ATI Adult Medical-Surgical Test Bank Exam
Verified Questions, Correct Answers, and
Detailed Explanations for Students||Already
Graded A+
1.
A client with chronic kidney disease is scheduled for hemodialysis.
Which of the following lab values should the nurse monitor closely?
A. White blood cell count
B. Potassium
C. Hemoglobin A1C
D. Platelet count
Answer: B. Potassium
Hyperkalemia is a common complication in clients with chronic
kidney disease and can cause life-threatening cardiac arrhythmias.
2.
A nurse is caring for a client with COPD who has a new prescription
for oxygen therapy at 2 L/min via nasal cannula. Which intervention
should the nurse include?
A. Set oxygen at 6 L/min if SpO₂ is below 88%
B. Monitor for CO₂ retention
C. Encourage deep breaths only during oxygen therapy
D. Restrict fluids to prevent pulmonary edema
Answer: B. Monitor for CO₂ retention
Clients with COPD are at risk for CO₂ retention; high oxygen flow can
suppress their respiratory drive.
,3.
Which assessment finding is most important to report immediately
for a client who has just undergone a total hip replacement?
A. Mild swelling at the surgical site
B. Temperature of 37.8°C (100°F)
C. Inability to move the toes on the affected leg
D. Mild pain at the surgical site
Answer: C. Inability to move the toes on the affected leg
Loss of movement may indicate neurovascular compromise or a
developing complication such as compartment syndrome.
4.
A client with heart failure has gained 3 kg in 3 days. What is the most
appropriate nursing action?
A. Notify the healthcare provider
B. Encourage ambulation
C. Document the finding in the chart
D. Restrict fluid intake for 24 hours
Answer: A. Notify the healthcare provider
Rapid weight gain indicates fluid retention and worsening heart
failure, which requires immediate intervention.
5.
Which medication is commonly prescribed to reduce the risk of
stroke in a client with atrial fibrillation?
A. Lisinopril
B. Metoprolol
C. Warfarin
D. Furosemide
,Answer: C. Warfarin
Warfarin is an anticoagulant used to prevent thrombus formation in
clients with atrial fibrillation.
6.
A client with a new colostomy expresses concern about changing the
pouching system. What is the best nursing response?
A. “You will get used to it over time.”
B. “I will demonstrate the procedure and supervise you initially.”
C. “Try changing it at night when no one is around.”
D. “It’s okay if you need to wait a few days to change it.”
Answer: B. “I will demonstrate the procedure and supervise you
initially.”
Providing step-by-step instruction and supervision promotes client
independence and reduces anxiety.
7.
A client with diabetes reports tingling in the hands and feet. Which
complication is most likely?
A. Diabetic nephropathy
B. Diabetic neuropathy
C. Peripheral vascular disease
D. Retinopathy
Answer: B. Diabetic neuropathy
Tingling in extremities is a classic symptom of peripheral neuropathy
caused by chronic hyperglycemia.
8.
, Which electrolyte imbalance is most concerning for a client receiving
loop diuretics?
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
D. Hypophosphatemia
Answer: B. Hypokalemia
Loop diuretics increase potassium excretion, which can lead to life-
threatening cardiac arrhythmias.
9.
A nurse is providing discharge teaching for a client with pneumonia.
Which instruction is most important?
A. Take antibiotics until the bottle is empty
B. Resume exercise immediately
C. Drink fluids only when thirsty
D. Avoid all social contact for 2 weeks
Answer: A. Take antibiotics until the bottle is empty
Completing the full course of antibiotics prevents relapse and
antibiotic resistance.
10.
Which nursing intervention is priority for a client experiencing acute
chest pain?
A. Obtain vital signs
B. Administer oxygen
C. Assess pain intensity
D. Place the client on telemetry
Verified Questions, Correct Answers, and
Detailed Explanations for Students||Already
Graded A+
1.
A client with chronic kidney disease is scheduled for hemodialysis.
Which of the following lab values should the nurse monitor closely?
A. White blood cell count
B. Potassium
C. Hemoglobin A1C
D. Platelet count
Answer: B. Potassium
Hyperkalemia is a common complication in clients with chronic
kidney disease and can cause life-threatening cardiac arrhythmias.
2.
A nurse is caring for a client with COPD who has a new prescription
for oxygen therapy at 2 L/min via nasal cannula. Which intervention
should the nurse include?
A. Set oxygen at 6 L/min if SpO₂ is below 88%
B. Monitor for CO₂ retention
C. Encourage deep breaths only during oxygen therapy
D. Restrict fluids to prevent pulmonary edema
Answer: B. Monitor for CO₂ retention
Clients with COPD are at risk for CO₂ retention; high oxygen flow can
suppress their respiratory drive.
,3.
Which assessment finding is most important to report immediately
for a client who has just undergone a total hip replacement?
A. Mild swelling at the surgical site
B. Temperature of 37.8°C (100°F)
C. Inability to move the toes on the affected leg
D. Mild pain at the surgical site
Answer: C. Inability to move the toes on the affected leg
Loss of movement may indicate neurovascular compromise or a
developing complication such as compartment syndrome.
4.
A client with heart failure has gained 3 kg in 3 days. What is the most
appropriate nursing action?
A. Notify the healthcare provider
B. Encourage ambulation
C. Document the finding in the chart
D. Restrict fluid intake for 24 hours
Answer: A. Notify the healthcare provider
Rapid weight gain indicates fluid retention and worsening heart
failure, which requires immediate intervention.
5.
Which medication is commonly prescribed to reduce the risk of
stroke in a client with atrial fibrillation?
A. Lisinopril
B. Metoprolol
C. Warfarin
D. Furosemide
,Answer: C. Warfarin
Warfarin is an anticoagulant used to prevent thrombus formation in
clients with atrial fibrillation.
6.
A client with a new colostomy expresses concern about changing the
pouching system. What is the best nursing response?
A. “You will get used to it over time.”
B. “I will demonstrate the procedure and supervise you initially.”
C. “Try changing it at night when no one is around.”
D. “It’s okay if you need to wait a few days to change it.”
Answer: B. “I will demonstrate the procedure and supervise you
initially.”
Providing step-by-step instruction and supervision promotes client
independence and reduces anxiety.
7.
A client with diabetes reports tingling in the hands and feet. Which
complication is most likely?
A. Diabetic nephropathy
B. Diabetic neuropathy
C. Peripheral vascular disease
D. Retinopathy
Answer: B. Diabetic neuropathy
Tingling in extremities is a classic symptom of peripheral neuropathy
caused by chronic hyperglycemia.
8.
, Which electrolyte imbalance is most concerning for a client receiving
loop diuretics?
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
D. Hypophosphatemia
Answer: B. Hypokalemia
Loop diuretics increase potassium excretion, which can lead to life-
threatening cardiac arrhythmias.
9.
A nurse is providing discharge teaching for a client with pneumonia.
Which instruction is most important?
A. Take antibiotics until the bottle is empty
B. Resume exercise immediately
C. Drink fluids only when thirsty
D. Avoid all social contact for 2 weeks
Answer: A. Take antibiotics until the bottle is empty
Completing the full course of antibiotics prevents relapse and
antibiotic resistance.
10.
Which nursing intervention is priority for a client experiencing acute
chest pain?
A. Obtain vital signs
B. Administer oxygen
C. Assess pain intensity
D. Place the client on telemetry
