ATI Med Surg 2025 A
A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. After ensuring a patent
airway, which of the following nursing interventions is the priority? - ANS -Administering epinephrine
\A nurse has received a report on a client who is being admitted to the emergency department. Select the 3 findings that
require follow-up by the nurse. - ANS -Oxygen saturation, pain level, wound drainage
\A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of the following
findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? - ANS -Report
of a night cough
\A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should
the nurse implement? - ANS -Ensure that the client has a patent IV.
\A nurse in an emergency department is assessing a client who has a detached retina. Which of the following should the
nurse expect the client to report? - ANS -"It's like a curtain closed over my eye."
\A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. During
the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." Which of the
following actions is the nurse's priority? - ANS -Check the client's neurologic status.
\A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of their total body
surface area. After ensuring a patent airway and administering oxygen, which of the following items should the nurse
prepare to administer first? - ANS -IV fluids
\A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of
the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - ANS -Heart rate
110/min
\A nurse in the emergency department is caring for a client. Drag 1 condition and 1 client finding to fill in each blank in the
following sentence. - ANS -The client is experiencing manifestations of PANCREATITIS as evidenced by the AMYLASE
AND LIPASE.
\A nurse is administering packed RBCs to a client. Which of the following assessment findings indicates a hemolytic
transfusion reaction? - ANS -Low back pain and apprehension
, \A nurse is admitting a client who has active tuberculosis. Which of the following types of transmission precautions should
the nurse initiate? - ANS -Airborne
\A nurse is assessing a client following the completion of hemodialysis. Which of the following findings is the nurse's
priority to report to the provider? - ANS -Restlessness
\A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the following findings should
indicate to the nurse the client is experiencing hypoxia? - ANS -The client's heart rate increases.
\A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following
findings should the nurse expect? - ANS -Stone fragments in the urine
\A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the following nonpharmacological
interventions should the nurse suggest to the client to reduce pain? - ANS -Alternate application of heat and cold to the
affected joints.
\A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The client has just
undergone thoracentesis. The nurse should expect a reduction in which of the following common manifestations of
advanced cancer? - ANS -Dyspnea
\A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that
the client has exophthalmos? - ANS -Select the picture with the eyes that appear to be bulging.
\A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the
following findings? - ANS -Dysphagia
\A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following findings is the nurse's
priority? - ANS -Temperature 38.9° C (102° F)
\A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the
following clients is at risk for experiencing a role change? - ANS -A client who has multiple sclerosis and is experiencing
progressive difficulty ambulating.
\A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the
insertion site and a decreased pulse rate in the affected extremity. Which of the following interventions is the nurse's
priority? - ANS -Apply firm pressure to the insertion site.
\A nurse is caring for a client has who has chronic glomerulonephritis with oliguria. Which of the following findings should
the nurse identify as a manifestation of chronic glomerulonephritis? - ANS -Hyperkalemia
A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. After ensuring a patent
airway, which of the following nursing interventions is the priority? - ANS -Administering epinephrine
\A nurse has received a report on a client who is being admitted to the emergency department. Select the 3 findings that
require follow-up by the nurse. - ANS -Oxygen saturation, pain level, wound drainage
\A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of the following
findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? - ANS -Report
of a night cough
\A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should
the nurse implement? - ANS -Ensure that the client has a patent IV.
\A nurse in an emergency department is assessing a client who has a detached retina. Which of the following should the
nurse expect the client to report? - ANS -"It's like a curtain closed over my eye."
\A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. During
the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." Which of the
following actions is the nurse's priority? - ANS -Check the client's neurologic status.
\A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of their total body
surface area. After ensuring a patent airway and administering oxygen, which of the following items should the nurse
prepare to administer first? - ANS -IV fluids
\A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of
the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - ANS -Heart rate
110/min
\A nurse in the emergency department is caring for a client. Drag 1 condition and 1 client finding to fill in each blank in the
following sentence. - ANS -The client is experiencing manifestations of PANCREATITIS as evidenced by the AMYLASE
AND LIPASE.
\A nurse is administering packed RBCs to a client. Which of the following assessment findings indicates a hemolytic
transfusion reaction? - ANS -Low back pain and apprehension
, \A nurse is admitting a client who has active tuberculosis. Which of the following types of transmission precautions should
the nurse initiate? - ANS -Airborne
\A nurse is assessing a client following the completion of hemodialysis. Which of the following findings is the nurse's
priority to report to the provider? - ANS -Restlessness
\A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the following findings should
indicate to the nurse the client is experiencing hypoxia? - ANS -The client's heart rate increases.
\A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following
findings should the nurse expect? - ANS -Stone fragments in the urine
\A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the following nonpharmacological
interventions should the nurse suggest to the client to reduce pain? - ANS -Alternate application of heat and cold to the
affected joints.
\A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The client has just
undergone thoracentesis. The nurse should expect a reduction in which of the following common manifestations of
advanced cancer? - ANS -Dyspnea
\A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that
the client has exophthalmos? - ANS -Select the picture with the eyes that appear to be bulging.
\A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the
following findings? - ANS -Dysphagia
\A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following findings is the nurse's
priority? - ANS -Temperature 38.9° C (102° F)
\A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the
following clients is at risk for experiencing a role change? - ANS -A client who has multiple sclerosis and is experiencing
progressive difficulty ambulating.
\A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the
insertion site and a decreased pulse rate in the affected extremity. Which of the following interventions is the nurse's
priority? - ANS -Apply firm pressure to the insertion site.
\A nurse is caring for a client has who has chronic glomerulonephritis with oliguria. Which of the following findings should
the nurse identify as a manifestation of chronic glomerulonephritis? - ANS -Hyperkalemia
