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ATI RN ADULT MEDICAL SURGICAL PROCTORED
RETAKE EXAM NEWEST 2024-2025 COMPLETE 120
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is teaching a client about transcutaneous electrical nerve
stimulation (TENS) unit. Which of the following statements should the
nurse include?
a) "Apply tester to the site prior to attaching the electrodes"
b) "This device requires access to a 220 volt outlet"
c) "This device delivers heat via electrodes that are attached to the
affected are"
d) Adjust the dial until you feel a 'pins and needles' sensation" -
ANSWER- d) Adjust the dial until you feel a 'pins and needles'
sensation"
A nurse is providing teaching to a client who is postoperative following
a total hip arthroplasty. Which of the following statements should the
nurse include?
a) "Used a raised toilet seat to maintain your hips above the knees"
b) "Twist at the waist when standing from a seated position"
c) "Move your stronger leg first when using a walker"
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d " Apply a heating pad to the affected hip to decrease pain" -
ANSWER- a) "Used a raised toilet seat to maintain your hips above the
knees"
A nurse finds a client in bed, unresponsive and breathing. Which of the
following actions should the nurse take first?
a) Establish IV access
b) Apply blood pressure cuff
c) Palpate for the client's carotid pulse
d) Initiate cardiac monitoring for the client - ANSWER- c) Palpate for
the client's carotid pulse
A nurse is caring for a client who is experiencing a hypertensive crisis.
Which of the following actions should the nurse take?
a) Initiate IV dopamine infusion
b) Perform a neurological assessment
c) Place the client supine
d) Begin an IV bolus of lactated ringers - ANSWER- b) Perform a
neurological assessment
A nurse is providing discharge teaching about blood sugar monitoring
for a client who has a new diagnosis of type 2 diabetes mellitus. The
nurse should instruct the client to obtain which of the following
supplies?
a) Sterile lancets
b) Compression stockings
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c) Hand mirror
d) Toenail clippers - ANSWER- c) Hand mirror
A nurse is completing discharge teaching for a client who has a
peripherally inserted central catheter (PICC) line in the left arm. Which
of the following instructions should the nurse include in the teaching?
a) Change the dressing daily
b) Do not elevate the arm above the level of the heart
c) Use a 10 mL syringe to flush the line
d) Clean the insertion site using 20 mL of hydrogen peroxide -
ANSWER- b) Do not elevate the arm above the level of the heart
A nurse is preparing naloxone 10 mcg/kg via IV bolus to a client who
weights 220 lbs. The amount available is 0.4 mg/mL. How many mL
should the nurse administer? (Round to the nearest tenth) - ANSWER-
2.5 mL
A nurse is planning the discharge of a client who had an ischemic stroke.
The nurse should ensure that the client is discharged with which of the
following types of pharmacologic therapy?
a) Opioid analgesic
b) Anticonvulsant
c) Anti-thrombotic
d) Diruetic - ANSWER- c) Anti-thrombotic
, 4|Page
A nurse is caring for client who has a new colostomy, the nurse notes
that the client appears withdrawn and looks away during ostomy care.
Which of the following actions should the nurse take?
a) Ask the client how they feel about the stoma
b) Make a referral for the client to see an ostomy nurse
c) Include the client's partner in stoma care education
d) Educate the client about expected stoma apperance - ANSWER- a)
Ask the client how they feel about the stoma
A nurse is preparing to perform ocular irrigation for a client following a
chemical splash to the eye. Which of the following actions should the
nurse plan to take first?
a) Administer proparacaine eye drops into the affected eye
b) Place strips of pH paper on to the cul-de-sac of the affect eye
c) Collect information about the irritant that caused the injury
d( Instill 0.9% sodium chloride solution into the affected eye -
ANSWER- c) Collect information about the irritant that caused the
injury
A nurse is teaching a client who has AIDS and wishes to continue self
care at home despite living alone. Which of the following actions by the
nurse demonstrates client advocacy?
