Vcopy 2 ATI Med Surg Proctored EXAM
2025 Questions and correct verified
answers with rationales/NEW!!/N
,A nurse is collecting data from a client who has right-sided heart failure. Which of the
following findings should the nurse expect? (Select all that apply.) - ANSWER -
Poripheral edema
Hepatomegaly
Abdominal distention
A nurse is caring for a client who has heart failure and a new prescription for
furosemide. The nurse should monitor the client for which of the following adverse
effects of the medication? - ANSWER -Tinnitus
The nurse should monitor clients who take furosemide for tinnitus and hearing loss.
Audiometry is recommended for clients recelving prolonged IV furosemide.
A nurse is reinforcing teaching with a client who is recovering from severe diarrhea and
is ready to resume eating solid foods. Which of the following food items should the
nurse recommend? - ANSWER -Yogurt
The nurse should recommend adding yogurt to the diet to provide probiotics and add
substance to the stool, making it more formed. A client who is recovering from diarrhea
should consume a diet that is low in fiber. Taking probiotics can also help restore the
natural gastrointestinal flora.
A nurse is monitoring a client who has a new prescription for furosemide for peripheral
edema. For which of the following adverse effects should the nurse monitor? -
ANSWER -Muscle weakness
Furosemide is a loop diuretic, which is used to treat hypertension and edema.
Furosemide can cause excess excretion of potassium. The nurse should monitor the
client for manifestations of hypokalemia such as nausea, muscle weakness, and
spasms.
A nurse is contacting the provider of a client who has heart failure and a potassium level
of 3.4 mEq/L. Which of the following client medications should the nurse expect the
provider to withhold? - ANSWER -Digoxin
The nurse should expect the provider to withhold digoxin when the client's potassium
level is low to decrease the client's risk of dysrhythrmias due to digoxin toxicity.
, Potassium assists in displacing digoxin, because digoxin binds to potassiurm, and
reduces the risk for digoxin toxicity.
A nurse is assisting with the care of a client who has cellulitis and is receiving IV
ceftriaxone. During data collection, the nurse notes the client is flushed and the client
reports urticaria. After stopping the IV infusion, which of the following actions should the
nurse take first? - ANSWER -Check the client's respirations.
After stopping the IV infusion, the first action the nurse should take when using the
airway, breathing, circulation approach to client care is to count the client's respirations
and monitor for dyspnea because a client experiencing an allergic reaction can progress
to anaphylactic shock and death.
A registered nurse (RN) in an acute care facility is caring for a group of clients with the
assistance of a licensed practical nurse (LPN). Which of the following tasks should the
RN delegate to the LPN? (Select all that apply.) - ANSWER -Inserting an NG tube
Monitoring an IV infusion
Administering IM medications
A nurse is reinforcing teaching with a young adult client about testicular self-
examination. Which of the following instructions should the nurse include? - ANSWER -
"Examine your testicles after a warm shower."
After exposure to warm water in a shower or bath, the scrotum relaxes and becomes
easy to palpate. The testicle should feel smooth and round, and the client should report
any lumps to his provider.
A nurse is assisting in the planning of a health education class for a group of older adult
clients. Which of the following recommendations should the nurse include? - ANSWER -
Obtain a pneumococcal immunization
The pneumococcal immunization should be obtained to prevent pneumonia and is
generally given at or near the age of 65, One dose provides lifelong immunity
A nurse is preparing to administer eardrops to an adult client who has otitis media.
Which of the following actions should the nurse plan to take? - ANSWER -Warm the
bottle by holding it in the palm for 5 min before administration.
The nurse should plan to warm the bottle of drops slightly by holding it in the palm of the
hand or putting the bottle in a pocket for about 5 min. Administering cold ear drops can
cause the client to experience discomfort or dizziness.
A nurse is reinforcing teaching about the use of an oxygen concentrator in the home for
a client who has end-stage emphysema. Which of the following instructions should the
nurse include to promote client safety? - ANSWER -Maintain an electrical backup
system.
