ATI RN MEDICAL SURGICAL CMS VERSION B - EXAMINATION COMPLETE QUESTIONS AND
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A nurse is preparing to administer fresh frozen plasma
to the client. Which of the following actions should the nurse take?
A. a. Administer the transfusion through a 25 gauge saline lock
B. b. hold the transfusion if the client is actively bleeding
C. c. administer the plasma immediately after thawing
D. d. transfuse the plasma over 4 hr
Answer:
c. administer the plasma immediately after thawing
Question 2: A nurse is caring for a client who has a arteriovenous
graft. Which of the following findings indicate adequate circulation
of the graft?
A. a. palpable thrill
B. b. normotensive BP
C. c. absence of a bruit
D. d. dilated appearance of the graft
Answer:
a. palpable thrill
Question 3: A nurse is providing instructions to a client who has
primary syphillis. Which of the following instructions should the
nurse include in the discharge plan?
A. a. "you will need to take an antiviral medication for 6 months"
B. b. "you will need three follow up blood tests within 24 months"
C. c. "you will need cryotherapy for 1-2 weeks"
D. d. "you will need to be monitored for 15 minutes after receiving
each medication dose
,Answer:
b. "you will need three follow up blood tests within 24 months"
Rationale: For each assessment findings, specify if the assessment
findings is consistent with DKA and HHS
Question 4: - urine ketones
A. - blood glucose greater than the expected reference range
B. - creatinine greater than the expected reference range
C. - blood pH greater than the reference range
D. - skin turgor
Answer:
urine ketones: DKA
Rationale: blood glucose greater than the expected reference range:
both creatinine greater than the expected reference range: both blood
pH greater than the reference range: DKA skin turgor: both
Question 5: A nurse is providing dietary instructions to a client who
has cardiovascular disease. The nurse should identify that which of
following statements by the client indicates an understanding of
the teaching?
A. a. "i will limit my portion of meat to 8 ounces"
B. b. "i will increase my intake in canned vegetables"
C. c. "i will use canola oil when making salad dressing
D. d. "i will drink while milk with my cereal"
Answer:
c. "i will use canola oil when making salad dressing
Rationale: A nurse is providing teaching for a client who has diabetes
mellitus about the self- administration of insulin. The client has
,prescriptions for regular and NPH insulins. Which of the following
statements by the client indicates an understanding of the
Question 6: teaching?
A. a. "I will draw up the regular insulin into the syringe first."
B. b. "I will shake the NPH vial vigorously before drawing up the
insulin."
C. c. "I will store prefilled syringes in the refrigerator with the needle
pointed downward."
D. d. "I will insert the needle at a 15-degree angle."
Answer:
a. "I will draw up the regular insulin into the syringe first."
Rationale: A nurse on a medical-surgical unit is planning care for a client
who has dementia and a history of wandering. Which of the following
actions should the nurse plan to
Question 7: implement?
A. a. Move client to a double room.
B. b. Use chemical restraints at bedtime.
C. c. Use a bed alarm.
D. d. Encourage participation in activities that provide excessive
stimulation.
Answer:
c. Use a bed alarm.
Question 8: A nurse is caring for a client who has acute angina.
Which of the following actions should the nurse take first?
A. a. Measure blood pressure.
B. b. Administer aspirin.
C. c. administer nitroglycerin
, D. d. initiate IV access
Answer:
c. administer nitroglycerin
Question 9: A nurse in the emergency department is evaluating a
young adult client for bacterial meningitis. Which of the following
actions should the nurse take as part of the focused assessment?
A. a. Run a tongue blade on the outside of the client's sole and note
any flaring of the toes.
B. b. Tap the client's facial nerve and note any facial twitching.
C. c. Gently elevate the client's head and note any nuchal rigidity.
D. d. Strike the client's patellar tendon with a percussion hammer and
note any increase in
Answer:
c. Gently elevate the client's head and note any nuchal rigidity.
Rationale: A nurse is planning care for a client who is postoperative
following insertion of an arteriovenous graft in their left forearm. Which of
the following actions should the nurse
Question 10: include in the plan of care?
A. a. Splint the left forearm to prevent damage to the graft.
B. b. Collect blood specimens from the graft.
C. c. Check the pulse distal to the graft.
D. d. Keep the left forearm below the level of the heart.
Answer:
c. Check the pulse distal to the graft.
