ATI EN adult medical surgical online
practice
(Latest 2025-2026 Edition) 100% Verified Q&A + Answer
90+
Key Solutions
VERIFIED ANSWERS
Question 1
A nurse is caring for a client in the ED.
Exhibit 1, 2, 3...
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2
actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's
progress.
Correct Answer
actions to take:
1. Administer morphine IV
2. Ensure the client is NPO
potential condition:
Cholecystitis
Parameters to monitor:
1. Monitor the client for dark urine
2. Monitor the color or the client's stools.
The nurse should plan to administer an opioid analgesic, such as morphine, for acute pain. Since the client is experiencing
nausea and vomiting, the nurse should also ensure they are NPO. The client is likely experiencing cholecystitis, which
typically presents with nausea, vomiting, upper abdominal pain that radiates to the right shoulder, fever, and dyspepsia.
The client also has elevated liver enzymes and a WBC count, which is consistent with cholecystitis. Surgical management
for cholecystitis might be indicated. The nurse should monitor the client's stool and urine color because a biliary
obstruction from gallstones may cause clay-colored stools and dark urine.
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,Question 2
A nurse is caring for a client who was just admitted from the ED. Exhibit 1, 2...
Drag words from the choices below to fill in each blank in the following sentence.
The client is most likely experiencing target 1 and target 2.
Word Choices
a. acute chest syndrome
b. right-sided heart failure
c. fluid volume overload
d. pneumonia
e. pneumorhorax
Correct Answer
The client is most likely experiencing a. ACUTE CHEST SYNDROME and d. PNEUMONIA.
Acute chest syndrome is correct. The client is most likely experiencing acute chest syndrome, which can be caused by
respiratory infections and debris from sickled cells. The client is displaying manifestations of acute chest syndrome, which
include cough, shortness of breath, wheezing, tachypnea, fever, and chest pain.
Pneumonia is correct. The client is most likely experiencing pneumonia as evidenced by the manifestations of cough,
shortness of breath, fever, tachypnea, blood-tinged sputum, and chest pain.
Question 3
Part 1 - A nurse is caring for a client. Exhibit 1, 2, 3, 4...
For each assessment finding, click to specify if the finding is consistent with emphysema, asthma, or pneumonia. Each
finding may support more than 1 disease process.
Correct Answer
Temperature is consistent with pneumonia. Fever is a manifestation of pneumonia and is related to inflammation or
infection.
Breath sounds are consistent with emphysema, asthma, and pneumonia. The client's wheezing is a manifestation of
emphysema, asthma, and pneumonia. It is the result of narrowed airways and alveoli.
ABG results are consistent with emphysema and pneumonia. The client's ABG results indicate respiratory acidosis, which is
a manifestation of emphysema and pneumonia.
Respiratory rate is consistent with emphysema, asthma, and pneumonia. The client's respiratory rate is a manifestation of
emphysema, asthma, and pneumonia.
Heart rate is consistent with emphysema and pneumonia. The client is experiencing tachycardia, which is a manifestation
of emphysema and pneumonia.
Cough is consistent with emphysema, asthma, and pneumonia. The client's cough is a manifestation of emphysema,
asthma, and pneumonia.
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,Question 4
A nurse is caring for a client who is scheduled for a right knee arthroplasty.
Exhibit 1: Nurse's Notes...
The nurse provided preoperative teaching to the client. Which of the following statements by the client indicates an
understanding of the teaching? SATA
Correct Answer
"I will need to do the breathing exercises every 1 to 2 hours after the surgery"
"I will be sure to ask for pain medication before my knee starts to hurt too bad"
"I will probably be going home with a walker"
Question 5
A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements
made by the client reflects an understanding of the teaching?
a. "I will need to take antibiotics for 1 year."
b. "My partner will need to take an antiviral medication."
c. "My joints ache because I have Lyme disease."
d. "I bruise easily because I have Lyme disease."
Correct Answer
c. "My joints ache because I have Lyme disease."
Lyme disease is a vector-borne illness transmitted by the deer tick. The disease course occurs in three stages beginning
with joint and muscle pain in stage I. If left untreated, these symptoms continue throughout stage II and, by stage III,
become chronic. Other chronic complications include memory problems and fatigue.
