ATI RN ADULT MEDICAL SURGICAL EXAM
B B B B B
QUESTIONS WITH CORRECT ANSWERS 2025
B B B B
AB nurseB isB providingB postoperativeB teachingB forB aB clientB whoB hadB aB totalB kneeB arthroplasty.B WhichB
oBfB theB followingB instructionsB shouldB theB nurseB include?B -B CORRECTB ANSWERB -
FlexB theB footB everyB hourB whenB awake.
Rationale:B TheB nurseB shouldB instructB theB clientB toB flexB theB footB everyB hourB toB reduceB theB riskB forB th
BromboembolismB andB promoteB venousB return.
AB nurseB isB caringB forB aB clientB whoB hasB aB pneumothoraxB andB aB closed-
chestB drainageB system.B WhichB ofB theB followingB findingsB isB anB indicationB ofB lungB re-expansion?B -
BCORRECTB ANSWERB -BubblingB inB theB waterB sealB chamberB hasB ceased.
Rationale:B BubblingB inB theB waterB sealB chamberB ceasesB whenB theB lungB re-expands.
AB nurseB isB reviewingB theB medicalB recordB ofB aB clientB whoB isB takingB warfarinB forB chronicB atrialB fibrillat
iBon.B WhichB ofB theB followingB valuesB shouldB theB nurseB identifyB asB aB desiredB outcomeB forB thisB therapy
?
-B CORRECTB ANSWERB -INRB 2.5
Rationale:B ClientsB receiveB warfarinB therapyB toB decreaseB theB riskB ofB stroke,B myocardialB infarctionB (MI),
BorB pulmonaryB emboliB (PE)B fromB bloodB clots.B SinceB warfarinB isB anB anticoagulant,B theB medicationB m
uBstB beB monitoredB toB ensureB theB anticoagulationB isB withinB theB therapeuticB rangeB andB preventB hemor
rhBageB (highB levelsB ofB anticoagulation)B orB stroke,B MI,B orB PEB (lowB levelsB ofB anticoagulation).B AnB INRB o
fB 2.B5B isB withinB theB targetedB therapeuticB rangeB ofB 2B toB 3B forB aB clientB whoB hasB atrialB fibrillation.
AB homeB healthB nurseB isB providingB teachingB toB aB clientB whoB hasB aB stageB 1B pressureB injuryB onB theB gr
eBaterBtrochanterBofBhisBleftBhip.BWhichBofBtheBfollowingBinstructionsBshouldBtheBnurseBincludeBinBtheBtBea
ching?B -B CORRECTB ANSWERB -ChangeB positionB everyB hour
Rationale:BChangingBpositionBeveryB1BtoB2BhrBdecreasesBpressureBonBbonyBprominences.BTheBnurseBsBhou
ldB alsoB instructB theB clientB toB limitB theB angleB ofB theB hipsB whenB inB aB lateralB positionB toB noB moreB tBha
nB 30°.B ThisB positioningB preventsB directB pressureB onB theB trochanter.
AB nurseB isB assessingB aB clientB followingB theB completionB ofB hemodialysis.B WhichB ofB theB followingB find
iBngsB isB theB nurse'sB priorityB toB reportB toB theB provider?B -B CORRECTB ANSWERB -Restlessness
Rationale:B UsingB theB urgentB vs.B nonurgentB approachB toB clientB care,B theB nurseB shouldB determineB tha
tBtheB priorityB findingB toB reportB toB theB providerB isB restlessness,B whichB canB beB anB indicationB theB clie
nt
isBexperiencingBdisequilibriumBsyndrome.BDisequilibriumBsyndromeBisBcausedBbyBtheBrapidBremovalBofBele
ctrolytesBfromBtheBclient'sBbloodBandBcanBleadBtoBdysrhythmiasBorBseizures.BOtherBmanifestationsBinclud
eB nausea,B vomiting,B fatigue,B andB headache.
,AB nurseB isB caringB forB aB clientB whoB isB 8B hrB postoperativeB followingB aB totalB hipB arthroplasty.B TheB clien
tBisB unableB toB voidB onB theB bedpan.B WhichB ofB theB followingB actionsB shouldB theB nurseB takeB first?B -
BCORRECTB ANSWERB -ScanB theB bladderB withB aB portableB ultrasound.