a) Remind the client of the importance of the medication adherence
b) Initiate a referral for the client to a home health agency
c) Instruct the client to avoid eating raw vegetables
ATI RN ADULT MEDICAL SURGICAL PROCTORED
RETAKE EXAM NEWEST 2024-2025 COMPLETE 120
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is teaching a client about transcutaneous electrical nerve
stimulation (TENS) unit. Which of the following statements should the
nurse include?
a) "Apply tester to the site prior to attaching the electrodes"
b) "This device requires access to a 220 volt outlet"
c) "This device delivers heat via electrodes that are attached to the
affected are"
d) Adjust the dial until you feel a 'pins and needles' sensation" -
ANSWER- d) Adjust the dial until you feel a 'pins and needles'
sensation"
A nurse is providing teaching to a client who is postoperative following
a total hip arthroplasty. Which of the following statements should the
nurse include?
a) "Used a raised toilet seat to maintain your hips above the knees"
b) "Twist at the waist when standing from a seated position"
c) "Move your stronger leg first when using a walker"
,2|Page
d " Apply a heating pad to the affected hip to decrease pain" -
ANSWER- a) "Used a raised toilet seat to maintain your hips above the
knees"
A nurse finds a client in bed, unresponsive and breathing. Which of the
following actions should the nurse take first?
a) Establish IV access
b) Apply blood pressure cuff
c) Palpate for the client's carotid pulse
d) Initiate cardiac monitoring for the client - ANSWER- c) Palpate for
the client's carotid pulse
A nurse is caring for a client who is experiencing a hypertensive crisis.
Which of the following actions should the nurse take?
a) Initiate IV dopamine infusion
b) Perform a neurological assessment
c) Place the client supine
d) Begin an IV bolus of lactated ringers - ANSWER- b) Perform a
neurological assessment
A nurse is providing discharge teaching about blood sugar monitoring
for a client who has a new diagnosis of type 2 diabetes mellitus. The
nurse should instruct the client to obtain which of the following
supplies?
a) Sterile lancets
b) Compression stockings
,3|Page
c) Hand mirror
d) Toenail clippers - ANSWER- c) Hand mirror
A nurse is completing discharge teaching for a client who has a
peripherally inserted central catheter (PICC) line in the left arm. Which
of the following instructions should the nurse include in the teaching?
a) Change the dressing daily
b) Do not elevate the arm above the level of the heart
c) Use a 10 mL syringe to flush the line
d) Clean the insertion site using 20 mL of hydrogen peroxide -
ANSWER- b) Do not elevate the arm above the level of the heart
A nurse is preparing naloxone 10 mcg/kg via IV bolus to a client who
weights 220 lbs. The amount available is 0.4 mg/mL. How many mL
should the nurse administer? (Round to the nearest tenth) - ANSWER-
2.5 mL
A nurse is planning the discharge of a client who had an ischemic stroke.
The nurse should ensure that the client is discharged with which of the
following types of pharmacologic therapy?
a) Opioid analgesic
b) Anticonvulsant
c) Anti-thrombotic
d) Diruetic - ANSWER- c) Anti-thrombotic
, 4|Page
A nurse is caring for client who has a new colostomy, the nurse notes
that the client appears withdrawn and looks away during ostomy care.
Which of the following actions should the nurse take?
a) Ask the client how they feel about the stoma
b) Make a referral for the client to see an ostomy nurse
c) Include the client's partner in stoma care education
d) Educate the client about expected stoma apperance - ANSWER- a)
Ask the client how they feel about the stoma
A nurse is preparing to perform ocular irrigation for a client following a
chemical splash to the eye. Which of the following actions should the
nurse plan to take first?
a) Administer proparacaine eye drops into the affected eye
b) Place strips of pH paper on to the cul-de-sac of the affect eye
c) Collect information about the irritant that caused the injury
d( Instill 0.9% sodium chloride solution into the affected eye -
ANSWER- c) Collect information about the irritant that caused the
injury
A nurse is teaching a client who has AIDS and wishes to continue self
care at home despite living alone. Which of the following actions by the
nurse demonstrates client advocacy?
a) Remind the client of the importance of the medication adherence
b) Initiate a referral for the client to a home health agency
c) Instruct the client to avoid eating raw vegetables
