6/28/25, 7:20 PM ATI PN ADULT MEDICAL SURGICAL 2024-2025 EXAM FORM A, B AND C ACTUAL EXAM EACH FORM CONTAINS 200 QUEST…
ATI PN ADULT MEDICAL SURGICAL 2025 EXAM FORM A,
B AND C ACTUAL EXAM EACH FORM CONTAINS 200
QUESTIONS AND CORRECT DETAILED ANSWEST
TEST D. Sodium 132
A nurse is caring for a
client who is taking lithium mEq/L
and reports persistent
nausea and vomiting for 2 Rationale:
days. Which of the following
laboratory values should The nurse should identify that a sodium level of 132
the nurse report to the mEq/L is not within the expected reference range of 136
provider? to 145 mEq/L. This finding indicates hyponatremia,
which can lead to lithium accumulation and places the
a) Potassium 4.0 mEq/L client at risk for lithium toxicity. The nurse should report
b) Lithium 0.9 mEq/L
this finding to the provider.
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
A. Cleanse the client's toothbrush with hydrogen peroxide.
A nurse is caring for a client
who has cancer and has a
Rationale:
WBC count of
4,000/mm3. Which of the
A WBC count of 4,000/mm3 is considered low and is
following actions should
known as leukopenia. A low WBC count can be caused
the nurse take?
by cancer or cancer treatment. The nurse should
instruct the client to cleanse their toothbrush with
a) Cleanse the client's
hydrogen peroxide. People with leukemia or leukopenia
toothbrush with
should avoid using disposable razors, which can
hydrogen peroxide.
cause cuts and bleeding that can lead to infections.
b) Instruct the client to use
Instead, they recommend using an electric razor to
a disposable razor to
reduce the risk of injury. Encouraging the client to eat
shave.
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,6/28/25, 7:20 PM ATI PN ADULT MEDICAL SURGICAL 2024-2025 EXAM FORM A, B AND C ACTUAL EXAM EACH FORM CONTAINS 200 QUEST…
c) Decrease the client's protein unpasteurized dairy products is not recommended as
intake.
d) Encourage the they can contain harmful bacteria that can cause
client to eat infections. Decreasing the client's protein intake is not
unpasteurized dairy recommended as protein is important for wound
products. healing and immune function
TEST C. Assist the client to a nearby common area.
A nurse enters a client's
room and sees smoke Rationale:
coming from the bathroom.
Which of the following use
actions should the nurse Rescu
take first? e
Alarm
a) Activate the fire alarm Contai
system. n
b) Use a fire extinguisher at Extingu
the source of the ish
smoke.
c) Assist the client to a
nearby common area.
d) Close the doors to the
room and to the
bathroom.
TEST A. Apply foam handles to the client's eating utensils.
A nurse is contributing to
the plan of care for a client Rationale:
who reports difficulty
eating due to chronic To help a client with chronic arthritis who
arthritis. Which of the experiences difficulty eating, applying foam handles to
following interventions the eating utensils can provide a larger, more
should the nurse include comfortable grip and reduce strain on the joints. Asking
in the plan? for a puree diet may not be necessary unless
swallowing difficulties are present. Having an assistive
a) Apply foam handles to the personnel feed the client may not promote
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,6/28/25, 7:20 PM ATI PN ADULT MEDICAL SURGICAL 2024-2025 EXAM FORM A, B AND C ACTUAL EXAM EACH FORM CONTAINS 200 QUEST…
client's eating utensils. independence. While obtaining a referral for physical
b) Obtain a referral for physical
therapy. therapy may be beneficial for overall mobility, it does
c) Have an assistive not directly address the client's difficulty with eating.
personnel feed the client.
d) Ask the provider for a
prescription for a pureed
diet.
C. "Face in the direction of the
A nurse is providing
directions to an assistive client's movement." Rational:
personnel about moving a
client up in bed. When moving a client up in bed, it is important for the
nurse to face in the direction of the client's movement
a. "Place a pillow under the to maintain proper body mechanics and ensure safe
client's head prior to transfer.
repositioning."
b. "Keep your feet close 1)Adjust the head of the bed to a flat position.
together while moving 2) Remove all pillows from under the client.
the client" 3) Position the UAP on the side opposite the nurse.
c "Face in the direction of the 4) Place a friction-reducing sheet under the client.
5) Ask the client to bend the legs and place the chin on the chest.
client's movement"
6) Grasp the sheet and move the client on the count of three.
d. "Move the client's arms to
his sides prior to
repositioning."
