1 Med surge final ATI 3.0
Med Surge Final ATI 3.0 QUESTION AND ANSWERS
2025 WITH COMPLETE SOLUTIONS
A Nurse Is Planning Dietary Teaching For A Client Who Has Diabetes Mellitus. Which Of The
Following Actions Should The Nurse Plan To Take First?
A. Obtain Sample Menus From The Dietitian To Give To The Client
B. Ask The Client To Identify The Types Of Food She Prefersa
C. Identify The Recommended Range For The Client's Blood Glucose Level
D. Discuss Long-Term Complications That Can Result From Nonadherene To The Dietary Plan
B. Ask The Client To Identify The Types Of Food She Prefers
A Nurse Is Caring For A Client Who Has Type 1 Diabetes Mellitus And A Capillary Blood Glucose
Reading Of 48 Mg/Dl. Which Of The Following Findings Should The Nurse Expect?
A. Kussmaul Respirations
B. Diaphoresis
C. Decreased Skin Turgor
D. Ketonuria
B. Diaphoresis
A Nurse Is Caring For A Client Who Is 72 Hours Postoperative Following An Above-The-Knee
Amputation. Which Of The Following Actions Should The Nurse Take?
,2 Med surge final ATI 3.0
A. Elevate The Residual Limb On A Soft Pillow
B. Assist The Client To A Prone Position Every 4 Hr
C. Reapply A Bandage To The Residual Limb Every 12 Hr
D. Apply Dressings To The Site N A Proximal-To-Distal Direction
B. Assist The Client To A Prone Position Every 4 Hr
A Nurse Is Providing Teaching To A Client Who Has Gout And Urolithiasis. The Client Asks How To
Prevent Future Uric Acid Stones. Which Of The Following Suggestions Should The Nurse Make?
SATA
A. Take Allopurinol As Prescribed
B. Exercise Several Times A Week
C. Limit Intake Of Foods High In Purine
D. Decrease Daily Fluid Intake
E. Avoid Citrus Juices
A. Take Allopurinol As Prescribed
B. Exercise Several Times A Week
C. Limit Intake Of Foods High In Purine
A Nurse In An Emergency Department Is Assessing A Client Who Sustained A Fall Off A Roof.
Which Of The Following Findings Should The Nurse Identify As An Indication Of A Basilar Skill
Fracture?
A. A Depressed Fracture Of The Forehead
B. Clear Fluid Coming From The Nares
,3 Med surge final ATI 3.0
C. Motor Loss On One Side Of The Body
D. Bleeding From The Top Of The Scalp
B. Clear Fluid Coming From The Nares
A Nurse Is Teaching A Client How To Perform A Breast Self Exam (BSE). The Nurse Should Identify
Which Of The Following Findings As An Indication Of Breast Cancer?
A. Lumps That Are Mobile And Tender Upon Palpation Prior To A Menstrual Period
B. Multiple Round Masses That Are Tender And Found In Both Breasts
C. Bilaterally Darkened Areolas
D. A Nontender, Hard Lump That Is Palpated In One Breast
D. A Nontender, Hard Lump That Is Palpated In One Breast
A Nurse Is Providing Discharge Teaching About Improving Gas Exchange To A Client Who Has
Emphysema. Which Of The Following Instructions Should The Nurse Include In The Teaching?
A. Use Pursed-Lip Breathing During Period Of Dyspnea
B. Limit Fluid Intake To 1500 Ml Per Day
C. Practice Chest Breathing Each Day
D. Wear Home Oxygen To Maintain An Sao2 Of At Least 94%
A. Use Pursed-Lip Breathing During Period Of Dyspnea
,4 Med surge final ATI 3.0
A Nurse Is Caring For A Client Who Has An Upper Gastrointestinal Bleed And A Hematocrit Of
24%. Prior To Initiating A Transfusion Of Pack Red Blood Cells (Rbcs), Which Of The Following
Actions Should The Nurse Take?
SATA
A. Assess And Document The Client's Vital Signs
B. Restart The IV With A 22-Guage Needle
C. Verify With Another Nurse Blood Type And Rh Of The Packed Rbcs
D. Hang A Bag Of Lactated Ringer's IV Solution
E. Change IV Tubing To A Set That Has A Filter.
A. Assess And Document The Client's Vital Signs
C. Verify With Another Nurse Blood Type And Rh Of The Packed Rbcs
E. Change IV Tubing To A Set That Has A Filter.
A Nurse Is Preparing To Change The Bed Linens Of A Client Who Has AIDS And Is Incontinent Of
Stool. Which Of The Following Personal Protective Equipment (PPE) Should The Nurse Don Prior
To Providing Client Care?
