ATI PN ADULT MED SURG FINAL EXAM |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
A nurse is reviewing the medical record of a client who has a prescription for morphine.
Which of the following findings should the nurse report to the provider?
A. Urinary retention
B. Administration of celecoxib 24hr ago
C. History of immunosuppression
D. Administration of levothyroxine 12 hr ago
CORRECT ANSWER
*A. Urinary retention*
(The nurse should recognize that administering morphine to the client can cause urinary
retention. Therefore, the nurse should report this finding to the provider.)
Question 2
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the
following actions should the nurse take?
A. Position pillows between the bony prominences.
B. Check for incontinence every 3 hr.
C. Massage reddened areas of the skin.
D.Elevate the head of the bed to 45°.
CORRECT ANSWER
1
, *A. Position pillows between the bony prominences.*
(The nurse should use positioning devices to keep bony prominences from being in direct
contact with each other, which will prevent skin breakdown and pressure ulcer
development.)
Question 3
A nurse is caring for a client who is preoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take first?
A. Stop the medication infusion.
B. Notify the charge nurse.
C. Administer a PRN dose of diphenhydramine.
D. Follow facility policy for appropriate reporting of the adverse reaction.
CORRECT ANSWER
A. Stop the medication infusion.
(The greatest risk to the client is injury from an allergic response to the medication.
Therefore, the priority action the nurse should take is to stop the medication infusion.)
Question 4
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following
information should the nurse include?
A. "Your partner will not require treatment for this infection."
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,B. "You can resume sexual activity as soon as you begin treatment."
C. "You are at risk for infertility with this infection, regardless of treatment."
D. "You will not be at further risk for this infection following treatment.
CORRECT ANSWER
C. "You are at risk for infertility with this infection, regardless of treatment."
(The nurse should inform the client that there is a risk for infertility as a result of this
infection.)
Question 5
A nurse is examining a client's IV site and notes a red line up his arm. The client reports a
throbbing, burning pain at the IV site. The nurse should identify that the client's
manifestations indicate which of the following complications of IV therapy?
A. Thrombophlebitis
B. Infiltration
C. Hematoma
D. Venous spasms
CORRECT ANSWER
A. Thrombophlebitis
(The nurse should identify pain, warmth, and a red streak up the arm as indications of
thrombophlebitis.)
Question 6
3
, A nurse is reinforcing teaching with an adolescent client regarding testicular self-
examination. Which of the following statements by the client demonstrates an
understanding of the teaching?
A. "I will perform the exam before I shower."
B. "I will check my testicles every 6 months."
C. "I understand that testicular cancer is painless."
D. "I understand that pea-sized lumps are normal."
CORRECT ANSWER
C. "I understand that testicular cancer is painless.
(Clients should report a lump that is not painful because testicular cancer is typically
painless.)
Question 7
A nurse in a long-term care facility is collecting data from a client who reports fullness in
the rectum and abdominal cramping. Which of the following findings should indicate to
the nurse that the client might have a fecal impaction?
A. Halitosis
B. Hemorrhoids
C. Rebound tenderness
D. Small liquid stools
CORRECT ANSWER
D. Small liquid stools
(Small liquid stools can be the result of fecal material being expelled around an
impaction.)
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QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
A nurse is reviewing the medical record of a client who has a prescription for morphine.
Which of the following findings should the nurse report to the provider?
A. Urinary retention
B. Administration of celecoxib 24hr ago
C. History of immunosuppression
D. Administration of levothyroxine 12 hr ago
CORRECT ANSWER
*A. Urinary retention*
(The nurse should recognize that administering morphine to the client can cause urinary
retention. Therefore, the nurse should report this finding to the provider.)
Question 2
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the
following actions should the nurse take?
A. Position pillows between the bony prominences.
B. Check for incontinence every 3 hr.
C. Massage reddened areas of the skin.
D.Elevate the head of the bed to 45°.
CORRECT ANSWER
1
, *A. Position pillows between the bony prominences.*
(The nurse should use positioning devices to keep bony prominences from being in direct
contact with each other, which will prevent skin breakdown and pressure ulcer
development.)
Question 3
A nurse is caring for a client who is preoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take first?
A. Stop the medication infusion.
B. Notify the charge nurse.
C. Administer a PRN dose of diphenhydramine.
D. Follow facility policy for appropriate reporting of the adverse reaction.
CORRECT ANSWER
A. Stop the medication infusion.
(The greatest risk to the client is injury from an allergic response to the medication.
Therefore, the priority action the nurse should take is to stop the medication infusion.)
Question 4
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following
information should the nurse include?
A. "Your partner will not require treatment for this infection."
2
,B. "You can resume sexual activity as soon as you begin treatment."
C. "You are at risk for infertility with this infection, regardless of treatment."
D. "You will not be at further risk for this infection following treatment.
CORRECT ANSWER
C. "You are at risk for infertility with this infection, regardless of treatment."
(The nurse should inform the client that there is a risk for infertility as a result of this
infection.)
Question 5
A nurse is examining a client's IV site and notes a red line up his arm. The client reports a
throbbing, burning pain at the IV site. The nurse should identify that the client's
manifestations indicate which of the following complications of IV therapy?
A. Thrombophlebitis
B. Infiltration
C. Hematoma
D. Venous spasms
CORRECT ANSWER
A. Thrombophlebitis
(The nurse should identify pain, warmth, and a red streak up the arm as indications of
thrombophlebitis.)
Question 6
3
, A nurse is reinforcing teaching with an adolescent client regarding testicular self-
examination. Which of the following statements by the client demonstrates an
understanding of the teaching?
A. "I will perform the exam before I shower."
B. "I will check my testicles every 6 months."
C. "I understand that testicular cancer is painless."
D. "I understand that pea-sized lumps are normal."
CORRECT ANSWER
C. "I understand that testicular cancer is painless.
(Clients should report a lump that is not painful because testicular cancer is typically
painless.)
Question 7
A nurse in a long-term care facility is collecting data from a client who reports fullness in
the rectum and abdominal cramping. Which of the following findings should indicate to
the nurse that the client might have a fecal impaction?
A. Halitosis
B. Hemorrhoids
C. Rebound tenderness
D. Small liquid stools
CORRECT ANSWER
D. Small liquid stools
(Small liquid stools can be the result of fecal material being expelled around an
impaction.)
4
