ATI RN ADULT MEDICAL SURGICAL ACTUAL EXAM QU
C C C C C C C
ESTIONS WITH VERIFIED ANSWERS 2025
C C C C
ACnurseCisCprovidingCpostoperativeCteachingCforCaCclientCwhoChadCaCtotalCkneeCarthroplasty.CWhichCofCtheCfColl
owingCinstructionsCshouldCtheCnurseCinclude?C-CCORRECTCANSWERC-
FlexCtheCfootCeveryChourCwhenCawake.
Rationale:CTheCnurseCshouldCinstructCtheCclientCtoCflexCtheCfootCeveryChourCtoCreduceCtheCriskCforCthromboCem
bolismCandCpromoteCvenousCreturn.
ACnurseCisCcaringCforCaCclientCwhoChasCaCpneumothoraxCandCaCclosed-
chestCdrainageCsystem.CWhichCofCtheCfollowingRfindingsCisCanCindicationCofClungCre-expansion?C-
CCORRECTCANSWERC-BubblingCinCtheCwaterCsealCchamberChasCceased.
Rationale:CBubblingCinCtheCwaterCsealCchamberCceasesCwhenCtheClungRre-expands.
ACnurseCisCreviewingCtheCmedicalCrecordCofCaCclientCwhoCisCtakingCwarfarinCforCchronicCatrialCfibrillation.CW
ChichCofCtheCfollowingCvaluesCshouldCtheCnurseCidentifyCasCaCdesiredCoutcomeCforCthisCtherapy?C-
CORRECTCANSWERC-INRC2.5
Rationale:CClientsCreceiveCwarfarinCtherapyCtoCdecreaseCtheCriskCofCstroke,CmyocardialCinfarctionC(MI),CorC
pCulmonaryCemboliC(PE)CfromCbloodCclots.CSinceCwarfarinCisCanCanticoagulant,CtheCmedicationCmustCbeCmo
niCtoredCtoCensureCtheCanticoagulationCisCwithinCtheCtherapeuticCrangeCandCpreventChemorrhageC(highClev
elsCofCanticoagulation)CorCstroke,CMI,CorCPEC(lowClevelsCofCanticoagulation).CAnCINRCofC2.5CisCwithinCtheCtar
getCedCtherapeuticCrangeCofC2CtoC3CforCaCclientCwhoChasCatrialCfibrillation.
ARhomeChealthCnurseCisCprovidingCteachingCtoCaCclientRwhoChasCaCstageC1CpressureCinjuryConCtheCgreaterCtrCoch
anterCofChisCleftChip.CWhichCofCtheCfollowingCinstructionsCshouldCtheCnurseCincludeCinCtheCteaching?C-
CCORRECTCANSWERC-ChangeCpositionCeveryChour
Rationale:CChangingCpositionCeveryC1CtoC2ChrCdecreasesRpressureConCbonyCprominences.CTheCnurseCshould
CalsoCinstructCtheCclientCtoClimitCtheCangleCofCtheChipsCwhenCinCaClateralCpositionCtoCnoCmoreCthanC30°.CThi
sCpositioningCpreventsCdirectCpressureConCtheCtrochanter.
ACnurseCisCassessingCaCclientCfollowingCtheCcompletionCofChemodialysis.CWhichCofCtheCfollowingCfindingsCis
CtheCnurse'sCpriorityCtoCreportCtoCtheCprovider?C-CCORRECTCANSWERC-Restlessness
Rationale:CUsingCtheCurgentCvs.CnonurgentCapproachCtoCclientCcare,CtheCnurseCshouldCdetermineCthatCtheC
priorityCfindingCtoCreportCtoCtheCproviderCisCrestlessness,CwhichCcanCbeCanCindicationCtheCclientCisCexperien
CcingCdisequilibriumCsyndrome.CDisequilibriumCsyndromeCisCcausedCbyCtheCrapidCremovalCofCelectrolytesCf
rComCtheCclient'sCbloodCandCcanCleadCtoCdysrhythmiasCorCseizures.COtherCmanifestationsCincludeCnausea,Cv
oCmiting,Cfatigue,CandCheadache.
,ACnurseCisCcaringCforCaCclientCwhoCisC8ChrCpostoperativeCfollowingCaCtotalChipCarthroplasty.CTheCclientCisCun
aCbleCtoCvoidConCtheCbedpan.CWhichCofCtheCfollowingCactionsCshouldCtheCnurseCtakeCfirst?C-
CORRECTCANSWERC-ScanCtheCbladderCwithCaCportableCultrasound.
