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ATI MEDICAL SURGICAL RETAKE EXAM 2025 COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |GRADED A+
A nurse is evaluating a client who is receiving IV fluids to treat dehydration.
Which of the following laboratory findings indicates that the fluid therapy has been
effective?
A. BUN 26 mg/dL
B. Sodium 142 mEq/L
C. Hct 56%
D. Urine Specific gravity 1.035 - ANSWER: B
A nurse is caring for a client who is experiencing respiratory distress as a result of
pulmonary edema. Which of the following actions should the nurse take first?
A. Assist with intubation
B. Initiate high-flow oxygen therapy
C. Administer a rapid-acting diuretic
D. Provide cardiac monitoring - ANSWER: B
A nurse is assessing a client who has hypomagnesemia. Which of the following
findings should the nurse expect?
A. Hyperactive deep tendon reflexes
B. Increased bowel sounds
C. Drowsiness
D. Decreased blood pressure - ANSWER: A
A nurse is teaching a client how to prepare for a colonoscopy. Which of the
following instructions should the nurse include in the testing?
A. "Refrain from eating or drinking for 2 hours prior to the procedure"
B. "Stop taking aspirin the day before the procedure"
C. "Drink clear liquids for 24 hours prior to the procedure, and then take nothing
by mouth for 6 hour before the procedure"
D. "Drink the oral liquid preparation for bowel cleansing slowly the night before
the procedure" - ANSWER: C
A nurse is assessing a client who has appendicitis. Which of the following findings
should the nurse expect? (SOA)
A. Oral temperature 38.4 C (101.1F)
B. WBC count 6,000/mm3
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C. Bloody diarrhea
D. Nausea and vomiting
E. Right Lower quadrant pain - ANSWER: ADE
A nurse is providing dietary teaching for a client who is postoperative following a
gastrectomy. Which of the following foods should the nurse encourage the client to
include in their diet to reduce the risk for dumping syndrome?
A. Ice cream
B. Egg
C. Grape juice
D. Honey - ANSWER: B
A nurse is providing discharge teaching for a client following an ileostomy. The
nurse should instruct the client to report which of the following findings to the
provider?
A. Intolerance to high-fiber foods
B. Liquid ileostomy output
C. Dark purple stoma
D. Sensation of burning during bowel elimination - ANSWER: C
A nurse is providing dietary teaching for a client who has a new diagnosis of celiac
disease. Which of the following statements by the client indicates an understanding
of the teaching?
A. "I can return to regular diet when I am free of symptoms"
B. "I will need to avoid taking vitamin supplements while on this diet"
C. "I will eat beans to ensure I get enough fiber in my diet"
D. "I need to avoid drinking liquids with my meals while on this diet" - ANSWER:
C
A nurse is assessing a client who has cirrhosis. Which of the following findings is
the priority for the nurse to report to the provider?
A. Spider angiomas
B. Peripheral edema
C. Bloody stools
D. Jaundice - ANSWER: C
A nurse is assessing a client who has peritonitis. Which of the following findings
should the nurse expect?
A. Bloody diarrhea
B. Board-like abdomen
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C. Periumbilical cyanosis
D. Increased bowel sounds - ANSWER: B
A nurse is providing teaching for a client who has cirrhosis and a new prescription
for lactulose. The nurse should include which of the following instructions in the
teaching?
A. Notify the provider if bloating occurs
B. Expect to have two to three soft stools per day
C. Restrict carbohydrates in the diet
D. Limit oral fluid intake to 1,000 mL per day of clear liquids - ANSWER: B
A nurse is assessing a client who has upper gastrointestinal bleeding. Which of the
following findings should the nurse expect?
A. Bradycardia
B. Bounding peripheral pulses
C. Hypotension
D. Increased hematocrit levels - ANSWER: C
A nurse is caring for a client who has ulcerative colitis. The client has had several
exacerbations over the past 3 years. Which of the following instructions should the
nurse include in the plan of care to minimize the risk of further exacerbations?
(SOA)
A. Use progressive relaxation techniques
B. Increase dietary fiber intake
C. Drink 2 240mL (8 oz) glasses of milk per day)
D. Arrange activities to allow for daily rest periods
E. Restrict intake of carbonated beverages - ANSWER: ADE
A nurse is providing discharge teaching for a client who has a new colostomy and
is concerned about flatus and odor. Which of the following foods should the nurse
recommend to the client?
A. Eggs
B. Fish
C. Yogurt
D. Broccoli - ANSWER: C
A nurse is assessing a client who has a Crohn's disease. Which of the following
findings should the nurse expect?
A. Fatty diarrheal stools
B. Hyperkalemia
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C. Weight gain
D. Sharp epigastric pain - ANSWER: A
A nurse is providing discharge teaching for a client who has chronic hepatitis C.
Which of the following statements by the client indicates an understanding of the
teaching?
A. "I will avoid alcohol until I'm no longer contagious"
B. "I will avoid medications that contain acetaminophen"
C. "I will decrease my intake of calories"
D. "I can donate blood once when I am in remission" - ANSWER: B
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
ATI MEDICAL SURGICAL RETAKE EXAM 2025 COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |GRADED A+
A nurse is evaluating a client who is receiving IV fluids to treat dehydration.
