MED SURG ATI PRACTICE A
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
AmnursemismprovidingmteachingmtomamclientmwhomhasmstagemIImcervicalmcancermandmismscheduledmfo
rmbrachytherapy.mWhichmofmthemfollowingminstructionsmshouldmthemnurseminclude?
"Youmwillmhavemanmimplantmplacedmtwicemeachmmonthmformthemdurationmofmthemtreatment."
"Youmshouldmremainmatmleastm6mfeetmawaymfrommothersmbetweenmtreatments."
"Youmshouldmexpectmtomhavembloodminmyourmurinemformamfewmdaysmaftermtreatment."
"Youmwillmneedmtomstaymstillminmthembedmduringmeachmtreatmentmsession."m-
mCORRECTmANSWERm"Youmwillmneedmtomstaymstillminmthembedmduringmeachmtreatmentmsession."
Themnursemshouldminstructmthemclientmthatmtheymwillmneedmtomremainmonmbedmrestmwithmverymlimi
tedmmovementmbecausemexcessivemmovementmcanmcausemthemradioactivemsourcemtombecomemdis
lodged.
Amnurseminmanmemergencymdepartmentmismcaringmformamclientmwhomreportsmvomitingmandmdiarrhe
amformthempastm3mdays.mWhichmofmthemfollowingmfindingsmshouldmindicatemtomthemnursemthatmthemc
lientmismexperiencingmfluidmvolumemdeficit?
Heartmratem110/min
Bloodmpressurem138/90mmmmHg
Urinemspecificmgravitym1.020
BUNm15mmg/dLm-mCORRECTmANSWERmHeartmratem110/min
,Amclientmwhomhasmam3-
daymhistorymofmvomitingmandmdiarrheamismlikelymtomhavemfluidmvolumemdeficitmandmanmelevatedmhe
artmrate.
Amnursemismcaringmformamclientmwhomhasmterminalmcancer.mThemclientmtellsmthemnurse,m"ImwishmImco
uldmstopmthesemtreatments.mImammreadymtomdie."mWhichmofmthemfollowingmstatementsmshouldmthe
mnursemmake?
"Discontinuingmwithmthemtreatmentsmismyourmchoicemifmitmismyourmwishmtomdomso."
"Yourmchildmismnamedmasmyourmhealthmcaremsurrogate.mImwillmaskmthemmifmyoumcanmstopmthemtreat
ments."
"Imwillmcallmyourmspiritualmadvisormtomcomemin,msomyoumcanmdiscussmthismwithmthem."
"Nextmtimemyoumhavemanmoncologymappointment,myoumshouldmaskmthemoncologist."m-
mCORRECTmANSWERm"Discontinuingmwithmthemtreatmentsmismyourmchoicemifmitmismyourmwishmtomdo
mso."
Themnursemshouldmrecognizemthemclient'smrightmtomrefusemthemtreatmentsmandminformmthemclientm
ofmthismright.mThemnursemshouldmadvocatemformthemclientmandmoffermtomcontactmthemprovidermformt
hemclient.
Amnursemismcaringmformamclientmwhomismreceivingmdialysismtreatment..
Formeachmpotentialmnursingmintervention,mclickmtomspecifymifmtheminterventionmismindicatedmormnot
mindicated.m-mCORRECTmANSWERmINDICATED:
-mApplymoxygenmatm2mL/minmviamnasalmcannula.m
-mAdministermam0.9%msodiummchloridem200mmLmIVmbolus.
-mNotifymthemprovidermimmediately.
-mPlacemthemclientminmTrendelenburgmposition.
NOTmINDICATED:m
,-mPerformmam12-leadmECG.
-mObtainmthemclient'smbloodmglucosemlevel.
Amnursemismcaringmformamclientmwhomismreceivingmtotalmparenteralmnutritionm(TPN).mAmnewmbagmismn
otmavailablemwhenmthemcurrentminfusionmismnearlymcompleted.mWhichmofmthemfollowingmactionsms
houldmthemnursemtake?
1.mKeepmthemlinemopenmwithm0.9%msodiummchloridemuntilmthemnewmbagmarrives.
2.mAdministermdextrosem10%minmwatermuntilmthemnewmbagmarrives.
3.mFlushmthemlinemandmcapmthemportmuntilmthemnewmbagmarrives.
4.mDecreasemtheminfusionmratemuntilmthemnewmbagmarrives.m-
mCORRECTmANSWERm2.mAdministermdextrosem10%minmwatermuntilmthemnewmbagmarrives.
TPNmsolutionsmhavemamhighmconcentrationmofmdextrose.mTherefore,mifmamTPNmsolutionmismtempora
rilymunavailable,mthemnursemshouldmadministermdextrosem10%morm20%minmwatermtomavoidmamprecip
itousmdropminmthemclient'smbloodmglucosemlevel.
