2025 MED SURG ATI FINAL EXAM QUESTIONS AND
ANSWERS 100%CORRECT/VERIFIED RATED A+
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps
the nurse should take. (Move the steps into the box on the right placing them in the order
of performance. Use all the steps.)
a. Obtain the client's apical heart rate 1
b. Remove the medication from the dispensing system 2
c. Open the medication package 3
d. Compare the client's wristband to the medication administration record 4
e. Document administration of the medication 5
A nurse is reviewing the medical record of an adult client who has a fever and a
prescription for acetaminophen. Which of the following findings should the nurse identify
as a contraindication for receiving this medication?
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus
A home health nurse is visiting a client who has heart failure and a prescription for
furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2
days ago. Which of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client's weight gain
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse
should monitor for which of the following as an indication of an allergic reaction following
the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia
A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin
tablets. Which of the following instructions should the nurse include in the teaching?
a. "Discard any tablets you do not use every 6 months."
b. "Take one tablet each morning 30 minutes prior to eating."
c. "Keep the tablets at room temperature in their original glass bottle."
d. "Place the tablet between your cheek and gum to dissolve."
A nurse is providing teaching to a client who has a new prescription for theophylline a
sustained-released capsule. Which of the following statements by the client indicates
an understanding of the teaching?
a. "I can take my medication in the morning with my coffee."
b. "I may sprinkle the medication in applesauce."
,c. "I should limit my fluid intake while on this medication."
d. "I will need to have blood levels drawn."
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to
administering it to client who has diabetes mellitus following actions should the nurse take
first?
a. Withdraw the regular insulin from the viral
b. Withdraw the NPH insulin form the vial
c. Inject air into the NPH vial
d. Inject air into the regular insulin vial
A nurse is preparing to administer subcutaneous heparin to a client. Which of the following
should the nurse take?
a. Massage the site after administering the medication
b. Use a 21-gauge needle for the injection
c. Aspirate before injecting the medication
d. Insert the needle at least 5 cm (2 in) from the umbilicus
A nurse is caring for a client who has a prescription for amoxicillin. Which of the following
findings indicates the client is experiencing an allergic reaction?
a. Nausea
b. Cardiac dysrhythmia
c. Laryngeal edema
d. Insomnia
A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse
should instruct the newly licensed nurse to perform medication reconciliation for which of
the following?
a. A client who has a referral for social services
b. A client who is transdermal to radiology
c. A client who is transferal to a step-down unit
d. A client who has a consultation for physical therapy
A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of
the following laboratory values indicates the treatment has been effective?
a. BUN 15 mg/dL
b. Blood glucose 90 mg/dL
c. Urine specific gravity 1.020
d. LDL 120 mg/dL
A nurse is receiving a medication prescription by telephone from a provider. The provider
states "Administer 6 milligrams of morphine IV push every 3 hours as needed for acute
pain." How should the nurse transcribe the prescription in the client's medical record?
a. Morphine 6 mg IV push every 3 hr PRN acute pain
b. MSO 6 mg IV push every 3 hr PRN acute pain
c. MS 6 mg IV push every 3 hr PRN acute pain
,d. Morphine 6.0 mg IV push every 3 hr PRN acute pain
, A nurse is assessing a client's IV infusion site and notes that the site is cool and edematous.
Which of the following actions should the nurse take?
a. S;ow the IV solution rate
b. Initiate a new IV distal to the initial site
c. Maintain the extremity below the level of the heart
d. Apply a warm moist compress
A nurse is providing teaching to a client who has a new prescription for clozapine. Which of
the following statements should the nurse include in the teaching?
a. "Diarrhea is a common adverse effect of this medication."
b. "Ringing in the ears is an expected adverse effect of this medication."
c. "Notify your provider if you develop a fever while taking this medication."
d. "You might experience weight loss while taking this medication."
A nurse is teaching a client about oral contraceptive. Which of the following information
should the nurse include in the teaching?
a. Abdominal pain is an expected adverse effect of oral contraceptives
b. It can take up to 1 year to become pregnant after stopping an oral contraceptive
c. Some herbal supplements can decrease the effectiveness of an oral contraceptive
d. A pelvic examination is needed prior to starting an oral contraceptive
A nurse is planning to administer medication to an older adult client who has dysphagia.
Which of the following actions should the nurse plan to take?
a. Tilt the client's head back when administering the medications
b. Mix the medications with a semisolid food for the client
c. Administer more than one pill to the client at a time
d. Place the medications on the back of the client's tongue
A nurse is providing teaching to a client about the administration of omeprazole. Which of
the following should the nurse include?
a. "You cannot take this medication with an antacid."
b. "You should reduce your intake of calcium while taking this medication."
c. "You should take this medication before meals."
d. "You can take a second dose if symptoms persist up to 2 hours after the first dose."
