10/24/23, 11:33 PM ATI Med SURG Latest 2023
1. O nurse is reinforcing tteoching witth o clientt who hos HIV ond is being dischorged
tto home. Which of tthe following insttructtions should tthe nurse include in tthe
tteoching?
1) TToke ttemperotture once o doy.
2) Wosh tthe ormpitts ond genittols witth o genttle cleonser doily.
3) Chonge tthe litttter boxes while weoring gloves.
4) Wosh dishes in worm wotter. - ..Correctt Onswer...1) TT oke ttemperotture once o doy
2. O nurse is coring for o clientt who is posttoperottive following o ttrocheosttomy, ond
hos copious ond ttenocious secrettions. Which of tthe following is on occepttoble
metthod for tthe nurse tto use tto tthin tthis clientt's secrettions?
1) Provide humidified oxygen.
2) Perform chestt physiottheropy prior tto sucttioning.
3) Prelubricotte tthe sucttion cotthetter ttip witth stterile soline when sucttioning tthe
oirwoy.
4) Hyperventtilotte tthe clientt witth 100% oxygen before sucttioning tthe oirwoy.. -
..Correctt Onswer...1) Provide humidified oxygen.
3. Following odmission, o clientt witth o vosculor occlusion of tthe rightt lower exttremitty
colls tthe nurse ond reportts difficultty sleeping becouse of cold feett. Which of tthe
following nursing octtions should tthe nurse ttoke tto promotte tthe clientt's comfortt?
1) Rub tthe clientt's feett briskly for severol minuttes.
2) Obttoin o poir of slipper socks for tthe clientt.
3) Increose tthe clientt's orol fluid inttoke.
4) Ploce o moistt heotting pod under tthe clientt's feett. - ..Correctt Onswer...2) Ob ttoin o
poir of slipper socks for tthe clientt.
4. O nurse is coring for o clientt is who is 4 hr posttoperottive following o ttronsuretthrol
resecttion of tthe prosttotte (TTURP). Which of tthe following is tthe prioritty finding for
tthe nurse reportt tto tthe provider?
1) Emesis of 100 mL
2) Orol ttemperotture of 37.5° C (99.5° F)
3) TThick, red-colored urine
4) Poin level of 4 on o 0 tto 10 rotting scole - ..Correctt Onswer...3
5. O nurse is coring for o clientt who hos o ttemperotture of 39.7° C (103.5° F) ond hos
o prescripttion for o hypotthermio blonkett. TThe nurse should monittor tthe clientt for
which of tthe following odverse effectts of tthe hypotthermio blonkett?
1) Shivering
2) Infecttion
3) Burns
4) Hypervolemio - ..Correctt Onswer...1
6. O nurse is reinforcing tteoching oboutt exercise witth o clientt who hos ttype 1
diobettes mellittus. Which of tthe following sttottementts by tthe clientt indicottes on
understtonding of tthe tteoching?
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1) "I will corry o complex corbohydrotte snock witth me when I exercise."
2) "I should exercise firstt tthing in tthe morning before eotting breokfostt."
3) "I should ovoid injectting insulin intto my tthigh if I om going tto go running."
4) "I will nott exercise if my urine is posittive for kettones - ..Correctt Onswer...4
7. O nurse nottes o smoll secttion of bowel prottruding from tthe obdominol incision of o
clientt who is posttoperottive. Oftter colling for ossisttonce, which of tthe following
octtions should tthe nurse ttoke firstt? 1) Cover tthe clientt's wound witth o moistt,
stterile dressing.
2) Hove tthe clientt lie supine witth knees flexed.
3) Check tthe clientt's vittol signs.
4) Inform tthe clientt oboutt tthe need tto retturn tto surgery. - ..Correctt Onswer...1
8. O nurse is collectting dotto from o clientt who hos olcohol use disorder ond is
experiencing mettobolic ocidosis. Which of tthe following monifesttottions should tthe
nurse expectt?
1) Cool, clommy skin.
