ATI MEDICAL SURGICAL EXAM |LATEST ACTUAL EXAM
COMPLETE 300 QUESTIONS WITH DETAILED
VERIFIED ANSWERS |PRE-EVALUATED A+
A nurse is caring for a client who has a history of angina and is scheduled for exercise
electrocardiography at 1100. Which of the following statements by the client requires the nurse to
contact the provider for possible rescheduling?
A. "I'm still hungry after the bowl of cereal I ate at 0700"
B. "I didn't tale my heart pills this morning because the doctor told me not to"
C. "I have had chest pain a couple of time since I saw my doctor in the office last week"
D. "I smoked a cigarette this morning to calm my nerves about having this procedure" - ANSWER-D
A nurse is providing discharge teaching to a client who has heart failure. The nurse should instruct the
client to report which of the following findings immediately to the provider?
A. Weight gain of 0.9 kg (2 lb) in 24 hours)
B. Increase of 10 mmHg in systolic blood pressure
C. Dyspnea with exertion
D. Dizziness when rising quickly - ANSWER-A
A nurse is assessing a client who has history a deep-vein thrombosis and is receiving Warfarin. Which of
the following findings should indicate to the nurse that the medication is effective?
A. Hemoglobin 14 g/dL
,B. Minimal bruising of extremities
C. Decreased bp
D. INR 2 - ANSWER-D
A nurse is caring for a client who is receiving heparin therapy and develops hematuria. Which of the
following actions should the nurse take if the client's aPTT is 96 seconds.
A. increase the heparin infusion flow rate by 2 mL/hr
B. Continue to monitor the heparin infusion as prescribed
C. Request a prothrombin time (PT)
D. Stop the heparin infusion - ANSWER-D
A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. Which of the
following findings should the nurse plan to monitor for and report to the provider immediately? A.
Slurred speech
B. Irregular pulse
C. Dependent edema
D. Persistent fatigue - ANSWER-A
A nurse is reviewing the laboratory results of several male clients who have peripheral arterial disease.
The nurse should plan to provide dietary teaching for the client who has which of the following
laboratory value?
A. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dL
B. Cholesterol 185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dL
C. Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL
D. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL - ANSWER-C
A nurse in an emergency department is assessing a client who has bradydysrhythmia. Which of the
following findings should the nurse monitor for?
A. Confusion
B. Friction rub
,C. Hypertension
D. Dry skin - ANSWER-A
A nurse is caring for a client following the insertion of a permanent pacemaker. Which of the following
client statement indicates a potential complication of the insertion procedure?
A. "I can't get rid of these hiccups"
B. "I feel dizzy when I stand"
C. "My incision site stings"
D. "I have a headache" - ANSWER-A
A nurse is planning a presentation for a group of clients who have HTN. Which of the following lifestyle
modification should the nurse include?
A. Limited alcohol intake
B. Regular exercise program
C. Decreased magnesium intake
D. Reduced potassium intake
E. Tobacco cessation - ANSWER-ABE
A nurse is providing health teaching to a group of clients. Which of the following clients is at risk for
developing peripheral arterial disease? A. A client who has hypothyroidism
B. A client who has diabetes mellitus
C. A client whose daily caloric intake consists of 25% fat
D. A client who consumes two 12-oz (0.35 L) bottles of beer a day - ANSWER-B
A nurse is monitoring a client's ECG monitor and notes the client's rhythm has changed from normal
sinus rhythm to SVT. The nurse should prepare to assist with which of the following interventions?
A. Initiate chest compression
B. Vagal stimulation
C. Administration of atropine IV
D. Defibrillation - ANSWER-B
, A nurse is caring for a client who is 1 hour postoperative following an aortic aneursym repair. Which of
the following findings can indicate shock and should be reported to the provider?
A. Serosanguinous drainage on dressing
B. Severe pain with coughing
C. Urine output of 20 mL/hr
D. Increase in temperature from 36.8C (98.2F) to 37.5 (99.5F) - ANSWER-C
A nurse is caring for a client who has endocarditis. Which of the following findings should the nurse
recognize as a potential complication?
A. Ventricular depolarization
B. Guillian-Barre syndrome
C. Myelodysplastic syndrome
D. Valvular disease - ANSWER-D
A nurse is assessing a client who has L-sided HF. Which of the following manifestations should the nurse
expect to find?
A. Increased abdominal girth
B. Weak peripheral pulses
C. Jugular venous neck distention
D. Dependent edema - ANSWER-B
A nurse is caring for a client who had an onset of chest pain 24 hours ago. The nurse should identify
that an increase in which of the following values is diagnosis of myocardial infarction (MI)?
