ATI EXAM zm
Exam Solution zm
Med Surg ATI Study Set: Terms & Definitions for Nursi
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ng 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS A
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ND VERIFIED ANSWERS (B559D)
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QUESTION 1 zm
An older adult is brought to an emergency department by a family member. Which of
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the following assessment findings should cause the nurse to suspect that the client ha
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s hypertonic dehydration?
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ANSWER
Urine Specific gravity 1.045 A urine specific gravity greater than 1.030 indicates a decrease in urine
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volume and an increase in osmolarity, which is a manifestation of hypertonic dehydration.
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QUESTION 2 zm
A nurse in a community clinic is caring for a client who reports an increase in the fre
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quency of migraine headaches. To help reduce the risk for migraine headaches, which
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of the following foods should the nurse recommend the client avoid?
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ANSWER
Aged cheese Foods that contain tyramine, such as aged cheese and sausage, can trigger migraine hea
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daches.
QUESTION 3 zm
A nurse is planning teaching for a client who has bladder cancer and is to undergo a
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cutaneous diversion procedure to establish a ureterostomy. Which of the following sta
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tements should the nurse include in the teaching?
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ANSWER
"You should cut the opening of the skin barrier one-
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eight inch wider than the stoma." The client should cut the opening of the skin barrier 0.3 cm (1/8i
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n) wider than the stoma to minimize irritation of the skin from exposure to urine.
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,QUESTION 4 zm
A nurse is providing teaching to a client who has hypothyroidism and is receiving lev
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othyroxine. The nurse should instruct the client that which of the following suppleme
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nts can interfere with the effectiveness of the medication?
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ANSWER
Calcium Calcium limits the development of osteoporosis in clients who are postmenopausal and wor
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ks as an antacid. Calcium supplements can interfere with the metabolism of a number of medication
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s, including levothyroxine. The nurse should instruct the client to avoid taking calcium within 4 hr o
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f levothyroxine administration.
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QUESTION 5 zm
A nurse is conducting an admission history for a client who is to undergo a CT scan w
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ith an IV contrast agent. The nurse should identify that which of the following finding
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s requires further assessment?
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ANSWER
History of asthma A client who has a history of asthma has a greater risk of reacting to the contrast
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dye used during the procedure. Other conditions that can result in a reaction to contrast media incl
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ude allergies to foods, such as shellfish, eggs, milk, and chocolate.
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QUESTION 6 zm
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the
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following findings should the nurse identify as a component of Cushing's triad?
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ANSWER
Bradycardia A client who has increased intracranial pressure from a traumatic brain injury can deve
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lop bradycardia, which is one component of Cushing's triad. The other components of Cushing's tria
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d are severe hypertension and a widened pulse pressure.
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QUESTION 7 zm
A nurse is planning to irrigate and dress a clean, granulating wound for a client who
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has a pressure injury. Which of the following actions should the nurse take?
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ANSWER
Use a 30-mL syringe The nurse should use a 30-mL to 60-mL syringe with an 18- or 19-
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gauge catheter to deliver the ideal pressure of 8 pounds per square inch (psi) when irrigating a wo
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und. To maintain healthy granulation tissue, the wound irrigation should be delivered at between 4
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and 15 psi. zm zm
, QUESTION 8 zm
A nurse in an emergency department is reviewing the provider's prescriptions for a cl
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ient who sustained a rattlesnake bite to the lower leg. Which of the following prescrip
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tions should the expect?
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ANSWER
Administer an opioid analgesic to the client. The nurse should expect a prescription for an opioid an
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algesic to promote comfort following a rattlesnake bite.
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QUESTION 9 zm
A nurse is reviewing the health record of a client who is scheduled for allergy skin te
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sting. The nurse should postpone the testing and report to the provider which of the f
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ollowing findings? (Click on the "Exhibit" button for additional information about the
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client).
ANSWER
Current medications The nurse should review the client's medication record and identify medication
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s, including ACE inhibitors, beta blockers, theophylline, nifedipine, and glucocorticoids, such as predn
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isone, that can alter the allergy skin test results. These medications can diminish the client's reactio
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n to the allergens. The nurse should notify the provider and instruct the client to discontinue predni
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sone for 2 weeks before allergy skin testing.
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QUESTION 10 zm
A nurse is a caring for a client who is on bed rest and has a new prescription for eno
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xaparin subcutaneous. Which of the following actions should the nurse take?
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ANSWER
Inject the medication into the anterolateral abdominal wall. The nurse should inject the medication i
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nto the anterolateral or posterolateral abdominal wall to enhance medication absorption and prevent
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hematoma formation.
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QUESTION 11 zm
A nurse is caring for a client who has a stage III pressure injury. Which if the followin
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g findings contribute to delayed wound healing?
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ANSWER
Urine output 25 mL/hr Urinary output reflects fluid status. Inadequate urine output can indicate deh
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ydration, which can delay wound healing.
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Exam Solution zm
Med Surg ATI Study Set: Terms & Definitions for Nursi
zm zm zm zm zm zm zm zm zm
ng 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS A
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ND VERIFIED ANSWERS (B559D)
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QUESTION 1 zm
An older adult is brought to an emergency department by a family member. Which of
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the following assessment findings should cause the nurse to suspect that the client ha
zm zm zm zm zm zm zm zm zm zm zm zm zm
s hypertonic dehydration?
