ATI Med Surg Practice Test B – Realistic Practice Questions with Correct Answers
A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which
of the following findings should the nurse identify as a manifestation of this condition?
- bounding pedal pulse
- capillary refill less than 2 seconds
- pain that increases with passive movement
- areas of warmth on the cast
Pain that increases with passive movement
The nurse should identify that a client who has compartment syndrome experiences pain that
increases with passive movement. Compartment syndrome results from a decrease in blood flow in
the extremity caused by a decrease in the muscle compartment size due to a cast that is too tight.
,A nurse is providing teaching to a client who has a severe form of stage II Lyme disease.
Which of the following statements made by the client reflects an understanding of the
teaching?
- "I will need to take antibiotics for 1 year"
- "my partner will need to take an antiviral medication"
- "my joints ache because I have Lyme disease"
- "I bruise easily because I have Lyme disease"
"My joints ache because I have Lyme disease"
Lyme disease is a vector-borne illness transmitted by the deer tick. The disease course occurs in
three stages beginning with joint and muscle pain in stage I. If left untreated, these symptoms
continue throughout stage II and, by stage III, become chronic. Other chronic complications include
memory problems and fatigue.
A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount
available is oral solution 125 mg/5 mL. How many mL should the nurse administer? (Round
the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing
zero.)
24 mL
5 x = 24
,A nurse is caring for a client who has an arterial line. Which of the following actions should
the nurse take?
- flush the line before administering antibiotics
- position the client in Trendelenburg to obtain measurements
- have the client bear down when readings are obtained- place a pressure bag around the
flush solution place a pressure bag around the flush solution
The nurse should place a pressure bag around the flush solution of 0.9% sodium chloride because
the pressure from an artery is greater than that of the line.
A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the
following findings should the nurse identify as the priority?
- report of sore throat
- report of memory loss
- alopecia
- mucositis
Report of sore throat
which could be a manifestation of an infection. The client is at risk for neutropenia due to
myelosuppression; therefore, an infection could lead to sepsis. [the rest are expected findings from
chemotherapy]
, A nurse is reviewing the medical record of a client who has systemic lupus erythematosus
(SLE). Which of the following findings should the nurse expect?
- facial butterfly rash
- bradycardia
- esophagitis
- interstitial fibrosis
Facial butterfly rash
A butterfly rash is a manifestation of SLE. It appears as a dry, red rash on the client's cheeks and
nose and can disappear during times of remission.
A nurse is planning care for a client who is postoperative following a parathyroidectomy.
Which of the following actions should the nurse identify as the priority?
- use pillows to support the client's head and neck
- offer opioid medication
- place a tracheotomy tray at the bedside
- place the client in semi-fowler's positionPlace a tracheostomy tray at the bedside
in case of airway obstruction
A nurse is assessing a client who has diabetes insipidus. Which of the following findings
should the nurse expect?
A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which
of the following findings should the nurse identify as a manifestation of this condition?
- bounding pedal pulse
- capillary refill less than 2 seconds
- pain that increases with passive movement
- areas of warmth on the cast
Pain that increases with passive movement
The nurse should identify that a client who has compartment syndrome experiences pain that
increases with passive movement. Compartment syndrome results from a decrease in blood flow in
the extremity caused by a decrease in the muscle compartment size due to a cast that is too tight.
,A nurse is providing teaching to a client who has a severe form of stage II Lyme disease.
Which of the following statements made by the client reflects an understanding of the
teaching?
- "I will need to take antibiotics for 1 year"
- "my partner will need to take an antiviral medication"
- "my joints ache because I have Lyme disease"
- "I bruise easily because I have Lyme disease"
"My joints ache because I have Lyme disease"
Lyme disease is a vector-borne illness transmitted by the deer tick. The disease course occurs in
three stages beginning with joint and muscle pain in stage I. If left untreated, these symptoms
continue throughout stage II and, by stage III, become chronic. Other chronic complications include
memory problems and fatigue.
A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount
available is oral solution 125 mg/5 mL. How many mL should the nurse administer? (Round
the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing
zero.)
24 mL
5 x = 24
,A nurse is caring for a client who has an arterial line. Which of the following actions should
the nurse take?
- flush the line before administering antibiotics
- position the client in Trendelenburg to obtain measurements
- have the client bear down when readings are obtained- place a pressure bag around the
flush solution place a pressure bag around the flush solution
The nurse should place a pressure bag around the flush solution of 0.9% sodium chloride because
the pressure from an artery is greater than that of the line.
A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the
following findings should the nurse identify as the priority?
- report of sore throat
- report of memory loss
- alopecia
- mucositis
Report of sore throat
which could be a manifestation of an infection. The client is at risk for neutropenia due to
myelosuppression; therefore, an infection could lead to sepsis. [the rest are expected findings from
chemotherapy]
, A nurse is reviewing the medical record of a client who has systemic lupus erythematosus
(SLE). Which of the following findings should the nurse expect?
- facial butterfly rash
- bradycardia
- esophagitis
- interstitial fibrosis
Facial butterfly rash
A butterfly rash is a manifestation of SLE. It appears as a dry, red rash on the client's cheeks and
nose and can disappear during times of remission.
A nurse is planning care for a client who is postoperative following a parathyroidectomy.
Which of the following actions should the nurse identify as the priority?
- use pillows to support the client's head and neck
- offer opioid medication
- place a tracheotomy tray at the bedside
- place the client in semi-fowler's positionPlace a tracheostomy tray at the bedside
in case of airway obstruction
A nurse is assessing a client who has diabetes insipidus. Which of the following findings
should the nurse expect?
