Med surg exam 3 ATI Exam 2025–2026 ATI assessments and
NCLEX-style clinical reasoning Accurate Real
An older adult is hospitalized for weight loss and dehydration because of nutritional deficits. What
should the nurse consider when caring for this client? >>>100%correct answers>>>The
nutritional needs of an older adult are unchanged except for a decreased need for calories.
A client has a new colostomy. The nurse has provided teaching related to when the client should
irrigate the colostomy. Which client statement indicates correct understanding of the teaching?
>>>100%correct answers>>>"I plan to irrigate it in the late morning, the same time I had a
bowel movement every day before I had my surgery."
A paracentesis is prescribed for a client recently admitted to a medical unit. The nurse recalls that
the procedure is performed for what reasons? (Select all that apply.) >>>100%correct
answers>>>Extract peritoneal fluid
Improve respiratory status
Obtain peritoneal fluid for culture
A nurse is administering an enema to a client who is scheduled for gastrointestinal surgery. What
should the nurse do when the client complains of abdominal cramps during the enema?
>>>100%correct answers>>>Close the lumen of the tubing and wait until the discomfort
subsides.
A client with advanced bone cancer is experiencing cachexia. The nurse discusses the nutritional
aspect of palliative care with the family. Why is it important to explain these nutritional
interventions to the family? >>>100%correct answers>>>Enhance the quality of the client's
life
A nurse is caring for a client who is recovering from an acute episode of alcoholism. Which
component of a therapeutic diet should the nurse encourage the client to consume?
>>>100%correct answers>>>High protein
A client is scheduled to begin chemotherapy two weeks after the client had surgery for colon
cancer. The nurse explains to the client that the delay in instituting drug therapy is planned
because the chemotherapy: >>>100%correct answers>>>Interferes with cell growth and
delays wound healing
A nurse educator of a college health course is discussing tattoos with the class. Which type of
hepatitis associated with tattoos should the nurse include in the teaching plan?
>>>100%correct answers>>>Hepatitis-C
, A nurse is planning care for a client admitted to the hospital with abdominal spasms and pain
associated with severe diarrhea. What primary serum blood level should the nurse monitor?
>>>100%correct answers>>>Potassium
A client is admitted to the hospital with ascites. The client reports drinking a quart of vodka mixed
in orange juice every day for the past three months. To assess the potential for withdrawal
symptoms, which question would be appropriate for the nurse to ask the client?
>>>100%correct answers>>>"When was your last drink of vodka?
A client has a body mass index (BMI) of 35 and verbalizes the need to lose weight. The nurse
encourages the client to lose weight safely by changing which dietary habits? >>>100%correct
answers>>>Decrease portion size and fat intake
A self-help group of clients with irritable bowel syndrome have invited a nurse to present a
program on nutrition. Which substance should the nurse teach the clients to minimize in the diet to
decrease gastrointestinal (GI) irritability? >>>100%correct answers>>>Cola drinks
The postoperative prescriptions for a client who had repair of an inguinal hernia include docusate
sodium (Colace) daily. Before discharge, the nurse teaches the client that an intermittent side effect
of this medication may be: >>>100%correct answers>>>Mild abdominal cramping
A nurse is caring for a client with a diagnosis of cholecystitis. For which clinical manifestation of
obstructive jaundice should the nurse assess the client? >>>100%correct answers>>>Clay-
colored stools
A health care provider prescribes a sigmoidoscopy for one client and a barium enema for another
client. What is a nursing responsibility common to preparing both of these clients for these
procedures? >>>100%correct answers>>>Ensuring an understanding of the procedure
A client has a paracentesis during which 1500 mL of fluid is removed. The nurse should monitor the
client carefully for >>>100%correct answers>>>Hypovolemic shock
A client who had abdominal surgery asks the nurse about when the client can return to work after
discharge. The most appropriate response by the nurse is: >>>100%correct
answers>>>"What type of work did you have in mind?"