Amnursemismcaringmformamclientmwhomhadmamnephrostomymtubeminsertedm12mhrmago.mWhichmofmthem
followingmfindingsmshouldmthemnursemreportmtomthemprovider?
1.mThemclient'smurinarymoutputmhasmincreased.
2.mThemclientmreportsmbackmpain.
3.mThemclient'smurinemcolormismredmtinged.
4.mThemclient'smBUNmism18mmg/dL.m-mCORRECTmANSWERm2.mThemclientmreportsmbackmpain.
Themnursemshouldmnotifymthemprovidermifmthemclientmreportsmbackmpain,mwhichmcanmindicatemthatm
themnephrostomymtubemismdislodgedmormclogged.
Amnursemismcaringmformamclientmwhomismhavingmamseizure.mWhichmofmthemfollowingminterventionsmism
themnurse'smpriority?
, 1.mLoosenmthemclothingmaroundmthemclient'smneck.
2.mCheckmthemclient'smpupillarymresponse.
3.mTurnmthemclientmtomthemside.
4.mMovemfurnituremawaymfrommthemclient.m-mCORRECTmANSWERm3.mTurnmthemclientmtomthemside.
Themgreatestmriskmtomthismclientmismhypoxiamfrommanmimpairedmairway.mTherefore,mthemprioritymint
erventionmthemnursemshouldmtakemismtomplacemthemclientminmamside-
lyingmpositionmtompreventmaspiration.
Amnurseminmamprovider'smofficemismassessingmamclientmwhomhasmhypertensionmandmtakesmpropranol
ol.mWhichmofmthemfollowingmfindingsmshouldmindicatemtomthemnursemthatmthemclientmismexperiencin
gmanmadversemreactionmtomthismmedication?
1.mReportmofmamnightmcough
2.mReportmofmtinnitus
3.mReportmofmexcessivemtearing
4.mReportmofmincreasedmsalivationm-mCORRECTmANSWERm1.mReportmofmamnightmcough
Themnursemshouldmrecognizemthatmamnightmcoughmismanmearlymindicationmofmheartmfailuremandmrep
ortmthismadversemreactionmtomthemprovider.
Amnursemismplanningmtomirrigatemandmdressmamclean,mgranulatingmwoundmformamclientmwhomhasmamp
ressureminjury.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?
Applymamwet-to-drymgauzemdressing.
Irrigatemwithmhydrogenmperoxidemsolution.
Usemam30-mLmsyringe.
Attachmam24-gaugemangiocathetermtomthemsyringe.m-mCORRECTmANSWERmUsemam30-mLmsyringe.
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
AmnursemismprovidingmteachingmtomamclientmwhomhasmstagemIImcervicalmcancermandmismscheduledmfo
rmbrachytherapy.mWhichmofmthemfollowingminstructionsmshouldmthemnurseminclude?
"Youmwillmhavemanmimplantmplacedmtwicemeachmmonthmformthemdurationmofmthemtreatment."
"Youmshouldmremainmatmleastm6mfeetmawaymfrommothersmbetweenmtreatments."
"Youmshouldmexpectmtomhavembloodminmyourmurinemformamfewmdaysmaftermtreatment."
"Youmwillmneedmtomstaymstillminmthembedmduringmeachmtreatmentmsession."m-
mCORRECTmANSWERm"Youmwillmneedmtomstaymstillminmthembedmduringmeachmtreatmentmsession."
Themnursemshouldminstructmthemclientmthatmtheymwillmneedmtomremainmonmbedmrestmwithmverymlimi
tedmmovementmbecausemexcessivemmovementmcanmcausemthemradioactivemsourcemtombecomemdis
lodged.
Amnurseminmanmemergencymdepartmentmismcaringmformamclientmwhomreportsmvomitingmandmdiarrhe
amformthempastm3mdays.mWhichmofmthemfollowingmfindingsmshouldmindicatemtomthemnursemthatmthemc
lientmismexperiencingmfluidmvolumemdeficit?
Heartmratem110/min
Bloodmpressurem138/90mmmmHg
Urinemspecificmgravitym1.020
BUNm15mmg/dLm-mCORRECTmANSWERmHeartmratem110/min
,Amclientmwhomhasmam3-
daymhistorymofmvomitingmandmdiarrheamismlikelymtomhavemfluidmvolumemdeficitmandmanmelevatedmhe
artmrate.
Amnursemismcaringmformamclientmwhomhasmterminalmcancer.mThemclientmtellsmthemnurse,m"ImwishmImco
uldmstopmthesemtreatments.mImammreadymtomdie."mWhichmofmthemfollowingmstatementsmshouldmthe
mnursemmake?
"Discontinuingmwithmthemtreatmentsmismyourmchoicemifmitmismyourmwishmtomdomso."
"Yourmchildmismnamedmasmyourmhealthmcaremsurrogate.mImwillmaskmthemmifmyoumcanmstopmthemtreat
ments."
"Imwillmcallmyourmspiritualmadvisormtomcomemin,msomyoumcanmdiscussmthismwithmthem."
