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ATI MED SURG CMS 2025 VERSION A /ATI
RN MEDICAL SURGICAL CMS NEWEST
VERSION A COMPLETE 100 QUESTIONS
AND CORRECT ANSWERS| A+ GRADED
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV
contrast agent. The nurse should identify that which of the following findings requires further
assessment?
A. History of asthma
B. Appendectomy 1 year ago
C. Penicillin allergy
D. Total knee arthroplasty 6 months ago - ANS :A. History of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye used
during the procedure. Other conditions that can result in a reaction to contrast media include
allergies to foods, such as shellfish, eggs, milk, and chocolate.
A nurse is caring for a client who has a potassium level of 3. Which of the following
assessment findings should the nurse expect?
A. Positive Trousseau's sign
B. 4+ deep tendon reflexes
C. Deep respirations
D. Hypoactive bowel sounds - ANS :D. Hypoactive bowel sounds
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What are conditions that may cause a reaction to contrast media? Patients with these
conditions require further screening before a procedure with IV contrast. - ANS :history of
asthma and allergies to shellfish, eggs, milk, and chocolate
A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion.
Which of the following medications should the nurse instruct the client to withhold for 48 hr
prior to cardioversion?
A. Enoxaparin
B. Metformin
C. Diazepam
D. Digoxin - ANS :D. digoxin
Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. These medications
can increase ventricular irritability and put the client at risk for ventricular fibrillation after the
synchronized countershock of cardioversion
What drugs would warrant further screening for increased risk of renal damage in someone
getting a procedure with IV contrast? - ANS :aminoglycosides, NSAIDs, metformin
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client 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. When providing client care, the nurse should first use
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the least restrictive intervention. Therefore, the first action the nurse should take is to provide
verbal instructions and emotional support to help the client relax and allow the ventilator to
work. Clients can exhibit anxiety and restlessness when trying to "fight the ventilator."
Patients with what conditions have an increased risk for renal damage from a procedure with
IV contrast? - ANS :history of diabetes mellitus, renal impairment, or heart failure
A nurse is an ED is reviewing the provider's prescriptions for a client who sustained a
rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse
expect?
A. Apply ice to the clients puncture wounds
B. Initiate corticosteroid therapy for the client
C. Keep the client's leg above heart level
D. Administer an opioid analgesic to the client - ANS :D. Administer an opioid analgesic to the
client
Expect an opioid analgesic to promote comfort in someone with a rattlesnake bite.
What critter should you apply ice to the bite of and why? - ANS :a black widow spider bite in
order to reduce the action of the neurotoxin
what condition does tolvaptan treat? - ANS :SIADH A nurse is caring for client who is
experiencing supraventricular tachycardia. Upon assessing the client, the nurse observes the
following findings: heart rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate
30/min. Which of the following actions should then nurse take?
a. Defibrillate the client's heart.
b. Perform synchronized cardioversion.
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c. Begin cardiopulmonary resuscitation.
d. Administer lidocaine IV bolus. - ANS :b. Perform synchronized cardioversion.
The nurse should perform synchronized cardioversion for a client who has supraventricular
tachycardia.
If a patient gets bitten by a snack, what level should the extremity be maintained at? - ANS :at
the level of the heart, not above or below it
A nurse in a provider's office is assessing a client who has migraine headaches and is taking
feverfew to prevent headaches. The nurse should identify that which of the following
medications interact with feverfew?
a. Metoprolol
b. Bupropion
c. Naproxen
d. Atorvastatin - ANS :c. Naproxen
What should the nurse plan to administer for a bee or wasp sting? - ANS :corticosteroids and
antihistamines
A nurse is caring for a client who is 12 hr post op following a total hip arthroplasty. Which of
the following actions should the nurse take?
a. Maintain adduction of the client's legs.
b. Encourage range of motion of the hip up to a 120° angle.
c. Place a pillow between the client's legs.
d. Keep the client's hip internally rotated. - ANS :c. Place a pillow between the client's legs
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ATI MED SURG CMS 2025 VERSION A /ATI
RN MEDICAL SURGICAL CMS NEWEST
VERSION A COMPLETE 100 QUESTIONS
AND CORRECT ANSWERS| A+ GRADED
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV
contrast agent. The nurse should identify that which of the following findings requires further
assessment?
