RN MEDICAL SURGICAL ATI EXAM/MEDICAL
SURGICAL ATI EXAM QUESTIONS AND ANSWERS
|ALREADY GRADED A | BRAND NEW!!
A nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. Which of the following statements by the client indicates
an understanding of the teaching?
a) "I should take calcium supplements, so the medication will work better in my system."
b) "I am taking this medication to increase my energy level."
c) "This medication can cause my blood pressure to drop."
d) "I will need to restrict protein in my diet while taking this medication." - ANSWER>>b)
"I am taking this medication to increase my energy level."
A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile
dysfunction. Which of the following statements should the nurse make?
a) You might need to take a stool softener while taking this medication.
b) You will not be able to use sildenafil if you have diabetes.
c) You will need to limit your caffeine intake if you start taking sildenafil.
d) You will not be able to use sildenafil if you are taking nitroglycerin. - ANSWER>>d)
You will not be able to use sildenafil if you are taking nitroglycerin.
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the
following is the priority assessment finding that the nurse should report to the provider?
a) Restlessness
b) T3 level 215 ng/dL
c) Blood pressure 170/80
d) Decreased weight - ANSWER>>c) Blood pressure 170/80
A nurse on a medical-surgical unit is receiving change-of-shift report on four clients.
Which of the following clients should the nurse identify as having the greatest risk for
developing an infection?
a) A client who has a closed fracture of the arm and is receiving an opioid pain
medication
b) A client who has COPD and is receiving steroid therapy
c) A client who is postoperative following a laparoscopic appendectomy and is receiving
an antibiotic
d) A client who has a deep vein thrombosis (DVT) and is receiving anticoagulant
therapy - ANSWER>>b) A client who has COPD and is receiving steroid therapy
A nurse in an emergency department is assessing an older adult client who has a
fractured wrist following a fall. During the assessment, the client states, "Last week I
crashed my car because my vision suddenly went blurry." Which of the following actions
is the nurse's priority?
a) Check the client's neurological status
b) Document the client's statements
,c) Prepare the client for a CT scan
d) Teach the client about using safety precautions for falls - ANSWER>>a) Check the
client's neurological status
A nurse is providing preoperative teaching for a client who is scheduled for an open
cholecystectomy. Which of the following actions should the nurse take?
a) Teach the importance of a clear liquid diet after discharge
b) Tell the client to remove incisional adhesive strips 3 days after discharge
c) Demonstrate ways to deep breath and cough
d) Instruct the client to maintain bedrest for 48 hours - ANSWER>>c) Demonstrate ways
to deep breath and cough
A nurse in an emergency department is caring for a client who has full-thickness burns
over 20% of his total body surface area. After ensuring a patent airway and
administering oxygen, which of the following items should the nurse prepare to
administer?
a) IV fluids
b) Analgesia
c) Antibiotics
d) Tetanus toxoid - ANSWER>>a) IV fluids
A nurse in a provider's office is assessing a client who has migraine headaches and is
taking feverfew to prevent her headaches. The nurse should identify that which of the
following client medications interacts with feverfew?
a) Metoprolol
b) Bupropion
c) Naproxen
d) Atorvastatin - ANSWER>>c) Naproxen
A nurse is providing discharge teaching to a client who has laryngeal cancer and is
receiving radiation treatment. Which of the following statements made by the client
indicates an understanding of the teaching?
a) I will wear a badge to measure how much radiation I am receiving
b) I will remove the markings on the skin after each radiation treatment
c) I will avoid direct exposure to the sun
d) I will rinse my mouth with a commercial mouthwash - ANSWER>>c) I will avoid direct
exposure to the sun
A nurse is preparing to administer a blood transfusion to a client who has anemia.