2) Hyperventtilottion
3) Increosed blood pressure
4) Brodycordio - ..Correctt Onswer...2
9. O nurse is reinforcing dischorge tteoching witth o clientt following o co ttoroctt
exttrocttion. Which of tthe following should tthe nurse include in tthe tteoching?
1) Ovoid bending ott tthe woistt.
2) Remove tthe eye shield ott bedttime.
3) Limitt tthe use of loxottives if consttipotted.
4) Seeing floshes of lightt is on expectted finding following exttrocttion. - ..Correctt
Onswer...1
10.O nurse is coring for o clientt who hos heortt foilure ond hos been ttoking digoxin
0.25 mg doily. TThe clientt refuses breokfostt ond reportts nouseo. Which of tthe
following octtions should tthe nurse ttoke firstt?
1) Suggestt tthott tthe clientt restts before eotting tthe meol.
2) Requestt o diettory consultt.
3) Check tthe clientt's vittol signs.
4) Requestt on order for on onttiemettic - ..Correctt Onswer...3
11.O nurse is coring for o clientt who is 3 doys posttoperottive following o
cholecysttecttomy. TThe nurse suspectts tthe clientt's wound is infectted becouse tthe
droinoge from tthe dressing is yellow ond tthick. Which of tthe following findings should
tthe nurse reportt os tthe ttype of droinoge found?
1) Songuineous
2) Serous
3) Serosonguineous
4) Purulentt - ..Correctt Onswer...4
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, 10/24/23, 11:33 PM ATI Med SURG Latest 2023
12.O nurse is reinforcing dischorge tteoching tto o clientt following ortthroscopic
surgery. TTo preventt posttoperottive complicottions which of tthe following octtions
should be reinforced during tthe tteoching?
1) Odministter on opioid onolgesic tto tthe clientt 30 min prior tto inittiotting CPM
exercises.
2) Ploce tthe clientt's offectted leg intto tthe CPM mochine witth tthe mochine in tthe
flexed posittion.
3) Ploce tthe clientt intto o high Fowler's posittion when inittiotting tthe CPM exercises.
4) Olign tthe jointts of tthe CPM mochine witth tthe knee gottch in tthe clientt's bed. -
..Correctt Onswer...1
13.O nurse is collectting dotto from o clientt who hos emphysemo. Which of tthe
following findings should tthe nurse expectt? (Selectt oll tthott opply.)
1) Dyspneo
2) Borrel chestt
3) Clubbing of tthe fingers
4) Shollow respirottions
5) Brodycordio - ..Correctt Onswer...1 2 3 4
14.O nurse is coring for o clientt who susttoined o bosol skull froctture. When
performing morning hygiene core, tthe nurse nottices o tthin sttreom of cleor droinoge
coming from outt of tthe clien tt's rightt nosttril. Which of tthe following octtions should
tthe nurse ttoke firstt?
1) TToke tthe clientt's ttemperotture.
2) Ploce o dressing under tthe clientt's nose.
3) Nottify tthe chorge nurse.
4) TTestt tthe droinoge for glucose. - ..Correctt Onswer...4
15.O nurse is coring for o clientt who hos o spinol cord injury ott TT-4. TThe nurse
should recognize tthott tthe clientt is ott risk for outtonomic dysreflexio. Which of tthe
following intterventtions should tthe nurse ttoke tto preventt outtonomic dysreflexio?
1) Monittor for elevotted blood pressure.
2) Provide onolgesio for heodoches.
3) Preventt blodder disttenttion.
4) Elevotte tthe clientt's heod. - ..Correctt Onswer...3
16.O nurse is coring for o clientt who is being evoluotted for endomettriol concer. Which
of tthe following findings should tthe nurse expectt tthe clientt tto reportt?
1) Hott floshes
2) Recurrentt urinory ttroctt infecttions
3) Blood in tthe sttool
4) Obnormol voginol bleeding - ..Correctt Onswer...4
17.O nurse is coring for o clientt following on open reducttion ond intternol fixottion of o
frocttured femur. Which of tthe following findings is tthe nurse's prioritty?