A. Myoglobin
B. C-reactive protein
C. Creatine kinase-MB
D. Homocysteine - ANSWER-C
COMPLETE 300 QUESTIONS WITH DETAILED
VERIFIED ANSWERS |PRE-EVALUATED A+
A nurse is caring for a client who has a history of angina and is scheduled for exercise
electrocardiography at 1100. Which of the following statements by the client requires the nurse to
contact the provider for possible rescheduling?
A. "I'm still hungry after the bowl of cereal I ate at 0700"
B. "I didn't tale my heart pills this morning because the doctor told me not to"
C. "I have had chest pain a couple of time since I saw my doctor in the office last week"
D. "I smoked a cigarette this morning to calm my nerves about having this procedure" - ANSWER-D
A nurse is providing discharge teaching to a client who has heart failure. The nurse should instruct the
client to report which of the following findings immediately to the provider?
A. Weight gain of 0.9 kg (2 lb) in 24 hours)
B. Increase of 10 mmHg in systolic blood pressure
C. Dyspnea with exertion
D. Dizziness when rising quickly - ANSWER-A
A nurse is assessing a client who has history a deep-vein thrombosis and is receiving Warfarin. Which of
the following findings should indicate to the nurse that the medication is effective?
A. Hemoglobin 14 g/dL
,B. Minimal bruising of extremities
C. Decreased bp
D. INR 2 - ANSWER-D
A nurse is caring for a client who is receiving heparin therapy and develops hematuria. Which of the
following actions should the nurse take if the client's aPTT is 96 seconds.
A. increase the heparin infusion flow rate by 2 mL/hr
B. Continue to monitor the heparin infusion as prescribed
C. Request a prothrombin time (PT)
D. Stop the heparin infusion - ANSWER-D
A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. Which of the
following findings should the nurse plan to monitor for and report to the provider immediately? A.
Slurred speech
B. Irregular pulse
C. Dependent edema
D. Persistent fatigue - ANSWER-A
A nurse is reviewing the laboratory results of several male clients who have peripheral arterial disease.
The nurse should plan to provide dietary teaching for the client who has which of the following
laboratory value?
A. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dL
B. Cholesterol 185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dL
C. Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL
D. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL - ANSWER-C
A nurse in an emergency department is assessing a client who has bradydysrhythmia. Which of the
following findings should the nurse monitor for?
A. Confusion
B. Friction rub
,C. Hypertension
D. Dry skin - ANSWER-A
A nurse is caring for a client following the insertion of a permanent pacemaker. Which of the following
client statement indicates a potential complication of the insertion procedure?
A. "I can't get rid of these hiccups"
B. "I feel dizzy when I stand"
C. "My incision site stings"
D. "I have a headache" - ANSWER-A
A nurse is planning a presentation for a group of clients who have HTN. Which of the following lifestyle
modification should the nurse include?
A. Limited alcohol intake
B. Regular exercise program
C. Decreased magnesium intake
D. Reduced potassium intake
E. Tobacco cessation - ANSWER-ABE
A nurse is providing health teaching to a group of clients. Which of the following clients is at risk for
developing peripheral arterial disease? A. A client who has hypothyroidism
B. A client who has diabetes mellitus
C. A client whose daily caloric intake consists of 25% fat
D. A client who consumes two 12-oz (0.35 L) bottles of beer a day - ANSWER-B
A nurse is monitoring a client's ECG monitor and notes the client's rhythm has changed from normal
sinus rhythm to SVT. The nurse should prepare to assist with which of the following interventions?
A. Initiate chest compression
B. Vagal stimulation
C. Administration of atropine IV
D. Defibrillation - ANSWER-B
, A nurse is caring for a client who is 1 hour postoperative following an aortic aneursym repair. Which of
the following findings can indicate shock and should be reported to the provider?
A. Serosanguinous drainage on dressing
B. Severe pain with coughing
C. Urine output of 20 mL/hr
D. Increase in temperature from 36.8C (98.2F) to 37.5 (99.5F) - ANSWER-C
A nurse is caring for a client who has endocarditis. Which of the following findings should the nurse
recognize as a potential complication?
A. Ventricular depolarization
B. Guillian-Barre syndrome
C. Myelodysplastic syndrome
D. Valvular disease - ANSWER-D
A nurse is assessing a client who has L-sided HF. Which of the following manifestations should the nurse
expect to find?
A. Increased abdominal girth
B. Weak peripheral pulses
C. Jugular venous neck distention
D. Dependent edema - ANSWER-B
A nurse is caring for a client who had an onset of chest pain 24 hours ago. The nurse should identify
that an increase in which of the following values is diagnosis of myocardial infarction (MI)?
A. Myoglobin
B. C-reactive protein
C. Creatine kinase-MB
D. Homocysteine - ANSWER-C
