5/31/25, 11:02 AM ATI NCLEX Medical Surgical Assessment 1 QUESTIONS WITH COMPLETE SOLUTION GUIDE) (MULTIPLE CHOICES) A+ …
ATI NCLEX Medical Surgical Assessment 1
QUESTIONS WITH COMPLETE SOLUTION
GUIDE) (MULTIPLE CHOICES) A+ GRADED 100%
VERIFIED
Save
Terms in this set (60)
A
A nurse is planning care Use electronic tablet computer, programmable
for a client who is speech generating device, alphabet board, pencil
receiving mechanical and paper, etc
ventilation. Which of the
following actions should --
the nurse include in the
plan B, keep head of bed higher than 30 degrees to
prevent aspiration and ventilator associated
A. Provide the client with pneumonia. Turn the client q 2hr to prevent
a means of complications related to immobility
communication
B. Maintain the head of C, assess the need to suction q 2-4 hr, but not
the client's bed in a flat perform routine suctioning. Base the need for
position suctioning on assessments, not a schedule.
C. Suction the client's Unnecessary suctioning can cause bronco spasms
endotracheal tube every and injury tracheal mucosa
4 hr
D. Perform oral hygiene D, oral hygiene should be performed q 2 hr to
for the client every 8 hr decrease the risk of ventilator associated
pneumonia
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,5/31/25, 11:02 AM ATI NCLEX Medical Surgical Assessment 1 QUESTIONS WITH COMPLETE SOLUTION GUIDE) (MULTIPLE CHOICES) A+ …
A nurse is caring for a C
client who is receiving IV Within the expected range of 1.005-1.030
fluid replacement
therapy for dehydration. --
Which of the following A, sodium range is 136-145
laboratory results
indicates effectiveness of B, potassium range is 3.5-5
the treatment
D, Hct range is 37%-52%
A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity
1.020
D. Hct 62%
A nurse is monitoring the C
laboratory findings for a platelet range is 150,000-400,000
client who is
postoperative following a --
total hip arthroplasty 6 hr A, PT range is 11-12.5
ago. Which of the
following values indicates B, aPTT range is 30-40 seconds
that the client has an
increased risk for D, RBC range is 4.2-6.1 million. A low RBC can
bleeding indicate that bleeding has occurred, but it does not
indicate that the client is at risk for bleeding
A. PT 11.5 seconds
B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million
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,5/31/25, 11:02 AM ATI NCLEX Medical Surgical Assessment 1 QUESTIONS WITH COMPLETE SOLUTION GUIDE) (MULTIPLE CHOICES) A+ …
A nurse is admitting a D
client who has a cervical The greatest risk to a client who has a cervical spinal
spinal cord injury cord injury is an obstructed airway; the priority is to
following a motor vehicle ensure the client can clear their airway. Apply
crash. Which of the abdominal pressure as the client coughs (quad
following interventions is coughing)
the nurse's priority while
caring for this client
A. Change the client's
position every 2 hours
B. Pad pressure points at
the edges of the client's
cervical collar
C. Palpate the client's
abdomen for bladder
distention
D. Assist the client with
quad coughing
C
Dyspnea is an indication of possible transfusion
A nurse is caring for a associated circulatory overload, leading to
client who is receiving a hypertension, bounding pulses, and confusion.
blood transfusion. Which Dyspnea can also indicate transfusion related acute
of the following findings lung injury to an anaphylactic response, which also
indicates that the client is causes wheezing, chest tightness, cyanosis, and low
experiencing transfusion- BP
associated circulatory
overload --
A, nausea can indicate an acute hemolytic
A. Nasuea transfusion reaction
B. Hypothermia
C. Dyspnea B, transfusion reactions include acute hemolytic,
D. Bradycardia febrile, mild allergic, and anaphylactic
D, bradycardia is not an indication
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, 5/31/25, 11:02 AM ATI NCLEX Medical Surgical Assessment 1 QUESTIONS WITH COMPLETE SOLUTION GUIDE) (MULTIPLE CHOICES) A+ …
A nurse is assessing a C
client who has lung Altered taste is a result of the release of metabolites
cancer and is undergoing by dead cells
radiation therapy to the
chest. Which of the --
following indicates an A, client may have hair loss at the treatment site on
adverse effect of the the chest
therapy
B, client might have skin changes, such as dryness
A. Hair loss on the scalp and increased sensitivity
B. Sweating at the
treatment site D, avoid heat exposure
C. Altered taste
sensations
D. Intolerance to cold
A nurse is preparing to A, D, E
administer a unit of
packed RBCs to a client --
who has anemia. Which A, complete assessment prior to transfusion
of the following actions
should the nurse plan to B, prime tubing with a solution that does not cause
take (select all that apply) hemolysis of PRBCs. No LR or 5% dextrose!
A. Obtain pre-transfusion C, nurse should remain with pt for first 15 minutes of
temperature transfusion
B. Prime the IV tubing
with lactated Ringer's D, verify identification, blood compatibility, and
C. Instruct an assistive expiration of product with second nurse
personnel to monitor the
client during the E, the nurse should use a large bore needle to
transfusion transfuse the PRBCs to reduce the risk of cell
D. Verify the client's hemolysis and obstruction of flow
blood type with a second
nurse
E. Use a 20 gauge IV
needle for venous access
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ATI NCLEX Medical Surgical Assessment 1
QUESTIONS WITH COMPLETE SOLUTION
GUIDE) (MULTIPLE CHOICES) A+ GRADED 100%
VERIFIED
Save
Terms in this set (60)
A
A nurse is planning care Use electronic tablet computer, programmable
for a client who is speech generating device, alphabet board, pencil
receiving mechanical and paper, etc
ventilation. Which of the
following actions should --
the nurse include in the
plan B, keep head of bed higher than 30 degrees to
prevent aspiration and ventilator associated
A. Provide the client with pneumonia. Turn the client q 2hr to prevent
a means of complications related to immobility
communication
B. Maintain the head of C, assess the need to suction q 2-4 hr, but not
the client's bed in a flat perform routine suctioning. Base the need for
position suctioning on assessments, not a schedule.