Question 6
A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous. Which of the
following actions should the nurse take?
a. Monitor the client's INR daily.
b. Expel air bubbles when using a prefilled syringe.
c. Inject the medication into the anterolateral abdominal wall.
d. Massage the injection site after administration.
Correct Answer
c. Inject the medication into the anterolateral abdominal wall.
The nurse should inject the medication into the anterolateral or posterolateral abdominal wall to enhance medication
absorption and prevent hematoma formation.
Trusted by thousands of students and professionals worldwide Page 3 of 33
, Question 7
A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The nurse should recognize
that which of the following complications is associated with long-term mechanical ventilation?
a. Elevated blood pressure
b. Dehydration
c. Stress ulcers
d. Hypernatremia
Correct Answer
c. Stress ulcers
Stress ulcers in clients who are receiving long-term mechanical ventilation are caused by elevated levels of hydrochloric
acid in the stomach. Stress ulcers increase the risk for systemic infection and require pharmacological treatment.
Question 8
A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the following findings should the
nurse identify as the priority?
a. Report of sore throat
b. Report of memory loss
c. Alopecia
d. Mucositis
Correct Answer
a. Report of sore throat
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is a
report of a sore throat, which could be a manifestation of an infection. The client is at risk for neutropenia due to
myelosuppression; therefore, an infection could lead to sepsis.
Question 9
A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following should the nurse plan to
administer?
a. 240 mL (8 oz) of orange juice
b. 1 ampule of 50% dextrose IV bolus
c. NPH insulin 60 units subcutaneous
d. Regular insulin 20 units IV bolus
Correct Answer
d. Regular insulin 20 units IV bolus
DKA is a complication of diabetes mellitus that results in dehydration, ketosis, metabolic acidosis, and elevated blood
glucose levels. Management of DKA involves providing hydration, correcting acid-base imbalances, and decreasing blood
glucose levels. Regular insulin is a fast-acting insulin that can be effective within 10 min when administered intravenously.
Trusted by thousands of students and professionals worldwide Page 4 of 33
practice
(Latest 2025-2026 Edition) 100% Verified Q&A + Answer
90+
Key Solutions
VERIFIED ANSWERS
Question 1
A nurse is caring for a client in the ED.
Exhibit 1, 2, 3...
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2
actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's
progress.
Correct Answer
actions to take:
1. Administer morphine IV
2. Ensure the client is NPO
potential condition:
Cholecystitis
Parameters to monitor:
1. Monitor the client for dark urine
2. Monitor the color or the client's stools.
The nurse should plan to administer an opioid analgesic, such as morphine, for acute pain. Since the client is experiencing
nausea and vomiting, the nurse should also ensure they are NPO. The client is likely experiencing cholecystitis, which
typically presents with nausea, vomiting, upper abdominal pain that radiates to the right shoulder, fever, and dyspepsia.
The client also has elevated liver enzymes and a WBC count, which is consistent with cholecystitis. Surgical management
for cholecystitis might be indicated. The nurse should monitor the client's stool and urine color because a biliary
obstruction from gallstones may cause clay-colored stools and dark urine.
Trusted by thousands of students and professionals worldwide Page 1 of 33
,Question 2
A nurse is caring for a client who was just admitted from the ED. Exhibit 1, 2...
Drag words from the choices below to fill in each blank in the following sentence.
The client is most likely experiencing target 1 and target 2.
Word Choices
a. acute chest syndrome
b. right-sided heart failure
c. fluid volume overload
d. pneumonia
e. pneumorhorax
Correct Answer
The client is most likely experiencing a. ACUTE CHEST SYNDROME and d. PNEUMONIA.
Acute chest syndrome is correct. The client is most likely experiencing acute chest syndrome, which can be caused by
respiratory infections and debris from sickled cells. The client is displaying manifestations of acute chest syndrome, which
include cough, shortness of breath, wheezing, tachypnea, fever, and chest pain.
Pneumonia is correct. The client is most likely experiencing pneumonia as evidenced by the manifestations of cough,
shortness of breath, fever, tachypnea, blood-tinged sputum, and chest pain.
Question 3
Part 1 - A nurse is caring for a client. Exhibit 1, 2, 3, 4...
