PN ATI Med Surg Exam Study Guide
Questions and Answers Graded A 2025
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? -
Correct 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? -Correct 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? -Correct 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? -Correct 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?
-Correct 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? -Correct 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? -Correct 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? -Correct 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? -Correct 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? -Correct Answer ✔Petechiae and
ecchymosis
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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? -Correct 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? -Correct 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? -Correct
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? -Correct 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?
-Correct 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? -Correct
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? -Correct
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? -Correct 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? -Correct 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? -Correct Answer ✔Dependent edema
Potassium 2.8 mEq/L -Correct Answer ✔
PN ATI Med Surg