MEDSURG ATI COMBINED SET
QUESTIONS WITH CORRECT DETAILED
ANSWERS
A nurse is completing the admission assessment of a client who has suspected
pulmonary edema. Which of the following are expected findings? (Select all that apply.)
A. Tachypnea
B. Persistent cough
C. Increased urinary output
D. Thick, yellow sputum
E. Orthopnea -Answer-abe
1. A nurse is caring for a clientwho has chronic venous insufficiency and a prescription
for thigh-high compression stockings. Which of the following actions should the nurse
take?
A. Massage both legs firmly with lotion prior to applying the stockings.
B. Apply the stockings in the morning upon awakening and before getting out of bed.
C. Roll the stockings down to the knees to relieve discomfort on the legs.
D. Remove the stockings while out of bed for 1 hr, four times a day, to allow the legs to
rest -Answer-b
A nurse is assessing a client who has chronic peripheral arterial disease (PAD). Which
of the following findings should the nurse expect?
A. Edema around the ankles and feet
B. Ulceration around the medial malleoli
C. Scaling eczema of the lower legs with stasis dermatitis
D. Pallor on elevation of the limbs, and rubor when the limbs are dependent -Answer-d
A nurse is teaching a client who has been a new diagnosis of severe peripheral arterial
disease. Which of the following instructions should the nurse include?
A. Wear tightly fitted insulated socks with shoes when going outside.
B. Elevate both legs above the heart when resting.
C. Apply a heating pad to both legs for comfort.
D. Place both legs in dependent position while sleeping. -Answer-d
A nurse is teaching a client who has a new prescription for clopidogrel. Which of the
following instructions should the nurse include in the teaching? (Select all that apply.)
A. Avoid the consuming grapefruit while taking this medication.
B. Monitor for the presence of black, tarry stools.
C. Use an electric razor when shaving.
D. Schedule a weekly PT test.
E. Limit food sources containing vitamin K while taking this medication. -Answer-ab
,A nurse is caring for a client whohas a deep-vein thrombosis (DVT) and has been taking
unfractionated heparin for 1 week. Two days ago, the provider also prescribed
warfarin.The client asks the nurse about receiving both heparin and warfarin at the
same time. Which of the following statements should the nurse give?
A. "I will remind your provider that you are already receiving heparin."
B. "Your laboratory findings indicated that two anticoagulants were needed."
C."It takes 3 to 4 days before the therapeutic effects of warfarin are achieved, and then
the heparin can be discontinued."
D."Only one of these medications is being given to treat your deep-vein thrombosis." -
Answer-c
1. A nurse is screening a male client for hypertension. The nurse should identify that
which of the following actions by the client increase his risk for hypertension? (Select all
that apply.)
A. Drinking 8 oz nonfat milk daily
B. Eating popcorn at the movie theater
C. Walking 1 mile daily at 12 min/mile pace
D. Consuming 36 oz beer daily
E. Getting a massage once a week -Answer-bd
A nurse in an urgent care clinicis obtaining a history from aclient who has type 2
diabetes mellitus and a recent diagnosis of hypertension. This is the second time in 2
weeks that the client experienced hypoglycemia. Which of the following client data
should the nurse report to the provider?
A. Takes psyllium daily as a fiber laxative
B. Drinks skim milk daily as a bedtime snack
C. Takes metoprolol daily after meals
D. Drinks grapefruit juice daily with breakfast -Answer-c
A nurse is caring for a client who is admitted to the emergency department with a blood
pressure of 266/147 mm Hg. The client reports a headache and double vision. The
client states that she ran out of her diltiazem 3 days ago, and is unable to purchase
more. Which of the following actions should the nurse take first?
A. Administer acetaminophen for headache.
B. Provide teaching regarding the importance of not abruptly stopping an
antihypertensive.