"Nextmtimemyoumhavemanmoncologymappointment,myoumshouldmaskmthemoncologist."m-
mCORRECTmANSWERm"Discontinuingmwithmthemtreatmentsmismyourmchoicemifmitmismyourmwishmtomdo
mso."
Themnursemshouldmrecognizemthemclient'smrightmtomrefusemthemtreatmentsmandminformmthemclientm
ofmthismright.mThemnursemshouldmadvocatemformthemclientmandmoffermtomcontactmthemprovidermformt
hemclient.
Amnursemismcaringmformamclientmwhomismreceivingmdialysismtreatment..
Formeachmpotentialmnursingmintervention,mclickmtomspecifymifmtheminterventionmismindicatedmormnot
mindicated.m-mCORRECTmANSWERmINDICATED:
-mApplymoxygenmatm2mL/minmviamnasalmcannula.m
-mAdministermam0.9%msodiummchloridem200mmLmIVmbolus.
-mNotifymthemprovidermimmediately.
-mPlacemthemclientminmTrendelenburgmposition.
NOTmINDICATED:m
,-mPerformmam12-leadmECG.
-mObtainmthemclient'smbloodmglucosemlevel.
Amnursemismcaringmformamclientmwhomismreceivingmtotalmparenteralmnutritionm(TPN).mAmnewmbagmismn
otmavailablemwhenmthemcurrentminfusionmismnearlymcompleted.mWhichmofmthemfollowingmactionsms
houldmthemnursemtake?
1.mKeepmthemlinemopenmwithm0.9%msodiummchloridemuntilmthemnewmbagmarrives.
2.mAdministermdextrosem10%minmwatermuntilmthemnewmbagmarrives.
3.mFlushmthemlinemandmcapmthemportmuntilmthemnewmbagmarrives.
4.mDecreasemtheminfusionmratemuntilmthemnewmbagmarrives.m-
mCORRECTmANSWERm2.mAdministermdextrosem10%minmwatermuntilmthemnewmbagmarrives.
TPNmsolutionsmhavemamhighmconcentrationmofmdextrose.mTherefore,mifmamTPNmsolutionmismtempora
rilymunavailable,mthemnursemshouldmadministermdextrosem10%morm20%minmwatermtomavoidmamprecip
itousmdropminmthemclient'smbloodmglucosemlevel.
Amnursemismcaringmformamclientmwhomhadmamnephrostomymtubeminsertedm12mhrmago.mWhichmofmthem
followingmfindingsmshouldmthemnursemreportmtomthemprovider?
1.mThemclient'smurinarymoutputmhasmincreased.
2.mThemclientmreportsmbackmpain.
3.mThemclient'smurinemcolormismredmtinged.
4.mThemclient'smBUNmism18mmg/dL.m-mCORRECTmANSWERm2.mThemclientmreportsmbackmpain.
Themnursemshouldmnotifymthemprovidermifmthemclientmreportsmbackmpain,mwhichmcanmindicatemthatm
themnephrostomymtubemismdislodgedmormclogged.
Amnursemismcaringmformamclientmwhomismhavingmamseizure.mWhichmofmthemfollowingminterventionsmism
themnurse'smpriority?
, 1.mLoosenmthemclothingmaroundmthemclient'smneck.
2.mCheckmthemclient'smpupillarymresponse.
3.mTurnmthemclientmtomthemside.
4.mMovemfurnituremawaymfrommthemclient.m-mCORRECTmANSWERm3.mTurnmthemclientmtomthemside.
Themgreatestmriskmtomthismclientmismhypoxiamfrommanmimpairedmairway.mTherefore,mthemprioritymint
erventionmthemnursemshouldmtakemismtomplacemthemclientminmamside-
lyingmpositionmtompreventmaspiration.
Amnurseminmamprovider'smofficemismassessingmamclientmwhomhasmhypertensionmandmtakesmpropranol
ol.mWhichmofmthemfollowingmfindingsmshouldmindicatemtomthemnursemthatmthemclientmismexperiencin
gmanmadversemreactionmtomthismmedication?
1.mReportmofmamnightmcough
2.mReportmofmtinnitus
3.mReportmofmexcessivemtearing
4.mReportmofmincreasedmsalivationm-mCORRECTmANSWERm1.mReportmofmamnightmcough
Themnursemshouldmrecognizemthatmamnightmcoughmismanmearlymindicationmofmheartmfailuremandmrep
ortmthismadversemreactionmtomthemprovider.
Amnursemismplanningmtomirrigatemandmdressmamclean,mgranulatingmwoundmformamclientmwhomhasmamp
ressureminjury.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?
Applymamwet-to-drymgauzemdressing.
Irrigatemwithmhydrogenmperoxidemsolution.
Usemam30-mLmsyringe.
Attachmam24-gaugemangiocathetermtomthemsyringe.m-mCORRECTmANSWERmUsemam30-mLmsyringe.