1
ATI RN ADULT MEDICAL SURGICAL WITH NGN WITH
RATIONALES 2025/26 LATEST VERSION
THIS STUDY GUIDE PROVIDE ACTUAL EXAM TIPS SAT ON 2025
Question 1:
A nurse is caring for a client who has tuberculosis and is taking rifampin. The
client reports that her saliva has turned red-orange in color. Which of the
following responses should the nurse make?
A. "Your provider will prescribe a different medication regimen."
B. "This is an expected adverse effect of this medication."
C. "This finding may indicate possible medication toxicity."
D. "You will need to increase your fluid intake to resolve this problem."
Show correct answer and explanation
Explanation
Rifampin is an antitubercular drug that can cause red-orange
discoloration of body fluids, such as saliva, urine, sweat, and tears.
This is a harmless and expected adverse effect of this medication
and does not indicate toxicity or a need for a change in therapy.
The nurse should inform the client about this effect and reassure them that
it will subside after the completion of the treatment. The nurse should
also advise the client to avoid wearing contact lenses as they may
become stained by the drug.
Question 2:
A nurse is teaching the family of a client who has Alzheimer's disease about
caring for the client at home. Which of the following instructions should the
nurse include?
A. Cover electrical outlets in the client's home with tape.
B. Hang a monthly calendar in the client's bedroom.
C. Keep the client's bedroom dark at night.
D. Place a large-face clock in the client's bedroom.
Show correct answer and explanation
,2
Explanation
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A monthly calendar can help the client with Alzheimer's disease to
orient to time and date and reduce confusion and anxiety. The nurse
should encourage the family to use simple and clear reminders and
cues to assist the client with daily activities and routines.
Covering electrical outlets with tape is not necessary and may pose a
fire hazard. Keeping the client's bedroom dark at night may increase the
risk of falls and injuries. A large-face clock may be helpful, but not as
much as a calendar.
Question 3:
A nurse is planning care for a client who has Clostridium difficile
gastroenteritis. Which of the following is an appropriate nursing action?
A. Place the client in a protective environment.
B. Clean surfaces with chlorhexidine.
C. Wash hands with alcohol-based hand rub.
D. Obtain a stool specimen with
gloves. Show correct answer and
explanation Explanation
Clostridium difficile is a spore-forming bacterium that causes severe
diarrhea and colitis in clients who have been exposed to antibiotics
or have compromised immune systems. The nurse should obtain a
stool specimen with gloves to confirm the diagnosis and initiate
appropriate treatment. The nurse should also
, 4
use contact precautions when caring for the client, such as wearing
gloves and gown, and washing hands with soap and water before and
after contact.
Alcohol-based hand rubs are not effective against spores and
should not be used for hand hygiene in this case. Chlorhexidine is
also not sporicidal and should not be used for environmental
cleaning. A protective environment is indicated for clients who are at
risk of infection from others, not for clients who are infectious to
others.
Question 4:
A nurse is providing discharge teaching for a client who has
osteomyelitis in the left leg. Which of the following findings should the
nurse identify as requiring a referral?
A. The client has a WBC count of 20,000/mm3.
B. The client has a prescription for long-term IV antibiotic therapy.
C. The client has a prescription for furosemide.
D. The client has type 2 diabetes mellitus and a HbA1c of 6%.
Show correct answer and explanation
ATI RN ADULT MEDICAL SURGICAL WITH NGN WITH
RATIONALES 2025/26 LATEST VERSION
THIS STUDY GUIDE PROVIDE ACTUAL EXAM TIPS SAT ON 2025
Question 1:
A nurse is caring for a client who has tuberculosis and is taking rifampin. The
client reports that her saliva has turned red-orange in color. Which of the
following responses should the nurse make?
A. "Your provider will prescribe a different medication regimen."
B. "This is an expected adverse effect of this medication."
C. "This finding may indicate possible medication toxicity."
D. "You will need to increase your fluid intake to resolve this problem."
Show correct answer and explanation
Explanation
Rifampin is an antitubercular drug that can cause red-orange
discoloration of body fluids, such as saliva, urine, sweat, and tears.
This is a harmless and expected adverse effect of this medication
and does not indicate toxicity or a need for a change in therapy.
The nurse should inform the client about this effect and reassure them that
it will subside after the completion of the treatment. The nurse should
also advise the client to avoid wearing contact lenses as they may
become stained by the drug.
Question 2:
A nurse is teaching the family of a client who has Alzheimer's disease about
caring for the client at home. Which of the following instructions should the
nurse include?
A. Cover electrical outlets in the client's home with tape.
B. Hang a monthly calendar in the client's bedroom.
C. Keep the client's bedroom dark at night.
D. Place a large-face clock in the client's bedroom.
Show correct answer and explanation
,2
Explanation
,3
A monthly calendar can help the client with Alzheimer's disease to
orient to time and date and reduce confusion and anxiety. The nurse
should encourage the family to use simple and clear reminders and
cues to assist the client with daily activities and routines.
Covering electrical outlets with tape is not necessary and may pose a
fire hazard. Keeping the client's bedroom dark at night may increase the
risk of falls and injuries. A large-face clock may be helpful, but not as
much as a calendar.
Question 3:
A nurse is planning care for a client who has Clostridium difficile
gastroenteritis. Which of the following is an appropriate nursing action?
A. Place the client in a protective environment.
B. Clean surfaces with chlorhexidine.
C. Wash hands with alcohol-based hand rub.
D. Obtain a stool specimen with
gloves. Show correct answer and
explanation Explanation
Clostridium difficile is a spore-forming bacterium that causes severe
diarrhea and colitis in clients who have been exposed to antibiotics
or have compromised immune systems. The nurse should obtain a
stool specimen with gloves to confirm the diagnosis and initiate
appropriate treatment. The nurse should also
, 4
use contact precautions when caring for the client, such as wearing
gloves and gown, and washing hands with soap and water before and
after contact.
Alcohol-based hand rubs are not effective against spores and
should not be used for hand hygiene in this case. Chlorhexidine is
also not sporicidal and should not be used for environmental
cleaning. A protective environment is indicated for clients who are at
risk of infection from others, not for clients who are infectious to
others.
Question 4:
A nurse is providing discharge teaching for a client who has
osteomyelitis in the left leg. Which of the following findings should the
nurse identify as requiring a referral?
A. The client has a WBC count of 20,000/mm3.
B. The client has a prescription for long-term IV antibiotic therapy.
C. The client has a prescription for furosemide.
D. The client has type 2 diabetes mellitus and a HbA1c of 6%.
Show correct answer and explanation
