2022-2023 RN MEDICAL SURGICAL ATI
EXAM/MEDICAL SURGICAL ATI EXAM
2022-2023 QUESTIONS AND ANSWERS
|ALREADY GRADED A | BRAND NEW!!
Which of the following is an adverse effect of lactulose?
A. Hypokalemia
B. Hypercalcemia
C. Gastrointestinal bleeding
D. Confusion -ANS- A. Hypokalemia
A client has emphysema is receiving mechanical ventilation and appears anxious
and restless, and the high-pressure alarm is sounding. Which of the following
actions should the nurse take first?
A. Obtain ABGs.
B. Administer propofol to the client.
C. Instruct the client to allow the machine to breathe for them.
D. Disconnect the machine and manually ventilate the client.
-ANS- C. Instruct the client to allow the machine to breathe for them.
The least restrictive intervention should be used first.
A nurse is teaching a client who has a family history of colorectal cancer. To help
mitigate this risk, which of the following dietary alterations should the nurse
recommend?
A. Add full-fat yogurt to the diet.
B. Add cabbage to the diet.
C. Replace butter with coconut oil.
D. Replace shellfish with red meat.
-ANS- B. Add cabbage to the diet.
,To help reduce the risk for colorectal cancer, the client should consume a diet that
is high in fiber, low in fat, and low in refined carbohydrates. Brassica vegetables,
such as cabbage, cauliflower, and broccoli, are high in fiber.
Which of the following neurologic deficits should the nurse expect to find when
assessing a client who was recently discharged from a rehab after experiencing a
right-hemispheric stroke? (Select all that apply.)
A. Expressive aphasia
B. Visual spatial deficits
C. Left hemianopsia
D. Right hemiplegia
E. One-sided neglect -ANS- B. Visual spatial deficits
C. Left hemianopsia
E. One-sided neglect
Left hemianopsia is blindness in the left half of the visual field.
What is pseudomonas aeruginosa infection? -ANS- An infection that can be spread
to humans from plants or contaminated water.
What is hypertonic dehydration? -ANS- Losing too much water while keeping too
much salt in the fluid outside the cells.
How can dehydration be tested for? -ANS- When urine specific gravity is greater
than 1.030
Which of the following is a priority finding in a patient with a suspected stroke?
A. Dysphagia
B. Ataxia
C. Aphasia
D. Hemianopsia
-ANS- A. Dysphagia
Increases risk for aspiration in patient.
Which of the following precautions are used for bacterial meningitis?
A. Airborne
,B. Droplet
C. Negative air
D. Contact
-ANS- B. Droplet
What does feverfew interact with?
A. Metoprolol
B. Bupropion
C. Naproxen
D. Atorvastatin
-ANS- C. Naproxen
Both naproxen and feverfew impair platelet aggregation and place the client at risk
for bleeding.
What medication does St. John's wort reduce the effect of? -ANS- Atorvastatin
What is extracorporeal shock wave lithotripsy? -ANS- ESWL is an effort to break
the calculi so that the fragments pass down the ureter, into the bladder, and through
the urethra during voiding. Following the procedure, the nurse should strain the
client's urine to confirm the passage of stones.
What is a normal creatinine level? -ANS- Creatinine: 0.8-1.3 mg/dL
What is the reference range for glucose? -ANS- Glucose: 65-110 mg/dL
What is the normal range for magnesium? -ANS- Magnesium: 1.5-2 mEq/L
Normal phosphate levels? -ANS- Phosphate: 0.8-1.5 mmol/L
Normal potassium levels? -ANS- Potassium: 3.5-5 mmol/L
Normal sodium level? -ANS- Sodium: 135-145 mmol/L
Normal Hgb level in men and women? -ANS- Hemoglobin: 13-17 g/dL (men), 12-
15 g/dL (women)
Normal Hct for men and women? -ANS- Hematocrit 40%-52% (men), 36%-47%
, Normal WBC? -ANS- White blood cells (WBC) 4-10 x 10^9/L
Normal platelet count? -ANS- Platelets: 150-400 x 10^9/L
Normal INR levels? -ANS- International normalized ratio (INR): 0.9-1.2
What is erythropoietin (EPO)? -ANS- hormone that stimulates RBC production
Can be used to increase energy levels in people with chronic kidney disease.
What foods trigger migraine headaches? -ANS- Foods that contain tyramine, such
as aged cheese and sausage, can trigger migraine headaches.
What is hemianopsia? -ANS- blindness in half the visual field
What is normal BUN levels? -ANS- 10-20 mg/dL
Which of the following is an adverse effect of enalapril?
A. Bradycardia
B. Tremors
C. Orthostatic hypotension
D. Drowsiness
-ANS- C. Orthostatic hypotension
Dilation of arteries and veins causes orthostatic hypotension.
A nurse is caring for a client who is receiving chemotherapy and requests
information about acupuncture to relieve some of the side effects. which of the
following findings should the nurse identify as a contraindication to receiving this
alternative therapy? ---ANS-- Lymphedema
A nurse is preparing to administer lactated Ringer's via continuos IV infusion at
200 ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many gtt/min
should the nurse set the IV ump to administer? ---ANS-- 33
EXAM/MEDICAL SURGICAL ATI EXAM
2022-2023 QUESTIONS AND ANSWERS
|ALREADY GRADED A | BRAND NEW!!