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ANSWER
Urine Specific gravity 1.045 A urine specific gravity greater than 1.030 indicates a decrease in urine
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
volume and an increase in osmolarity, which is a manifestation of hypertonic dehydration.
zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 2 zm
A nurse in a community clinic is caring for a client who reports an increase in the fre
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quency of migraine headaches. To help reduce the risk for migraine headaches, which
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of the following foods should the nurse recommend the client avoid?
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ANSWER
Aged cheese Foods that contain tyramine, such as aged cheese and sausage, can trigger migraine hea
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daches.
QUESTION 3 zm
A nurse is planning teaching for a client who has bladder cancer and is to undergo a
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cutaneous diversion procedure to establish a ureterostomy. Which of the following sta
zm zm zm zm zm zm zm zm zm zm zm
tements should the nurse include in the teaching?
zm zm zm zm zm zm zm
ANSWER
"You should cut the opening of the skin barrier one-
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eight inch wider than the stoma." The client should cut the opening of the skin barrier 0.3 cm (1/8i
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n) wider than the stoma to minimize irritation of the skin from exposure to urine.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
,QUESTION 4 zm
A nurse is providing teaching to a client who has hypothyroidism and is receiving lev
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
othyroxine. The nurse should instruct the client that which of the following suppleme
zm zm zm zm zm zm zm zm zm zm zm zm
nts can interfere with the effectiveness of the medication?
zm zm zm zm zm zm zm zm
ANSWER
Calcium Calcium limits the development of osteoporosis in clients who are postmenopausal and wor
zm zm zm zm zm zm zm zm zm zm zm zm zm
ks as an antacid. Calcium supplements can interfere with the metabolism of a number of medication
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s, including levothyroxine. The nurse should instruct the client to avoid taking calcium within 4 hr o
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f levothyroxine administration.
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QUESTION 5 zm
A nurse is conducting an admission history for a client who is to undergo a CT scan w
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ith an IV contrast agent. The nurse should identify that which of the following finding
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s requires further assessment?
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ANSWER
History of asthma A client who has a history of asthma has a greater risk of reacting to the contrast
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dye used during the procedure. Other conditions that can result in a reaction to contrast media incl
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ude allergies to foods, such as shellfish, eggs, milk, and chocolate.
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QUESTION 6 zm
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the
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following findings should the nurse identify as a component of Cushing's triad?
zm zm zm zm zm zm zm zm zm zm zm
ANSWER
Bradycardia A client who has increased intracranial pressure from a traumatic brain injury can deve
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lop bradycardia, which is one component of Cushing's triad. The other components of Cushing's tria
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d are severe hypertension and a widened pulse pressure.
zm zm zm zm zm zm zm zm
QUESTION 7 zm
A nurse is planning to irrigate and dress a clean, granulating wound for a client who
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
has a pressure injury. Which of the following actions should the nurse take?
zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
Use a 30-mL syringe The nurse should use a 30-mL to 60-mL syringe with an 18- or 19-
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gauge catheter to deliver the ideal pressure of 8 pounds per square inch (psi) when irrigating a wo
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
und. To maintain healthy granulation tissue, the wound irrigation should be delivered at between 4
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and 15 psi. zm zm
, QUESTION 8 zm
A nurse in an emergency department is reviewing the provider's prescriptions for a cl
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ient who sustained a rattlesnake bite to the lower leg. Which of the following prescrip
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
tions should the expect?
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ANSWER
Administer an opioid analgesic to the client. The nurse should expect a prescription for an opioid an
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
algesic to promote comfort following a rattlesnake bite.
zm zm zm zm zm zm zm
QUESTION 9 zm
A nurse is reviewing the health record of a client who is scheduled for allergy skin te
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
sting. The nurse should postpone the testing and report to the provider which of the f
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ollowing findings? (Click on the "Exhibit" button for additional information about the
zm zm zm zm zm zm zm zm zm zm zm zm
client).
ANSWER
Current medications The nurse should review the client's medication record and identify medication
zm zm zm zm zm zm zm zm zm zm zm zm
s, including ACE inhibitors, beta blockers, theophylline, nifedipine, and glucocorticoids, such as predn
zm zm zm zm zm zm zm zm zm zm zm zm
isone, that can alter the allergy skin test results. These medications can diminish the client's reactio
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
n to the allergens. The nurse should notify the provider and instruct the client to discontinue predni
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sone for 2 weeks before allergy skin testing.
zm zm zm zm zm zm zm
QUESTION 10 zm
A nurse is a caring for a client who is on bed rest and has a new prescription for eno
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
xaparin subcutaneous. Which of the following actions should the nurse take?
zm zm zm zm zm zm zm zm zm zm
ANSWER
Inject the medication into the anterolateral abdominal wall. The nurse should inject the medication i
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
nto the anterolateral or posterolateral abdominal wall to enhance medication absorption and prevent
zm zm zm zm zm zm zm zm zm zm zm zm
hematoma formation.
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QUESTION 11 zm
A nurse is caring for a client who has a stage III pressure injury. Which if the followin
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
g findings contribute to delayed wound healing?
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ANSWER
Urine output 25 mL/hr Urinary output reflects fluid status. Inadequate urine output can indicate deh
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ydration, which can delay wound healing.
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