A. History of asthma
B. Appendectomy 1 year ago
C. Penicillin allergy
D. Total knee arthroplasty 6 months ago - ANS :A. History of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye used
during the procedure. Other conditions that can result in a reaction to contrast media include
allergies to foods, such as shellfish, eggs, milk, and chocolate.
A nurse is caring for a client who has a potassium level of 3. Which of the following
assessment findings should the nurse expect?
A. Positive Trousseau's sign
B. 4+ deep tendon reflexes
C. Deep respirations
D. Hypoactive bowel sounds - ANS :D. Hypoactive bowel sounds
1|Page
, 2
What are conditions that may cause a reaction to contrast media? Patients with these
conditions require further screening before a procedure with IV contrast. - ANS :history of
asthma and allergies to shellfish, eggs, milk, and chocolate
A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion.
Which of the following medications should the nurse instruct the client to withhold for 48 hr
prior to cardioversion?
A. Enoxaparin
B. Metformin
C. Diazepam
D. Digoxin - ANS :D. digoxin
Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. These medications
can increase ventricular irritability and put the client at risk for ventricular fibrillation after the
synchronized countershock of cardioversion
What drugs would warrant further screening for increased risk of renal damage in someone
getting a procedure with IV contrast? - ANS :aminoglycosides, NSAIDs, metformin
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client 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. When providing client care, the nurse should first use
2|Page
, 3
the least restrictive intervention. Therefore, the first action the nurse should take is to provide
verbal instructions and emotional support to help the client relax and allow the ventilator to
work. Clients can exhibit anxiety and restlessness when trying to "fight the ventilator."
Patients with what conditions have an increased risk for renal damage from a procedure with
IV contrast? - ANS :history of diabetes mellitus, renal impairment, or heart failure
A nurse is an ED is reviewing the provider's prescriptions for a client who sustained a
rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse
expect?
A. Apply ice to the clients puncture wounds
B. Initiate corticosteroid therapy for the client
C. Keep the client's leg above heart level
D. Administer an opioid analgesic to the client - ANS :D. Administer an opioid analgesic to the
client
Expect an opioid analgesic to promote comfort in someone with a rattlesnake bite.
What critter should you apply ice to the bite of and why? - ANS :a black widow spider bite in
order to reduce the action of the neurotoxin
what condition does tolvaptan treat? - ANS :SIADH A nurse is caring for client who is
experiencing supraventricular tachycardia. Upon assessing the client, the nurse observes the
following findings: heart rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate
30/min. Which of the following actions should then nurse take?
a. Defibrillate the client's heart.
b. Perform synchronized cardioversion.
3|Page
, 4
c. Begin cardiopulmonary resuscitation.
d. Administer lidocaine IV bolus. - ANS :b. Perform synchronized cardioversion.
The nurse should perform synchronized cardioversion for a client who has supraventricular
tachycardia.
If a patient gets bitten by a snack, what level should the extremity be maintained at? - ANS :at
the level of the heart, not above or below it
A nurse in a provider's office is assessing a client who has migraine headaches and is taking
feverfew to prevent headaches. The nurse should identify that which of the following
medications interact with feverfew?
a. Metoprolol
b. Bupropion
c. Naproxen
d. Atorvastatin - ANS :c. Naproxen
What should the nurse plan to administer for a bee or wasp sting? - ANS :corticosteroids and
antihistamines
A nurse is caring for a client who is 12 hr post op following a total hip arthroplasty. Which of
the following actions should the nurse take?
a. Maintain adduction of the client's legs.
b. Encourage range of motion of the hip up to a 120° angle.
c. Place a pillow between the client's legs.
d. Keep the client's hip internally rotated. - ANS :c. Place a pillow between the client's legs
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