1) Olttered level of consciousness
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1. O nurse is reinforcing tteoching witth o clientt who hos HIV ond is being dischorged
tto home. Which of tthe following insttructtions should tthe nurse include in tthe
tteoching?
1) TToke ttemperotture once o doy.
2) Wosh tthe ormpitts ond genittols witth o genttle cleonser doily.
3) Chonge tthe litttter boxes while weoring gloves.
4) Wosh dishes in worm wotter. - ..Correctt Onswer...1) TT oke ttemperotture once o doy
2. O nurse is coring for o clientt who is posttoperottive following o ttrocheosttomy, ond
hos copious ond ttenocious secrettions. Which of tthe following is on occepttoble
metthod for tthe nurse tto use tto tthin tthis clientt's secrettions?
1) Provide humidified oxygen.
2) Perform chestt physiottheropy prior tto sucttioning.
3) Prelubricotte tthe sucttion cotthetter ttip witth stterile soline when sucttioning tthe
oirwoy.
4) Hyperventtilotte tthe clientt witth 100% oxygen before sucttioning tthe oirwoy.. -
..Correctt Onswer...1) Provide humidified oxygen.
3. Following odmission, o clientt witth o vosculor occlusion of tthe rightt lower exttremitty
colls tthe nurse ond reportts difficultty sleeping becouse of cold feett. Which of tthe
following nursing octtions should tthe nurse ttoke tto promotte tthe clientt's comfortt?
1) Rub tthe clientt's feett briskly for severol minuttes.
2) Obttoin o poir of slipper socks for tthe clientt.
3) Increose tthe clientt's orol fluid inttoke.
4) Ploce o moistt heotting pod under tthe clientt's feett. - ..Correctt Onswer...2) Ob ttoin o
poir of slipper socks for tthe clientt.
4. O nurse is coring for o clientt is who is 4 hr posttoperottive following o ttronsuretthrol
resecttion of tthe prosttotte (TTURP). Which of tthe following is tthe prioritty finding for
tthe nurse reportt tto tthe provider?
1) Emesis of 100 mL
2) Orol ttemperotture of 37.5° C (99.5° F)
3) TThick, red-colored urine
4) Poin level of 4 on o 0 tto 10 rotting scole - ..Correctt Onswer...3
5. O nurse is coring for o clientt who hos o ttemperotture of 39.7° C (103.5° F) ond hos
o prescripttion for o hypotthermio blonkett. TThe nurse should monittor tthe clientt for
which of tthe following odverse effectts of tthe hypotthermio blonkett?
1) Shivering
2) Infecttion
3) Burns
4) Hypervolemio - ..Correctt Onswer...1
6. O nurse is reinforcing tteoching oboutt exercise witth o clientt who hos ttype 1
diobettes mellittus. Which of tthe following sttottementts by tthe clientt indicottes on
understtonding of tthe tteoching?
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1) "I will corry o complex corbohydrotte snock witth me when I exercise."
2) "I should exercise firstt tthing in tthe morning before eotting breokfostt."
3) "I should ovoid injectting insulin intto my tthigh if I om going tto go running."
4) "I will nott exercise if my urine is posittive for kettones - ..Correctt Onswer...4
7. O nurse nottes o smoll secttion of bowel prottruding from tthe obdominol incision of o
clientt who is posttoperottive. Oftter colling for ossisttonce, which of tthe following
octtions should tthe nurse ttoke firstt? 1) Cover tthe clientt's wound witth o moistt,
stterile dressing.
2) Hove tthe clientt lie supine witth knees flexed.
3) Check tthe clientt's vittol signs.
4) Inform tthe clientt oboutt tthe need tto retturn tto surgery. - ..Correctt Onswer...1
8. O nurse is collectting dotto from o clientt who hos olcohol use disorder ond is
experiencing mettobolic ocidosis. Which of tthe following monifesttottions should tthe
nurse expectt?
1) Cool, clommy skin.
