ATI RN MEDICAL SURGICAL WITH NGN
COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
A nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. Which of the following statements by the client
indicates an understanding of the teaching?
a) "I should take calcium supplements, so the medication will work better in my
system."
b) "I am taking this medication to increase my energy level."
c) "This medication can cause my blood pressure to drop."
d) "I will need to restrict protein in my diet while taking this medication." - ---
✔✔✔ANSWER----b) "I am taking this medication to increase my energy
level."
,A nurse in a provider's office is caring for a client who requests sildenafil to treat
erectile dysfunction. Which of the following statements should the nurse make?
a) You might need to take a stool softener while taking this medication.
b) You will not be able to use sildenafil if you have diabetes.
c) You will need to limit your caffeine intake if you start taking sildenafil.
d) You will not be able to use sildenafil if you are taking nitroglycerin. - ---
✔✔✔ANSWER----d) You will not be able to use sildenafil if you are taking
nitroglycerin.
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which
of the following is the priority assessment finding that the nurse should report to
the provider?
a) Restlessness
b) T3 level 215 ng/dL
c) Blood pressure 170/80
d) Decreased weight - ---✔✔✔ANSWER----c) Blood pressure 170/80
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
COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
A nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. Which of the following statements by the client
indicates an understanding of the teaching?
a) "I should take calcium supplements, so the medication will work better in my
system."
b) "I am taking this medication to increase my energy level."
c) "This medication can cause my blood pressure to drop."
d) "I will need to restrict protein in my diet while taking this medication." - ---
✔✔✔ANSWER----b) "I am taking this medication to increase my energy
level."
,A nurse in a provider's office is caring for a client who requests sildenafil to treat
erectile dysfunction. Which of the following statements should the nurse make?
a) You might need to take a stool softener while taking this medication.
b) You will not be able to use sildenafil if you have diabetes.
c) You will need to limit your caffeine intake if you start taking sildenafil.
d) You will not be able to use sildenafil if you are taking nitroglycerin. - ---
✔✔✔ANSWER----d) You will not be able to use sildenafil if you are taking
nitroglycerin.
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which
of the following is the priority assessment finding that the nurse should report to
the provider?
a) Restlessness
b) T3 level 215 ng/dL
c) Blood pressure 170/80
d) Decreased weight - ---✔✔✔ANSWER----c) Blood pressure 170/80
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