Rationale:BTheBfirstBactionBtheBnurseBshouldBtakeBusingBtheBnursingBprocessBisBtoBassessBtheBclient.BSBcann
ingBtheBbladderBwithBaBportableBultrasoundBdeviceBwillBdetermineBtheBamountBofBurineBinBtheBbBladder
AB nurseB isB planningB aB healthB promotionalB presentationB forB aB groupB ofB AfricanB AmericanB clientsB atB
aBcommunityB center.B WhichB ofB theB followingB disordersB presentsB theB greatestB riskB toB thisB groupB ofB cli
enBts?B -B CORRECTB ANSWERB -Hypertension
Rationale:B WhenB usingB theB safety/riskB reductionB approachB toB clientB care,B theB nurseB shouldB determin
BeB thatB theB disorderB withB theB greatestB riskB forB thisB groupB ofB clientsB isB hypertension.B TheB prevalenc
eBofB hypertensionB isB highestB amongB AfricanB AmericanB clients,B followedB byB CaucasianB clients,B andB th
enBHispanicB clients.
AB nurseB isB caringB forB aB clientB whoB hasB DKA.B WhichB ofB theB followingB findingsB shouldB indicateB toB theB
nurseB thatB theB client'sB conditionB isB improving?B -B CORRECTB ANSWERB -GlucoseB 272B mg/dL
Rationale:B AB glucoseB readingB lessB thanB 300B mg/dLB indicatesB improvementB inB theB client'sB status.
AB nurseB isB caringB forB aB clientB followingB extubationB ofB anB endotrachealB tubeB 10B min.B ago.B WhichB ofB t
BheB followingB findingsB shouldB theB nurseB reportB toB theB providerB immediately?B -B CORRECTB ANSWERB -
Stridor
Rationale:B UsingB theB urgentB vs.B nonurgentB approachB toB clientB care,B theB nurseB shouldB determineB tha
tBtheB priorityB findingB isB stridor.B StridorB canB indicateB aB narrowingB airwayB orB possibleB obstructionB cau
seBdB byB edemaB orB laryngealB spasms.B TheB nurseB shouldB reportB theB findingB immediatelyB andB implem
entBanB intervention.
AB nurseB isB caringB forB aB clientB whoB hadB aB nephrostomyB tubeB insertedB 112B hrB ago.B WhichB ofB theB foll
oBwingB findingsB shouldB theB nurseB reportB toB theB provider?B -B CORRECTB ANSWERB -
TheB clientB reportsB backB pain
Rationale:B TheB nurseB shouldB notifyB theB providerB ifB theB clientB reportsB backB pain,B whichB canB indicateB t
BhatB theB nephrostomyB tubeB isB dislodgedB orB clogged.
, AB nurseB isB admittingB aB clientB whoB hasB activeB TB.B WhichB ofB theB followingB typesB ofB transmissionB precaButi
onsB shouldB theB nurseB initiate?B -B CORRECTB ANSWERB -Airborne
Rationale:B AirborneB precautionsB areB requiredB forB clientsB whoB haveB infectionsB dueB toB micro-
organismsB thatB canB remainB suspendedB inB airB forB lengthyB periodsB ofB time,B suchB asB tuberculosis,B mea
sBles,B varicella,B andB disseminatedB varicellaB zoster.
AB nurseB isB planningB careB forB aB clientB whoB hasB aB sealedB radiationB implantB forB cervicalB cancer.B Whic
hBofB theB followingB interventionsB shouldB theB nurseB includeB inB theB planB ofB care?B -
B CORRECTB ANSWERB -BKeepB aB lead-linedB containerB inB theB client'sB room
Rationale:B TheB nurseB shouldB keepB aB lead-
linedB containerB andB forcepsB inB theB client'sB roomB inB caseB ofB accidentalB dislodgementB ofB theB implant.