SATA
A. Gown
B. Gloves
C. Mask
D. Hair Cover
E. Goggles
A. Gown
B. Gloves
,5 Med surge final ATI 3.0
A Nurse Is Caring For A Client Who Begins Having A Tonic-Clonic Seizure While Sitting In A Chair
At The Bedside. Which Of The Following Actions Should The Nurse Take First?
A. Provide Oxygen
B. Place The Client In A Side-Lying Position
C. Provide Privacy
D. Lower The Client To The Floor
D. Lower The Client To The Floor
A Nurse Is Caring For A Client Following A Hip Arthroplasty. The Nurse Places An Abduction
Pillow On The Client For Which Of The Following Purposes?
A. Raising The Bed Linens Off The Client's Feet To Prevent Plantar Flexion
B. Keeping The Client's Heels Off The Bed To Prevent Pressure Ulcers
C. Positioning The Client Off Of The Operative Site While In Bed
D. Preventing Dislocation Of The Hip During Position Changes Or Movement
D. Preventing Dislocation Of The Hip During Position Changes Or Movement
A Nurse In The Emergency Department Is Caring For A Client Who Has Fruity Breath Odor, Dry
Mouth, And Extreme Thirst. Which Of The Following Assessments Should The Nurse Make?
A. Blood Glucose Level
B. Pupillary Reaction To Light
,6 Med surge final ATI 3.0
C. Deep Tendon Reflexes
D. Liver Function Tests
A. Blood Glucose Level
A Nurse Is Caring For A Client Who Has A Stage III Pressure Ulcer On The Heel. When Preparing
To Irrigate The Wound, Which Of The Following Actions Should The Nurse Take First?
A. Obtain The Prescribed Irrigation Solution
B. Don Personal Protective Equipment
C. Check The Client's Pain Level
D. Place A Waterproof Pad Under The Client's Extremity
C. Check The Client's Pain Level
A Nurse Is Providing Postoperative Care For A Client Who Has Two Chest Tubes In Place
Following A Lobectomy. The Client Asks The Nurse The Reason For Having Two Chest Tubes. The
Nurse Should Inform The Client That The Lower Chest Tube Is Placed For Which Of The
Following Reasons?
A. Removing Air From The Pleural Space
B. Creating Access For Irrigating The Chest Cavity
C. Evacuating Secretions From The Bronchioles And Alveoli
D. Draining Blood And Fluid From The Pleural Space
D. Draining Blood And Fluid From The Pleural Space
, 7 Med surge final ATI 3.0
A Nurse Is Providing Teaching To A Client Who Has Stomatitis Due To Chemotherapy And
Radiation Therapy. Which Of The Following Statements By The Client Indicates A Need For
Further Teaching?
A. "I Will Use A Soft Toothbrush Or Foam Swab For Oral Care."
B. "I Will Use Lemon And Glycerine Swabs After Meals."
C. "I Will Remove My Dentures Expect While Eating."
D. "I Will Rinse My Mouth Frequently With Hydrogen Peroxide Solution."
B. "I Will Use Lemon And Glycerine Swabs After Meals."
A Nurse Is Providing Discharge Teaching To A Client Who Has A New Permanent Pacemaker.
Which Of The Following Statements By The Client Indicates An Understanding Of The Teaching?
A. "I Should Check My Heart Rate At The Same Time Each Day."
B. "I Don't Have To Take Antihypertensive Medications Now That I Have A Pacemaker."
C. "I Should Keep A Pressure Dressing Over The Generator Until The Incision Is Healed."
D. "I Cannot Stand In Front Of Our New Microwave Oven When It Is On."
A. "I Should Check My Heart Rate At The Same Time Each Day."
A Nurse Is Reviewing A Client's Laboratory Report. The Client's ABG Levels Are Ph 7.5, Paco2 32
Mm HG, And HCO3 24 Meq/L. The Nurse Should Determine That The Client Has Which Of The
Following Acid-Base Imbalances?
