ATI RN Adult Medical-Surgical Practice B | 2026/2027
Comprehensive Questions & Verified Answers
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1. A nurse is monitoring a client after administering their prescribed medications
2000:Client is alert to person, place, time, and situation. Client reports
headache and occasional anxiety.
Client reports nausea. Abdomen soft and rounded, non-distended. Bowel
sounds are normoactive in all 4 quadrants.
Bladder non-distended; continent. Urine output of 25 mL/hr.
Skin cool, dry and intact.
Small pinpoint petechiae is present on bilateral extremities.
1600:Temperature 37.7° C (99.9° F)Heart rate 100/minRespiratory rate
20/minBlood pressure 134/64 mm HgOxygen Saturation 96% on room
air2000:Temperature 38.4° C (101.2° F)Heart rate 106/minRespiratory rate
20/minBlood pressure 140/64 mm HgOxygen Saturation 97% on room air
Enoxaparin 40 mg Subcutaneous daily
Click to highlight the findings from the client's medical record that indicates
a potential adverse reaction to their prescribed medication and requires the
nurse to: the client's report of headache, nausea, and small pinpoint petechiae is present on bilateral
extremities
2. A nurse is caring for a client in a clinic and is reviewing their electronic
medical record (EMR).
3 months ago:Client was prescribed atorvastatin by provider. Client was educated to continue eating a
diet low in saturated fats and to participate in
regular exercise. Client is to return to the office in 3 months for a follow-up
visit.Today:Client here for a follow-up visit. Client reports last bowel movement
was 1 day ago, increased appetite, and dark urine upon urination. Client
reports having some muscle weakness when working outside. Skin is warm,
dry, and intact. Color consistent with genetic background. Client states, "I am
, sleeping so much better and seem to have increased energy, but I sometimes
get lightheaded." Client denies headache. Will report assessment findings to
the provider.
3 months ago:Atorvastatin 40 mg once daily by mouth
For each body system below, click to specify the client's assessment find: the
nurse should identify that the findings of the client's urine characteristics, muscle weakness, and
dizziness
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3. The nurse is caring for a client in a mental health clinic.
1230:
Bupropion XR 150 mg daily once daily in AM for three days then increase to
150 mg twice daily.
1200:
Client here for scheduled visit to discuss mood. Client reports they were
previously prescribed sertraline for depression, however tapered off that
medication 6 months ago. Client states "It made me gain weight and it completely took away my sex
drive, so I stopped taking it." The client reports "My
depression has just gotten so bad. I have been seeing a counselor and they
encouraged me to see a provider about trying a different medication."1230:
Provider Prescriptions received. Visit summary reviewed with client to discuss
the newly prescribed medication. Client has a follow-up visit with provider in
3 weeks and continues with weekly counseling.
For each body system below, click to specify the adverse effect that the
nurse should include when p: Common adverse effects of this medication include changes in libido,
constipation, and weight loss
4. A nurse is caring for a client in an outpatient clinic.
11 months ago:
Client reports bilateral knee pain for many years for which they have taken
ibuprofen 800 mg up to four times per day as needed for the last year. It is no
Comprehensive Questions & Verified Answers
r
1. A nurse is monitoring a client after administering their prescribed medications
2000:Client is alert to person, place, time, and situation. Client reports
headache and occasional anxiety.
Client reports nausea. Abdomen soft and rounded, non-distended. Bowel
sounds are normoactive in all 4 quadrants.
Bladder non-distended; continent. Urine output of 25 mL/hr.
Skin cool, dry and intact.
Small pinpoint petechiae is present on bilateral extremities.
1600:Temperature 37.7° C (99.9° F)Heart rate 100/minRespiratory rate
20/minBlood pressure 134/64 mm HgOxygen Saturation 96% on room
air2000:Temperature 38.4° C (101.2° F)Heart rate 106/minRespiratory rate
20/minBlood pressure 140/64 mm HgOxygen Saturation 97% on room air
Enoxaparin 40 mg Subcutaneous daily
Click to highlight the findings from the client's medical record that indicates
a potential adverse reaction to their prescribed medication and requires the
nurse to: the client's report of headache, nausea, and small pinpoint petechiae is present on bilateral
extremities
2. A nurse is caring for a client in a clinic and is reviewing their electronic
medical record (EMR).
3 months ago:Client was prescribed atorvastatin by provider. Client was educated to continue eating a
diet low in saturated fats and to participate in
regular exercise. Client is to return to the office in 3 months for a follow-up
visit.Today:Client here for a follow-up visit. Client reports last bowel movement
was 1 day ago, increased appetite, and dark urine upon urination. Client
reports having some muscle weakness when working outside. Skin is warm,
dry, and intact. Color consistent with genetic background. Client states, "I am
, sleeping so much better and seem to have increased energy, but I sometimes
get lightheaded." Client denies headache. Will report assessment findings to
the provider.
3 months ago:Atorvastatin 40 mg once daily by mouth
For each body system below, click to specify the client's assessment find: the
nurse should identify that the findings of the client's urine characteristics, muscle weakness, and
dizziness
r
r
3. The nurse is caring for a client in a mental health clinic.
1230:
Bupropion XR 150 mg daily once daily in AM for three days then increase to
150 mg twice daily.
1200:
Client here for scheduled visit to discuss mood. Client reports they were
previously prescribed sertraline for depression, however tapered off that
medication 6 months ago. Client states "It made me gain weight and it completely took away my sex
drive, so I stopped taking it." The client reports "My
depression has just gotten so bad. I have been seeing a counselor and they
encouraged me to see a provider about trying a different medication."1230:
Provider Prescriptions received. Visit summary reviewed with client to discuss
the newly prescribed medication. Client has a follow-up visit with provider in
3 weeks and continues with weekly counseling.
For each body system below, click to specify the adverse effect that the
nurse should include when p: Common adverse effects of this medication include changes in libido,
constipation, and weight loss
4. A nurse is caring for a client in an outpatient clinic.
11 months ago:
Client reports bilateral knee pain for many years for which they have taken
ibuprofen 800 mg up to four times per day as needed for the last year. It is no
