ATI RN MEDICAL SURGICAL EXAM
QUESTIONS AND ANSWERS.
A nurse on a medical-surgical unit is receiving change-of-shift report
on four clients. Which of the following clients should the nurse
identify as having the greatest risk for developing an infection?
a) A client who has a closed fracture of the arm and is receiving an
opioid pain medication
b) A client who has COPD and is receiving steroid therapy
c) A client who is postoperative following a laparoscopic
appendectomy and is receiving an antibiotic
d) A client who has a deep vein thrombosis (DVT) and is receiving
anticoagulant therapy - ANSWER -b) A client who has COPD and is
receiving steroid therapy
A nurse in an emergency department is assessing an older adult
client who has a fractured wrist following a fall. During the
assessment, the client states, "Last week I crashed my car because
my vision suddenly went blurry." Which of the following actions is the
nurse's priority?
,a) Check the client's neurological status
b) Document the client's statements
c) Prepare the client for a CT scan
d) Teach the client about using safety precautions for falls - ANSWER
-a) Check the client's neurological status
A nurse is providing preoperative teaching for a client who is
scheduled for an open cholecystectomy. Which of the following
actions should the nurse take?
a) Teach the importance of a clear liquid diet after discharge
b) Tell the client to remove incisional adhesive strips 3 days after
discharge
c) Demonstrate ways to deep breath and cough
d) Instruct the client to maintain bedrest for 48 hours - ANSWER -c)
Demonstrate ways to deep breath and cough
A nurse in an emergency department is caring for a client who has
full-thickness burns over 20% of his total body surface area. After
ensuring a patent airway and administering oxygen, which of the
following items should the nurse prepare to administer?
,a) IV fluids
b) Analgesia
c) Antibiotics
d) Tetanus toxoid - ANSWER -a) IV fluids
A nurse in a provider's office is assessing a client who has migraine
headaches and is taking feverfew to prevent her headaches. The
nurse should identify that which of the following client medications
interacts with feverfew?
a) Metoprolol
b) Bupropion
c) Naproxen
d) Atorvastatin - ANSWER -c) Naproxen
A nurse is providing discharge teaching to a client who has laryngeal
cancer and is receiving radiation treatment. Which of the following
statements made by the client indicates an understanding of the
teaching?
a) I will wear a badge to measure how much radiation I am receiving
, b) I will remove the markings on the skin after each radiation
treatment
c) I will avoid direct exposure to the sun
d) I will rinse my mouth with a commercial mouthwash - ANSWER -c) I
will avoid direct exposure to the sun
A nurse is preparing to administer a blood transfusion to a client who
has anemia. Which of the following actions should the nurse take
first?
a) Obtain the client's vital signs
b) Describe the blood transfusion procedure to the client
c) Check for the type and number of units of blood to administer
d) Initiate a peripheral IV - ANSWER -c) Check for the type and
number of units of blood to administer
A nurse is caring for a client who has a prescription for enalapril. The
nurse should identify which of the following findings as an adverse
effect of the medication?
a) Bradycardia
b) Tremors
QUESTIONS AND ANSWERS.
A nurse on a medical-surgical unit is receiving change-of-shift report
on four clients. Which of the following clients should the nurse
identify as having the greatest risk for developing an infection?
a) A client who has a closed fracture of the arm and is receiving an
opioid pain medication
b) A client who has COPD and is receiving steroid therapy
c) A client who is postoperative following a laparoscopic
appendectomy and is receiving an antibiotic
d) A client who has a deep vein thrombosis (DVT) and is receiving
anticoagulant therapy - ANSWER -b) A client who has COPD and is
receiving steroid therapy
A nurse in an emergency department is assessing an older adult
client who has a fractured wrist following a fall. During the
assessment, the client states, "Last week I crashed my car because
my vision suddenly went blurry." Which of the following actions is the
nurse's priority?
,a) Check the client's neurological status
b) Document the client's statements
c) Prepare the client for a CT scan
d) Teach the client about using safety precautions for falls - ANSWER
-a) Check the client's neurological status
A nurse is providing preoperative teaching for a client who is
scheduled for an open cholecystectomy. Which of the following
actions should the nurse take?
a) Teach the importance of a clear liquid diet after discharge
b) Tell the client to remove incisional adhesive strips 3 days after
discharge
c) Demonstrate ways to deep breath and cough
d) Instruct the client to maintain bedrest for 48 hours - ANSWER -c)
Demonstrate ways to deep breath and cough
A nurse in an emergency department is caring for a client who has
full-thickness burns over 20% of his total body surface area. After
ensuring a patent airway and administering oxygen, which of the
following items should the nurse prepare to administer?
,a) IV fluids
b) Analgesia
c) Antibiotics
d) Tetanus toxoid - ANSWER -a) IV fluids
A nurse in a provider's office is assessing a client who has migraine
headaches and is taking feverfew to prevent her headaches. The
nurse should identify that which of the following client medications
interacts with feverfew?
a) Metoprolol
b) Bupropion
c) Naproxen
d) Atorvastatin - ANSWER -c) Naproxen
A nurse is providing discharge teaching to a client who has laryngeal
cancer and is receiving radiation treatment. Which of the following
statements made by the client indicates an understanding of the
teaching?
a) I will wear a badge to measure how much radiation I am receiving
, b) I will remove the markings on the skin after each radiation
treatment
c) I will avoid direct exposure to the sun
d) I will rinse my mouth with a commercial mouthwash - ANSWER -c) I
will avoid direct exposure to the sun
A nurse is preparing to administer a blood transfusion to a client who
has anemia. Which of the following actions should the nurse take
first?
a) Obtain the client's vital signs
b) Describe the blood transfusion procedure to the client
c) Check for the type and number of units of blood to administer
d) Initiate a peripheral IV - ANSWER -c) Check for the type and
number of units of blood to administer
A nurse is caring for a client who has a prescription for enalapril. The
nurse should identify which of the following findings as an adverse
effect of the medication?
a) Bradycardia
b) Tremors
