ATI MED-SURG TEST BANK
QUESTIONS AND ANSWERS AND
EXPLANATION LATEST VERSION
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A+
Latest exam
2026/2027 Frequently Most Tested Questions and
100% Accurate From Past papers | Graded A+ ,
Reviewed and Updated | 100% Guarantee Pass |
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A nurse is caring for a client with a vascular occlusion of the right lower extremity. The
client reports difficulty sleeping because of cold feet. Which nursing action should the
nurse take to promote the client's comfort?
a. Rub the client's feet briskly for several minutes
b. Obtain a pair of slipper socks for the client
c. Increase the client's oral fluid intake
d. Place a moist heating pad under the client's feet
✔️ Correct Answer: B
Rationale:
Slipper socks with nonskid soles will help provide warmth and increase the client's level
of comfort (Option B). The client with vascular occlusion has impaired circulation, and
providing warmth through non-invasive means such as socks is safe and effective. This
intervention does not pose a risk of injury or complications.
,Option A is incorrect because massaging the legs or feet could mobilize a clot. Impaired
arterial or venous circulation of the lower extremities is a contraindication for leg
massage. Option C is incorrect because increasing fluid intake will not increase circulation
to an area impaired by occlusion. Option D is incorrect because impaired arterial or
venous circulation to a lower extremity is a contraindication for applying a heating pad,
which can cause burns due to decreased sensation.
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes
mellitus. Which of the following statements by the client indicates an understanding of
the teaching?
a. "I will carry a complex carbohydrate snack with me when I exercise"
b. "I should exercise first thing in the morning before eating breakfast"
c. "I should avoid injecting insulin into my thigh if I am going to go running"
d. "I will not exercise if my urine is positive for ketones"
✔️ Correct Answer: D
Rationale:
The client should not exercise if ketones are present in the urine (Option D). Ketones in
the urine indicate elevated blood glucose or ketoacidosis, and exercise could worsen this
condition. Exercising when ketones are present can increase blood glucose levels and
lead to further complications.
Option A is incorrect because the client should carry a simple carbohydrate, such as hard
candy or glucose tablets, for use during exercise if hypoglycemia occurs. Option B is
incorrect because exercise should follow a meal; exercising on an empty stomach places
the client at risk for hypoglycemia. Option C is incorrect because the client should avoid
injecting insulin into an area that will soon be exercised to avoid increasing the
absorption rate of insulin.
A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg
daily. The client refuses breakfast and reports nausea. Which of the following actions
should the nurse take first?
a. Suggest that the client rests before eating the meal
b. Request a dietary consult
,c. Check the client's vital signs
d. Request an order for an antiemetic
✔️ Correct Answer: C
Rationale:
The nurse should check the client's vital signs first (Option C). Nausea is a manifestation
of digoxin toxicity, along with muscle weakness, confusion, abdominal cramping, and
changes in vision. When using the airway, breathing, circulation (ABC) approach,
obtaining vital signs is the priority to assess for cardiovascular effects of digoxin toxicity,
such as bradycardia.
Option A is incorrect because suggesting rest does not address the potential digoxin
toxicity. Option B is incorrect while a dietary consult may be helpful, it is not the priority.
Option D is incorrect while antiemetics may be needed, the priority is to assess for
digoxin toxicity.
A nurse is caring for a client who is postoperative following a tracheostomy and has
copious and tenacious secretions. Which of the following is an acceptable method for the
nurse to use to thin this client's secretions?
a. Provide humidified oxygen
b. Perform chest physiotherapy prior to suctioning
c. Prelubricate the suction catheter tip with sterile saline when suctioning the airway
d. Hyperventilate the client with 100% oxygen before suctioning the airway
✔️ Correct Answer: A
Rationale:
Providing humidified oxygen helps thin secretions safely (Option A). Increasing fluid
intake as tolerated and providing adequate humidification are effective methods for
thinning secretions. Humidified oxygen adds moisture to the airway, which helps liquefy
thick, tenacious secretions and makes them easier to clear.
