NR-341 NR 341 NR341 Advanced Medical-
Surgical Nursing ATI Exam Questions And
Correct Answers (Verified Answers) Plus
Rationales 2025
1. A nurse is caring for a client with a chest tube. Which of the following
findings should the nurse report to the provider?
a. Continuous bubbling in the suction control chamber
b. Drainage of 150 mL in 1 hour
c. Tidaling in the water seal chamber
d. Occlusive dressing intact at the insertion site
Rationale: Excessive chest tube drainage (>100 mL/hr) can
indicate hemorrhage and should be reported immediately to the
provider.
2. A client is admitted with acute pancreatitis. Which of the following laboratory
values should the nurse expect to be elevated?
a. Creatinine
,b. Amylase
c. Hemoglobin
d. Potassium
Rationale: Amylase and lipase are typically elevated in acute pancreatitis due to
pancreatic inflammation and enzyme leakage.
3. A nurse is providing discharge teaching for a client who has a new
prescription for warfarin. Which of the following statements indicates a need
for further teaching?
a. "I will take aspirin for mild pain."
b. "I will use an electric razor when shaving."
c. "I will notify my provider if I notice blood in my urine."
d. "I will avoid making sudden changes to my diet."
Rationale: Aspirin increases bleeding risk and should be avoided when taking
warfarin.
4. A client has a diagnosis of left-sided heart failure. Which of the following
findings should the nurse expect?
a. Jugular vein distension
b. Hacking cough
c. Hepatomegaly
d. Peripheral edema
Rationale: A hacking cough is a classic sign of left-sided heart failure due to
pulmonary congestion.
, 5. A nurse is caring for a client who has a pressure ulcer with tunneling. Which
of the following interventions should the nurse implement?
a. Pack the wound tightly with gauze
b. Use a wound measuring device to determine depth
c. Clean the wound with hydrogen peroxide
d. Irrigate the wound using sterile water only
Rationale: Measuring the depth and direction of tunneling is essential for
wound documentation and care planning.
6. A client with COPD is receiving oxygen at 2 L/min via nasal cannula. The client
becomes increasingly confused and drowsy. What action should the nurse take
first?
a. Increase oxygen flow to 4 L/min
b. Notify the provider
c. Assess the client’s respiratory status
d. Place the client in a supine position
Rationale: The nurse should first assess for CO2 retention and respiratory
deterioration before taking further action.
7. A nurse is caring for a client with Cushing’s syndrome. Which of the following
findings should the nurse expect?
a. Weight loss
b. Hypotension
Surgical Nursing ATI Exam Questions And
Correct Answers (Verified Answers) Plus
Rationales 2025
1. A nurse is caring for a client with a chest tube. Which of the following
findings should the nurse report to the provider?
a. Continuous bubbling in the suction control chamber
b. Drainage of 150 mL in 1 hour
c. Tidaling in the water seal chamber
d. Occlusive dressing intact at the insertion site
Rationale: Excessive chest tube drainage (>100 mL/hr) can
indicate hemorrhage and should be reported immediately to the
provider.
2. A client is admitted with acute pancreatitis. Which of the following laboratory
values should the nurse expect to be elevated?
a. Creatinine
,b. Amylase
c. Hemoglobin
d. Potassium
Rationale: Amylase and lipase are typically elevated in acute pancreatitis due to
pancreatic inflammation and enzyme leakage.
3. A nurse is providing discharge teaching for a client who has a new
prescription for warfarin. Which of the following statements indicates a need
for further teaching?
a. "I will take aspirin for mild pain."
b. "I will use an electric razor when shaving."
c. "I will notify my provider if I notice blood in my urine."
d. "I will avoid making sudden changes to my diet."
Rationale: Aspirin increases bleeding risk and should be avoided when taking
warfarin.
4. A client has a diagnosis of left-sided heart failure. Which of the following
findings should the nurse expect?
a. Jugular vein distension
b. Hacking cough
c. Hepatomegaly
d. Peripheral edema
Rationale: A hacking cough is a classic sign of left-sided heart failure due to
pulmonary congestion.
, 5. A nurse is caring for a client who has a pressure ulcer with tunneling. Which
of the following interventions should the nurse implement?
a. Pack the wound tightly with gauze
b. Use a wound measuring device to determine depth
c. Clean the wound with hydrogen peroxide
d. Irrigate the wound using sterile water only
Rationale: Measuring the depth and direction of tunneling is essential for
wound documentation and care planning.
6. A client with COPD is receiving oxygen at 2 L/min via nasal cannula. The client
becomes increasingly confused and drowsy. What action should the nurse take
first?
a. Increase oxygen flow to 4 L/min
b. Notify the provider
c. Assess the client’s respiratory status
d. Place the client in a supine position
Rationale: The nurse should first assess for CO2 retention and respiratory
deterioration before taking further action.
7. A nurse is caring for a client with Cushing’s syndrome. Which of the following
findings should the nurse expect?
a. Weight loss
b. Hypotension
