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ATI RN MEDICAL SURGICAL PROCTORED TEST EXAM 2026/2027 LATEST STUDY QUESTIONS WITH VERIFIED SOLUTIONS 100% TOP RATED | ASSURED A+

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A nurse is providing teaching to a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following statements by the client indicates an understanding of the teaching? A. "If my heart starts racing, my provider might need to adjust my dosage." B. "I will keep a journal of my daily food intake to show the provider." C. "Once my weight is back to normal, I can gradually reduce and then stop the medication." D. "I'm not forgetful, so I do not need a pill reminder system." - Answer A. "If my heart starts racing, my provider might need to adjust my dosage." Levothyroxine increases metabolism, which can increase oxygen consumption and heart rate. If the client's heart is racing, the dosage might be too high, causing thyrotoxicosis with manifestations of tachycardia, insomnia, tremors and nervousness, hyperthermia, heat intolerance, and sweating. The provider should retest the client's thyroid hormone levels and adjust the dosage accordingly.

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ATI RN MEDICAL SURGICAL PROCTORED
TEST EXAM 2026/2027 LATEST STUDY
QUESTIONS WITH VERIFIED SOLUTIONS
100% TOP RATED | ASSURED A+

,ATI RN MEDICAL SURGICAL PROCTORED TEST EXAM
2026/2027 LATEST STUDY QUESTIONS WITH VERIFIED
SOLUTIONS 100% TOP RATED | ASSURED A+
A nurse is providing teaching to a client who has a new prescription for levothyroxine to treat
hypothyroidism. Which of the following statements by the client indicates an understanding of
the teaching?



A. "If my heart starts racing, my provider might need to adjust my dosage."

B. "I will keep a journal of my daily food intake to show the provider."

C. "Once my weight is back to normal, I can gradually reduce and then stop the medication."

D. "I'm not forgetful, so I do not need a pill reminder system." - Answer>>> A. "If my heart
starts racing, my provider might need to adjust my dosage."



Levothyroxine increases metabolism, which can increase oxygen consumption and heart rate. If
the client's heart is racing, the dosage might be too high, causing thyrotoxicosis with
manifestations of tachycardia, insomnia, tremors and nervousness, hyperthermia, heat
intolerance, and sweating. The provider should retest the client's thyroid hormone levels and
adjust the dosage accordingly.

A nurse is preparing to discharge a client who is postoperative following a total hip arthroplasty.
Which of the following equipment should the nurse ensure that the client has available at home
prior to discharge?



A. Continuous passive motion device

B. Elevated toilet seat

C. Trapeze bar

,D. Compression garment - Answer>>> B. Elevated toilet seat



A client who is postoperative following a total hip arthroplasty is at risk for dislocation of the hip
prosthesis. Limitations on hip flexion and adduction decrease the risk. The client should avoid
flexing the hip greater than 90° and should avoid using toilet seats that are low to the ground. An
elevated toilet seat should be in place in the client's home prior to the client's discharge

A nurse is caring for a client who is difficult to arouse and very sleepy for several hours
following a generalized tonic-clonic seizure. Which of the following descriptions should the
nurse use when documenting this finding in the medical record? - Answer>>> Postictal phase

A home health nurse is assisting a client with planning care for a family member who has
Alzheimer's disease. Which of the following instructions should the nurse include?



A. Remove clutter from rooms and hallways.

B. Place a monthly calendar in the client's room.

C. Use confrontation to manage the client's behavior.

D. Review the daily schedule with the client every morning. - Answer>>> A. Remove clutter
from rooms and hallways.



The nurse should instruct the family member to remove clutter from rooms and hallways so the
client is able to walk without the risk of falling or tripping over objects. Later in the disease, the
client can experience seizures, so cluttered areas could be a risk to the client.

A nurse is reinforcing teaching with a client who reports right shoulder pain following a
laparoscopic cholecystectomy. Which of the following statements should the nurse make? -
Answer>>> "The pain will dissipate if you ambulate frequently."

A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of the
lips and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85

, mm Hg. Which of the following acid-base imbalances should the nurse identify that the client is
experiencing?



A. Respiratory alkalosis

B. Metabolic alkalosis

C. Respiratory acidosis

D. Metabolic acidosis - Answer>>> A. Respiratory alkalosis



This pH is alkaline (increased) and the PCO2 is decreased, representing alveolar

hyperventilation and resultant respiratory alkalosis.

A nurse is checking the suction control chamber of a client's chest tube and notes that there is no
bubbling in the suction control chamber. Which of the following actions should the nurse take? -
Answer>>> Verify that the suction regulator is on.

A nurse is assessing a client who has a chest tube connected to a closed water-seal drainage
system. Which of the following findings should the nurse report to the provider?



A. Fluctuation of the water level in the chamber as the client breathes

B. Constant bubbling in the water seal chamber

C. Numerous small blood clots in the drainage tubing

D. Water seal chamber contains 1 cm (0.39 in) of water - Answer>>> B. Constant bubbling in
the water seal chamber



Constant bubbling in the water seal chamber can be an indication of an air leak, which is caused
by a disruption in the system such as a loose connection. Pulmonary air leaks create

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