ATI MED-SURG 2023: KEY CONCEPTS FOR NURSING
STUDENTS | TRUSTED BY STUDENTS ACROSS MULTIPLE
DISCIPLINES! | QUALITY CONTENT YOU CAN RELY ON!!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, What action should a nurse include in the care plan for a client with AIDS and malnutrition?
Answer: Provide a high-calorie diet.
Which food has the highest iron content for a client with iron-deficiency anemia? Answer: 3 oz
ground beef.
What is the first action a nurse should take when using a continuous passive motion (CPM)
device? Answer: Align the client's joints with the joints on the frame.
What therapeutic effect should a nurse expect after a client receives aprepitant? Answer:
Absence of nausea.
What statement by a client indicates acceptance of a new ileostomy? Answer: I will attend a
support group to help me handle difficulties when they occur.
What is the correct sequence for obtaining a sterile urine specimen from an indwelling urinary
catheter? Answer: Clamp the catheter tubing distal to the sampling port for 15 min, wipe the
sample port with an alcohol wipe and let it dry, attach a sterile needleless syringe to the sample
port and aspirate the specimen, empty the urine into a sterile container labeled with the client
identifiers, document in the client's electronic medical record that the specimen was sent to the
laboratory.
What action should a nurse take for a client with a closed-chest tube drainage system? Answer:
Monitor for at least 150 mL of drainage every hour.
What action should a nurse take for an older adult client with dementia at risk for falls?
Answer: Apply a motion sensor mat to the client's bed.
What finding could potentially cause a false-positive result in a fecal occult blood screening
test? Answer: The client takes ibuprofen for headaches.
What statement indicates understanding of breast self-examinations? Answer: It is common for
one breast to be larger than the other.
What should a nurse do if a client's apical heart rate is less than 60/min while on propranolol?
Answer: Withhold the medication if the systolic blood pressure is less than 90 mm Hg.
What information should be included in the care plan for a client with a new prescription for
transdermal clonidine? Answer: Advise the client about increased dry mouth.
What laboratory value should a nurse report before a liver biopsy? Answer: Platelets
60,000/mm³.
What action should a nurse take to prevent lymphedema after a right radical mastectomy?
Answer: Use the client's left arm to obtain blood samples.
What finding indicates a bladder infection in an older adult client? Answer: Changed mental
status.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
STUDENTS | TRUSTED BY STUDENTS ACROSS MULTIPLE
DISCIPLINES! | QUALITY CONTENT YOU CAN RELY ON!!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, What action should a nurse include in the care plan for a client with AIDS and malnutrition?
Answer: Provide a high-calorie diet.
Which food has the highest iron content for a client with iron-deficiency anemia? Answer: 3 oz
ground beef.
What is the first action a nurse should take when using a continuous passive motion (CPM)
device? Answer: Align the client's joints with the joints on the frame.
What therapeutic effect should a nurse expect after a client receives aprepitant? Answer:
Absence of nausea.
What statement by a client indicates acceptance of a new ileostomy? Answer: I will attend a
support group to help me handle difficulties when they occur.
What is the correct sequence for obtaining a sterile urine specimen from an indwelling urinary
catheter? Answer: Clamp the catheter tubing distal to the sampling port for 15 min, wipe the
sample port with an alcohol wipe and let it dry, attach a sterile needleless syringe to the sample
port and aspirate the specimen, empty the urine into a sterile container labeled with the client
identifiers, document in the client's electronic medical record that the specimen was sent to the
laboratory.
What action should a nurse take for a client with a closed-chest tube drainage system? Answer:
Monitor for at least 150 mL of drainage every hour.
What action should a nurse take for an older adult client with dementia at risk for falls?
Answer: Apply a motion sensor mat to the client's bed.
What finding could potentially cause a false-positive result in a fecal occult blood screening
test? Answer: The client takes ibuprofen for headaches.
What statement indicates understanding of breast self-examinations? Answer: It is common for
one breast to be larger than the other.
What should a nurse do if a client's apical heart rate is less than 60/min while on propranolol?
Answer: Withhold the medication if the systolic blood pressure is less than 90 mm Hg.
What information should be included in the care plan for a client with a new prescription for
transdermal clonidine? Answer: Advise the client about increased dry mouth.
What laboratory value should a nurse report before a liver biopsy? Answer: Platelets
60,000/mm³.
What action should a nurse take to prevent lymphedema after a right radical mastectomy?
Answer: Use the client's left arm to obtain blood samples.
What finding indicates a bladder infection in an older adult client? Answer: Changed mental
status.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
