ATI MED SURG CMS UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
●● A nurse is preparing to administer lactated ringer's via continuous IV
infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops / mL.
How many gtt/min should the nurse set the IV pump to administer?
Round to the nearest whole number
Answer: 33 gtt/min
●● A nurse is providing discharge teaching to a client who has a new
prescription for sublingual nitroglycerin. Which of the following client
statements indicates an understanding of the teaching?
a. I can keep my medications for 1 year before replacing it.
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache.
d. I can take up to 5 tablets in 15 minutes before seeking medical
attention
Answer: b. I should lie down when I take this medication
M/S c. 31/p. 201 "Stop activity and rest. Heachace is a common AE of
this medication, change positions slowly"
,●● A nurse is providing discharge teaching to an older adult following a
left total hip arthroplasty. Which of the follwoing instructions should the
nurse include in the teaching?
a. clean the incision daily with hydrogen peroxid
b. you can cross your legs and the ankles when sitting down
c. you should use an incentive spirometer every 8 hours
d. install a raised toilet in your bathroom
Answer: d. install a raised toilet in your bathroom
M/S c. 68/ p. 455 "Follow position restrictions to avoid dislocation, use
elevated seating and a raised toilet seat"
●● A nurse is planning care for a client following a cardiac
catheterization. Which of the following actions should the nurse take?
a. keep the client on bed rest for 24 hours
b. limit the client's fluid intake to 1L per day.
c. maintain the client's affected extremity in extension
d. change the client's dressing every 8 hours.
Answer: c. maintain the client's affected extremity in extension
M/S c. 27/p. 173 "Maintain bed rest in supine position with extremity
straight for prescribed time"
●● A nurse is caring for a client who has a lower extremity fracture and
a prescription for crutches. Which of the following client statements
indicates the client is adapting to their role change?
,a. I will need to have my partner take over shopping for groceries and
cooking the meal for us
b. These crutches make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. it's going to be difficult to tell my parents I can't take them to their
appointment.
Answer: a. I will need to have my partner take over shopping for
groceries and cooking the meal for us
●● A nurse is caring for a client who has gastroenteritis. Which of the
following assessment findings should the nurse recognize as an
indication that the client is experiencing dehydration?
a. pitting, dependent edema
b. distended jugular veins
c. increased BP
d. decreased BP
Answer: d. decreased BP
M/S C. 43/ p. 277 "signs of dehydration or hypovolemia include,
hypothermia, tachycardia, thready pulse, HYPOTENSION, orthostatic
hypotension, decreased central venous pressure, tachypnea, hypoxia
●● A nurse is caring for a client who has a contusion of the brainstem
and reports thirst. The client's urinary output was 4,000 ml over the past
24 hours. The nurse should anticipate a prescription for which of the
following IV medications?
, a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside
Answer: a. Desmopressin
M/S c. 14/p. 85 "Diabetes insipidous is a possible complication"
Pharm c. 40/ p.323 "desmopressin is an agent of choice for DI"
●● A nurse in a clinic receives a phone call from a client who recently
started therapy with an ACE inhibitor and reports a nagging dry coug.
Which of the following response by the nurse is appropriate?
a. "your cough may require that you stop or change your medicaiton"
b. "increasing your daily fluid intake may eliminate your cough
c. "sucking on a lozenge may reduce the frequency of your cough"
d. "your cough should go away in time"
Answer: a. "your cough may require that you stop or change your
medicaiton"
Pharm c. 20/ p. 155 "Cough is a complication. Inform clients of the
possibility of experiencing a dry cough and to notify the provider.
Discontinue the medication"
●● A nurse is taking an admission history from a client who reports
Raynaud's disease. Which of the following assessment findings should
the nurse identify as a potentional trigger for exacerbations?
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
●● A nurse is preparing to administer lactated ringer's via continuous IV
infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops / mL.
How many gtt/min should the nurse set the IV pump to administer?
Round to the nearest whole number
Answer: 33 gtt/min
●● A nurse is providing discharge teaching to a client who has a new
prescription for sublingual nitroglycerin. Which of the following client
statements indicates an understanding of the teaching?
a. I can keep my medications for 1 year before replacing it.
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache.
d. I can take up to 5 tablets in 15 minutes before seeking medical
attention
Answer: b. I should lie down when I take this medication
M/S c. 31/p. 201 "Stop activity and rest. Heachace is a common AE of
this medication, change positions slowly"
,●● A nurse is providing discharge teaching to an older adult following a
left total hip arthroplasty. Which of the follwoing instructions should the
nurse include in the teaching?
a. clean the incision daily with hydrogen peroxid
b. you can cross your legs and the ankles when sitting down
c. you should use an incentive spirometer every 8 hours
d. install a raised toilet in your bathroom
Answer: d. install a raised toilet in your bathroom
M/S c. 68/ p. 455 "Follow position restrictions to avoid dislocation, use
elevated seating and a raised toilet seat"
●● A nurse is planning care for a client following a cardiac
catheterization. Which of the following actions should the nurse take?
a. keep the client on bed rest for 24 hours
b. limit the client's fluid intake to 1L per day.
c. maintain the client's affected extremity in extension
d. change the client's dressing every 8 hours.
Answer: c. maintain the client's affected extremity in extension
M/S c. 27/p. 173 "Maintain bed rest in supine position with extremity
straight for prescribed time"
●● A nurse is caring for a client who has a lower extremity fracture and
a prescription for crutches. Which of the following client statements
indicates the client is adapting to their role change?
,a. I will need to have my partner take over shopping for groceries and
cooking the meal for us
b. These crutches make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. it's going to be difficult to tell my parents I can't take them to their
appointment.
Answer: a. I will need to have my partner take over shopping for
groceries and cooking the meal for us
●● A nurse is caring for a client who has gastroenteritis. Which of the
following assessment findings should the nurse recognize as an
indication that the client is experiencing dehydration?
a. pitting, dependent edema
b. distended jugular veins
c. increased BP
d. decreased BP
Answer: d. decreased BP
M/S C. 43/ p. 277 "signs of dehydration or hypovolemia include,
hypothermia, tachycardia, thready pulse, HYPOTENSION, orthostatic
hypotension, decreased central venous pressure, tachypnea, hypoxia
●● A nurse is caring for a client who has a contusion of the brainstem
and reports thirst. The client's urinary output was 4,000 ml over the past
24 hours. The nurse should anticipate a prescription for which of the
following IV medications?
, a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside
Answer: a. Desmopressin
M/S c. 14/p. 85 "Diabetes insipidous is a possible complication"
Pharm c. 40/ p.323 "desmopressin is an agent of choice for DI"
●● A nurse in a clinic receives a phone call from a client who recently
started therapy with an ACE inhibitor and reports a nagging dry coug.
Which of the following response by the nurse is appropriate?
a. "your cough may require that you stop or change your medicaiton"
b. "increasing your daily fluid intake may eliminate your cough
c. "sucking on a lozenge may reduce the frequency of your cough"
d. "your cough should go away in time"
Answer: a. "your cough may require that you stop or change your
medicaiton"
Pharm c. 20/ p. 155 "Cough is a complication. Inform clients of the
possibility of experiencing a dry cough and to notify the provider.
Discontinue the medication"
●● A nurse is taking an admission history from a client who reports
Raynaud's disease. Which of the following assessment findings should
the nurse identify as a potentional trigger for exacerbations?
