PN ATI MED SURG EXAM QUESTIONS
AND ANSWERS
A nurse is assisting in the care of a client who is hypovolemic shock. While waiting for a
unit of blood, the nurse should plan to administer which of the following IV solutions? -
Answer-0.9% sodium chloride
A nurse is caring for a client who has advanced heart failure Which of the following
actions should the nurse take? - Answer-Enforce fluid restrictions
A nurse is collecting data from a client who has abdominal aortic aneurysm. Which of
the following manifestations should the nurse expect? - Answer-Lower back discomfort
A nurse is contributing to the plan of care for a client who has pernicious anemia.Which
of the following interventions should the nurse recommend? - Answer-Initiate weekly
injections of vitamin B12
A nurse is reinforcing discharge teaching with a client who has a new permanent
pacemaker. Which of the following information should the nurse include in the teaching?
- Answer-"Avoid lifting both arms above your head when dressing."
A nurse is reinforcing teaching with a client who has anemia and a new prescription for
epoetin Alfa. Which of the following information should the nurse include in the
teaching? - Answer-Hypertension is a common adverse effect of this medication
A nurse is caring for a client who is postoperative following vein ligation and stripping for
varicose veins. Which of the following actions should the nurse take? - Answer-Position
the client supine with his legs elevated when in bed
A nurse is assisting in the care of a client who has an abdominal aortic aneurysm and is
scheduled for surgery. The client's vital signs are BP 160/98, HR 102, R-22, SpO2 95%.
Which of the following actions should the nurse take? - Answer-Administer
antihypertensive medication for blood pressure
A nurse in a clinic is collecting data from a client who has a history of peripheral arterial
disease. Which of the following findings on the client's lower extremities should the
nurse expect? - Answer-Cool, pale skin with minimal body hair
A nurse is collecting data from a client who has manifestation of aplastic anemia. Which
of the following findings should the nurse expect? - Answer-Petechiae and ecchymosis
A nurse is administering a loop diuretic to a client who has 3+ pitting edema in the lower
extremities. Which of the following actions should the nurse take? - Answer-Monitor the
client for ototoxicity
, A nurse is assisting in developing the plan of care for an older adult client who is to
receive a unto of packed RBCs. Which of the following action should the nurse
recommend? - Answer-Verify the information on the packed RBCs with another nurse
A nurse is caring for a client who has late stage heart failure and is experiencing fluid
volume overload. Which of the following findings should the nurse expect? - Answer-
Weight gain of 1 kg (2.2 lb) in 1 day
A nurse is assisting in the preparation of a unit of packed RBCs for a client who has
anemia. Which of the following actions should the nurse take first? - Answer-Witness
the informed consent
A nurse is collecting data from a client who has fluid volume overload resulting from a
cardiovascular disorder. Which of the following manifestations should the nurse expect?
- Answer-Jugular vein dissent ion, moist crackles, increases heart rate
A nurse is evaluating a client's repeat laboratory results 4 hr after administering fresh
frozen plasma. Which of the following laboratory test should the nurse review? -
Answer-Prothrombin time
A nurse is caring for a client who has hemophilia. The client reports pain and swelling in
a joint following an injury. Which of the following actions should the nurse take? -
Answer-Prepare for replacement of the missing clotting factor
A nurse is assisting in collecting data from a client who has a history of unstable angina.
