ATI PN ADULT MEDICAL SURGICAL 2024-2025 / PN ADULT MEDICAL
SURGICAL EXAM TEST BANK COMPLETE EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
1. TEST D. Sodium 132 mEq/L
A nurse is caring for a
client who is taking lithi- Rationale:
um and reports persistent
nausea and vomiting for The nurse should identify that a sodium level of
2 days. Which of the fol- 132 mEq/L is not within the expected reference
lowing laboratory values range of 136 to 145 mEq/L. This finding indi-
should the nurse report to cates hyponatremia, which can lead to lithium
the provider? accumulation and places the client at risk for
lithium toxicity. The nurse should report this
a) Potassium 4.0 mEq/L finding to the provider.
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
2. A nurse is caring for A. Cleanse the client's toothbrush with hydro-
a client who has cancer gen peroxide.
and has a WBC count of
4,000/mm3. Which of the Rationale:
following
actions should the nurse A WBC count of 4,000/mm3 is considered low
take? and is known as leukopenia. A low WBC count
can be caused by cancer or cancer treatment.
a) Cleanse the client's The nurse should instruct the client to cleanse
toothbrush with hydrogen their toothbrush with hydrogen peroxide. Peo-
peroxide. ple with leukemia or leukopenia should avoid
b) Instruct the client to using disposable razors, which can cause cuts
use a disposable razor to and bleeding that can lead to infections. In-
shave. stead, they recommend using an electric razor
c) Decrease the client's to reduce the risk of injury. Encouraging the
protein intake. client to eat unpasteurized dairy products is
d) Encourage the client not recommended as they can contain harmful
to eat unpasteurized dairy bacteria that can cause infections. Decreasing
products. the client's protein intake is not recommended
as protein is important for wound healing and
immune function
3.
, ATI PN ADULT MEDICAL SURGICAL 2024-2025 / PN ADULT MEDICAL
SURGICAL EXAM TEST BANK COMPLETE EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
TEST C. Assist the client to a nearby common area.
A nurse enters a client's
room and sees smoke com- Rationale:
ing from the bathroom.
Which of the following ac- use
tions should the nurse take Rescue
first? Alarm
Contain
a) Activate the fire alarm Extinguish
system.
b) Use a fire extinguisher at
the source of the
smoke.
c) Assist the client to a
nearby common area.
d) Close the doors to the
room and to the
bathroom.
4. TEST A. Apply foam handles to the client's eating
A nurse is contributing to utensils.
the plan of care for a client
who reports difficulty eat- Rationale:
ing due to chronic arthri-
tis. Which of the following To help a client with chronic arthritis who expe-
interventions should the riences difficulty eating, applying foam handles
nurse include in the plan? to the eating utensils can provide a larger,
more comfortable grip and reduce strain on the
a) Apply foam handles to joints. Asking for a puree diet may not be nec-
the client's eating utensils. essary unless swallowing difficulties are pre-
b) Obtain a referral for sent. Having an assistive personnel feed the
physical therapy. client may not promote independence. While
c) Have an assistive per- obtaining a referral for physical therapy may be
sonnel feed the client. beneficial for overall mobility, it does not direct-
d) Ask the provider for a ly address the client's difficulty with eating.
prescription for a pureed
diet.
, ATI PN ADULT MEDICAL SURGICAL 2024-2025 / PN ADULT MEDICAL
SURGICAL EXAM TEST BANK COMPLETE EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
5. A nurse is providing di- C. "Face in the direction of the client's move-
rections to an assistive ment."
personnel about moving a
client up in bed. Rational:
a. "Place a pillow under the When moving a client up in bed, it is impor-
client's head prior to repo- tant for the nurse to face in the direction of
sitioning." the client's movement to maintain proper body
b. "Keep your feet close mechanics and ensure safe transfer.
together while moving the
client" 1)Adjust the head of the bed to a flat position.
c "Face in the direction of 2)Remove all pillows from under the client.
the client's movement" 3)Position the UAP on the side opposite the
d. "Move the client's arms nurse.
to his sides prior to reposi- 4)Place a friction-reducing sheet under the
tioning." client.
5)Ask the client to bend the legs and place the
chin on the chest.
6)Grasp the sheet and move the client on the
count of three.
