Correct Answer:
ATI RN Adult Medical-Surgical
Online 2026 B Test bank |
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Detailed Rationales
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QUESTIONS AND ANSWERS
A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after
hospitalization for heart failure. Based on the information in the client's chart, which of
the following findings should the nurse report to the provider?
a. Heart rate 55/min
b. Blood pressure 118/72 mmHg
c. Respiratory rate 18/min
d. Temperature 37.0°C
✔️ Correct Answer: A
Rationale:
The client's heart rate of 55/min is a decrease from the client's baseline of 74/min, and it
can indicate the development of digoxin toxicity. The nurse should report this finding to
the provider. NCLEX focus: cardiovascular pharmacology and medication safety.
,Correct Answer:
A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation
(TENS) for the management of bone cancer pain. The nurse should explain that applying
a TENS unit to the painful area has which of the following effects?
a. A tingling sensation replacing the pain
b. Complete elimination of all pain sensations
c. Numbness in the surrounding tissue
d. Muscle relaxation only
✔️ Correct Answer: A
Rationale:
A TENS unit applies small electric currents to the painful area, with the client increasing
the current until the "pins and needles" sensation overrides the pain. NCLEX focus: pain
management and non-pharmacological interventions.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the
following findings should the nurse identify as a component of Cushing's triad?
a. Tachycardia
b. Bradycardia
c. Hypotension
d. Narrowed pulse pressure
✔️ Correct Answer: B
Rationale:
A client who has increased intracranial pressure from a traumatic brain injury can
develop bradycardia, which is one component of Cushing's triad. The other components
of Cushing's triad are severe hypertension and a widened pulse pressure. NCLEX focus:
neurological assessment and increased intracranial pressure.
A nurse is teaching a family about the care of a parent who has a new diagnosis of
Alzheimer's disease. Which of the following information should the nurse include in the
teaching?
,Correct Answer:
a. Allow the client to choose from multiple complex options
b. Create complete outfits and allow the client to select one each day
c. Encourage the client to make all daily decisions independently
d. Limit the client's choices to only two items
✔️ Correct Answer: B
Rationale:
The family should place completed outfits on hangers and allow the client to select
which one to wear each day. This promotes autonomy while reducing frustration. NCLEX
focus: dementia care and promoting independence.
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precautions should the nurse include in
the plan of care to prevent a Pseudomonas aeruginosa infection?
a. Avoid placing plants or flowers in the client's room
b. Use sterile gloves for all care
c. Restrict visitors from the room
d. Wear a gown and mask at all times
✔️ Correct Answer: A
Rationale:
Live plants can harbor P. aeruginosa, and this bacterium can infect burn wounds and
cause life-threatening complications. The nurse should ensure no one brings live plants
or flowers into the client's room. NCLEX focus: infection control in immunocompromised
clients.
A nurse is providing teaching to a client who has irritable bowel syndrome (IBS). Which
of the following instructions should the nurse include in the teaching?
a. Increase fiber intake to at least 30 g per day
b. Avoid all fruits and vegetables
c. Limit fluid intake to 1 L per day
d. Eat three large meals daily
, Correct Answer:
✔️ Correct Answer: A
Rationale:
Dietary fiber helps produce bulky, soft stools and establish regular bowel patterns.
NCLEX focus: gastrointestinal disorders and dietary management.
A nurse is assessing a client who has diabetes insipidus. Which of the following findings
should the nurse expect?
a. Low urine specific gravity
b. High urine specific gravity
c. Elevated serum sodium
d. Decreased serum osmolality
✔️ Correct Answer: A
Rationale:
An expected finding for a client who has diabetes insipidus is a urine specific gravity
between 1.001 and 1.005. Decreased water reabsorption by the renal tubules is caused
by an alteration in antidiuretic hormone release or the kidneys' responsiveness to the
hormone. NCLEX focus: endocrine disorders.
A nurse is caring for a client who has a new prescription for total parenteral nutrition
(TPN). The client is to receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV
pump should be set at how many mL/hr? (Round the answer to the nearest whole
number.)
a. 167 mL/hr
b. 150 mL/hr
c. 175 mL/hr
d. 200 mL/hr
✔️ Correct Answer: A
Rationale:
The client requires 2,000 kcal/day. The solution contains 500 kcal/L. Therefore, 2,000 ÷
500 = 4 L/day. 4,000 mL ÷ 24 hours = 166.6 ≈ 167 mL/hr. NCLEX focus: dosage
calculation and TPN administration.
