ATI Med Surg Proctored Actual exam: The Ultimate, Comprehensive
Test Bank and Study Guide Featuring Hundreds of Realistic Practice
Questions, Detailed Answer Rationales with Verified Explanations,
Next Generation NCLEX (NGN) Style Case Studies, and High-Yield
Content Review for Guaranteed First-Attempt Success in Your RN Adult
Medical Surgical Nursing Certification| Just Released !!!
A nurse is planning care for a client who has a full-thickness burns on the lower
extremities. Which of the following interventions should the nurse include?
a) Limit visitation time for client's children to 40 minutes per day
b) clean the equipment in the client's room once per week
c) provide a diet of fresh fruits and vegetable for the client
d) apply new gloves when alternating between wound care sites
Correct Answer: d) apply new gloves when alternating between wound care
sites
Rationale: Changing gloves between wound sites prevents cross-contamination
and infection. (Note: option d is repeated twice in the file).
A nurse on a medical unit is planning care for a group of clients. Which of the
following clients should the nurse attend to First?
a) A client who has chronic obstructive pulmonary disease in oxygen saturation
of 89%
b) a client who has left-sided paralysis and slurred speech from a prior stroke
c) a client who has thrombocytopenia and reports a nosebleed
d) a client who has multiple sclerosis and reports Ataxia and vertigo
Correct Answer: c) a client who has thrombocytopenia and reports a nosebleed
Rationale: Thrombocytopenia with active bleeding (nosebleed) poses a risk for
hemodynamic instability and is the most urgent. (Oxygen saturation of 89% in
COPD is important but may be chronic for that client).
,A nurse is caring for a client who has lower extremity fracture and a
prescription for crutches. Which of the following client statements indicates that
the client is adapting to their role change? a) I will need to have my partner take
over shopping for groceries and cooking the meals for us
b) Its going to be difficult to tell my parents I can't take them to their
appointments anymore
c) I feel bad that I have to ask my partner to keep the house clean
d) These crutches will make it impossible to care for my child
Correct Answer:a) I will need to have my partner take over shopping for
groceries and cooking the meals for us
Rationale: This statement shows acceptance of limitations and proactive
delegation, indicating adaptation.
A nurse is caring for a client who has cancer. The client tells the nurse, "I would
prefer to try vitamins and minerals instead of chemotherapy" which of the
following responses should the nurse make?
a) I have never heard of any holistic treatment that is effective
b) you should ask your provider about your plan
c) the best way to treat your cancer is chemotherapy
d) tell me what you know about chemotherapy
Correct Answer: d) tell me what you know about chemotherapy
Rationale: This is an open-ended, therapeutic response that assesses the
client's understanding and allows the nurse to address concerns or
misconceptions.
A nurse is planning to teach a client whose provider has prescribed a low purine
diet. The nurse should plan to instruct the client that he can include which of the
following Foods in his diet (select all that apply)
a) Sardines
b) Nuts
c) Apricots
d) liver
e) scallops
Correct Answer:
,b) Nuts
c) Apricots
Rationale: Low-purine diets avoid organ meats (liver), sardines, and scallops.
Nuts and fruits like apricots are low in purines.
Nurse is caring for a client following a total knee arthroplasty. The client reports
a pain level of 6 on a paint scale of 0 to 10. Which of the following interventions
should the nurse take?
a) Place pillowsl under the clients knee
b) gently massage the area around the clients incision
c) apply an ice pack to the clients knee
d) perform range of motion exercises to the clients knee
Correct Answer: c) apply an ice pack to the clients knee
Rationale: Ice reduces pain and swelling. Pillows under the knee can cause
contractures; massage near incision is not recommended; ROM exercises may
increase pain acutely.
A nurse is assessing a client who is preoperative and reports an allergy to
bananas. The nurse should recognize that the client is at risk for an allergic
cross-reactivity to which of the following substances?
a) adhesive tape
b) Latex
c) Anesthetics
d) povidone iodine
Correct Answer:b) Latex
Rationale: Banana allergy is associated with latex-fruit syndrome; cross-
reactivity with latex is well-documented.
A nurse is monitoring a client who is receiving two units packed RBC's. Which of
the following manifestation indicates a hemolytic transfusion reaction?
a) back pain
b) Hypertension
c) Chills
d) bradycardia
, Correct Answer:a) back pain
Rationale: Back pain, chills, fever, and hypotension are classic signs of a
hemolytic reaction. (Hypertension and bradycardia are not typical).
A nurse is teaching a client who has diabetes mellitus about foot care. Which of
the following instruction should the nurse include?
a) Use a heating pad to keep your feet warm at night
b) wear loose-fitting slippers around the house
c) where cotton rather than nylon socks
d) wash your face twice per day with antibacterial soap and hot water
Correct Answer:c) where cotton rather than nylon socks
Rationale: Cotton is breathable and reduces moisture, decreasing infection
risk. Heating pads can cause burns; loose slippers can cause falls;
antibacterial soap and hot water can dry and damage skin.
A nurse is providing teaching to a client who has a deep vein thrombosis (DVT) .
Which of the following findings should the nurse identify as a risk factor for the
development of the DVTs?
a) NSAID use
b) hypertension
c) oral contraceptive use
d) cirrhosis
Correct Answer:c) oral contraceptive use
Rationale: Oral contraceptives increase estrogen, which increases clotting risk.