Which of the following actions should the nurse take first?
a) Obtain the client's vital signs
b) Describe the blood transfusion procedure to the client
c) Check for the type and number of units of blood to administer
d) Initiate a peripheral IV - ANSWER>>c) Check for the type and number of units of
blood to administer
, A nurse is caring for a client who has a prescription for enalapril. The nurse should
identify which of the following findings as an adverse effect of the medication?
a) Bradycardia
b) Tremors
c) Orthostatic hypotension
d) Drowsiness - ANSWER>>c) Orthostatic hypotension
A nurse is assessing for compartment syndrome in a client who has a short leg cast.
Which of the following findings should the nurse identify as a manifestation of this
condition?
a) Bounding pedal pulse
b) Capillary refill less than 2 seconds
c) Pain that increases with passive movement
d) Areas of warmth on the cast - ANSWER>>c) Pain that increases with passive
movement
A nurse is planning care for a client who has full-thickness burns on the lower
extremities. Which of the following interventions should the nurse include?
a) Limit visitation time for the client's children to 40 minutes per day
b) Clean the equipment in the client's room once per week
c) Provide a diet of fresh fruits and vegetables for the client
d) Apply new gloves when alternating between wound care sites - ANSWER>>d) Apply
new gloves when alternating between wound care sites
A nurse is caring for client who has cancer. The client tells the nurse, "I would prefer to
try vitamins and minerals instead of chemotherapy". Which of the following responses
should the nurse make?
a) I have never heard of any holistic treatment that is effective
b) You should ask your provider about your plan
c) The best way to treat your cancer is chemotherapy
d) Tell me what you know about chemotherapy - ANSWER>>d) Tell me what you know
about chemotherapy
A nurse is planning to teach a client whose provider has prescribed a low purine diet.
The nurse should plan to instruct the client that he can include which of the following
foods in his diet? (select all that apply)
a) Sardines
b) Nuts
c) Apricots
d) liver
e) Scallops - ANSWER>>b) Nuts
c) Apricots
A nurse is caring for a client following a total knee arthroplasty. The client reports a pain
level 6 on a pain scale of 0 to 10. Which of the following interventions should the nurse
take?
SURGICAL ATI EXAM QUESTIONS AND ANSWERS
|ALREADY GRADED A | BRAND NEW!!
A nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. Which of the following statements by the client indicates
an understanding of the teaching?
a) "I should take calcium supplements, so the medication will work better in my system."
b) "I am taking this medication to increase my energy level."
c) "This medication can cause my blood pressure to drop."
d) "I will need to restrict protein in my diet while taking this medication." - ANSWER>>b)
"I am taking this medication to increase my energy level."
A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile
dysfunction. Which of the following statements should the nurse make?
a) You might need to take a stool softener while taking this medication.
b) You will not be able to use sildenafil if you have diabetes.
c) You will need to limit your caffeine intake if you start taking sildenafil.
d) You will not be able to use sildenafil if you are taking nitroglycerin. - ANSWER>>d)
You will not be able to use sildenafil if you are taking nitroglycerin.
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the
following is the priority assessment finding that the nurse should report to the provider?
a) Restlessness
b) T3 level 215 ng/dL
c) Blood pressure 170/80
d) Decreased weight - ANSWER>>c) Blood pressure 170/80
A nurse on a medical-surgical unit is receiving change-of-shift report on four clients.
Which of the following clients should the nurse identify as having the greatest risk for
developing an infection?
a) A client who has a closed fracture of the arm and is receiving an opioid pain
medication
b) A client who has COPD and is receiving steroid therapy
c) A client who is postoperative following a laparoscopic appendectomy and is receiving
an antibiotic
d) A client who has a deep vein thrombosis (DVT) and is receiving anticoagulant
therapy - ANSWER>>b) A client who has COPD and is receiving steroid therapy
A nurse in an emergency department is assessing an older adult client who has a
fractured wrist following a fall. During the assessment, the client states, "Last week I
crashed my car because my vision suddenly went blurry." Which of the following actions
is the nurse's priority?
