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ATI Med-Surg Proctored Exam Test Bank Questions and Answers (Latest Revised Questions)

ATI Med-Surg Proctored Exam Test Bank Questions and Answers (Latest Revised Questions)

1. 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?
-Lungs clear
-Hypoactive bowel sounds- Reduced motility, anorexia, nausea, constipation, and abdominal distention are common. A paralytic ileus may occur when hypomagnesemia is severe.
-Blood pressure 90/50 mm Hg-hypomagnesemia causes hypertension, but this is too low, abnormal
-Apical pulse 82/min
One aspect of the conduction problems is that, when serum magnesium levels are low, intracellular potassium levels are also low. This changes the resting membrane potential in cardiac muscle cells, slowing normal conduction and triggering ectopic beats.

2. A nurse is preparing a client for a lumbar puncture. Which of the following images indicates the position the nurse should assist the client into for this procedure?
- “Cannonball position on the side” picture #4 (ATI page 20)

3. A nurse is reviewing a clients ABG results: pH 7.42, PaCO2 30 mm Hg, and HCO3 -21 mEq/L. The nurse should recognize these findings as an indication of which of the following conditions?
-Compensated respiratory alkalosis
-Uncompensated respiratory acidosis
-Metabolic acidosis
-Metabolic alkalosis

4. 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?
-Metoprolol
-Metformin
-Fluticasone
-Valproic Acid

5. A nurse is planning care for a client who is experiencing seizures secondary to meningitis. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
-Assist the client to ambulate every 4 hr.
-Place a tongue blade at the bedside.
-Have suction equipment at the bedside.
-Dim the overhead lights.
-Apply a warming blanket.

6. A nurse is caring for a client who has a pressure ulcer with necrotic tissue and requires wet to damp dressing changes daily. Which of the following types of debridement should the nurse include in the plan of care?
-Enzymatic
-Surgical
-Autolytic
-Mechanical

7. A nurse is caring for a female who has toxic shock syndrome. Which of the following findings should the nurse expect?
-Elevated platelet count
-Decreased total bilirubin
-Generalized rash
-Hypertension

8. A nurse is preparing to administer a medication for a client though a non-tunneled percutaneous central catheter. Which of the following actions should the nurse take?
-Close the inline clamp
-Apply a local anesthetic to the skin
-Don sterile gloves
-Flush the catheter with 10 mL of 0.9% sodium chloride.

9. A nurse is caring for a client who was admitted with nausea, vomiting, and a possible bowel obstruction. An NG tube is placed and set to a low intermittent suction. Which of the following findings should the nurse report to the provider?
-The client reports being extremely thirst with a sore throat
-The drainage is bright green in color with brown fecal material
-The amount of drainage is gradually decreasing
-The client’s abdomen becomes distended and firm.

10. A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the following findings should the nurse expect?
-Elevated blood pressure
-Hypothermia
-Urine specific gravity 1.001
-Bun 15 mg/d: