ATI RN Adult Medical Surgical 2024 A/ 90 Questions with Verified
Answers (100% Correct Answers) Graded A+
1. A nurse is assess- d. A client who has multiple sclerosis and is experi-
ing a group of clients encing progressive difficulty ambulating.
for indications of role
changes. The nurse The nurse should identify that progression of a neuro-
should identify that logic disease such as multiple sclerosis can lead to a
which of the following role change as the client becomes less independent.
clients is at risk for
experiencing a role
change?
a. A client who has
type 1 diabetes mel-
litus and is starting
to self-monitor blood
glucose.
b. A client who had a
cholecystectomy and
is starting on a modi-
fied-fat diet.
c. A client who has
Crohn's disease and
is experiencing diar-
rhea three times a
day.
d. A client who
has multiple sclerosis
and is experiencing
progressive difficulty
ambulating.
2. A nurse is provid- a. Sedimentation rate
ing follow-up care for
a client who sus- An increased sedimentation rate occurs when a client
tained a compound has any type of inflammatory process, such as os-
fracture 3 weeks ago. teomyelitis.
The nurse should rec-
ognize that an un-
expected finding for
which of the follow-
, ATI RN Adult Medical Surgical 2024 A
ing laboratory val-
ues is a manifestation
of osteomyelitis and
should be reported to
the provider?
a. Sedimentation rate
b. Hematocrit
c. Calcium
d. Acid phosphatase
3. A nurse is caring for a The nurse should insert a large-gauge IV and initiate
client who is postop- a fluid challenge because the client is most likely ex-
erative. periencing hypovolemia as evidenced by the client's
Complete the dia- restlessness, tachycardia, hypotension, decreased
gram by dragging pulses, cool extremities, and decreased urine output.
from the choices be- The nurse should monitor the client's urine output
low to specify what and blood pressure to evaluate the effectiveness of
condition the client is treatment.
most likely experienc-
ing, two actions the
nurse should take to
address that condi-
tion, and two parame-
ters the nurse should
monitor to assess the
client's progress.
4. A nurse is provid- d. "You will need to stay still in the bed during each
ing teaching to a treatment session."
client who has stage
II cervical cancer The nurse should instruct the client that they will need
and is scheduled for to remain on bed rest with very limited movement
brachytherapy. Which because excessive movement can cause the radioac-
of the following in- tive source to become dislodged
structions should the
nurse include?
a. "You will have an
, ATI RN Adult Medical Surgical 2024 A
implant placed twice
each month for the
duration of the treat-
ment."
b. "You should remain
at least 6 feet away
from others between
treatments."
c. "You should expect
to have blood in your
urine for a few days
after treatment."
d. "You will need
to stay still in the
bed during each treat-
ment session."
5. A nurse is caring for Perform a 12-lead ECG is not indicated. The client is
a client who is re- not reporting chest pain; therefore, a 12-lead ECG is
ceiving dialysis treat- not indicated at this time.
ment.
For each potential Place the client in Trendelenburg position is indicated.
nursing intervention, The client should be placed in the Trendelenburg
click to specify if the position to increase blood flow to the heart, improving
intervention is indi- cardiac output and organ perfusion.
cated or not indicat-
ed. Administer a 0.9% sodium chloride 200 mL IV bolus
is indicated. The nurse should administer 200 mL
-Place the client in of 0.9% sodium chloride IV bolus to increase fluid
Trendelenburg posi- volume and the client's blood pressure.
tion.
-Obtain the client's Apply oxygen at 2 L/min via nasal cannula is indicat-
blood glucose level. ed. The nurse should administer oxygen at 2 L/min
-Perform a 12-lead via nasal cannula to increase the amount of oxygen
ECG. carried in the blood.
-Notify the provider
immediately. Notify the provider immediately is indicated. The
-Administer a 0.9% nurse should notify the provider immediately as part
sodium chloride 200 of the nurse's role to provide an update on the client's
, ATI RN Adult Medical Surgical 2024 A
mL IV bolus. condition.
-Apply oxygen at 2
L/min via nasal can- Obtain the client's blood glucose level is not indicated.
nula. There is no indication that the client is experiencing
hypoglycemia; therefore, obtaining a blood glucose
level is not indicated.
6. A nurse is assess- a. Dysphagia
ing a client who
has had a suspect- Dysphagia indicates that this client is at greatest risk
ed stroke. The nurse for aspiration due to impaired sensation and function
should place the pri- within the oral cavity. Therefore, the nurse should
ority on which of the place priority on this finding.
following findings?
a. Dysphagia
b. Aphasia
c. Ataxia
d. Hemianopsia
7. A nurse is caring c. Place a pillow between the client's legs.
for a client who
is 12 hr postopera- The nurse should place a pillow between the client's
tive following a to- legs to prevent hip dislocation.
tal hip arthroplasty.
Which of the follow-
ing actions should
the nurse take?
a. Maintain adduction
of the client's legs.
b. Encourage range
of motion of the hip
up to a 120° angle.
c. Place a pillow
between the client's
legs.
d. Keep the client's
hip internally rotated.
Answers (100% Correct Answers) Graded A+
1. A nurse is assess- d. A client who has multiple sclerosis and is experi-
ing a group of clients encing progressive difficulty ambulating.
for indications of role
changes. The nurse The nurse should identify that progression of a neuro-
should identify that logic disease such as multiple sclerosis can lead to a
which of the following role change as the client becomes less independent.
clients is at risk for
experiencing a role
change?
a. A client who has
type 1 diabetes mel-
litus and is starting
to self-monitor blood
glucose.
b. A client who had a
cholecystectomy and
is starting on a modi-
fied-fat diet.
c. A client who has
Crohn's disease and
is experiencing diar-
rhea three times a
day.
d. A client who
has multiple sclerosis
and is experiencing
progressive difficulty
ambulating.
2. A nurse is provid- a. Sedimentation rate
ing follow-up care for
a client who sus- An increased sedimentation rate occurs when a client
tained a compound has any type of inflammatory process, such as os-
fracture 3 weeks ago. teomyelitis.
The nurse should rec-
ognize that an un-
expected finding for
which of the follow-
, ATI RN Adult Medical Surgical 2024 A
ing laboratory val-
ues is a manifestation
of osteomyelitis and
should be reported to
the provider?
a. Sedimentation rate
b. Hematocrit
c. Calcium
d. Acid phosphatase
3. A nurse is caring for a The nurse should insert a large-gauge IV and initiate
client who is postop- a fluid challenge because the client is most likely ex-
erative. periencing hypovolemia as evidenced by the client's
Complete the dia- restlessness, tachycardia, hypotension, decreased
gram by dragging pulses, cool extremities, and decreased urine output.
from the choices be- The nurse should monitor the client's urine output
low to specify what and blood pressure to evaluate the effectiveness of
condition the client is treatment.
most likely experienc-
ing, two actions the
nurse should take to
address that condi-
tion, and two parame-
ters the nurse should
monitor to assess the
client's progress.
4. A nurse is provid- d. "You will need to stay still in the bed during each
ing teaching to a treatment session."
client who has stage
II cervical cancer The nurse should instruct the client that they will need
and is scheduled for to remain on bed rest with very limited movement
brachytherapy. Which because excessive movement can cause the radioac-
of the following in- tive source to become dislodged
structions should the
nurse include?
a. "You will have an
, ATI RN Adult Medical Surgical 2024 A
implant placed twice
each month for the
duration of the treat-
ment."
b. "You should remain
at least 6 feet away
from others between
treatments."
c. "You should expect
to have blood in your
urine for a few days
after treatment."
d. "You will need
to stay still in the
bed during each treat-
ment session."
5. A nurse is caring for Perform a 12-lead ECG is not indicated. The client is
a client who is re- not reporting chest pain; therefore, a 12-lead ECG is
ceiving dialysis treat- not indicated at this time.
ment.
For each potential Place the client in Trendelenburg position is indicated.
nursing intervention, The client should be placed in the Trendelenburg
click to specify if the position to increase blood flow to the heart, improving
intervention is indi- cardiac output and organ perfusion.
cated or not indicat-
ed. Administer a 0.9% sodium chloride 200 mL IV bolus
is indicated. The nurse should administer 200 mL
-Place the client in of 0.9% sodium chloride IV bolus to increase fluid
Trendelenburg posi- volume and the client's blood pressure.
tion.
-Obtain the client's Apply oxygen at 2 L/min via nasal cannula is indicat-
blood glucose level. ed. The nurse should administer oxygen at 2 L/min
-Perform a 12-lead via nasal cannula to increase the amount of oxygen
ECG. carried in the blood.
-Notify the provider
immediately. Notify the provider immediately is indicated. The
-Administer a 0.9% nurse should notify the provider immediately as part
sodium chloride 200 of the nurse's role to provide an update on the client's
, ATI RN Adult Medical Surgical 2024 A
mL IV bolus. condition.
-Apply oxygen at 2
L/min via nasal can- Obtain the client's blood glucose level is not indicated.
nula. There is no indication that the client is experiencing
hypoglycemia; therefore, obtaining a blood glucose
level is not indicated.
6. A nurse is assess- a. Dysphagia
ing a client who
has had a suspect- Dysphagia indicates that this client is at greatest risk
ed stroke. The nurse for aspiration due to impaired sensation and function
should place the pri- within the oral cavity. Therefore, the nurse should
ority on which of the place priority on this finding.
following findings?
a. Dysphagia
b. Aphasia
c. Ataxia
d. Hemianopsia
7. A nurse is caring c. Place a pillow between the client's legs.
for a client who
is 12 hr postopera- The nurse should place a pillow between the client's
tive following a to- legs to prevent hip dislocation.
tal hip arthroplasty.
Which of the follow-
ing actions should
the nurse take?
a. Maintain adduction
of the client's legs.
b. Encourage range
of motion of the hip
up to a 120° angle.
c. Place a pillow
between the client's
legs.
d. Keep the client's
hip internally rotated.