Question 11: a. "Did you decrease your insulin intake before you
exercised?"
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A nurse is preparing to administer fresh frozen plasma
to the client. Which of the following actions should the nurse take?
A. a. Administer the transfusion through a 25 gauge saline lock
B. b. hold the transfusion if the client is actively bleeding
C. c. administer the plasma immediately after thawing
D. d. transfuse the plasma over 4 hr
Answer:
c. administer the plasma immediately after thawing
Question 2: A nurse is caring for a client who has a arteriovenous
graft. Which of the following findings indicate adequate circulation
of the graft?
A. a. palpable thrill
B. b. normotensive BP
C. c. absence of a bruit
D. d. dilated appearance of the graft
Answer:
a. palpable thrill
Question 3: A nurse is providing instructions to a client who has
primary syphillis. Which of the following instructions should the
nurse include in the discharge plan?
A. a. "you will need to take an antiviral medication for 6 months"
B. b. "you will need three follow up blood tests within 24 months"
C. c. "you will need cryotherapy for 1-2 weeks"
D. d. "you will need to be monitored for 15 minutes after receiving
each medication dose
,Answer:
b. "you will need three follow up blood tests within 24 months"
Rationale: For each assessment findings, specify if the assessment
findings is consistent with DKA and HHS
Question 4: - urine ketones
A. - blood glucose greater than the expected reference range
B. - creatinine greater than the expected reference range
C. - blood pH greater than the reference range
D. - skin turgor
Answer:
urine ketones: DKA
Rationale: blood glucose greater than the expected reference range:
both creatinine greater than the expected reference range: both blood
pH greater than the reference range: DKA skin turgor: both
Question 5: A nurse is providing dietary instructions to a client who
has cardiovascular disease. The nurse should identify that which of
following statements by the client indicates an understanding of
the teaching?
A. a. "i will limit my portion of meat to 8 ounces"
B. b. "i will increase my intake in canned vegetables"
C. c. "i will use canola oil when making salad dressing
D. d. "i will drink while milk with my cereal"
Answer:
c. "i will use canola oil when making salad dressing
Rationale: A nurse is providing teaching for a client who has diabetes
mellitus about the self- administration of insulin. The client has
,prescriptions for regular and NPH insulins. Which of the following
statements by the client indicates an understanding of the
Question 6: teaching?
A. a. "I will draw up the regular insulin into the syringe first."
B. b. "I will shake the NPH vial vigorously before drawing up the
insulin."
C. c. "I will store prefilled syringes in the refrigerator with the needle
pointed downward."
D. d. "I will insert the needle at a 15-degree angle."
Answer:
a. "I will draw up the regular insulin into the syringe first."
Rationale: A nurse on a medical-surgical unit is planning care for a client
who has dementia and a history of wandering. Which of the following
actions should the nurse plan to
Question 7: implement?
A. a. Move client to a double room.
B. b. Use chemical restraints at bedtime.
C. c. Use a bed alarm.
D. d. Encourage participation in activities that provide excessive
stimulation.
Answer:
c. Use a bed alarm.
Question 8: A nurse is caring for a client who has acute angina.
Which of the following actions should the nurse take first?
A. a. Measure blood pressure.
B. b. Administer aspirin.
C. c. administer nitroglycerin
, D. d. initiate IV access
Answer:
c. administer nitroglycerin
Question 9: A nurse in the emergency department is evaluating a
young adult client for bacterial meningitis. Which of the following
actions should the nurse take as part of the focused assessment?
A. a. Run a tongue blade on the outside of the client's sole and note
any flaring of the toes.
B. b. Tap the client's facial nerve and note any facial twitching.
C. c. Gently elevate the client's head and note any nuchal rigidity.
D. d. Strike the client's patellar tendon with a percussion hammer and
note any increase in
Answer:
c. Gently elevate the client's head and note any nuchal rigidity.
Rationale: A nurse is planning care for a client who is postoperative
following insertion of an arteriovenous graft in their left forearm. Which of
the following actions should the nurse
Question 10: include in the plan of care?
A. a. Splint the left forearm to prevent damage to the graft.
B. b. Collect blood specimens from the graft.
C. c. Check the pulse distal to the graft.
D. d. Keep the left forearm below the level of the heart.
Answer:
c. Check the pulse distal to the graft.
Question 11: a. "Did you decrease your insulin intake before you
exercised?"