A. Respiratory Alkalosis
B. Metabolic Acidosis
Med Surge Final ATI 3.0 QUESTION AND ANSWERS
2025 WITH COMPLETE SOLUTIONS
A Nurse Is Planning Dietary Teaching For A Client Who Has Diabetes Mellitus. Which Of The
Following Actions Should The Nurse Plan To Take First?
A. Obtain Sample Menus From The Dietitian To Give To The Client
B. Ask The Client To Identify The Types Of Food She Prefersa
C. Identify The Recommended Range For The Client's Blood Glucose Level
D. Discuss Long-Term Complications That Can Result From Nonadherene To The Dietary Plan
B. Ask The Client To Identify The Types Of Food She Prefers
A Nurse Is Caring For A Client Who Has Type 1 Diabetes Mellitus And A Capillary Blood Glucose
Reading Of 48 Mg/Dl. Which Of The Following Findings Should The Nurse Expect?
A. Kussmaul Respirations
B. Diaphoresis
C. Decreased Skin Turgor
D. Ketonuria
B. Diaphoresis
A Nurse Is Caring For A Client Who Is 72 Hours Postoperative Following An Above-The-Knee
Amputation. Which Of The Following Actions Should The Nurse Take?
,2 Med surge final ATI 3.0
A. Elevate The Residual Limb On A Soft Pillow
B. Assist The Client To A Prone Position Every 4 Hr
C. Reapply A Bandage To The Residual Limb Every 12 Hr
D. Apply Dressings To The Site N A Proximal-To-Distal Direction
B. Assist The Client To A Prone Position Every 4 Hr
A Nurse Is Providing Teaching To A Client Who Has Gout And Urolithiasis. The Client Asks How To
Prevent Future Uric Acid Stones. Which Of The Following Suggestions Should The Nurse Make?
SATA
A. Take Allopurinol As Prescribed
B. Exercise Several Times A Week
C. Limit Intake Of Foods High In Purine
D. Decrease Daily Fluid Intake
E. Avoid Citrus Juices
A. Take Allopurinol As Prescribed
B. Exercise Several Times A Week
C. Limit Intake Of Foods High In Purine
A Nurse In An Emergency Department Is Assessing A Client Who Sustained A Fall Off A Roof.
Which Of The Following Findings Should The Nurse Identify As An Indication Of A Basilar Skill
Fracture?
A. A Depressed Fracture Of The Forehead
B. Clear Fluid Coming From The Nares
,3 Med surge final ATI 3.0
C. Motor Loss On One Side Of The Body
D. Bleeding From The Top Of The Scalp
B. Clear Fluid Coming From The Nares
A Nurse Is Teaching A Client How To Perform A Breast Self Exam (BSE). The Nurse Should Identify
Which Of The Following Findings As An Indication Of Breast Cancer?
A. Lumps That Are Mobile And Tender Upon Palpation Prior To A Menstrual Period
B. Multiple Round Masses That Are Tender And Found In Both Breasts
C. Bilaterally Darkened Areolas
D. A Nontender, Hard Lump That Is Palpated In One Breast
D. A Nontender, Hard Lump That Is Palpated In One Breast
A Nurse Is Providing Discharge Teaching About Improving Gas Exchange To A Client Who Has
Emphysema. Which Of The Following Instructions Should The Nurse Include In The Teaching?
A. Use Pursed-Lip Breathing During Period Of Dyspnea
B. Limit Fluid Intake To 1500 Ml Per Day
C. Practice Chest Breathing Each Day
D. Wear Home Oxygen To Maintain An Sao2 Of At Least 94%
A. Use Pursed-Lip Breathing During Period Of Dyspnea
,4 Med surge final ATI 3.0
A Nurse Is Caring For A Client Who Has An Upper Gastrointestinal Bleed And A Hematocrit Of
24%. Prior To Initiating A Transfusion Of Pack Red Blood Cells (Rbcs), Which Of The Following
Actions Should The Nurse Take?
SATA
A. Assess And Document The Client's Vital Signs
B. Restart The IV With A 22-Guage Needle
C. Verify With Another Nurse Blood Type And Rh Of The Packed Rbcs
D. Hang A Bag Of Lactated Ringer's IV Solution
E. Change IV Tubing To A Set That Has A Filter.
A. Assess And Document The Client's Vital Signs
C. Verify With Another Nurse Blood Type And Rh Of The Packed Rbcs
E. Change IV Tubing To A Set That Has A Filter.
A Nurse Is Preparing To Change The Bed Linens Of A Client Who Has AIDS And Is Incontinent Of
Stool. Which Of The Following Personal Protective Equipment (PPE) Should The Nurse Don Prior
To Providing Client Care?