AB nurseB isB assessingB aB clientB whoB isB postoperativeB followingB aB thyroidectomy.B WhichB ofB theB followi
nBgB findingsB isB theB nurse'sB priority?B -B CORRECTB ANSWERB -TemperatureB 38.9°B CB (102°B F)
Rationale:B WhenB usingB theB urgentB vs.B nonurgentB approachB toB clientB care,B theB nurseB shouldB determin
BeB thatB theB priorityB findingB isB anB elevatedB temperature.B AnB elevatedB temperatureB isB aB manifestatio
n
ofB excessiveB thyroidB hormoneB release,B orB thyroidB storm,B dueB toB anB increaseB inB metabolicB rate.B TheB
nBurseB shouldB reportB thisB findingB immediatelyB toB theB providerB becauseB itB canB leadB toB seizuresB andB
coBma.
AB nurseB isB providingB dischargeB teachingB aboutB infectionB preventionB toB aB clientB whoB hasB AIDS.B Whic
hBofB theB followingB statementsB byB theB clientB indicatesB understandingB ofB theB teaching?B -
CORRECTB ANSWERB -"IB willB noB longerB flossB myB teethB afterB brushingB myB teeth."
Rationale:BTheBnurseBshouldBinstructBtheBclientBtoBavoidBflossingBteethBtoBpreventBgumBinflammation,Bwhi
chB couldB createB theB opportunityB forB infection.
AB nurseB isB providingB teachingB toB aB clientB whoB hasB hypertensionB andB aB newB prescriptionB forB verapa
mBil.B WhichB ofB theB followingB informationB shouldB theB nurseB includeB inB theB teaching?B -
CORRECTB ANSWERB -"IncreaseB fiberB intakeB toB avoidB constipation."
Rationale:B TheB nurseB shouldB instructB theB clientB thatB constipationB isB anB adverseB effectB ofB verapamil.B
TBheB clientB shouldB increaseB fiberB intakeB toB promoteB regularB bowelB function.
ABnurseBisBprovidingBeducationBtoBaBclientBwhoBisBatBriskBforBosteoporosis.BWhichBofBtheBfollowingBinBstruc
tionsB shouldB theB nurseB include?B -B CORRECTB ANSWERB -WalkB forB 30B minB fourB timesB perB week.
B B B B B
QUESTIONS WITH CORRECT ANSWERS 2025
B B B B
AB nurseB isB providingB postoperativeB teachingB forB aB clientB whoB hadB aB totalB kneeB arthroplasty.B WhichB
oBfB theB followingB instructionsB shouldB theB nurseB include?B -B CORRECTB ANSWERB -
FlexB theB footB everyB hourB whenB awake.
Rationale:B TheB nurseB shouldB instructB theB clientB toB flexB theB footB everyB hourB toB reduceB theB riskB forB th
BromboembolismB andB promoteB venousB return.
AB nurseB isB caringB forB aB clientB whoB hasB aB pneumothoraxB andB aB closed-
chestB drainageB system.B WhichB ofB theB followingB findingsB isB anB indicationB ofB lungB re-expansion?B -
BCORRECTB ANSWERB -BubblingB inB theB waterB sealB chamberB hasB ceased.
Rationale:B BubblingB inB theB waterB sealB chamberB ceasesB whenB theB lungB re-expands.
AB nurseB isB reviewingB theB medicalB recordB ofB aB clientB whoB isB takingB warfarinB forB chronicB atrialB fibrillat
iBon.B WhichB ofB theB followingB valuesB shouldB theB nurseB identifyB asB aB desiredB outcomeB forB thisB therapy
?
-B CORRECTB ANSWERB -INRB 2.5
Rationale:B ClientsB receiveB warfarinB therapyB toB decreaseB theB riskB ofB stroke,B myocardialB infarctionB (MI),
BorB pulmonaryB emboliB (PE)B fromB bloodB clots.B SinceB warfarinB isB anB anticoagulant,B theB medicationB m
uBstB beB monitoredB toB ensureB theB anticoagulationB isB withinB theB therapeuticB rangeB andB preventB hemor
rhBageB (highB levelsB ofB anticoagulation)B orB stroke,B MI,B orB PEB (lowB levelsB ofB anticoagulation).B AnB INRB o
fB 2.B5B isB withinB theB targetedB therapeuticB rangeB ofB 2B toB 3B forB aB clientB whoB hasB atrialB fibrillation.
