Complete ATI Med-Surg 2025 Exam | 200
Verified Questions & Detailed Rationales |
Immune & Infection, Oncology, Cardiovascular |
Brand New A+ Exam
A nurse is teaching a client who was recently diagnosed with Raynaud's disease about
preventing the onset of manifestations. Which of the following instructions should the nurse
include?
A. Smoke to increase circulation.
B. Expose hands to cold water daily.
C. Wear gloves when outside in cold weather.
D. Drink caffeinated beverages frequently.
ANSWER: C. Wear gloves when outside in cold weather.
Rationale: Cold exposure triggers vasospasm in Raynaud’s disease; keeping extremities warm
helps prevent attacks.
A nurse is caring for a client receiving chemotherapy whose neutrophil count is 800/mm³.
Which action should the nurse take?
A. Place the client in a semi-private room.
B. Provide fresh flowers in the room.
C. Implement neutropenic precautions.
D. Administer live vaccines.
ANSWER: C. Implement neutropenic precautions.
Rationale: A neutrophil count below 1,000/mm³ increases infection risk and requires protective
precautions.
A nurse is assessing a client with systemic lupus erythematosus (SLE). Which finding should the
nurse expect?
A. Butterfly rash across the cheeks.
B. Weight gain.
C. Bradycardia.
D. Hypernatremia.
ANSWER: A. Butterfly rash across the cheeks.
,Rationale: A malar rash is a classic manifestation of SLE.
A nurse is caring for a client with Hodgkin lymphoma. Which manifestation is expected? A.
Painless enlarged lymph nodes.
B. Severe joint deformity.
C. Decreased white blood cell count initially.
ANSWER: A. Painless enlarged lymph nodes.
Rationale: Hodgkin lymphoma typically presents with painless lymphadenopathy
D. Hypoglycemia.
.
A nurse is teaching a client with HIV about preventing opportunistic infections. Which
statement indicates understanding? A. I will eat raw seafood regularly.
B. I can receive live vaccines.
C. I will avoid cleaning cat litter boxes.
D. I do not need to wash my hands frequently.
ANSWER: C. I will avoid cleaning cat litter boxes.
Rationale: Cat litter can expose clients to toxoplasmosis, which is dangerous in
immunocompromised individuals.
A nurse is assessing a client for anaphylaxis after antibiotic administration. Which finding is the
priority?
A. Itching.
B. Rash.
C. Difficulty breathing.
D. Flushing.
ANSWER: C. Difficulty breathing.
Rationale: Airway compromise is the priority in anaphylaxis.
A nurse is caring for a client with rheumatoid arthritis. Which medication should the nurse
anticipate?
A. Methotrexate.
B. Digoxin.
C. Insulin.
D. Furosemide.
ANSWER: A. Methotrexate.
Rationale: Methotrexate is a disease-modifying antirheumatic drug used to slow RA
progression .
A nurse is teaching a client about radiation therapy. Which adverse effect should the nurse
include?
, A. Hypertension.
B. Hair growth.
C. Fatigue.
D. Hyperactivity.
ANSWER: C. Fatigue.
Rationale: Fatigue is a common side effect of radiation therapy.
A nurse is assessing a client with thrombocytopenia. Which manifestation should the nurse
expect?
A. Petechiae.
B. Hypertension.
C. Polyuria.
D. Hyperreflexia.
ANSWER: A. Petechiae.
Rationale: Low platelet levels increase bleeding risk, causing petechiae.
A nurse is caring for a client with deep vein thrombosis. Which medication is prescribed? A.
Heparin.
B. Acetaminophen.
C. Metformin.
D. Albuterol.
ANSWER: A. Heparin.
Rationale: Heparin prevents clot extension and embolization .
A nurse is assessing a client with heart failure. Which laboratory value indicates worsening
condition?
A. Elevated B-type natriuretic peptide (BNP).
B. Low sodium.
C. High hemoglobin.
D. Low glucose.
ANSWER: A. Elevated B-type natriuretic peptide (BNP).
Rationale: BNP increases when the ventricles are stretched in heart failure.
A nurse is caring for a client with myocardial infarction. Which ECG finding is expected? A.
ST-segment elevation.
B. Short PR interval.
C. Narrow QRS complex.
D. Absent P waves.
ANSWER: A. ST-segment elevation.
Rationale: ST elevation indicates myocardial injury.
A nurse is teaching a client about beta blockers. Which effect should the nurse monitor?