Which of the following laboratory findings indicates that the fluid therapy has been
effective?
A. BUN 26 mg/dL
B. Sodium 142 mEq/L
C. Hct 56%
D. Urine Specific gravity 1.035 - ANSWER: B
A nurse is caring for a client who is experiencing respiratory distress as a result of
pulmonary edema. Which of the following actions should the nurse take first?
A. Assist with intubation
B. Initiate high-flow oxygen therapy
C. Administer a rapid-acting diuretic
D. Provide cardiac monitoring - ANSWER: B
A nurse is assessing a client who has hypomagnesemia. Which of the following
findings should the nurse expect?
A. Hyperactive deep tendon reflexes
B. Increased bowel sounds
C. Drowsiness
D. Decreased blood pressure - ANSWER: A
A nurse is teaching a client how to prepare for a colonoscopy. Which of the
following instructions should the nurse include in the testing?
A. "Refrain from eating or drinking for 2 hours prior to the procedure"
B. "Stop taking aspirin the day before the procedure"
C. "Drink clear liquids for 24 hours prior to the procedure, and then take nothing
by mouth for 6 hour before the procedure"
D. "Drink the oral liquid preparation for bowel cleansing slowly the night before
the procedure" - ANSWER: C
A nurse is assessing a client who has appendicitis. Which of the following findings
should the nurse expect? (SOA)
A. Oral temperature 38.4 C (101.1F)
B. WBC count 6,000/mm3
,2|Page
C. Bloody diarrhea
D. Nausea and vomiting
E. Right Lower quadrant pain - ANSWER: ADE
A nurse is providing dietary teaching for a client who is postoperative following a
gastrectomy. Which of the following foods should the nurse encourage the client to
include in their diet to reduce the risk for dumping syndrome?
A. Ice cream
B. Egg
C. Grape juice
D. Honey - ANSWER: B
A nurse is providing discharge teaching for a client following an ileostomy. The
nurse should instruct the client to report which of the following findings to the
provider?
A. Intolerance to high-fiber foods
B. Liquid ileostomy output
C. Dark purple stoma
D. Sensation of burning during bowel elimination - ANSWER: C
A nurse is providing dietary teaching for a client who has a new diagnosis of celiac
disease. Which of the following statements by the client indicates an understanding
of the teaching?
A. "I can return to regular diet when I am free of symptoms"
B. "I will need to avoid taking vitamin supplements while on this diet"
C. "I will eat beans to ensure I get enough fiber in my diet"
D. "I need to avoid drinking liquids with my meals while on this diet" - ANSWER:
C
A nurse is assessing a client who has cirrhosis. Which of the following findings is
the priority for the nurse to report to the provider?
A. Spider angiomas
B. Peripheral edema
C. Bloody stools
D. Jaundice - ANSWER: C
A nurse is assessing a client who has peritonitis. Which of the following findings
should the nurse expect?
A. Bloody diarrhea
B. Board-like abdomen
,3|Page
C. Periumbilical cyanosis
D. Increased bowel sounds - ANSWER: B
A nurse is providing teaching for a client who has cirrhosis and a new prescription
for lactulose. The nurse should include which of the following instructions in the
teaching?
A. Notify the provider if bloating occurs
B. Expect to have two to three soft stools per day
C. Restrict carbohydrates in the diet
D. Limit oral fluid intake to 1,000 mL per day of clear liquids - ANSWER: B
A nurse is assessing a client who has upper gastrointestinal bleeding. Which of the
following findings should the nurse expect?
A. Bradycardia
B. Bounding peripheral pulses
C. Hypotension
D. Increased hematocrit levels - ANSWER: C
A nurse is caring for a client who has ulcerative colitis. The client has had several
exacerbations over the past 3 years. Which of the following instructions should the
nurse include in the plan of care to minimize the risk of further exacerbations?
(SOA)
A. Use progressive relaxation techniques
B. Increase dietary fiber intake
C. Drink 2 240mL (8 oz) glasses of milk per day)
D. Arrange activities to allow for daily rest periods
E. Restrict intake of carbonated beverages - ANSWER: ADE
A nurse is providing discharge teaching for a client who has a new colostomy and
is concerned about flatus and odor. Which of the following foods should the nurse
recommend to the client?
A. Eggs
B. Fish
C. Yogurt
D. Broccoli - ANSWER: C
A nurse is assessing a client who has a Crohn's disease. Which of the following
findings should the nurse expect?
A. Fatty diarrheal stools
B. Hyperkalemia
, 4|Page
C. Weight gain
D. Sharp epigastric pain - ANSWER: A
A nurse is providing discharge teaching for a client who has chronic hepatitis C.
Which of the following statements by the client indicates an understanding of the
teaching?
A. "I will avoid alcohol until I'm no longer contagious"
B. "I will avoid medications that contain acetaminophen"
C. "I will decrease my intake of calories"
D. "I can donate blood once when I am in remission" - ANSWER: B
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