Which of the following is an adverse effect of lactulose?
A. Hypokalemia
B. Hypercalcemia
C. Gastrointestinal bleeding
D. Confusion -ANS- A. Hypokalemia
A client has emphysema is receiving mechanical ventilation and appears anxious
and restless, and the high-pressure alarm is sounding. Which of the following
actions should the nurse take first?
A. Obtain ABGs.
B. Administer propofol to the client.
C. Instruct the client to allow the machine to breathe for them.
D. Disconnect the machine and manually ventilate the client.
-ANS- C. Instruct the client to allow the machine to breathe for them.
The least restrictive intervention should be used first.
A nurse is teaching a client who has a family history of colorectal cancer. To help
mitigate this risk, which of the following dietary alterations should the nurse
recommend?
A. Add full-fat yogurt to the diet.
B. Add cabbage to the diet.
C. Replace butter with coconut oil.
D. Replace shellfish with red meat.
-ANS- B. Add cabbage to the diet.
,To help reduce the risk for colorectal cancer, the client should consume a diet that
is high in fiber, low in fat, and low in refined carbohydrates. Brassica vegetables,
such as cabbage, cauliflower, and broccoli, are high in fiber.
Which of the following neurologic deficits should the nurse expect to find when
assessing a client who was recently discharged from a rehab after experiencing a
right-hemispheric stroke? (Select all that apply.)
A. Expressive aphasia
B. Visual spatial deficits
C. Left hemianopsia
D. Right hemiplegia
E. One-sided neglect -ANS- B. Visual spatial deficits
C. Left hemianopsia
E. One-sided neglect
Left hemianopsia is blindness in the left half of the visual field.
What is pseudomonas aeruginosa infection? -ANS- An infection that can be spread
to humans from plants or contaminated water.
What is hypertonic dehydration? -ANS- Losing too much water while keeping too
much salt in the fluid outside the cells.
How can dehydration be tested for? -ANS- When urine specific gravity is greater
than 1.030
Which of the following is a priority finding in a patient with a suspected stroke?
A. Dysphagia
B. Ataxia
C. Aphasia
D. Hemianopsia
-ANS- A. Dysphagia
Increases risk for aspiration in patient.
Which of the following precautions are used for bacterial meningitis?
A. Airborne
,B. Droplet
C. Negative air
D. Contact
-ANS- B. Droplet
What does feverfew interact with?
A. Metoprolol
B. Bupropion
C. Naproxen
D. Atorvastatin
-ANS- C. Naproxen
Both naproxen and feverfew impair platelet aggregation and place the client at risk
for bleeding.
What medication does St. John's wort reduce the effect of? -ANS- Atorvastatin
What is extracorporeal shock wave lithotripsy? -ANS- ESWL is an effort to break
the calculi so that the fragments pass down the ureter, into the bladder, and through
the urethra during voiding. Following the procedure, the nurse should strain the
client's urine to confirm the passage of stones.
What is a normal creatinine level? -ANS- Creatinine: 0.8-1.3 mg/dL
What is the reference range for glucose? -ANS- Glucose: 65-110 mg/dL
What is the normal range for magnesium? -ANS- Magnesium: 1.5-2 mEq/L
Normal phosphate levels? -ANS- Phosphate: 0.8-1.5 mmol/L
Normal potassium levels? -ANS- Potassium: 3.5-5 mmol/L
Normal sodium level? -ANS- Sodium: 135-145 mmol/L
Normal Hgb level in men and women? -ANS- Hemoglobin: 13-17 g/dL (men), 12-
15 g/dL (women)
Normal Hct for men and women? -ANS- Hematocrit 40%-52% (men), 36%-47%
, Normal WBC? -ANS- White blood cells (WBC) 4-10 x 10^9/L
Normal platelet count? -ANS- Platelets: 150-400 x 10^9/L
Normal INR levels? -ANS- International normalized ratio (INR): 0.9-1.2
What is erythropoietin (EPO)? -ANS- hormone that stimulates RBC production
Can be used to increase energy levels in people with chronic kidney disease.
What foods trigger migraine headaches? -ANS- Foods that contain tyramine, such
as aged cheese and sausage, can trigger migraine headaches.
What is hemianopsia? -ANS- blindness in half the visual field
What is normal BUN levels? -ANS- 10-20 mg/dL
Which of the following is an adverse effect of enalapril?
A. Bradycardia
B. Tremors
C. Orthostatic hypotension
D. Drowsiness
-ANS- C. Orthostatic hypotension
Dilation of arteries and veins causes orthostatic hypotension.
A nurse is caring for a client who is receiving chemotherapy and requests
information about acupuncture to relieve some of the side effects. which of the
following findings should the nurse identify as a contraindication to receiving this
alternative therapy? ---ANS-- Lymphedema
A nurse is preparing to administer lactated Ringer's via continuos IV infusion at
200 ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many gtt/min
should the nurse set the IV ump to administer? ---ANS-- 33