A nurse is obtaining a C. Sildenafil
medication history from a
client who is to start taking Rationale:
nitroglycerin for chest
discomfort with activity. Sildenafil treats PAH (pulmonary arterial hypertension)
Which of the following by relaxing the blood vessels in the lungs to allow
medications should the nurse blood to flow easily.
instruct the client to avoid
taking within 24 hrs of using Same as, nitroglycerin is a vaso-dilator which is primarily
nitroglycerin? to treat anginal chest pain and thereby it reduces
blood pressure.
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, 6/28/25, 7:20 PM ATI PN ADULT MEDICAL SURGICAL 2024-2025 EXAM FORM A, B AND C ACTUAL EXAM EACH FORM CONTAINS 200 QUEST…
a) Atorvastatin Remaining drugs like omeprazole and atorvastatin can
b) Metformin be given for patients with in 24hrs of nitroglycerin
c) Sildenafil administration.
d) Omeprazole
A nurse is caring for a client Flushi
who has a new prescription
for nitroglycerin. The nurse ng
should monitor for which of
the following adverse Rationa
effects of the medication?
le:
Nocturia
Increased saliva nitroglycerin is a vaso-dilator. When vaso-dilators too
production Flushing well, fluid start sipping out and causing flushing
Fever
A nurse is preparing to D. Hold the client's finger in a
obtain a postprandial dependent position.
blood glucose level from a
client who has diabetes Rationale:
mellitus. Which of the
following actions should The nurse should clean the client's finger with an alcohol
the nurse take? swab and prick the side of the finger, not the central
tip, to obtain a postprandial blood glucose level.
a) Apply the first drop of
blood to the test strip. The nurse should not apply the first drop of blood to the
b) Clean the client's test strip since the alcohol could cause false reading.
finger with
Hexachlorophene is not recommended for cleaning the
hexachlorophene.
c) Prick the central tip of the client's finger as it can cause tissue damage.
client's finger.
d) Hold the client's finger in
a dependent position.
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ATI PN ADULT MEDICAL SURGICAL 2025 EXAM FORM A,
B AND C ACTUAL EXAM EACH FORM CONTAINS 200
QUESTIONS AND CORRECT DETAILED ANSWEST
TEST D. Sodium 132
A nurse is caring for a
client who is taking lithium mEq/L
and reports persistent
nausea and vomiting for 2 Rationale:
days. Which of the following
laboratory values should The nurse should identify that a sodium level of 132
the nurse report to the mEq/L is not within the expected reference range of 136
provider? to 145 mEq/L. This finding indicates hyponatremia,
which can lead to lithium accumulation and places the
a) Potassium 4.0 mEq/L client at risk for lithium toxicity. The nurse should report
b) Lithium 0.9 mEq/L
this finding to the provider.
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
A. Cleanse the client's toothbrush with hydrogen peroxide.
A nurse is caring for a client
who has cancer and has a
Rationale:
WBC count of
4,000/mm3. Which of the
A WBC count of 4,000/mm3 is considered low and is
following actions should
known as leukopenia. A low WBC count can be caused
the nurse take?
by cancer or cancer treatment. The nurse should
instruct the client to cleanse their toothbrush with
a) Cleanse the client's
hydrogen peroxide. People with leukemia or leukopenia
toothbrush with
should avoid using disposable razors, which can
hydrogen peroxide.
cause cuts and bleeding that can lead to infections.
b) Instruct the client to use
Instead, they recommend using an electric razor to
a disposable razor to
reduce the risk of injury. Encouraging the client to eat
shave.
https://quizlet.com/1049353158/ati-pn-adult-medical-surgical-2024-2025-exam-form-a-b-and-c-actual-exam-each-form-contains-200-questions-and-c… 1/12
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,6/28/25, 7:20 PM ATI PN ADULT MEDICAL SURGICAL 2024-2025 EXAM FORM A, B AND C ACTUAL EXAM EACH FORM CONTAINS 200 QUEST…
c) Decrease the client's protein unpasteurized dairy products is not recommended as
intake.
d) Encourage the they can contain harmful bacteria that can cause
client to eat infections. Decreasing the client's protein intake is not
unpasteurized dairy recommended as protein is important for wound
products. healing and immune function
TEST C. Assist the client to a nearby common area.
A nurse enters a client's
room and sees smoke Rationale:
coming from the bathroom.
Which of the following use
actions should the nurse Rescu
take first? e
Alarm
a) Activate the fire alarm Contai
system. n
b) Use a fire extinguisher at Extingu
the source of the ish
smoke.
c) Assist the client to a
nearby common area.
d) Close the doors to the
room and to the
bathroom.