AB homeB healthB nurseB isB providingB teachingB toB aB clientB whoB hasB aB stageB 1B pressureB injuryB onB theB gr
eBaterBtrochanterBofBhisBleftBhip.BWhichBofBtheBfollowingBinstructionsBshouldBtheBnurseBincludeBinBtheBtBea
ching?B -B CORRECTB ANSWERB -ChangeB positionB everyB hour
Rationale:BChangingBpositionBeveryB1BtoB2BhrBdecreasesBpressureBonBbonyBprominences.BTheBnurseBsBhou
ldB alsoB instructB theB clientB toB limitB theB angleB ofB theB hipsB whenB inB aB lateralB positionB toB noB moreB tBha
nB 30°.B ThisB positioningB preventsB directB pressureB onB theB trochanter.
AB nurseB isB assessingB aB clientB followingB theB completionB ofB hemodialysis.B WhichB ofB theB followingB find
iBngsB isB theB nurse'sB priorityB toB reportB toB theB provider?B -B CORRECTB ANSWERB -Restlessness
Rationale:B UsingB theB urgentB vs.B nonurgentB approachB toB clientB care,B theB nurseB shouldB determineB tha
tBtheB priorityB findingB toB reportB toB theB providerB isB restlessness,B whichB canB beB anB indicationB theB clie
nt
isBexperiencingBdisequilibriumBsyndrome.BDisequilibriumBsyndromeBisBcausedBbyBtheBrapidBremovalBofBele
ctrolytesBfromBtheBclient'sBbloodBandBcanBleadBtoBdysrhythmiasBorBseizures.BOtherBmanifestationsBinclud
eB nausea,B vomiting,B fatigue,B andB headache.
,AB nurseB isB caringB forB aB clientB whoB isB 8B hrB postoperativeB followingB aB totalB hipB arthroplasty.B TheB clien
tBisB unableB toB voidB onB theB bedpan.B WhichB ofB theB followingB actionsB shouldB theB nurseB takeB first?B -
BCORRECTB ANSWERB -ScanB theB bladderB withB aB portableB ultrasound.
Rationale:BTheBfirstBactionBtheBnurseBshouldBtakeBusingBtheBnursingBprocessBisBtoBassessBtheBclient.BSBcann
ingBtheBbladderBwithBaBportableBultrasoundBdeviceBwillBdetermineBtheBamountBofBurineBinBtheBbBladder
AB nurseB isB planningB aB healthB promotionalB presentationB forB aB groupB ofB AfricanB AmericanB clientsB atB
aBcommunityB center.B WhichB ofB theB followingB disordersB presentsB theB greatestB riskB toB thisB groupB ofB cli
enBts?B -B CORRECTB ANSWERB -Hypertension
Rationale:B WhenB usingB theB safety/riskB reductionB approachB toB clientB care,B theB nurseB shouldB determin
BeB thatB theB disorderB withB theB greatestB riskB forB thisB groupB ofB clientsB isB hypertension.B TheB prevalenc
eBofB hypertensionB isB highestB amongB AfricanB AmericanB clients,B followedB byB CaucasianB clients,B andB th
enBHispanicB clients.
AB nurseB isB caringB forB aB clientB whoB hasB DKA.B WhichB ofB theB followingB findingsB shouldB indicateB toB theB
nurseB thatB theB client'sB conditionB isB improving?B -B CORRECTB ANSWERB -GlucoseB 272B mg/dL
Rationale:B AB glucoseB readingB lessB thanB 300B mg/dLB indicatesB improvementB inB theB client'sB status.
AB nurseB isB caringB forB aB clientB followingB extubationB ofB anB endotrachealB tubeB 10B min.B ago.B WhichB ofB t
BheB followingB findingsB shouldB theB nurseB reportB toB theB providerB immediately?B -B CORRECTB ANSWERB -
Stridor
Rationale:B UsingB theB urgentB vs.B nonurgentB approachB toB clientB care,B theB nurseB shouldB determineB tha
tBtheB priorityB findingB isB stridor.B StridorB canB indicateB aB narrowingB airwayB orB possibleB obstructionB cau
seBdB byB edemaB orB laryngealB spasms.B TheB nurseB shouldB reportB theB findingB immediatelyB andB implem
entBanB intervention.