2025 Questions and correct verified
answers with rationales/NEW!!/N
,A nurse is collecting data from a client who has right-sided heart failure. Which of the
following findings should the nurse expect? (Select all that apply.) - ANSWER -
Poripheral edema
Hepatomegaly
Abdominal distention
A nurse is caring for a client who has heart failure and a new prescription for
furosemide. The nurse should monitor the client for which of the following adverse
effects of the medication? - ANSWER -Tinnitus
The nurse should monitor clients who take furosemide for tinnitus and hearing loss.
Audiometry is recommended for clients recelving prolonged IV furosemide.
A nurse is reinforcing teaching with a client who is recovering from severe diarrhea and
is ready to resume eating solid foods. Which of the following food items should the
nurse recommend? - ANSWER -Yogurt
The nurse should recommend adding yogurt to the diet to provide probiotics and add
substance to the stool, making it more formed. A client who is recovering from diarrhea
should consume a diet that is low in fiber. Taking probiotics can also help restore the
natural gastrointestinal flora.
A nurse is monitoring a client who has a new prescription for furosemide for peripheral
edema. For which of the following adverse effects should the nurse monitor? -
ANSWER -Muscle weakness
Furosemide is a loop diuretic, which is used to treat hypertension and edema.
Furosemide can cause excess excretion of potassium. The nurse should monitor the
client for manifestations of hypokalemia such as nausea, muscle weakness, and
spasms.
A nurse is contacting the provider of a client who has heart failure and a potassium level
of 3.4 mEq/L. Which of the following client medications should the nurse expect the
provider to withhold? - ANSWER -Digoxin
The nurse should expect the provider to withhold digoxin when the client's potassium
level is low to decrease the client's risk of dysrhythrmias due to digoxin toxicity.
, Potassium assists in displacing digoxin, because digoxin binds to potassiurm, and
reduces the risk for digoxin toxicity.
A nurse is assisting with the care of a client who has cellulitis and is receiving IV
ceftriaxone. During data collection, the nurse notes the client is flushed and the client
reports urticaria. After stopping the IV infusion, which of the following actions should the
nurse take first? - ANSWER -Check the client's respirations.
After stopping the IV infusion, the first action the nurse should take when using the
airway, breathing, circulation approach to client care is to count the client's respirations
and monitor for dyspnea because a client experiencing an allergic reaction can progress
to anaphylactic shock and death.
A registered nurse (RN) in an acute care facility is caring for a group of clients with the
assistance of a licensed practical nurse (LPN). Which of the following tasks should the
RN delegate to the LPN? (Select all that apply.) - ANSWER -Inserting an NG tube
Monitoring an IV infusion
Administering IM medications
A nurse is reinforcing teaching with a young adult client about testicular self-
examination. Which of the following instructions should the nurse include? - ANSWER -
"Examine your testicles after a warm shower."
After exposure to warm water in a shower or bath, the scrotum relaxes and becomes
easy to palpate. The testicle should feel smooth and round, and the client should report
any lumps to his provider.
A nurse is assisting in the planning of a health education class for a group of older adult
clients. Which of the following recommendations should the nurse include? - ANSWER -
Obtain a pneumococcal immunization
The pneumococcal immunization should be obtained to prevent pneumonia and is
generally given at or near the age of 65, One dose provides lifelong immunity
A nurse is preparing to administer eardrops to an adult client who has otitis media.
Which of the following actions should the nurse plan to take? - ANSWER -Warm the
bottle by holding it in the palm for 5 min before administration.
The nurse should plan to warm the bottle of drops slightly by holding it in the palm of the
hand or putting the bottle in a pocket for about 5 min. Administering cold ear drops can
cause the client to experience discomfort or dizziness.
A nurse is reinforcing teaching about the use of an oxygen concentrator in the home for
a client who has end-stage emphysema. Which of the following instructions should the
nurse include to promote client safety? - ANSWER -Maintain an electrical backup
system.