A nurse is assessing for allergies with a client who is scheduled to receive the influenza
vaccine. Which of the following allergies should the nurse report to the provider as a
possible contraindication to receiving the vaccine?
a. Eggs
b. Shellfish
c. Peanuts
d. Milk
ANSWERS 100%CORRECT/VERIFIED RATED A+
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps
the nurse should take. (Move the steps into the box on the right placing them in the order
of performance. Use all the steps.)
a. Obtain the client's apical heart rate 1
b. Remove the medication from the dispensing system 2
c. Open the medication package 3
d. Compare the client's wristband to the medication administration record 4
e. Document administration of the medication 5
A nurse is reviewing the medical record of an adult client who has a fever and a
prescription for acetaminophen. Which of the following findings should the nurse identify
as a contraindication for receiving this medication?
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus
A home health nurse is visiting a client who has heart failure and a prescription for
furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2
days ago. Which of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client's weight gain
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse
should monitor for which of the following as an indication of an allergic reaction following
the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia
A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin
tablets. Which of the following instructions should the nurse include in the teaching?
a. "Discard any tablets you do not use every 6 months."
b. "Take one tablet each morning 30 minutes prior to eating."
c. "Keep the tablets at room temperature in their original glass bottle."
d. "Place the tablet between your cheek and gum to dissolve."
A nurse is providing teaching to a client who has a new prescription for theophylline a
sustained-released capsule. Which of the following statements by the client indicates
an understanding of the teaching?
a. "I can take my medication in the morning with my coffee."
b. "I may sprinkle the medication in applesauce."
,c. "I should limit my fluid intake while on this medication."
d. "I will need to have blood levels drawn."
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to
administering it to client who has diabetes mellitus following actions should the nurse take
first?
a. Withdraw the regular insulin from the viral
b. Withdraw the NPH insulin form the vial
c. Inject air into the NPH vial
d. Inject air into the regular insulin vial
A nurse is preparing to administer subcutaneous heparin to a client. Which of the following
should the nurse take?
a. Massage the site after administering the medication
b. Use a 21-gauge needle for the injection
c. Aspirate before injecting the medication
d. Insert the needle at least 5 cm (2 in) from the umbilicus
A nurse is caring for a client who has a prescription for amoxicillin. Which of the following
findings indicates the client is experiencing an allergic reaction?
a. Nausea
b. Cardiac dysrhythmia
c. Laryngeal edema
d. Insomnia
A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse
should instruct the newly licensed nurse to perform medication reconciliation for which of
the following?
a. A client who has a referral for social services
b. A client who is transdermal to radiology
c. A client who is transferal to a step-down unit
d. A client who has a consultation for physical therapy
A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of
the following laboratory values indicates the treatment has been effective?
a. BUN 15 mg/dL
b. Blood glucose 90 mg/dL
c. Urine specific gravity 1.020
d. LDL 120 mg/dL
A nurse is receiving a medication prescription by telephone from a provider. The provider
states "Administer 6 milligrams of morphine IV push every 3 hours as needed for acute
pain." How should the nurse transcribe the prescription in the client's medical record?
a. Morphine 6 mg IV push every 3 hr PRN acute pain
b. MSO 6 mg IV push every 3 hr PRN acute pain
c. MS 6 mg IV push every 3 hr PRN acute pain
,d. Morphine 6.0 mg IV push every 3 hr PRN acute pain
, A nurse is assessing a client's IV infusion site and notes that the site is cool and edematous.
Which of the following actions should the nurse take?
a. S;ow the IV solution rate
b. Initiate a new IV distal to the initial site
c. Maintain the extremity below the level of the heart
d. Apply a warm moist compress
A nurse is providing teaching to a client who has a new prescription for clozapine. Which of
the following statements should the nurse include in the teaching?
a. "Diarrhea is a common adverse effect of this medication."
b. "Ringing in the ears is an expected adverse effect of this medication."
c. "Notify your provider if you develop a fever while taking this medication."
d. "You might experience weight loss while taking this medication."
A nurse is teaching a client about oral contraceptive. Which of the following information
should the nurse include in the teaching?
a. Abdominal pain is an expected adverse effect of oral contraceptives
b. It can take up to 1 year to become pregnant after stopping an oral contraceptive
c. Some herbal supplements can decrease the effectiveness of an oral contraceptive
d. A pelvic examination is needed prior to starting an oral contraceptive
A nurse is planning to administer medication to an older adult client who has dysphagia.
Which of the following actions should the nurse plan to take?
a. Tilt the client's head back when administering the medications
b. Mix the medications with a semisolid food for the client
c. Administer more than one pill to the client at a time
d. Place the medications on the back of the client's tongue
A nurse is providing teaching to a client about the administration of omeprazole. Which of
the following should the nurse include?
a. "You cannot take this medication with an antacid."
b. "You should reduce your intake of calcium while taking this medication."
c. "You should take this medication before meals."
d. "You can take a second dose if symptoms persist up to 2 hours after the first dose."
A nurse is assessing for allergies with a client who is scheduled to receive the influenza
vaccine. Which of the following allergies should the nurse report to the provider as a
possible contraindication to receiving the vaccine?
a. Eggs
b. Shellfish
c. Peanuts
d. Milk