ATI RN Adult Medical-Surgical
Online 2026 B Test bank |
Questions with Verified Answers &
Detailed Rationales
2026/2027 Frequently Most Tested Questions and 100%
Accurate From Past papers | Graded A+ , Reviewed and
Updated | 100% Guarantee Pass | Latest Exam and
Newest Version!!!
QUESTIONS AND ANSWERS
A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after
hospitalization for heart failure. Based on the information in the client's chart, which of
the following findings should the nurse report to the provider?
a. Heart rate 55/min
b. Blood pressure 118/72 mmHg
c. Respiratory rate 18/min
d. Temperature 37.0°C
✔️ Correct Answer: A
Rationale:
The client's heart rate of 55/min is a decrease from the client's baseline of 74/min, and it
can indicate the development of digoxin toxicity. The nurse should report this finding to
the provider. NCLEX focus: cardiovascular pharmacology and medication safety.
,Correct Answer:
A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation
(TENS) for the management of bone cancer pain. The nurse should explain that applying
a TENS unit to the painful area has which of the following effects?
a. A tingling sensation replacing the pain
b. Complete elimination of all pain sensations
c. Numbness in the surrounding tissue
d. Muscle relaxation only
✔️ Correct Answer: A
Rationale:
A TENS unit applies small electric currents to the painful area, with the client increasing
the current until the "pins and needles" sensation overrides the pain. NCLEX focus: pain
management and non-pharmacological interventions.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the
following findings should the nurse identify as a component of Cushing's triad?
a. Tachycardia
b. Bradycardia
c. Hypotension
d. Narrowed pulse pressure
✔️ Correct Answer: B
Rationale:
A client who has increased intracranial pressure from a traumatic brain injury can
develop bradycardia, which is one component of Cushing's triad. The other components
of Cushing's triad are severe hypertension and a widened pulse pressure. NCLEX focus:
neurological assessment and increased intracranial pressure.
A nurse is teaching a family about the care of a parent who has a new diagnosis of
Alzheimer's disease. Which of the following information should the nurse include in the
teaching?
,Correct Answer:
a. Allow the client to choose from multiple complex options
b. Create complete outfits and allow the client to select one each day
c. Encourage the client to make all daily decisions independently
d. Limit the client's choices to only two items
✔️ Correct Answer: B
Rationale:
The family should place completed outfits on hangers and allow the client to select
which one to wear each day. This promotes autonomy while reducing frustration. NCLEX
focus: dementia care and promoting independence.
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precautions should the nurse include in
the plan of care to prevent a Pseudomonas aeruginosa infection?
a. Avoid placing plants or flowers in the client's room
b. Use sterile gloves for all care
c. Restrict visitors from the room
d. Wear a gown and mask at all times
✔️ Correct Answer: A
Rationale:
Live plants can harbor P. aeruginosa, and this bacterium can infect burn wounds and
cause life-threatening complications. The nurse should ensure no one brings live plants
or flowers into the client's room. NCLEX focus: infection control in immunocompromised
clients.
A nurse is providing teaching to a client who has irritable bowel syndrome (IBS). Which
of the following instructions should the nurse include in the teaching?
a. Increase fiber intake to at least 30 g per day
b. Avoid all fruits and vegetables
c. Limit fluid intake to 1 L per day
d. Eat three large meals daily
, Correct Answer:
✔️ Correct Answer: A
Rationale:
Dietary fiber helps produce bulky, soft stools and establish regular bowel patterns.
NCLEX focus: gastrointestinal disorders and dietary management.
A nurse is assessing a client who has diabetes insipidus. Which of the following findings
should the nurse expect?
a. Low urine specific gravity
b. High urine specific gravity
c. Elevated serum sodium
d. Decreased serum osmolality
✔️ Correct Answer: A
Rationale:
An expected finding for a client who has diabetes insipidus is a urine specific gravity
between 1.001 and 1.005. Decreased water reabsorption by the renal tubules is caused
by an alteration in antidiuretic hormone release or the kidneys' responsiveness to the
hormone. NCLEX focus: endocrine disorders.
A nurse is caring for a client who has a new prescription for total parenteral nutrition
(TPN). The client is to receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV
pump should be set at how many mL/hr? (Round the answer to the nearest whole
number.)
a. 167 mL/hr
b. 150 mL/hr
c. 175 mL/hr
d. 200 mL/hr
✔️ Correct Answer: A
Rationale:
The client requires 2,000 kcal/day. The solution contains 500 kcal/L. Therefore, 2,000 ÷
500 = 4 L/day. 4,000 mL ÷ 24 hours = 166.6 ≈ 167 mL/hr. NCLEX focus: dosage
calculation and TPN administration.