TEST A. Apply foam handles to the client's eating utensils.
A nurse is contributing to
the plan of care for a client Rationale:
who reports difficulty
eating due to chronic To help a client with chronic arthritis who
arthritis. Which of the experiences difficulty eating, applying foam handles to
following interventions the eating utensils can provide a larger, more
should the nurse include comfortable grip and reduce strain on the joints. Asking
in the plan? for a puree diet may not be necessary unless
swallowing difficulties are present. Having an assistive
a) Apply foam handles to the personnel feed the client may not promote
https://quizlet.com/1049353158/ati-pn-adult-medical-surgical-2024-2025-exam-form-a-b-and-c-actual-exam-each-form-contains-200-questions-and-c… 2/12
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,6/28/25, 7:20 PM ATI PN ADULT MEDICAL SURGICAL 2024-2025 EXAM FORM A, B AND C ACTUAL EXAM EACH FORM CONTAINS 200 QUEST…
client's eating utensils. independence. While obtaining a referral for physical
b) Obtain a referral for physical
therapy. therapy may be beneficial for overall mobility, it does
c) Have an assistive not directly address the client's difficulty with eating.
personnel feed the client.
d) Ask the provider for a
prescription for a pureed
diet.
C. "Face in the direction of the
A nurse is providing
directions to an assistive client's movement." Rational:
personnel about moving a
client up in bed. When moving a client up in bed, it is important for the
nurse to face in the direction of the client's movement
a. "Place a pillow under the to maintain proper body mechanics and ensure safe
client's head prior to transfer.
repositioning."
b. "Keep your feet close 1)Adjust the head of the bed to a flat position.
together while moving 2) Remove all pillows from under the client.
the client" 3) Position the UAP on the side opposite the nurse.
c "Face in the direction of the 4) Place a friction-reducing sheet under the client.
5) Ask the client to bend the legs and place the chin on the chest.
client's movement"
6) Grasp the sheet and move the client on the count of three.
d. "Move the client's arms to
his sides prior to
repositioning."
A nurse is obtaining a C. Sildenafil
medication history from a
client who is to start taking Rationale:
nitroglycerin for chest
discomfort with activity. Sildenafil treats PAH (pulmonary arterial hypertension)
Which of the following by relaxing the blood vessels in the lungs to allow
medications should the nurse blood to flow easily.
instruct the client to avoid
taking within 24 hrs of using Same as, nitroglycerin is a vaso-dilator which is primarily
nitroglycerin? to treat anginal chest pain and thereby it reduces
blood pressure.
https://quizlet.com/1049353158/ati-pn-adult-medical-surgical-2024-2025-exam-form-a-b-and-c-actual-exam-each-form-contains-200-questions-and-c… 3/12
9
, 6/28/25, 7:20 PM ATI PN ADULT MEDICAL SURGICAL 2024-2025 EXAM FORM A, B AND C ACTUAL EXAM EACH FORM CONTAINS 200 QUEST…
a) Atorvastatin Remaining drugs like omeprazole and atorvastatin can
b) Metformin be given for patients with in 24hrs of nitroglycerin
c) Sildenafil administration.
d) Omeprazole
A nurse is caring for a client Flushi
who has a new prescription
for nitroglycerin. The nurse ng
should monitor for which of
the following adverse Rationa
effects of the medication?
le:
Nocturia
Increased saliva nitroglycerin is a vaso-dilator. When vaso-dilators too
production Flushing well, fluid start sipping out and causing flushing
Fever
A nurse is preparing to D. Hold the client's finger in a
obtain a postprandial dependent position.
blood glucose level from a
client who has diabetes Rationale:
mellitus. Which of the
following actions should The nurse should clean the client's finger with an alcohol
the nurse take? swab and prick the side of the finger, not the central
tip, to obtain a postprandial blood glucose level.
a) Apply the first drop of
blood to the test strip. The nurse should not apply the first drop of blood to the
b) Clean the client's test strip since the alcohol could cause false reading.
finger with
Hexachlorophene is not recommended for cleaning the
hexachlorophene.
c) Prick the central tip of the client's finger as it can cause tissue damage.
client's finger.
d) Hold the client's finger in
a dependent position.
https://quizlet.com/1049353158/ati-pn-adult-medical-surgical-2024-2025-exam-form-a-b-and-c-actual-exam-each-form-contains-200-questions-and-c… 4/12
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