Option B is incorrect because chest physiotherapy mobilizes secretions but does not thin
them. Option C is incorrect because prelubricating the catheter tip eases insertion but
does not affect secretion tenacity. Option D is incorrect because hyperventilating
prevents hypoxia but does not thin secretions.
, A nurse is caring for a client who is 4 hours postoperative following a transurethral
resection of the prostate (TURP). Which of the following is the priority finding for the
nurse to report to the provider?
a. Emesis of 100 mL
b. Oral temperature of 37.5°C (99.5°F)
c. Thick, red-colored urine
d. Pain level of 4 on a 0 to 10 rating scale
✔️ Correct Answer: C
Rationale:
Thick, red-colored urine may indicate hemorrhage and should be reported to the
provider immediately (Option C). Following a TURP, the client's urine should be pink-
tinged with small clots; thick, bright red urine suggests active bleeding. Hemorrhage is a
serious complication that requires immediate intervention.
Option A is incorrect while postoperative nausea is common, it is not the priority. Option
B is incorrect while a low-grade fever may occur, it is not the priority. Option D is
incorrect while pain is expected, it is not the priority over signs of hemorrhage.
A nurse is reinforcing teaching with a client who has HIV and is being discharged to
home. Which of the following instructions should the nurse include in the teaching?
a. Take temperature once a day
b. Wash the armpits and genitals with a gentle cleanser daily
c. Change the litter boxes while wearing gloves
d. Wash dishes in warm water
✔️ Correct Answer: A
Rationale:
The client should take their temperature once daily (Option A). Clients with HIV have
altered immune systems and are at increased risk for infection. Daily temperature
monitoring allows for early detection of fever, which may indicate infection. Early
identification of fever enables prompt treatment.
Option B is incorrect because the client should use an antimicrobial cleanser to wash
armpits and genitals twice daily. Option C is incorrect because the client should avoid
changing litter boxes due to the risk of toxoplasmosis, which can be life-threatening.
QUESTIONS AND ANSWERS AND
EXPLANATION LATEST VERSION
A GUARANTEED PASS
A+
Latest exam
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!!!
A nurse is caring for a client with a vascular occlusion of the right lower extremity. The
client reports difficulty sleeping because of cold feet. Which nursing action should the
nurse take to promote the client's comfort?
a. Rub the client's feet briskly for several minutes
b. Obtain a pair of slipper socks for the client
c. Increase the client's oral fluid intake
d. Place a moist heating pad under the client's feet
✔️ Correct Answer: B
Rationale:
Slipper socks with nonskid soles will help provide warmth and increase the client's level
of comfort (Option B). The client with vascular occlusion has impaired circulation, and
providing warmth through non-invasive means such as socks is safe and effective. This
intervention does not pose a risk of injury or complications.
,Option A is incorrect because massaging the legs or feet could mobilize a clot. Impaired
arterial or venous circulation of the lower extremities is a contraindication for leg
massage. Option C is incorrect because increasing fluid intake will not increase circulation
to an area impaired by occlusion. Option D is incorrect because impaired arterial or
venous circulation to a lower extremity is a contraindication for applying a heating pad,
which can cause burns due to decreased sensation.
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes
mellitus. Which of the following statements by the client indicates an understanding of
the teaching?
a. "I will carry a complex carbohydrate snack with me when I exercise"
b. "I should exercise first thing in the morning before eating breakfast"
c. "I should avoid injecting insulin into my thigh if I am going to go running"
d. "I will not exercise if my urine is positive for ketones"
✔️ Correct Answer: D
Rationale:
The client should not exercise if ketones are present in the urine (Option D). Ketones in
the urine indicate elevated blood glucose or ketoacidosis, and exercise could worsen this
condition. Exercising when ketones are present can increase blood glucose levels and
lead to further complications.