NCLEX-style clinical reasoning Accurate Real
An older adult is hospitalized for weight loss and dehydration because of nutritional deficits. What
should the nurse consider when caring for this client? >>>100%correct answers>>>The
nutritional needs of an older adult are unchanged except for a decreased need for calories.
A client has a new colostomy. The nurse has provided teaching related to when the client should
irrigate the colostomy. Which client statement indicates correct understanding of the teaching?
>>>100%correct answers>>>"I plan to irrigate it in the late morning, the same time I had a
bowel movement every day before I had my surgery."
A paracentesis is prescribed for a client recently admitted to a medical unit. The nurse recalls that
the procedure is performed for what reasons? (Select all that apply.) >>>100%correct
answers>>>Extract peritoneal fluid
Improve respiratory status
Obtain peritoneal fluid for culture
A nurse is administering an enema to a client who is scheduled for gastrointestinal surgery. What
should the nurse do when the client complains of abdominal cramps during the enema?
>>>100%correct answers>>>Close the lumen of the tubing and wait until the discomfort
subsides.
A client with advanced bone cancer is experiencing cachexia. The nurse discusses the nutritional
aspect of palliative care with the family. Why is it important to explain these nutritional
interventions to the family? >>>100%correct answers>>>Enhance the quality of the client's
life
A nurse is caring for a client who is recovering from an acute episode of alcoholism. Which
component of a therapeutic diet should the nurse encourage the client to consume?
>>>100%correct answers>>>High protein
A client is scheduled to begin chemotherapy two weeks after the client had surgery for colon
cancer. The nurse explains to the client that the delay in instituting drug therapy is planned
because the chemotherapy: >>>100%correct answers>>>Interferes with cell growth and
delays wound healing
A nurse educator of a college health course is discussing tattoos with the class. Which type of
hepatitis associated with tattoos should the nurse include in the teaching plan?
>>>100%correct answers>>>Hepatitis-C
, A nurse is planning care for a client admitted to the hospital with abdominal spasms and pain
associated with severe diarrhea. What primary serum blood level should the nurse monitor?
>>>100%correct answers>>>Potassium
A client is admitted to the hospital with ascites. The client reports drinking a quart of vodka mixed
in orange juice every day for the past three months. To assess the potential for withdrawal
symptoms, which question would be appropriate for the nurse to ask the client?
>>>100%correct answers>>>"When was your last drink of vodka?
A client has a body mass index (BMI) of 35 and verbalizes the need to lose weight. The nurse
encourages the client to lose weight safely by changing which dietary habits? >>>100%correct
answers>>>Decrease portion size and fat intake
A self-help group of clients with irritable bowel syndrome have invited a nurse to present a
program on nutrition. Which substance should the nurse teach the clients to minimize in the diet to
decrease gastrointestinal (GI) irritability? >>>100%correct answers>>>Cola drinks
The postoperative prescriptions for a client who had repair of an inguinal hernia include docusate
sodium (Colace) daily. Before discharge, the nurse teaches the client that an intermittent side effect
of this medication may be: >>>100%correct answers>>>Mild abdominal cramping
A nurse is caring for a client with a diagnosis of cholecystitis. For which clinical manifestation of
obstructive jaundice should the nurse assess the client? >>>100%correct answers>>>Clay-
colored stools
A health care provider prescribes a sigmoidoscopy for one client and a barium enema for another
client. What is a nursing responsibility common to preparing both of these clients for these
procedures? >>>100%correct answers>>>Ensuring an understanding of the procedure
A client has a paracentesis during which 1500 mL of fluid is removed. The nurse should monitor the
client carefully for >>>100%correct answers>>>Hypovolemic shock
A client who had abdominal surgery asks the nurse about when the client can return to work after
discharge. The most appropriate response by the nurse is: >>>100%correct
answers>>>"What type of work did you have in mind?"