a) Check the client's neurological status
b) Document the client's statements
,c) Prepare the client for a CT scan
d) Teach the client about using safety precautions for falls - ANSWER>>a) Check the
client's neurological status
A nurse is providing preoperative teaching for a client who is scheduled for an open
cholecystectomy. Which of the following actions should the nurse take?
a) Teach the importance of a clear liquid diet after discharge
b) Tell the client to remove incisional adhesive strips 3 days after discharge
c) Demonstrate ways to deep breath and cough
d) Instruct the client to maintain bedrest for 48 hours - ANSWER>>c) Demonstrate ways
to deep breath and cough
A nurse in an emergency department is caring for a client who has full-thickness burns
over 20% of his total body surface area. After ensuring a patent airway and
administering oxygen, which of the following items should the nurse prepare to
administer?
a) IV fluids
b) Analgesia
c) Antibiotics
d) Tetanus toxoid - ANSWER>>a) IV fluids
A nurse in a provider's office is assessing a client who has migraine headaches and is
taking feverfew to prevent her headaches. The nurse should identify that which of the
following client medications interacts with feverfew?
a) Metoprolol
b) Bupropion
c) Naproxen
d) Atorvastatin - ANSWER>>c) Naproxen
A nurse is providing discharge teaching to a client who has laryngeal cancer and is
receiving radiation treatment. Which of the following statements made by the client
indicates an understanding of the teaching?
a) I will wear a badge to measure how much radiation I am receiving
b) I will remove the markings on the skin after each radiation treatment
c) I will avoid direct exposure to the sun
d) I will rinse my mouth with a commercial mouthwash - ANSWER>>c) I will avoid direct
exposure to the sun
A nurse is preparing to administer a blood transfusion to a client who has anemia.
Which of the following actions should the nurse take first?
a) Obtain the client's vital signs
b) Describe the blood transfusion procedure to the client
c) Check for the type and number of units of blood to administer
d) Initiate a peripheral IV - ANSWER>>c) Check for the type and number of units of
blood to administer
, A nurse is caring for a client who has a prescription for enalapril. The nurse should
identify which of the following findings as an adverse effect of the medication?
a) Bradycardia
b) Tremors
c) Orthostatic hypotension
d) Drowsiness - ANSWER>>c) Orthostatic hypotension
A nurse is assessing for compartment syndrome in a client who has a short leg cast.
Which of the following findings should the nurse identify as a manifestation of this
condition?
a) Bounding pedal pulse
b) Capillary refill less than 2 seconds
c) Pain that increases with passive movement
d) Areas of warmth on the cast - ANSWER>>c) Pain that increases with passive
movement
A nurse is planning care for a client who has full-thickness burns on the lower
extremities. Which of the following interventions should the nurse include?
a) Limit visitation time for the client's children to 40 minutes per day
b) Clean the equipment in the client's room once per week
c) Provide a diet of fresh fruits and vegetables for the client
d) Apply new gloves when alternating between wound care sites - ANSWER>>d) Apply
new gloves when alternating between wound care sites
A nurse is caring for client who has cancer. The client tells the nurse, "I would prefer to
try vitamins and minerals instead of chemotherapy". Which of the following responses
should the nurse make?
a) I have never heard of any holistic treatment that is effective
b) You should ask your provider about your plan
c) The best way to treat your cancer is chemotherapy
d) Tell me what you know about chemotherapy - ANSWER>>d) Tell me what you know
about chemotherapy
A nurse is planning to teach a client whose provider has prescribed a low purine diet.
The nurse should plan to instruct the client that he can include which of the following
foods in his diet? (select all that apply)
a) Sardines
b) Nuts
c) Apricots
d) liver
e) Scallops - ANSWER>>b) Nuts
c) Apricots
A nurse is caring for a client following a total knee arthroplasty. The client reports a pain
level 6 on a pain scale of 0 to 10. Which of the following interventions should the nurse
take?
