ATI MED SURG 2023 A
1️⃣ Role Change Risk
A nurse is assessing a group of patients for indications of role changes. The nurse should identify
that which of the following patients is at risk for experiencing a role change?
A. A patient who has hypertension and manages it with medication
✅ B. A patient who has multiple sclerosis and is experiencing progressive difficulty
ambulating
C. A patient who is receiving physical therapy for a sprained ankle
D. A patient who has seasonal allergies
2️⃣ Osteomyelitis Indicator
A nurse is providing follow-up care for a patient who sustained a compound fracture 3 weeks
ago. Which of the following laboratory findings indicates osteomyelitis?
A. Serum calcium
B. White blood cell count
✅ C. Sedimentation rate
D. Uric acid level
3️⃣ Postoperative Hypovolemia
A nurse is caring for a postoperative patient. Which condition is most likely occurring, and what
actions should the nurse take?
✅ Condition: Hypovolemia
✅ Actions: Initiate fluid challenge, insert a large-gauge IV
✅ Monitor: Blood pressure and urine output
4️⃣ Brachytherapy Teaching
1
,A nurse is providing teaching for a patient scheduled for brachytherapy. Which instruction
should the nurse include?
✅ A. "You will need to stay still in the bed during each treatment session."
B. "You can ambulate freely during the treatment."
C. "You should limit fluid intake before therapy."
D. "You can have family at your bedside during treatment."
5️⃣ Dialysis Interventions
For a patient receiving dialysis, which interventions are indicated?
✅ Indicated:
Place in Trendelenburg position
Notify provider immediately
Administer 0.9% sodium chloride 200 mL IV bolus
Apply oxygen at 2 L/min via nasal cannula
❌ Not Indicated:
Obtain blood glucose level
Perform 12-lead ECG
6️⃣ Stroke Assessment Priority
A nurse is assessing a patient with a suspected stroke. What finding takes priority?
✅ A. Dysphagia
B. Headache
C. Facial droop
D. Slurred speech
7️⃣ Post–Hip Arthroplasty
Which action should the nurse take for a patient 12 hr postoperative after total hip arthroplasty?
✅ A. Place a pillow between the patient's legs.
B. Position the patient flat
C. Elevate the head of bed to 90°
D. Apply heat to the incision site
2
, 8️⃣ Herbal Supplement Teaching
A nurse is teaching about ginkgo biloba. Which statement is correct?
✅ A. "Ginkgo biloba can cause an increased risk for bleeding."
B. "Ginkgo biloba reduces blood pressure."
C. "Ginkgo biloba prevents infection."
D. "Ginkgo biloba increases blood sugar."
9️⃣ Preoperative Cholecystectomy Teaching
✅ A. Demonstrate ways to deep breathe and cough.
B. Withhold fluids before surgery.
C. Encourage early ambulation.
D. Avoid coughing after surgery.
🔟 Thoracentesis Outcome
A nurse should expect a reduction in which manifestation after thoracentesis for advanced lung
cancer?
✅ A. Dyspnea
B. Cough
C. Nausea
D. Fever
11️⃣ Tracheostomy Suctioning
Which finding indicates hypoxia during suctioning?
✅ A. Increased heart rate
B. Decreased secretions
C. Pale skin
D. Decreased heart rate
12️⃣ Pancreatitis Confirmation
The patient is experiencing manifestations of ____ as evidenced by ____.
✅ PANCREATITIS as evidenced by elevated AMYLASE and LIPASE
3
1️⃣ Role Change Risk
A nurse is assessing a group of patients for indications of role changes. The nurse should identify
that which of the following patients is at risk for experiencing a role change?
A. A patient who has hypertension and manages it with medication
✅ B. A patient who has multiple sclerosis and is experiencing progressive difficulty
ambulating
C. A patient who is receiving physical therapy for a sprained ankle
D. A patient who has seasonal allergies
2️⃣ Osteomyelitis Indicator
A nurse is providing follow-up care for a patient who sustained a compound fracture 3 weeks
ago. Which of the following laboratory findings indicates osteomyelitis?
A. Serum calcium
B. White blood cell count
✅ C. Sedimentation rate
D. Uric acid level
3️⃣ Postoperative Hypovolemia
A nurse is caring for a postoperative patient. Which condition is most likely occurring, and what
actions should the nurse take?
✅ Condition: Hypovolemia
✅ Actions: Initiate fluid challenge, insert a large-gauge IV
✅ Monitor: Blood pressure and urine output
4️⃣ Brachytherapy Teaching
1
,A nurse is providing teaching for a patient scheduled for brachytherapy. Which instruction
should the nurse include?
✅ A. "You will need to stay still in the bed during each treatment session."
B. "You can ambulate freely during the treatment."
C. "You should limit fluid intake before therapy."
D. "You can have family at your bedside during treatment."
5️⃣ Dialysis Interventions
For a patient receiving dialysis, which interventions are indicated?
✅ Indicated:
Place in Trendelenburg position
Notify provider immediately
Administer 0.9% sodium chloride 200 mL IV bolus
Apply oxygen at 2 L/min via nasal cannula
❌ Not Indicated:
Obtain blood glucose level
Perform 12-lead ECG
6️⃣ Stroke Assessment Priority
A nurse is assessing a patient with a suspected stroke. What finding takes priority?
✅ A. Dysphagia
B. Headache
C. Facial droop
D. Slurred speech
7️⃣ Post–Hip Arthroplasty
Which action should the nurse take for a patient 12 hr postoperative after total hip arthroplasty?
✅ A. Place a pillow between the patient's legs.
B. Position the patient flat
C. Elevate the head of bed to 90°
D. Apply heat to the incision site
2
, 8️⃣ Herbal Supplement Teaching
A nurse is teaching about ginkgo biloba. Which statement is correct?
✅ A. "Ginkgo biloba can cause an increased risk for bleeding."
B. "Ginkgo biloba reduces blood pressure."
C. "Ginkgo biloba prevents infection."
D. "Ginkgo biloba increases blood sugar."
9️⃣ Preoperative Cholecystectomy Teaching
✅ A. Demonstrate ways to deep breathe and cough.
B. Withhold fluids before surgery.
C. Encourage early ambulation.
D. Avoid coughing after surgery.
🔟 Thoracentesis Outcome
A nurse should expect a reduction in which manifestation after thoracentesis for advanced lung
cancer?
✅ A. Dyspnea
B. Cough
C. Nausea
D. Fever
11️⃣ Tracheostomy Suctioning
Which finding indicates hypoxia during suctioning?
✅ A. Increased heart rate
B. Decreased secretions
C. Pale skin
D. Decreased heart rate
12️⃣ Pancreatitis Confirmation
The patient is experiencing manifestations of ____ as evidenced by ____.
✅ PANCREATITIS as evidenced by elevated AMYLASE and LIPASE
3