A nurse is caring for a client who has a sealed radiation implant. Which of the
following actions should the nurse take?
a) Remove soiled linens from the room after each change
b) Give the dosimeter badge to the oncoming nurse at the end of the shift
c) Apply a second pair of gloves before touching the client's implant if it
dislodges d) Limit family member visits to 30 min per day
Correct Answer: d) Limit family member visits to 30 min per day
Test Bank and Study Guide Featuring Hundreds of Realistic Practice
Questions, Detailed Answer Rationales with Verified Explanations,
Next Generation NCLEX (NGN) Style Case Studies, and High-Yield
Content Review for Guaranteed First-Attempt Success in Your RN Adult
Medical Surgical Nursing Certification| Just Released !!!
A nurse is planning care for a client who has a full-thickness burns on the lower
extremities. Which of the following interventions should the nurse include?
a) Limit visitation time for client's children to 40 minutes per day
b) clean the equipment in the client's room once per week
c) provide a diet of fresh fruits and vegetable for the client
d) apply new gloves when alternating between wound care sites
Correct Answer: d) apply new gloves when alternating between wound care
sites
Rationale: Changing gloves between wound sites prevents cross-contamination
and infection. (Note: option d is repeated twice in the file).
A nurse on a medical unit is planning care for a group of clients. Which of the
following clients should the nurse attend to First?
a) A client who has chronic obstructive pulmonary disease in oxygen saturation
of 89%
b) a client who has left-sided paralysis and slurred speech from a prior stroke
c) a client who has thrombocytopenia and reports a nosebleed
d) a client who has multiple sclerosis and reports Ataxia and vertigo
Correct Answer: c) a client who has thrombocytopenia and reports a nosebleed
Rationale: Thrombocytopenia with active bleeding (nosebleed) poses a risk for
hemodynamic instability and is the most urgent. (Oxygen saturation of 89% in
COPD is important but may be chronic for that client).
,A nurse is caring for a client who has lower extremity fracture and a
prescription for crutches. Which of the following client statements indicates that
the client is adapting to their role change? a) I will need to have my partner take
over shopping for groceries and cooking the meals for us
b) Its going to be difficult to tell my parents I can't take them to their
appointments anymore
c) I feel bad that I have to ask my partner to keep the house clean
d) These crutches will make it impossible to care for my child
Correct Answer:a) I will need to have my partner take over shopping for
groceries and cooking the meals for us
Rationale: This statement shows acceptance of limitations and proactive
delegation, indicating adaptation.
A nurse is caring for a client who has cancer. The client tells the nurse, "I would
prefer to try vitamins and minerals instead of chemotherapy" which of the
following responses should the nurse make?
a) I have never heard of any holistic treatment that is effective
b) you should ask your provider about your plan
c) the best way to treat your cancer is chemotherapy
d) tell me what you know about chemotherapy
Correct Answer: d) tell me what you know about chemotherapy
Rationale: This is an open-ended, therapeutic response that assesses the
client's understanding and allows the nurse to address concerns or
misconceptions.
A nurse is planning to teach a client whose provider has prescribed a low purine
diet. The nurse should plan to instruct the client that he can include which of the
following Foods in his diet (select all that apply)
a) Sardines
b) Nuts
c) Apricots
d) liver
e) scallops
Correct Answer:
,b) Nuts
c) Apricots
Rationale: Low-purine diets avoid organ meats (liver), sardines, and scallops.
Nuts and fruits like apricots are low in purines.
Nurse is caring for a client following a total knee arthroplasty. The client reports
a pain level of 6 on a paint scale of 0 to 10. Which of the following interventions
should the nurse take?
a) Place pillowsl under the clients knee
b) gently massage the area around the clients incision
c) apply an ice pack to the clients knee
d) perform range of motion exercises to the clients knee
Correct Answer: c) apply an ice pack to the clients knee
Rationale: Ice reduces pain and swelling. Pillows under the knee can cause
contractures; massage near incision is not recommended; ROM exercises may
increase pain acutely.
A nurse is assessing a client who is preoperative and reports an allergy to
bananas. The nurse should recognize that the client is at risk for an allergic
cross-reactivity to which of the following substances?
a) adhesive tape
b) Latex
c) Anesthetics
d) povidone iodine
Correct Answer:b) Latex
Rationale: Banana allergy is associated with latex-fruit syndrome; cross-
reactivity with latex is well-documented.
A nurse is monitoring a client who is receiving two units packed RBC's. Which of
the following manifestation indicates a hemolytic transfusion reaction?
a) back pain
b) Hypertension
c) Chills
d) bradycardia
, Correct Answer:a) back pain
Rationale: Back pain, chills, fever, and hypotension are classic signs of a
hemolytic reaction. (Hypertension and bradycardia are not typical).
A nurse is teaching a client who has diabetes mellitus about foot care. Which of
the following instruction should the nurse include?
a) Use a heating pad to keep your feet warm at night
b) wear loose-fitting slippers around the house
c) where cotton rather than nylon socks
d) wash your face twice per day with antibacterial soap and hot water
Correct Answer:c) where cotton rather than nylon socks
Rationale: Cotton is breathable and reduces moisture, decreasing infection
risk. Heating pads can cause burns; loose slippers can cause falls;
antibacterial soap and hot water can dry and damage skin.
A nurse is providing teaching to a client who has a deep vein thrombosis (DVT) .
Which of the following findings should the nurse identify as a risk factor for the
development of the DVTs?
a) NSAID use
b) hypertension
c) oral contraceptive use
d) cirrhosis
Correct Answer:c) oral contraceptive use
Rationale: Oral contraceptives increase estrogen, which increases clotting risk.
A nurse is caring for a client who has a sealed radiation implant. Which of the
following actions should the nurse take?
a) Remove soiled linens from the room after each change
b) Give the dosimeter badge to the oncoming nurse at the end of the shift
c) Apply a second pair of gloves before touching the client's implant if it
dislodges d) Limit family member visits to 30 min per day
Correct Answer: d) Limit family member visits to 30 min per day