C. Obtain IV access and prepare to administer an IV antihypertensive.
D. Call social services for a referral for financial assistance in obtaining prescribed
medication. -Answer-c
A nurse is providing teaching fora client who has a new diagnosis of hypertension and a
new prescription for spironolactone25 mg/day. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I should eat a lot of fruits and vegetables, especially bananas and potatoes."
B. "I will report any changes in heart rate to my provider."
, C."I should replace the salt shaker on my table with a salt substitute."
D."I will decrease the doseof this medication when I no longer have headaches and
facial redness." -Answer-b
A nurse is providing discharge teaching for a client who has a prescription for
furosemide 40 mg PO daily. The nurse should instruct the client to take this medication
at which of the following times of day?
A. Morning
B. Immediately after lunch
C. Immediately before dinner
D. Bedtime -Answer-a
A nurse in the emergency department is admitting a client who has a possible
dissecting abdominal aortic aneurysm. Which of the following actions is the priority for
the nurse to take?
A. Administer pain medication as prescribed.
B. Provide a warm environment.
C. Administer IV fluids as prescribed
.D. Initiate a 12‐lead ECG. -Answer-c
The nurse is caring for a patient prescribed digoxin [Lanoxin] for heart failure. Which
finding would require immediate attention by the nurse?
1Vomiting and diarrhea
2Heart rate of 68 beats/min
3Digoxin level of 0.7 ng/mL
4Potassium level of 3.7 mEq/L -Answer-1
The nurse is preparing to administer a daily dose of digoxin [Lanoxin]. What is the
priority nursing intervention?
1Check blood pressure.
2Palpate the pedal pulses.
3Assess for Homans' sign.
4Analyze heart rate and rhythm. -Answer-4
The nurse is monitoring a patient with suspected digoxin toxicity. Which assessment
findings would be consistent with digoxin toxicity? Select all that apply.
ADiarrhea
BAnorexia
CVomiting
DDry cough
EVisual disturbances -Answer-bce
A patient's serum digoxin level is noted to be 0.5 ng/mL. Which action by the nurse is
appropriate?
1Notify the provider.
2Administer an antidote.
QUESTIONS WITH CORRECT DETAILED
ANSWERS
A nurse is completing the admission assessment of a client who has suspected
pulmonary edema. Which of the following are expected findings? (Select all that apply.)
A. Tachypnea
B. Persistent cough
C. Increased urinary output
D. Thick, yellow sputum
E. Orthopnea -Answer-abe
1. A nurse is caring for a clientwho has chronic venous insufficiency and a prescription
for thigh-high compression stockings. Which of the following actions should the nurse
take?
A. Massage both legs firmly with lotion prior to applying the stockings.
B. Apply the stockings in the morning upon awakening and before getting out of bed.
C. Roll the stockings down to the knees to relieve discomfort on the legs.
D. Remove the stockings while out of bed for 1 hr, four times a day, to allow the legs to
rest -Answer-b
A nurse is assessing a client who has chronic peripheral arterial disease (PAD). Which
of the following findings should the nurse expect?
A. Edema around the ankles and feet
B. Ulceration around the medial malleoli
C. Scaling eczema of the lower legs with stasis dermatitis
D. Pallor on elevation of the limbs, and rubor when the limbs are dependent -Answer-d
A nurse is teaching a client who has been a new diagnosis of severe peripheral arterial
disease. Which of the following instructions should the nurse include?
A. Wear tightly fitted insulated socks with shoes when going outside.
B. Elevate both legs above the heart when resting.
C. Apply a heating pad to both legs for comfort.
D. Place both legs in dependent position while sleeping. -Answer-d
A nurse is teaching a client who has a new prescription for clopidogrel. Which of the
following instructions should the nurse include in the teaching? (Select all that apply.)
A. Avoid the consuming grapefruit while taking this medication.
B. Monitor for the presence of black, tarry stools.
C. Use an electric razor when shaving.
D. Schedule a weekly PT test.
E. Limit food sources containing vitamin K while taking this medication. -Answer-ab
,A nurse is caring for a client whohas a deep-vein thrombosis (DVT) and has been taking
unfractionated heparin for 1 week. Two days ago, the provider also prescribed
warfarin.The client asks the nurse about receiving both heparin and warfarin at the
same time. Which of the following statements should the nurse give?
