ATI Med-Surg A 2019 Exam – Study Guide / 90 Q & A
1. A nurse has just received a report on a client following a transurethral resection of the prostate
(TURP) 12 hr ago. After listening to the report in an audio clip, the nurse should identify which of
the following as the priority finding? (Your going to have to click to listen)
The client has red-colored urine with occasional clots.
2. A nurse is caring for a client who has a disposable chest drainage system with a water seal
chamber. The nurse is preparing to measure the drainage at the end of the shift. Locate the place
where the nurse should mark and measure the drainage for the shift. (You going to have to select
the HOTSPOT on picture)
At the right side of the photo on the 500 marker
3. A nurse is monitoring a client receiving general anesthesia. The nurse should recognize which of
the following as a clinic al manifestation of malignant hyperthermia?
Hear rate of 120/min.
4. A nurse is caring for a client who is 2 hr post-op following a traditional open approach
cholecystectomy. Which of the following indicates the need for further nursing
assessment?
The client has unilateral swelling of a lower extremity.
5. A nurse is caring for a client who is receiving peritoneal dialysis. The client is reporting anorexia
and constipation. Which of the following should the nurse include in the client’s plan of care?
Administer enema prior to dialysis.
6. A nurse is teaching self-care to a client who has a new colostomy. Which of the following
is appropriate information to be included in the teaching?
The ostomy bag should be emptied when it is ¼ to ½ full.
7. A nurse admits an older client to the emergency department with a fractured left wrist following
a fall. During the assessment, the client states, “Last week I crashed my car b/c my vision
suddenly became blurry.” Which of the following is the highest priority action by the nurse?
Check neurological status
8. A nurse is caring for a client who has chronic renal failure. The provider prescribes (Epogen)
injections three times per week. Which of the following statements by the client indicates a need
for further teaching about the effects of erythropoietin?
I will limit the amount of protein in my diet while taking this medication.
1
, 9. A client has been receiving propranolol hydrochloride (Inderal) 40 mg PO daily for
hypertension. Which of the following indicates that the client is experiencing an adverse
reaction to this medication?
Bronchoconstriction
10. A nurse on a medical-surgical unit reviews the medical record of an older adult client who is
receiving IV fluid therapy. Which of the following client information should indicate to the nurse
that the client requires a revision of his IV therapy prescription?
BUN 29 mg/dL
11. A clinic nurse is reviewing laboratory results of four clients. Which of the following
clients demonstrates the desired therapeutic effect of the treatment regimen?
A client with type 2 diabetes mellitus controlled by diet has an Hb1Ac of 5%
12. A client with atrial fibrillation is prescribed digoxin (Lanoxin). Which of the following statements
by the client indicates to the nurse that further teaching is needed?
If I miss my morning dose, I should wait until the next day to take a pill.
13. A nurse is caring for a client who is receiving total parenteral nutrition. A new bag is not
available when the current infusion is nearly completed. Which of the following actions should
the nurse take?
Administer 10% dextrose in water until the new bag arrives.
14. A client receiving general anesthesia during major surgery has a sudden elevation in
temperature. The provider suspects malignant hyperthermia. The nurse should anticipate a
prescription foer which of the following medications?
Dantrolene sodium (Dantrium)
15. A nurse is teaching a client who has a known allergy to bee venom and has a prescription for
epinephrine (EpiPen Auto- Injector) how to respond in the event he is stung by a bee. Identify
the sequence the client should follow.
Inject the epinephrine into the outer thigh; Remove the stinger from the skin; Clean the area with
soapy water; Apply ice to the sight; Seek medical help
16. A nurse is caring for a client who has pneumonia and has been prescribed incentive
spirometry. Which of the following findings indicates the desired outcome of this
intervention?
The client has clear breath sounds in the lung bases bilaterally
2
1. A nurse has just received a report on a client following a transurethral resection of the prostate
(TURP) 12 hr ago. After listening to the report in an audio clip, the nurse should identify which of
the following as the priority finding? (Your going to have to click to listen)
The client has red-colored urine with occasional clots.
2. A nurse is caring for a client who has a disposable chest drainage system with a water seal
chamber. The nurse is preparing to measure the drainage at the end of the shift. Locate the place
where the nurse should mark and measure the drainage for the shift. (You going to have to select
the HOTSPOT on picture)
At the right side of the photo on the 500 marker
3. A nurse is monitoring a client receiving general anesthesia. The nurse should recognize which of
the following as a clinic al manifestation of malignant hyperthermia?
Hear rate of 120/min.
4. A nurse is caring for a client who is 2 hr post-op following a traditional open approach
cholecystectomy. Which of the following indicates the need for further nursing
assessment?
The client has unilateral swelling of a lower extremity.
5. A nurse is caring for a client who is receiving peritoneal dialysis. The client is reporting anorexia
and constipation. Which of the following should the nurse include in the client’s plan of care?
Administer enema prior to dialysis.
6. A nurse is teaching self-care to a client who has a new colostomy. Which of the following
is appropriate information to be included in the teaching?
The ostomy bag should be emptied when it is ¼ to ½ full.
7. A nurse admits an older client to the emergency department with a fractured left wrist following
a fall. During the assessment, the client states, “Last week I crashed my car b/c my vision
suddenly became blurry.” Which of the following is the highest priority action by the nurse?
Check neurological status
8. A nurse is caring for a client who has chronic renal failure. The provider prescribes (Epogen)
injections three times per week. Which of the following statements by the client indicates a need
for further teaching about the effects of erythropoietin?
I will limit the amount of protein in my diet while taking this medication.
1
, 9. A client has been receiving propranolol hydrochloride (Inderal) 40 mg PO daily for
hypertension. Which of the following indicates that the client is experiencing an adverse
reaction to this medication?
Bronchoconstriction
10. A nurse on a medical-surgical unit reviews the medical record of an older adult client who is
receiving IV fluid therapy. Which of the following client information should indicate to the nurse
that the client requires a revision of his IV therapy prescription?
BUN 29 mg/dL
11. A clinic nurse is reviewing laboratory results of four clients. Which of the following
clients demonstrates the desired therapeutic effect of the treatment regimen?
A client with type 2 diabetes mellitus controlled by diet has an Hb1Ac of 5%
12. A client with atrial fibrillation is prescribed digoxin (Lanoxin). Which of the following statements
by the client indicates to the nurse that further teaching is needed?
If I miss my morning dose, I should wait until the next day to take a pill.
13. A nurse is caring for a client who is receiving total parenteral nutrition. A new bag is not
available when the current infusion is nearly completed. Which of the following actions should
the nurse take?
Administer 10% dextrose in water until the new bag arrives.
14. A client receiving general anesthesia during major surgery has a sudden elevation in
temperature. The provider suspects malignant hyperthermia. The nurse should anticipate a
prescription foer which of the following medications?
Dantrolene sodium (Dantrium)
15. A nurse is teaching a client who has a known allergy to bee venom and has a prescription for
epinephrine (EpiPen Auto- Injector) how to respond in the event he is stung by a bee. Identify
the sequence the client should follow.
Inject the epinephrine into the outer thigh; Remove the stinger from the skin; Clean the area with
soapy water; Apply ice to the sight; Seek medical help
16. A nurse is caring for a client who has pneumonia and has been prescribed incentive
spirometry. Which of the following findings indicates the desired outcome of this
intervention?
The client has clear breath sounds in the lung bases bilaterally
2