Rationale:CTheCfirstCactionCtheCnurseCshouldCtakeCusingCtheCnursingCprocessCisCtoCassessCtheCclient.CScanniC
ngCtheCbladderCwithCaCportableCultrasoundCdeviceCwillCdetermineCtheCamountCofCurineCinCtheCbladder
ACnurseCisCplanningCaChealthCpromotionalCpresentationCforCaCgroupCofCAfricanCAmericanCclientsCatCaCcomm
CunityCcenter.CWhichCofCtheCfollowingCdisordersCpresentsCtheCgreatestCriskCtoCthisCgroupCofCclients?C-
CCORRECTCANSWERC-Hypertension
Rationale:CWhenCusingCtheCsafety/riskCreductionCapproachCtoCclientCcare,CtheCnurseCshouldCdetermineCtha
CtCtheCdisorderCwithCtheCgreatestCriskCforCthisCgroupCofCclientsCisChypertension.CTheCprevalenceCofChyperte
nCsionCisChighestCamongCAfricanCAmericanCclients,CfollowedCbyCCaucasianCclients,CandCthenCHispanicCclient
s.
ARnurseCisCcaringCforCaCclientCwhoChasCDKA.CWhichCofCtheCfollowingCfindingsCshouldCindicateCtoCtheCnurseCt
ChatCtheCclient'sCconditionCisCimproving?C-CCORRECTCANSWERC-GlucoseC272Cmg/dL
Rationale:CACglucoseCreadingClessCthanC300Cmg/dLCindicatesCimprovementCinCtheCclient'sCstatus.
ARnurseCisCcaringCforCaCclientCfollowingCextubationCofCanCendotrachealCtubeC10Cmin.Cago.CWhichCofCtheCfoll
CowingCfindingsCshouldCtheCnurseCreportCtoCtheCproviderCimmediately?C-CCORRECTCANSWERC-Stridor
Rationale:CUsingCtheCurgentRvs.CnonurgentCapproachCtoCclientCcare,CtheCnurseCshouldCdetermineCthatCtheC
priorityCfindingCisCstridor.CStridorCcanCindicateCaCnarrowingCairwayCorCpossibleCobstructionCcausedCbyCedeC
maCorClaryngealCspasms.CTheCnurseCshouldCreportCtheCfindingCimmediatelyCandCimplementCanCinterventioC
n.
ACnurseCisCcaringCforCaCclientCwhoChadCaCnephrostomyCtubeCinsertedC112ChrCago.CWhichCofCtheCfollowingCfiCndi
ngsCshouldCtheCnurseCreportCtoCtheCprovider?C-CCORRECTCANSWERC-TheCclientCreportsCbackCpain
Rationale:CTheCnurseCshouldCnotifyCtheCproviderCifCtheCclientCreportsCbackCpain,CwhichCcanCindicateCthatCth
CeCnephrostomyCtubeCisCdislodgedCorCclogged.
ACnurseCisCadmittingCaCclientCwhoChasCactiveCTB.CWhichCofCtheCfollowingCtypesCofCtransmissionCprecaution
CsCshouldCtheCnurseCinitiate?C-CCORRECTCANSWERC-Airborne
Rationale:CAirborneCprecautionsCareCrequiredCforCclientsCwhoChaveCinfectionsCdueCtoCmicro-
organismsCthatCcanCremainCsuspendedCinCairCforClengthyCperiodsCofCtime,CsuchCasCtuberculosis,Cmeasles,CvCaric
ella,CandCdisseminatedCvaricellaCzoster.
, ACnurseCisCplanningCcareCforCaCclientCwhoChasCaCsealedCradiationCimplantCforCcervicalCcancer.CWhichCofCtheC
followingCinterventionsCshouldCtheCnurseCincludeCinCtheCplanCofCcare?C-CCORRECTCANSWERC-KeepCaClead-
ClinedCcontainerCinCtheCclient'sCroom
Rationale:CTheCnurseCshouldCkeepCaClead-
linedCcontainerCandCforcepsCinCtheCclient'sCroomCinCcaseCofCaccidentalCdislodgementCofCtheCimplant.
ACnurseCisCassessingCaCclientCwhoCisCpostoperativeCfollowingCaCthyroidectomy.CWhichCofCtheCfollowingRfind
iCngsCisCtheCnurse'sCpriority?C-CCORRECTCANSWERC-TemperatureC38.9°CCC(102°CF)
Rationale:CWhenCusingCtheCurgentCvs.CnonurgentCapproachCtoCclientCcare,CtheCnurseCshouldCdetermineCth
CatCtheCpriorityCfindingCisCanCelevatedCtemperature.CAnCelevatedCtemperatureCisCaCmanifestationCofCexces
siCveCthyroidChormoneCrelease,CorCthyroidCstorm,CdueCtoCanCincreaseCinCmetabolicCrate.CTheCnurseCshould
CreCportCthisCfindingCimmediatelyCtoCtheCproviderCbecauseCitCcanCleadCtoCseizuresCandCcoma.