SATA
A. Gown
B. Gloves
C. Mask
D. Hair Cover
E. Goggles
A. Gown
B. Gloves
,5 Med surge final ATI 3.0
A Nurse Is Caring For A Client Who Begins Having A Tonic-Clonic Seizure While Sitting In A Chair
At The Bedside. Which Of The Following Actions Should The Nurse Take First?
A. Provide Oxygen
B. Place The Client In A Side-Lying Position
C. Provide Privacy
D. Lower The Client To The Floor
D. Lower The Client To The Floor
A Nurse Is Caring For A Client Following A Hip Arthroplasty. The Nurse Places An Abduction
Pillow On The Client For Which Of The Following Purposes?
A. Raising The Bed Linens Off The Client's Feet To Prevent Plantar Flexion
B. Keeping The Client's Heels Off The Bed To Prevent Pressure Ulcers
C. Positioning The Client Off Of The Operative Site While In Bed
D. Preventing Dislocation Of The Hip During Position Changes Or Movement
D. Preventing Dislocation Of The Hip During Position Changes Or Movement
A Nurse In The Emergency Department Is Caring For A Client Who Has Fruity Breath Odor, Dry
Mouth, And Extreme Thirst. Which Of The Following Assessments Should The Nurse Make?
A. Blood Glucose Level
B. Pupillary Reaction To Light
,6 Med surge final ATI 3.0
C. Deep Tendon Reflexes
D. Liver Function Tests
A. Blood Glucose Level
A Nurse Is Caring For A Client Who Has A Stage III Pressure Ulcer On The Heel. When Preparing
To Irrigate The Wound, Which Of The Following Actions Should The Nurse Take First?
A. Obtain The Prescribed Irrigation Solution
B. Don Personal Protective Equipment
C. Check The Client's Pain Level
D. Place A Waterproof Pad Under The Client's Extremity
C. Check The Client's Pain Level
A Nurse Is Providing Postoperative Care For A Client Who Has Two Chest Tubes In Place
Following A Lobectomy. The Client Asks The Nurse The Reason For Having Two Chest Tubes. The
Nurse Should Inform The Client That The Lower Chest Tube Is Placed For Which Of The
Following Reasons?
A. Removing Air From The Pleural Space
B. Creating Access For Irrigating The Chest Cavity
C. Evacuating Secretions From The Bronchioles And Alveoli
D. Draining Blood And Fluid From The Pleural Space
D. Draining Blood And Fluid From The Pleural Space
, 7 Med surge final ATI 3.0
A Nurse Is Providing Teaching To A Client Who Has Stomatitis Due To Chemotherapy And
Radiation Therapy. Which Of The Following Statements By The Client Indicates A Need For
Further Teaching?
A. "I Will Use A Soft Toothbrush Or Foam Swab For Oral Care."
B. "I Will Use Lemon And Glycerine Swabs After Meals."
C. "I Will Remove My Dentures Expect While Eating."
D. "I Will Rinse My Mouth Frequently With Hydrogen Peroxide Solution."
B. "I Will Use Lemon And Glycerine Swabs After Meals."
A Nurse Is Providing Discharge Teaching To A Client Who Has A New Permanent Pacemaker.
Which Of The Following Statements By The Client Indicates An Understanding Of The Teaching?
A. "I Should Check My Heart Rate At The Same Time Each Day."
B. "I Don't Have To Take Antihypertensive Medications Now That I Have A Pacemaker."
C. "I Should Keep A Pressure Dressing Over The Generator Until The Incision Is Healed."
D. "I Cannot Stand In Front Of Our New Microwave Oven When It Is On."
A. "I Should Check My Heart Rate At The Same Time Each Day."
A Nurse Is Reviewing A Client's Laboratory Report. The Client's ABG Levels Are Ph 7.5, Paco2 32
Mm HG, And HCO3 24 Meq/L. The Nurse Should Determine That The Client Has Which Of The
Following Acid-Base Imbalances?
A. Respiratory Alkalosis
B. Metabolic Acidosis