A. Bradycardia. B. Tachycardia.
C. Hyperglycemia.
Verified Questions & Detailed Rationales |
Immune & Infection, Oncology, Cardiovascular |
Brand New A+ Exam
A nurse is teaching a client who was recently diagnosed with Raynaud's disease about
preventing the onset of manifestations. Which of the following instructions should the nurse
include?
A. Smoke to increase circulation.
B. Expose hands to cold water daily.
C. Wear gloves when outside in cold weather.
D. Drink caffeinated beverages frequently.
ANSWER: C. Wear gloves when outside in cold weather.
Rationale: Cold exposure triggers vasospasm in Raynaud’s disease; keeping extremities warm
helps prevent attacks.
A nurse is caring for a client receiving chemotherapy whose neutrophil count is 800/mm³.
Which action should the nurse take?
A. Place the client in a semi-private room.
B. Provide fresh flowers in the room.
C. Implement neutropenic precautions.
D. Administer live vaccines.
ANSWER: C. Implement neutropenic precautions.
Rationale: A neutrophil count below 1,000/mm³ increases infection risk and requires protective
precautions.
A nurse is assessing a client with systemic lupus erythematosus (SLE). Which finding should the
nurse expect?
A. Butterfly rash across the cheeks.
B. Weight gain.
C. Bradycardia.
D. Hypernatremia.
ANSWER: A. Butterfly rash across the cheeks.
,Rationale: A malar rash is a classic manifestation of SLE.
A nurse is caring for a client with Hodgkin lymphoma. Which manifestation is expected? A.
Painless enlarged lymph nodes.
B. Severe joint deformity.
C. Decreased white blood cell count initially.
ANSWER: A. Painless enlarged lymph nodes.
Rationale: Hodgkin lymphoma typically presents with painless lymphadenopathy
D. Hypoglycemia.
.
A nurse is teaching a client with HIV about preventing opportunistic infections. Which
statement indicates understanding? A. I will eat raw seafood regularly.
B. I can receive live vaccines.
C. I will avoid cleaning cat litter boxes.
D. I do not need to wash my hands frequently.
ANSWER: C. I will avoid cleaning cat litter boxes.
Rationale: Cat litter can expose clients to toxoplasmosis, which is dangerous in
immunocompromised individuals.
A nurse is assessing a client for anaphylaxis after antibiotic administration. Which finding is the
priority?
A. Itching.
B. Rash.
C. Difficulty breathing.
D. Flushing.
ANSWER: C. Difficulty breathing.
Rationale: Airway compromise is the priority in anaphylaxis.
A nurse is caring for a client with rheumatoid arthritis. Which medication should the nurse
anticipate?
A. Methotrexate.
B. Digoxin.
C. Insulin.
D. Furosemide.
ANSWER: A. Methotrexate.
Rationale: Methotrexate is a disease-modifying antirheumatic drug used to slow RA
progression .
A nurse is teaching a client about radiation therapy. Which adverse effect should the nurse
include?
, A. Hypertension.
B. Hair growth.
C. Fatigue.
D. Hyperactivity.
ANSWER: C. Fatigue.
Rationale: Fatigue is a common side effect of radiation therapy.
A nurse is assessing a client with thrombocytopenia. Which manifestation should the nurse
expect?
A. Petechiae.
B. Hypertension.
C. Polyuria.
D. Hyperreflexia.
ANSWER: A. Petechiae.
Rationale: Low platelet levels increase bleeding risk, causing petechiae.
A nurse is caring for a client with deep vein thrombosis. Which medication is prescribed? A.
Heparin.
B. Acetaminophen.
C. Metformin.
D. Albuterol.
ANSWER: A. Heparin.
Rationale: Heparin prevents clot extension and embolization .
A nurse is assessing a client with heart failure. Which laboratory value indicates worsening
condition?
A. Elevated B-type natriuretic peptide (BNP).
B. Low sodium.
C. High hemoglobin.
D. Low glucose.
ANSWER: A. Elevated B-type natriuretic peptide (BNP).
Rationale: BNP increases when the ventricles are stretched in heart failure.
A nurse is caring for a client with myocardial infarction. Which ECG finding is expected? A.
ST-segment elevation.
B. Short PR interval.
C. Narrow QRS complex.
D. Absent P waves.
ANSWER: A. ST-segment elevation.
Rationale: ST elevation indicates myocardial injury.
A nurse is teaching a client about beta blockers. Which effect should the nurse monitor?
A. Bradycardia. B. Tachycardia.
C. Hyperglycemia.