ARnurseCisCprovidingCdischargeCteachingCaboutCinfectionCpreventionCtoCaCclientCwhoChasCAIDS.CWhichCofCt
hCeCfollowingCstatementsCbyCtheCclientCindicatesCunderstandingCofCtheCteaching?C-CCORRECTCANSWERC-
"ICwillCnoClongerCflossCmyCteethCafterCbrushingCmyCteeth."
Rationale:CTheCnurseCshouldCinstructCtheCclientCtoCavoidCflossingCteethCtoCpreventCgumCinflammation,Cwh
iCchCcouldCcreateCtheCopportunityCforCinfection.
ARnurseCisCprovidingCteachingCtoCaCclientCwhoChasChypertensionCandCaCnewCprescriptionCforCverapamil.CW
hCichCofCtheCfollowingRinformationCshouldCtheCnurseCincludeCinCtheCteaching?C-CCORRECTCANSWERC-
"IncreaseCfiberCintakeCtoCavoidCconstipation."
Rationale:CTheCnurseCshouldCinstructCtheCclientCthatCconstipationCisCanCadverseCeffectCofCverapamil.CTheCcl
iCentCshouldCincreaseCfiberCintakeCtoCpromoteCregularCbowelCfunction.
ACnurseCisCprovidingCeducationCtoCaCclientCwhoCisCatCriskCforCosteoporosis.CWhichCofCtheCfollowingCinstruct
iConsCshouldCtheCnurseCinclude?C-CCORRECTCANSWERC-WalkCforC30CminCfourCtimesCperCweek.
Rationale:CWeight-
bearingCexercisesCpromoteCboneCmass.CTherefore,CwalkingCcanChelpCtheCclientCpreventCosteoporosis.
ARnurseCisCprovidingCteachingCtoCaCclientCwhoCisCperimenopausalCandChasCaCprescriptionCforChormoneCrepl
CacementCtherapy.CForCwhichCofCtheCfollowing?C-CCORRECTCANSWERC-CalfCpain
NumbnessCinCtheCarm
C C C C C C C
ESTIONS WITH VERIFIED ANSWERS 2025
C C C C
ACnurseCisCprovidingCpostoperativeCteachingCforCaCclientCwhoChadCaCtotalCkneeCarthroplasty.CWhichCofCtheCfColl
owingCinstructionsCshouldCtheCnurseCinclude?C-CCORRECTCANSWERC-
FlexCtheCfootCeveryChourCwhenCawake.
Rationale:CTheCnurseCshouldCinstructCtheCclientCtoCflexCtheCfootCeveryChourCtoCreduceCtheCriskCforCthromboCem
bolismCandCpromoteCvenousCreturn.
ACnurseCisCcaringCforCaCclientCwhoChasCaCpneumothoraxCandCaCclosed-
chestCdrainageCsystem.CWhichCofCtheCfollowingRfindingsCisCanCindicationCofClungCre-expansion?C-
CCORRECTCANSWERC-BubblingCinCtheCwaterCsealCchamberChasCceased.
Rationale:CBubblingCinCtheCwaterCsealCchamberCceasesCwhenCtheClungRre-expands.
ACnurseCisCreviewingCtheCmedicalCrecordCofCaCclientCwhoCisCtakingCwarfarinCforCchronicCatrialCfibrillation.CW
ChichCofCtheCfollowingCvaluesCshouldCtheCnurseCidentifyCasCaCdesiredCoutcomeCforCthisCtherapy?C-
CORRECTCANSWERC-INRC2.5
Rationale:CClientsCreceiveCwarfarinCtherapyCtoCdecreaseCtheCriskCofCstroke,CmyocardialCinfarctionC(MI),CorC
pCulmonaryCemboliC(PE)CfromCbloodCclots.CSinceCwarfarinCisCanCanticoagulant,CtheCmedicationCmustCbeCmo
niCtoredCtoCensureCtheCanticoagulationCisCwithinCtheCtherapeuticCrangeCandCpreventChemorrhageC(highClev
elsCofCanticoagulation)CorCstroke,CMI,CorCPEC(lowClevelsCofCanticoagulation).CAnCINRCofC2.5CisCwithinCtheCtar
getCedCtherapeuticCrangeCofC2CtoC3CforCaCclientCwhoChasCatrialCfibrillation.