6. A nurse is obtaining a med- C. Sildenafil
ication history from a client
who is to start taking nitro- Rationale:
glycerin for chest discom-
fort with activity. Which of Sildenafil treats PAH (pulmonary arterial hy-
the following medications pertension) by relaxing the blood vessels in the
should the nurse instruct lungs to allow blood to flow easily.
the client to avoid taking
within 24 hrs of using nitro- Same as, nitroglycerin is a vaso-dilator which
glycerin? is primarily to treat anginal chest pain and
thereby it reduces blood pressure.
a) Atorvastatin Remaining drugs like omeprazole and atorvas-
b) Metformin tatin can be given for patients with in 24hrs of
c) Sildenafil nitroglycerin administration.
d) Omeprazole
7.
, ATI PN ADULT MEDICAL SURGICAL 2024-2025 / PN ADULT MEDICAL
SURGICAL EXAM TEST BANK COMPLETE EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse is caring for a Flushing
client who has a new pre-
scription for nitroglycerin. Rationale:
The nurse should monitor
for which of the following nitroglycerin is a vaso-dilator. When vaso-dila-
adverse effects of the med- tors too well, fluid start sipping out and causing
ication? flushing
Nocturia
Increased saliva produc-
tion
Flushing
Fever
8. A nurse is preparing to ob- D. Hold the client's finger in a dependent
tain a postprandial blood position.
glucose level from a client
who has diabetes melli- Rationale:
tus. Which of the following
actions should the nurse The nurse should clean the client's finger with
take? an alcohol swab and prick the side of the finger,
not the central tip, to obtain a postprandial
a) Apply the first drop of blood glucose level.
blood to the test strip.
b) Clean the client's finger The nurse should not apply the first drop of
with hexachlorophene. blood to the test strip since the alcohol could
c) Prick the central tip of cause false reading.
the client's finger.
d) Hold the client's finger in Hexachlorophene is not recommended for
a dependent position. cleaning the client's finger as it can cause tis-
sue damage.
9. TEST A. "It is common for one breast to be larger
A nurse is reinforcing than
teaching with a client the other."
about breast self-examina-
tions. Which of the follow- Rationale:
ing statements by the client
SURGICAL EXAM TEST BANK COMPLETE EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
1. TEST D. Sodium 132 mEq/L
A nurse is caring for a
client who is taking lithi- Rationale:
um and reports persistent
nausea and vomiting for The nurse should identify that a sodium level of
2 days. Which of the fol- 132 mEq/L is not within the expected reference
lowing laboratory values range of 136 to 145 mEq/L. This finding indi-
should the nurse report to cates hyponatremia, which can lead to lithium
the provider? accumulation and places the client at risk for
lithium toxicity. The nurse should report this
a) Potassium 4.0 mEq/L finding to the provider.
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
2. A nurse is caring for A. Cleanse the client's toothbrush with hydro-
a client who has cancer gen peroxide.
and has a WBC count of
4,000/mm3. Which of the Rationale:
following
actions should the nurse A WBC count of 4,000/mm3 is considered low
take? and is known as leukopenia. A low WBC count
can be caused by cancer or cancer treatment.
a) Cleanse the client's The nurse should instruct the client to cleanse
toothbrush with hydrogen their toothbrush with hydrogen peroxide. Peo-
peroxide. ple with leukemia or leukopenia should avoid
b) Instruct the client to using disposable razors, which can cause cuts
use a disposable razor to and bleeding that can lead to infections. In-
shave. stead, they recommend using an electric razor
c) Decrease the client's to reduce the risk of injury. Encouraging the
protein intake. client to eat unpasteurized dairy products is
d) Encourage the client not recommended as they can contain harmful
to eat unpasteurized dairy bacteria that can cause infections. Decreasing
products. the client's protein intake is not recommended
as protein is important for wound healing and
immune function
3.
, ATI PN ADULT MEDICAL SURGICAL 2024-2025 / PN ADULT MEDICAL
SURGICAL EXAM TEST BANK COMPLETE EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
TEST C. Assist the client to a nearby common area.
A nurse enters a client's
room and sees smoke com- Rationale:
ing from the bathroom.
