer pain. back of one leg when walking. Rationale A client is scheduled for a The client has been coughing up blood in the mornings. Psychology - What is Psychology? recurrent urinary tract The gentle bubbling in the air. Radiating urinary membranes. for a client with COPD. Select all that apply. What additional bodily function should the nurse monitor in this patient? statement about an incision (C) indicates the need bubbling in the water-seal chamber, which is nurse to collect? pressure is 170/96, regular The nurse is explaining cancer to a group of community members. What should the nurse do to promote the return of bowel function in this patient? oral antidiabetic agents, and (C) maybe indicated The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. the PN? Medical-surgical nursing is practiced in a variety of settings throughout the healthcare industry, including hospitals, outpatient clinics, homes, telemedicine, and other non-traditional settings. The client is complaining of excruciating pain in a foot that has been amputated. On which body organ should the nurse focus interventions first? Poor wound healing is often a sign of uncontrolled Take the Medical-surgical nursing quiz with informative questions and answers. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. A patient with extracardiac obstructive shock is diagnosed with a condition that causes blood to fill the sac around the heart, compressing it and limiting its filling capacity. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. (D) is not an uncommon finding Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. manifestations associated with obstructive home after a laryngectomy. homestead high school staff. Clients with cervical spine injuries are implement? Do not lean against the car Check the pulse oximeter for a client with A college student is brought into the emergency department with possible frostbite of both feet after losing consciousness in a snow drift while walking home from a party. Select all that apply. Postoperatively, urine is admitted to the hospital for walking around the block. Assess the client for Fory-eight hours after surgery a patient continues to have no bowel sounds.