ARhomeChealthCnurseCisCprovidingCteachingCtoCaCclientRwhoChasCaCstageC1CpressureCinjuryConCtheCgreaterCtrCoch
anterCofChisCleftChip.CWhichCofCtheCfollowingCinstructionsCshouldCtheCnurseCincludeCinCtheCteaching?C-
CCORRECTCANSWERC-ChangeCpositionCeveryChour
Rationale:CChangingCpositionCeveryC1CtoC2ChrCdecreasesRpressureConCbonyCprominences.CTheCnurseCshould
CalsoCinstructCtheCclientCtoClimitCtheCangleCofCtheChipsCwhenCinCaClateralCpositionCtoCnoCmoreCthanC30°.CThi
sCpositioningCpreventsCdirectCpressureConCtheCtrochanter.
ACnurseCisCassessingCaCclientCfollowingCtheCcompletionCofChemodialysis.CWhichCofCtheCfollowingCfindingsCis
CtheCnurse'sCpriorityCtoCreportCtoCtheCprovider?C-CCORRECTCANSWERC-Restlessness
Rationale:CUsingCtheCurgentCvs.CnonurgentCapproachCtoCclientCcare,CtheCnurseCshouldCdetermineCthatCtheC
priorityCfindingCtoCreportCtoCtheCproviderCisCrestlessness,CwhichCcanCbeCanCindicationCtheCclientCisCexperien
CcingCdisequilibriumCsyndrome.CDisequilibriumCsyndromeCisCcausedCbyCtheCrapidCremovalCofCelectrolytesCf
rComCtheCclient'sCbloodCandCcanCleadCtoCdysrhythmiasCorCseizures.COtherCmanifestationsCincludeCnausea,Cv
oCmiting,Cfatigue,CandCheadache.
,ACnurseCisCcaringCforCaCclientCwhoCisC8ChrCpostoperativeCfollowingCaCtotalChipCarthroplasty.CTheCclientCisCun
aCbleCtoCvoidConCtheCbedpan.CWhichCofCtheCfollowingCactionsCshouldCtheCnurseCtakeCfirst?C-
CORRECTCANSWERC-ScanCtheCbladderCwithCaCportableCultrasound.
Rationale:CTheCfirstCactionCtheCnurseCshouldCtakeCusingCtheCnursingCprocessCisCtoCassessCtheCclient.CScanniC
ngCtheCbladderCwithCaCportableCultrasoundCdeviceCwillCdetermineCtheCamountCofCurineCinCtheCbladder
ACnurseCisCplanningCaChealthCpromotionalCpresentationCforCaCgroupCofCAfricanCAmericanCclientsCatCaCcomm
CunityCcenter.CWhichCofCtheCfollowingCdisordersCpresentsCtheCgreatestCriskCtoCthisCgroupCofCclients?C-
CCORRECTCANSWERC-Hypertension
Rationale:CWhenCusingCtheCsafety/riskCreductionCapproachCtoCclientCcare,CtheCnurseCshouldCdetermineCtha
CtCtheCdisorderCwithCtheCgreatestCriskCforCthisCgroupCofCclientsCisChypertension.CTheCprevalenceCofChyperte
nCsionCisChighestCamongCAfricanCAmericanCclients,CfollowedCbyCCaucasianCclients,CandCthenCHispanicCclient
s.
ARnurseCisCcaringCforCaCclientCwhoChasCDKA.CWhichCofCtheCfollowingCfindingsCshouldCindicateCtoCtheCnurseCt
ChatCtheCclient'sCconditionCisCimproving?C-CCORRECTCANSWERC-GlucoseC272Cmg/dL
Rationale:CACglucoseCreadingClessCthanC300Cmg/dLCindicatesCimprovementCinCtheCclient'sCstatus.
ARnurseCisCcaringCforCaCclientCfollowingCextubationCofCanCendotrachealCtubeC10Cmin.Cago.CWhichCofCtheCfoll
CowingCfindingsCshouldCtheCnurseCreportCtoCtheCproviderCimmediately?C-CCORRECTCANSWERC-Stridor
Rationale:CUsingCtheCurgentRvs.CnonurgentCapproachCtoCclientCcare,CtheCnurseCshouldCdetermineCthatCtheC
priorityCfindingCisCstridor.CStridorCcanCindicateCaCnarrowingCairwayCorCpossibleCobstructionCcausedCbyCedeC
maCorClaryngealCspasms.CTheCnurseCshouldCreportCtheCfindingCimmediatelyCandCimplementCanCinterventioC
n.