AB nurseB isB caringB forB aB clientB whoB hadB aB nephrostomyB tubeB insertedB 112B hrB ago.B WhichB ofB theB foll
oBwingB findingsB shouldB theB nurseB reportB toB theB provider?B -B CORRECTB ANSWERB -
TheB clientB reportsB backB pain
Rationale:B TheB nurseB shouldB notifyB theB providerB ifB theB clientB reportsB backB pain,B whichB canB indicateB t
BhatB theB nephrostomyB tubeB isB dislodgedB orB clogged.
, AB nurseB isB admittingB aB clientB whoB hasB activeB TB.B WhichB ofB theB followingB typesB ofB transmissionB precaButi
onsB shouldB theB nurseB initiate?B -B CORRECTB ANSWERB -Airborne
Rationale:B AirborneB precautionsB areB requiredB forB clientsB whoB haveB infectionsB dueB toB micro-
organismsB thatB canB remainB suspendedB inB airB forB lengthyB periodsB ofB time,B suchB asB tuberculosis,B mea
sBles,B varicella,B andB disseminatedB varicellaB zoster.
AB nurseB isB planningB careB forB aB clientB whoB hasB aB sealedB radiationB implantB forB cervicalB cancer.B Whic
hBofB theB followingB interventionsB shouldB theB nurseB includeB inB theB planB ofB care?B -
B CORRECTB ANSWERB -BKeepB aB lead-linedB containerB inB theB client'sB room
Rationale:B TheB nurseB shouldB keepB aB lead-
linedB containerB andB forcepsB inB theB client'sB roomB inB caseB ofB accidentalB dislodgementB ofB theB implant.
AB nurseB isB assessingB aB clientB whoB isB postoperativeB followingB aB thyroidectomy.B WhichB ofB theB followi
nBgB findingsB isB theB nurse'sB priority?B -B CORRECTB ANSWERB -TemperatureB 38.9°B CB (102°B F)
Rationale:B WhenB usingB theB urgentB vs.B nonurgentB approachB toB clientB care,B theB nurseB shouldB determin
BeB thatB theB priorityB findingB isB anB elevatedB temperature.B AnB elevatedB temperatureB isB aB manifestatio
n
ofB excessiveB thyroidB hormoneB release,B orB thyroidB storm,B dueB toB anB increaseB inB metabolicB rate.B TheB
nBurseB shouldB reportB thisB findingB immediatelyB toB theB providerB becauseB itB canB leadB toB seizuresB andB
coBma.
AB nurseB isB providingB dischargeB teachingB aboutB infectionB preventionB toB aB clientB whoB hasB AIDS.B Whic
hBofB theB followingB statementsB byB theB clientB indicatesB understandingB ofB theB teaching?B -
CORRECTB ANSWERB -"IB willB noB longerB flossB myB teethB afterB brushingB myB teeth."
Rationale:BTheBnurseBshouldBinstructBtheBclientBtoBavoidBflossingBteethBtoBpreventBgumBinflammation,Bwhi
chB couldB createB theB opportunityB forB infection.
AB nurseB isB providingB teachingB toB aB clientB whoB hasB hypertensionB andB aB newB prescriptionB forB verapa
mBil.B WhichB ofB theB followingB informationB shouldB theB nurseB includeB inB theB teaching?B -
CORRECTB ANSWERB -"IncreaseB fiberB intakeB toB avoidB constipation."
Rationale:B TheB nurseB shouldB instructB theB clientB thatB constipationB isB anB adverseB effectB ofB verapamil.B
TBheB clientB shouldB increaseB fiberB intakeB toB promoteB regularB bowelB function.
ABnurseBisBprovidingBeducationBtoBaBclientBwhoBisBatBriskBforBosteoporosis.BWhichBofBtheBfollowingBinBstruc
tionsB shouldB theB nurseB include?B -B CORRECTB ANSWERB -WalkB forB 30B minB fourB timesB perB week.