Which of the following findings should the nurse expect? - Answer-The client reports
chest pain when at rest
A nurse is reinforcing teaching about lifestyle changes with a client who had a MI and
has a new prescription for a beta blocker. Which of the following client statements
indicates an understanding of the teaching? - Answer-Before taking my medication, I
will check my blood pressure and radial pulse rate
A nurse is collecting data from a client who has right sided heart failure. Which of the
following findings should the nurse expect? - Answer-Dependent edema
Potassium 2.8 mEq/L - Answer-
A nurse is checking laboratory values for an adult client who has sickle cell anemia and
is in crisis. For which of the following complications should the nurse monitor? - Answer-
elevated bilirubin
A nurse is assisting in the plan of care for a client who is having a percutaneous
transluminal coronary angioplasty with stent placement. Which of the following actions
AND ANSWERS
A nurse is assisting in the care of a client who is hypovolemic shock. While waiting for a
unit of blood, the nurse should plan to administer which of the following IV solutions? -
Answer-0.9% sodium chloride
A nurse is caring for a client who has advanced heart failure Which of the following
actions should the nurse take? - Answer-Enforce fluid restrictions
A nurse is collecting data from a client who has abdominal aortic aneurysm. Which of
the following manifestations should the nurse expect? - Answer-Lower back discomfort
A nurse is contributing to the plan of care for a client who has pernicious anemia.Which
of the following interventions should the nurse recommend? - Answer-Initiate weekly
injections of vitamin B12
A nurse is reinforcing discharge teaching with a client who has a new permanent
pacemaker. Which of the following information should the nurse include in the teaching?
- Answer-"Avoid lifting both arms above your head when dressing."
A nurse is reinforcing teaching with a client who has anemia and a new prescription for
epoetin Alfa. Which of the following information should the nurse include in the
teaching? - Answer-Hypertension is a common adverse effect of this medication
A nurse is caring for a client who is postoperative following vein ligation and stripping for
varicose veins. Which of the following actions should the nurse take? - Answer-Position
the client supine with his legs elevated when in bed
A nurse is assisting in the care of a client who has an abdominal aortic aneurysm and is
scheduled for surgery. The client's vital signs are BP 160/98, HR 102, R-22, SpO2 95%.
Which of the following actions should the nurse take? - Answer-Administer
antihypertensive medication for blood pressure
A nurse in a clinic is collecting data from a client who has a history of peripheral arterial
disease. Which of the following findings on the client's lower extremities should the
nurse expect? - Answer-Cool, pale skin with minimal body hair
A nurse is collecting data from a client who has manifestation of aplastic anemia. Which
of the following findings should the nurse expect? - Answer-Petechiae and ecchymosis
A nurse is administering a loop diuretic to a client who has 3+ pitting edema in the lower
extremities. Which of the following actions should the nurse take? - Answer-Monitor the
client for ototoxicity
, A nurse is assisting in developing the plan of care for an older adult client who is to
receive a unto of packed RBCs. Which of the following action should the nurse
recommend? - Answer-Verify the information on the packed RBCs with another nurse
A nurse is caring for a client who has late stage heart failure and is experiencing fluid
volume overload. Which of the following findings should the nurse expect? - Answer-
Weight gain of 1 kg (2.2 lb) in 1 day
A nurse is assisting in the preparation of a unit of packed RBCs for a client who has
anemia. Which of the following actions should the nurse take first? - Answer-Witness
the informed consent
A nurse is collecting data from a client who has fluid volume overload resulting from a
cardiovascular disorder. Which of the following manifestations should the nurse expect?
- Answer-Jugular vein dissent ion, moist crackles, increases heart rate
A nurse is evaluating a client's repeat laboratory results 4 hr after administering fresh
frozen plasma. Which of the following laboratory test should the nurse review? -
Answer-Prothrombin time
A nurse is caring for a client who has hemophilia. The client reports pain and swelling in
a joint following an injury. Which of the following actions should the nurse take? -
Answer-Prepare for replacement of the missing clotting factor
A nurse is assisting in collecting data from a client who has a history of unstable angina.
Which of the following findings should the nurse expect? - Answer-The client reports
chest pain when at rest
A nurse is reinforcing teaching about lifestyle changes with a client who had a MI and
has a new prescription for a beta blocker. Which of the following client statements
indicates an understanding of the teaching? - Answer-Before taking my medication, I
will check my blood pressure and radial pulse rate
A nurse is collecting data from a client who has right sided heart failure. Which of the
following findings should the nurse expect? - Answer-Dependent edema
Potassium 2.8 mEq/L - Answer-
A nurse is checking laboratory values for an adult client who has sickle cell anemia and
is in crisis. For which of the following complications should the nurse monitor? - Answer-
elevated bilirubin
A nurse is assisting in the plan of care for a client who is having a percutaneous
transluminal coronary angioplasty with stent placement. Which of the following actions