ACnurseCisCcaringCforCaCclientCwhoChadCaCnephrostomyCtubeCinsertedC112ChrCago.CWhichCofCtheCfollowingCfiCndi
ngsCshouldCtheCnurseCreportCtoCtheCprovider?C-CCORRECTCANSWERC-TheCclientCreportsCbackCpain
Rationale:CTheCnurseCshouldCnotifyCtheCproviderCifCtheCclientCreportsCbackCpain,CwhichCcanCindicateCthatCth
CeCnephrostomyCtubeCisCdislodgedCorCclogged.
ACnurseCisCadmittingCaCclientCwhoChasCactiveCTB.CWhichCofCtheCfollowingCtypesCofCtransmissionCprecaution
CsCshouldCtheCnurseCinitiate?C-CCORRECTCANSWERC-Airborne
Rationale:CAirborneCprecautionsCareCrequiredCforCclientsCwhoChaveCinfectionsCdueCtoCmicro-
organismsCthatCcanCremainCsuspendedCinCairCforClengthyCperiodsCofCtime,CsuchCasCtuberculosis,Cmeasles,CvCaric
ella,CandCdisseminatedCvaricellaCzoster.
, ACnurseCisCplanningCcareCforCaCclientCwhoChasCaCsealedCradiationCimplantCforCcervicalCcancer.CWhichCofCtheC
followingCinterventionsCshouldCtheCnurseCincludeCinCtheCplanCofCcare?C-CCORRECTCANSWERC-KeepCaClead-
ClinedCcontainerCinCtheCclient'sCroom
Rationale:CTheCnurseCshouldCkeepCaClead-
linedCcontainerCandCforcepsCinCtheCclient'sCroomCinCcaseCofCaccidentalCdislodgementCofCtheCimplant.
ACnurseCisCassessingCaCclientCwhoCisCpostoperativeCfollowingCaCthyroidectomy.CWhichCofCtheCfollowingRfind
iCngsCisCtheCnurse'sCpriority?C-CCORRECTCANSWERC-TemperatureC38.9°CCC(102°CF)
Rationale:CWhenCusingCtheCurgentCvs.CnonurgentCapproachCtoCclientCcare,CtheCnurseCshouldCdetermineCth
CatCtheCpriorityCfindingCisCanCelevatedCtemperature.CAnCelevatedCtemperatureCisCaCmanifestationCofCexces
siCveCthyroidChormoneCrelease,CorCthyroidCstorm,CdueCtoCanCincreaseCinCmetabolicCrate.CTheCnurseCshould
CreCportCthisCfindingCimmediatelyCtoCtheCproviderCbecauseCitCcanCleadCtoCseizuresCandCcoma.
ARnurseCisCprovidingCdischargeCteachingCaboutCinfectionCpreventionCtoCaCclientCwhoChasCAIDS.CWhichCofCt
hCeCfollowingCstatementsCbyCtheCclientCindicatesCunderstandingCofCtheCteaching?C-CCORRECTCANSWERC-
"ICwillCnoClongerCflossCmyCteethCafterCbrushingCmyCteeth."
Rationale:CTheCnurseCshouldCinstructCtheCclientCtoCavoidCflossingCteethCtoCpreventCgumCinflammation,Cwh
iCchCcouldCcreateCtheCopportunityCforCinfection.
ARnurseCisCprovidingCteachingCtoCaCclientCwhoChasChypertensionCandCaCnewCprescriptionCforCverapamil.CW
hCichCofCtheCfollowingRinformationCshouldCtheCnurseCincludeCinCtheCteaching?C-CCORRECTCANSWERC-
"IncreaseCfiberCintakeCtoCavoidCconstipation."
Rationale:CTheCnurseCshouldCinstructCtheCclientCthatCconstipationCisCanCadverseCeffectCofCverapamil.CTheCcl
iCentCshouldCincreaseCfiberCintakeCtoCpromoteCregularCbowelCfunction.
ACnurseCisCprovidingCeducationCtoCaCclientCwhoCisCatCriskCforCosteoporosis.CWhichCofCtheCfollowingCinstruct
iConsCshouldCtheCnurseCinclude?C-CCORRECTCANSWERC-WalkCforC30CminCfourCtimesCperCweek.
Rationale:CWeight-
bearingCexercisesCpromoteCboneCmass.CTherefore,CwalkingCcanChelpCtheCclientCpreventCosteoporosis.
ARnurseCisCprovidingCteachingCtoCaCclientCwhoCisCperimenopausalCandChasCaCprescriptionCforChormoneCrepl
CacementCtherapy.CForCwhichCofCtheCfollowing?C-CCORRECTCANSWERC-CalfCpain
NumbnessCinCtheCarm