For each assessment finding, click to specify if the finding is consistent with emphysema, asthma, or pneumonia. Each
finding may support more than 1 disease process.
Correct Answer
Temperature is consistent with pneumonia. Fever is a manifestation of pneumonia and is related to inflammation or
infection.
Breath sounds are consistent with emphysema, asthma, and pneumonia. The client's wheezing is a manifestation of
emphysema, asthma, and pneumonia. It is the result of narrowed airways and alveoli.
ABG results are consistent with emphysema and pneumonia. The client's ABG results indicate respiratory acidosis, which is
a manifestation of emphysema and pneumonia.
Respiratory rate is consistent with emphysema, asthma, and pneumonia. The client's respiratory rate is a manifestation of
emphysema, asthma, and pneumonia.
Heart rate is consistent with emphysema and pneumonia. The client is experiencing tachycardia, which is a manifestation
of emphysema and pneumonia.
Cough is consistent with emphysema, asthma, and pneumonia. The client's cough is a manifestation of emphysema,
asthma, and pneumonia.
Trusted by thousands of students and professionals worldwide Page 2 of 33
,Question 4
A nurse is caring for a client who is scheduled for a right knee arthroplasty.
Exhibit 1: Nurse's Notes...
The nurse provided preoperative teaching to the client. Which of the following statements by the client indicates an
understanding of the teaching? SATA
Correct Answer
"I will need to do the breathing exercises every 1 to 2 hours after the surgery"
"I will be sure to ask for pain medication before my knee starts to hurt too bad"
"I will probably be going home with a walker"
Question 5
A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements
made by the client reflects an understanding of the teaching?
a. "I will need to take antibiotics for 1 year."
b. "My partner will need to take an antiviral medication."
c. "My joints ache because I have Lyme disease."
d. "I bruise easily because I have Lyme disease."
Correct Answer
c. "My joints ache because I have Lyme disease."
Lyme disease is a vector-borne illness transmitted by the deer tick. The disease course occurs in three stages beginning
with joint and muscle pain in stage I. If left untreated, these symptoms continue throughout stage II and, by stage III,
become chronic. Other chronic complications include memory problems and fatigue.
Question 6
A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous. Which of the
following actions should the nurse take?
a. Monitor the client's INR daily.
b. Expel air bubbles when using a prefilled syringe.
c. Inject the medication into the anterolateral abdominal wall.
d. Massage the injection site after administration.
Correct Answer
c. Inject the medication into the anterolateral abdominal wall.
The nurse should inject the medication into the anterolateral or posterolateral abdominal wall to enhance medication
absorption and prevent hematoma formation.
Trusted by thousands of students and professionals worldwide Page 3 of 33
, Question 7
A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The nurse should recognize
that which of the following complications is associated with long-term mechanical ventilation?
a. Elevated blood pressure
b. Dehydration
c. Stress ulcers
d. Hypernatremia
Correct Answer
c. Stress ulcers
Stress ulcers in clients who are receiving long-term mechanical ventilation are caused by elevated levels of hydrochloric
acid in the stomach. Stress ulcers increase the risk for systemic infection and require pharmacological treatment.
Question 8
A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the following findings should the
nurse identify as the priority?
a. Report of sore throat
b. Report of memory loss
c. Alopecia
d. Mucositis
Correct Answer
a. Report of sore throat
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is a
report of a sore throat, which could be a manifestation of an infection. The client is at risk for neutropenia due to
myelosuppression; therefore, an infection could lead to sepsis.
Question 9
A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following should the nurse plan to
administer?
a. 240 mL (8 oz) of orange juice
b. 1 ampule of 50% dextrose IV bolus
c. NPH insulin 60 units subcutaneous
d. Regular insulin 20 units IV bolus
Correct Answer
d. Regular insulin 20 units IV bolus
DKA is a complication of diabetes mellitus that results in dehydration, ketosis, metabolic acidosis, and elevated blood
glucose levels. Management of DKA involves providing hydration, correcting acid-base imbalances, and decreasing blood
glucose levels. Regular insulin is a fast-acting insulin that can be effective within 10 min when administered intravenously.
Trusted by thousands of students and professionals worldwide Page 4 of 33