A. "I will remind your provider that you are already receiving heparin."
B. "Your laboratory findings indicated that two anticoagulants were needed."
C."It takes 3 to 4 days before the therapeutic effects of warfarin are achieved, and then
the heparin can be discontinued."
D."Only one of these medications is being given to treat your deep-vein thrombosis." -
Answer-c
1. A nurse is screening a male client for hypertension. The nurse should identify that
which of the following actions by the client increase his risk for hypertension? (Select all
that apply.)
A. Drinking 8 oz nonfat milk daily
B. Eating popcorn at the movie theater
C. Walking 1 mile daily at 12 min/mile pace
D. Consuming 36 oz beer daily
E. Getting a massage once a week -Answer-bd
A nurse in an urgent care clinicis obtaining a history from aclient who has type 2
diabetes mellitus and a recent diagnosis of hypertension. This is the second time in 2
weeks that the client experienced hypoglycemia. Which of the following client data
should the nurse report to the provider?
A. Takes psyllium daily as a fiber laxative
B. Drinks skim milk daily as a bedtime snack
C. Takes metoprolol daily after meals
D. Drinks grapefruit juice daily with breakfast -Answer-c
A nurse is caring for a client who is admitted to the emergency department with a blood
pressure of 266/147 mm Hg. The client reports a headache and double vision. The
client states that she ran out of her diltiazem 3 days ago, and is unable to purchase
more. Which of the following actions should the nurse take first?
A. Administer acetaminophen for headache.
B. Provide teaching regarding the importance of not abruptly stopping an
antihypertensive.
C. Obtain IV access and prepare to administer an IV antihypertensive.
D. Call social services for a referral for financial assistance in obtaining prescribed
medication. -Answer-c
A nurse is providing teaching fora client who has a new diagnosis of hypertension and a
new prescription for spironolactone25 mg/day. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I should eat a lot of fruits and vegetables, especially bananas and potatoes."
B. "I will report any changes in heart rate to my provider."
, C."I should replace the salt shaker on my table with a salt substitute."
D."I will decrease the doseof this medication when I no longer have headaches and
facial redness." -Answer-b
A nurse is providing discharge teaching for a client who has a prescription for
furosemide 40 mg PO daily. The nurse should instruct the client to take this medication
at which of the following times of day?
A. Morning
B. Immediately after lunch
C. Immediately before dinner
D. Bedtime -Answer-a
A nurse in the emergency department is admitting a client who has a possible
dissecting abdominal aortic aneurysm. Which of the following actions is the priority for
the nurse to take?
A. Administer pain medication as prescribed.
B. Provide a warm environment.
C. Administer IV fluids as prescribed
.D. Initiate a 12‐lead ECG. -Answer-c
The nurse is caring for a patient prescribed digoxin [Lanoxin] for heart failure. Which
finding would require immediate attention by the nurse?
1Vomiting and diarrhea
2Heart rate of 68 beats/min
3Digoxin level of 0.7 ng/mL
4Potassium level of 3.7 mEq/L -Answer-1
The nurse is preparing to administer a daily dose of digoxin [Lanoxin]. What is the
priority nursing intervention?
1Check blood pressure.
2Palpate the pedal pulses.
3Assess for Homans' sign.
4Analyze heart rate and rhythm. -Answer-4
The nurse is monitoring a patient with suspected digoxin toxicity. Which assessment
findings would be consistent with digoxin toxicity? Select all that apply.
ADiarrhea
BAnorexia
CVomiting
DDry cough
EVisual disturbances -Answer-bce
A patient's serum digoxin level is noted to be 0.5 ng/mL. Which action by the nurse is
appropriate?
1Notify the provider.
2Administer an antidote.