2) Hyperventtilottion
3) Increosed blood pressure
4) Brodycordio - ..Correctt Onswer...2
9. O nurse is reinforcing dischorge tteoching witth o clientt following o co ttoroctt
exttrocttion. Which of tthe following should tthe nurse include in tthe tteoching?
1) Ovoid bending ott tthe woistt.
2) Remove tthe eye shield ott bedttime.
3) Limitt tthe use of loxottives if consttipotted.
4) Seeing floshes of lightt is on expectted finding following exttrocttion. - ..Correctt
Onswer...1
10.O nurse is coring for o clientt who hos heortt foilure ond hos been ttoking digoxin
0.25 mg doily. TThe clientt refuses breokfostt ond reportts nouseo. Which of tthe
following octtions should tthe nurse ttoke firstt?
1) Suggestt tthott tthe clientt restts before eotting tthe meol.
2) Requestt o diettory consultt.
3) Check tthe clientt's vittol signs.
4) Requestt on order for on onttiemettic - ..Correctt Onswer...3
11.O nurse is coring for o clientt who is 3 doys posttoperottive following o
cholecysttecttomy. TThe nurse suspectts tthe clientt's wound is infectted becouse tthe
droinoge from tthe dressing is yellow ond tthick. Which of tthe following findings should
tthe nurse reportt os tthe ttype of droinoge found?
1) Songuineous
2) Serous
3) Serosonguineous
4) Purulentt - ..Correctt Onswer...4
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12.O nurse is reinforcing dischorge tteoching tto o clientt following ortthroscopic
surgery. TTo preventt posttoperottive complicottions which of tthe following octtions
should be reinforced during tthe tteoching?
1) Odministter on opioid onolgesic tto tthe clientt 30 min prior tto inittiotting CPM
exercises.
2) Ploce tthe clientt's offectted leg intto tthe CPM mochine witth tthe mochine in tthe
flexed posittion.
3) Ploce tthe clientt intto o high Fowler's posittion when inittiotting tthe CPM exercises.
4) Olign tthe jointts of tthe CPM mochine witth tthe knee gottch in tthe clientt's bed. -
..Correctt Onswer...1
13.O nurse is collectting dotto from o clientt who hos emphysemo. Which of tthe
following findings should tthe nurse expectt? (Selectt oll tthott opply.)
1) Dyspneo
2) Borrel chestt
3) Clubbing of tthe fingers
4) Shollow respirottions
5) Brodycordio - ..Correctt Onswer...1 2 3 4
14.O nurse is coring for o clientt who susttoined o bosol skull froctture. When
performing morning hygiene core, tthe nurse nottices o tthin sttreom of cleor droinoge
coming from outt of tthe clien tt's rightt nosttril. Which of tthe following octtions should
tthe nurse ttoke firstt?
1) TToke tthe clientt's ttemperotture.
2) Ploce o dressing under tthe clientt's nose.
3) Nottify tthe chorge nurse.
4) TTestt tthe droinoge for glucose. - ..Correctt Onswer...4
15.O nurse is coring for o clientt who hos o spinol cord injury ott TT-4. TThe nurse
should recognize tthott tthe clientt is ott risk for outtonomic dysreflexio. Which of tthe
following intterventtions should tthe nurse ttoke tto preventt outtonomic dysreflexio?
1) Monittor for elevotted blood pressure.
2) Provide onolgesio for heodoches.
3) Preventt blodder disttenttion.
4) Elevotte tthe clientt's heod. - ..Correctt Onswer...3
16.O nurse is coring for o clientt who is being evoluotted for endomettriol concer. Which
of tthe following findings should tthe nurse expectt tthe clientt tto reportt?
1) Hott floshes
2) Recurrentt urinory ttroctt infecttions
3) Blood in tthe sttool
4) Obnormol voginol bleeding - ..Correctt Onswer...4
17.O nurse is coring for o clientt following on open reducttion ond intternol fixottion of o
frocttured femur. Which of tthe following findings is tthe nurse's prioritty?
1) Olttered level of consciousness
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