Which of the following ac- use
tions should the nurse take Rescue
first? Alarm
Contain
a) Activate the fire alarm Extinguish
system.
b) Use a fire extinguisher at
the source of the
smoke.
c) Assist the client to a
nearby common area.
d) Close the doors to the
room and to the
bathroom.
4. TEST A. Apply foam handles to the client's eating
A nurse is contributing to utensils.
the plan of care for a client
who reports difficulty eat- Rationale:
ing due to chronic arthri-
tis. Which of the following To help a client with chronic arthritis who expe-
interventions should the riences difficulty eating, applying foam handles
nurse include in the plan? to the eating utensils can provide a larger,
more comfortable grip and reduce strain on the
a) Apply foam handles to joints. Asking for a puree diet may not be nec-
the client's eating utensils. essary unless swallowing difficulties are pre-
b) Obtain a referral for sent. Having an assistive personnel feed the
physical therapy. client may not promote independence. While
c) Have an assistive per- obtaining a referral for physical therapy may be
sonnel feed the client. beneficial for overall mobility, it does not direct-
d) Ask the provider for a ly address the client's difficulty with eating.
prescription for a pureed
diet.
, ATI PN ADULT MEDICAL SURGICAL 2024-2025 / PN ADULT MEDICAL
SURGICAL EXAM TEST BANK COMPLETE EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
5. A nurse is providing di- C. "Face in the direction of the client's move-
rections to an assistive ment."
personnel about moving a
client up in bed. Rational:
a. "Place a pillow under the When moving a client up in bed, it is impor-
client's head prior to repo- tant for the nurse to face in the direction of
sitioning." the client's movement to maintain proper body
b. "Keep your feet close mechanics and ensure safe transfer.
together while moving the
client" 1)Adjust the head of the bed to a flat position.
c "Face in the direction of 2)Remove all pillows from under the client.
the client's movement" 3)Position the UAP on the side opposite the
d. "Move the client's arms nurse.
to his sides prior to reposi- 4)Place a friction-reducing sheet under the
tioning." client.
5)Ask the client to bend the legs and place the
chin on the chest.
6)Grasp the sheet and move the client on the
count of three.
6. A nurse is obtaining a med- C. Sildenafil
ication history from a client
who is to start taking nitro- Rationale:
glycerin for chest discom-
fort with activity. Which of Sildenafil treats PAH (pulmonary arterial hy-
the following medications pertension) by relaxing the blood vessels in the
should the nurse instruct lungs to allow blood to flow easily.
the client to avoid taking
within 24 hrs of using nitro- Same as, nitroglycerin is a vaso-dilator which
glycerin? is primarily to treat anginal chest pain and
thereby it reduces blood pressure.
a) Atorvastatin Remaining drugs like omeprazole and atorvas-
b) Metformin tatin can be given for patients with in 24hrs of
c) Sildenafil nitroglycerin administration.
d) Omeprazole
7.
, ATI PN ADULT MEDICAL SURGICAL 2024-2025 / PN ADULT MEDICAL
SURGICAL EXAM TEST BANK COMPLETE EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse is caring for a Flushing
client who has a new pre-
scription for nitroglycerin. Rationale:
The nurse should monitor
for which of the following nitroglycerin is a vaso-dilator. When vaso-dila-
adverse effects of the med- tors too well, fluid start sipping out and causing
ication? flushing
Nocturia
Increased saliva produc-
tion
Flushing
Fever
8. A nurse is preparing to ob- D. Hold the client's finger in a dependent
tain a postprandial blood position.
glucose level from a client
who has diabetes melli- Rationale:
tus. Which of the following
actions should the nurse The nurse should clean the client's finger with
take? an alcohol swab and prick the side of the finger,
not the central tip, to obtain a postprandial
a) Apply the first drop of blood glucose level.
blood to the test strip.
b) Clean the client's finger The nurse should not apply the first drop of
with hexachlorophene. blood to the test strip since the alcohol could
c) Prick the central tip of cause false reading.
the client's finger.
d) Hold the client's finger in Hexachlorophene is not recommended for
a dependent position. cleaning the client's finger as it can cause tis-
sue damage.
9. TEST A. "It is common for one breast to be larger
A nurse is reinforcing than
teaching with a client the other."
about breast self-examina-
tions. Which of the follow- Rationale:
ing statements by the client