Option A is incorrect because the client should carry a simple carbohydrate, such as hard
candy or glucose tablets, for use during exercise if hypoglycemia occurs. Option B is
incorrect because exercise should follow a meal; exercising on an empty stomach places
the client at risk for hypoglycemia. Option C is incorrect because the client should avoid
injecting insulin into an area that will soon be exercised to avoid increasing the
absorption rate of insulin.
A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg
daily. The client refuses breakfast and reports nausea. Which of the following actions
should the nurse take first?
a. Suggest that the client rests before eating the meal
b. Request a dietary consult
,c. Check the client's vital signs
d. Request an order for an antiemetic
✔️ Correct Answer: C
Rationale:
The nurse should check the client's vital signs first (Option C). Nausea is a manifestation
of digoxin toxicity, along with muscle weakness, confusion, abdominal cramping, and
changes in vision. When using the airway, breathing, circulation (ABC) approach,
obtaining vital signs is the priority to assess for cardiovascular effects of digoxin toxicity,
such as bradycardia.
Option A is incorrect because suggesting rest does not address the potential digoxin
toxicity. Option B is incorrect while a dietary consult may be helpful, it is not the priority.
Option D is incorrect while antiemetics may be needed, the priority is to assess for
digoxin toxicity.
A nurse is caring for a client who is postoperative following a tracheostomy and has
copious and tenacious secretions. Which of the following is an acceptable method for the
nurse to use to thin this client's secretions?
a. Provide humidified oxygen
b. Perform chest physiotherapy prior to suctioning
c. Prelubricate the suction catheter tip with sterile saline when suctioning the airway
d. Hyperventilate the client with 100% oxygen before suctioning the airway
✔️ Correct Answer: A
Rationale:
Providing humidified oxygen helps thin secretions safely (Option A). Increasing fluid
intake as tolerated and providing adequate humidification are effective methods for
thinning secretions. Humidified oxygen adds moisture to the airway, which helps liquefy
thick, tenacious secretions and makes them easier to clear.
Option B is incorrect because chest physiotherapy mobilizes secretions but does not thin
them. Option C is incorrect because prelubricating the catheter tip eases insertion but
does not affect secretion tenacity. Option D is incorrect because hyperventilating
prevents hypoxia but does not thin secretions.
, A nurse is caring for a client who is 4 hours postoperative following a transurethral
resection of the prostate (TURP). Which of the following is the priority finding for the
nurse to report to the provider?
a. Emesis of 100 mL
b. Oral temperature of 37.5°C (99.5°F)
c. Thick, red-colored urine
d. Pain level of 4 on a 0 to 10 rating scale
✔️ Correct Answer: C
Rationale:
Thick, red-colored urine may indicate hemorrhage and should be reported to the
provider immediately (Option C). Following a TURP, the client's urine should be pink-
tinged with small clots; thick, bright red urine suggests active bleeding. Hemorrhage is a
serious complication that requires immediate intervention.
Option A is incorrect while postoperative nausea is common, it is not the priority. Option
B is incorrect while a low-grade fever may occur, it is not the priority. Option D is
incorrect while pain is expected, it is not the priority over signs of hemorrhage.
A nurse is reinforcing teaching with a client who has HIV and is being discharged to
home. Which of the following instructions should the nurse include in the teaching?
a. Take temperature once a day
b. Wash the armpits and genitals with a gentle cleanser daily
c. Change the litter boxes while wearing gloves
d. Wash dishes in warm water
✔️ Correct Answer: A
Rationale:
The client should take their temperature once daily (Option A). Clients with HIV have
altered immune systems and are at increased risk for infection. Daily temperature
monitoring allows for early detection of fever, which may indicate infection. Early
identification of fever enables prompt treatment.
Option B is incorrect because the client should use an antimicrobial cleanser to wash
armpits and genitals twice daily. Option C is incorrect because the client should avoid
changing litter boxes due to the risk of toxoplasmosis, which can be life-threatening.