C. Suction the client's Unnecessary suctioning can cause bronco spasms
endotracheal tube every and injury tracheal mucosa
4 hr
D. Perform oral hygiene D, oral hygiene should be performed q 2 hr to
for the client every 8 hr decrease the risk of ventilator associated
pneumonia
https://quizlet.com/1049893814/ati-nclex-medical-surgical-assessment-1-questions-with-complete-solution-guide-multiple-choices-a-graded-100-… 1/37
,5/31/25, 11:02 AM ATI NCLEX Medical Surgical Assessment 1 QUESTIONS WITH COMPLETE SOLUTION GUIDE) (MULTIPLE CHOICES) A+ …
A nurse is caring for a C
client who is receiving IV Within the expected range of 1.005-1.030
fluid replacement
therapy for dehydration. --
Which of the following A, sodium range is 136-145
laboratory results
indicates effectiveness of B, potassium range is 3.5-5
the treatment
D, Hct range is 37%-52%
A. Sodium 165 mEq/L
B. Potassium 5.2 mEq/L
C. Urine specific gravity
1.020
D. Hct 62%
A nurse is monitoring the C
laboratory findings for a platelet range is 150,000-400,000
client who is
postoperative following a --
total hip arthroplasty 6 hr A, PT range is 11-12.5
ago. Which of the
following values indicates B, aPTT range is 30-40 seconds
that the client has an
increased risk for D, RBC range is 4.2-6.1 million. A low RBC can
bleeding indicate that bleeding has occurred, but it does not
indicate that the client is at risk for bleeding
A. PT 11.5 seconds
B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million
https://quizlet.com/1049893814/ati-nclex-medical-surgical-assessment-1-questions-with-complete-solution-guide-multiple-choices-a-graded-100-… 2/37
,5/31/25, 11:02 AM ATI NCLEX Medical Surgical Assessment 1 QUESTIONS WITH COMPLETE SOLUTION GUIDE) (MULTIPLE CHOICES) A+ …
A nurse is admitting a D
client who has a cervical The greatest risk to a client who has a cervical spinal
spinal cord injury cord injury is an obstructed airway; the priority is to
following a motor vehicle ensure the client can clear their airway. Apply
crash. Which of the abdominal pressure as the client coughs (quad
following interventions is coughing)
the nurse's priority while
caring for this client
A. Change the client's
position every 2 hours
B. Pad pressure points at
the edges of the client's
cervical collar
C. Palpate the client's
abdomen for bladder
distention
D. Assist the client with
quad coughing
C
Dyspnea is an indication of possible transfusion
A nurse is caring for a associated circulatory overload, leading to
client who is receiving a hypertension, bounding pulses, and confusion.
blood transfusion. Which Dyspnea can also indicate transfusion related acute
of the following findings lung injury to an anaphylactic response, which also
indicates that the client is causes wheezing, chest tightness, cyanosis, and low
experiencing transfusion- BP
associated circulatory
overload --
A, nausea can indicate an acute hemolytic
A. Nasuea transfusion reaction
B. Hypothermia
C. Dyspnea B, transfusion reactions include acute hemolytic,
D. Bradycardia febrile, mild allergic, and anaphylactic
D, bradycardia is not an indication
https://quizlet.com/1049893814/ati-nclex-medical-surgical-assessment-1-questions-with-complete-solution-guide-multiple-choices-a-graded-100-… 3/37
, 5/31/25, 11:02 AM ATI NCLEX Medical Surgical Assessment 1 QUESTIONS WITH COMPLETE SOLUTION GUIDE) (MULTIPLE CHOICES) A+ …
A nurse is assessing a C
client who has lung Altered taste is a result of the release of metabolites
cancer and is undergoing by dead cells
radiation therapy to the
chest. Which of the --
following indicates an A, client may have hair loss at the treatment site on
adverse effect of the the chest
therapy
B, client might have skin changes, such as dryness
A. Hair loss on the scalp and increased sensitivity
B. Sweating at the
treatment site D, avoid heat exposure
C. Altered taste
sensations
D. Intolerance to cold
A nurse is preparing to A, D, E
administer a unit of
packed RBCs to a client --
who has anemia. Which A, complete assessment prior to transfusion
of the following actions
should the nurse plan to B, prime tubing with a solution that does not cause
take (select all that apply) hemolysis of PRBCs. No LR or 5% dextrose!
A. Obtain pre-transfusion C, nurse should remain with pt for first 15 minutes of
temperature transfusion
B. Prime the IV tubing
with lactated Ringer's D, verify identification, blood compatibility, and
C. Instruct an assistive expiration of product with second nurse
personnel to monitor the
client during the E, the nurse should use a large bore needle to
transfusion transfuse the PRBCs to reduce the risk of cell
D. Verify the client's hemolysis and obstruction of flow
blood type with a second
nurse
E. Use a 20 gauge IV
needle for venous access
https://quizlet.com/1049893814/ati-nclex-medical-surgical-assessment-1-questions-with-complete-solution-guide-multiple-choices-a-graded-100-… 4/37
