Med Surge ATI EXAM 2-REAL ACTUAL EXAM-LATEST EXAM
UPDATE 2025|RATED 100% CORRECT WITH COMPLETE
QUESTIONS AND ANSWERS|ALREADY GRADED A+ -
GUARANTEED PASS!!
A nurse observes tachycardia, dyspnea, a cough and distended neck being in a client who is
receiving a transfusion of packed red blood cells (RBC's). Which of the following
interventions should the nurse use to prevent these manifestations with the client's next
transfusion? - (answers)Use a transfusion pump to regulate and maintain the transfusion at
a slower rate.
A nurse is providing discharge teaching for a client who has a newly inserted permanent
pacemaker. Which of the following instructions should the nurse include in the teaching? -
(answers)Keep your cell phone 6 inches away from your pace maker when making a call.
A nurse is caring for an older adult client who had an acute myocardial infarction (MI). When
assessing this client the nurse should identify that older adults are prone to complications of
MI from Poor tissue perfusion because of which of the following age related factors? -
(answers)Peripheral vascular resistance increases
A nurse in caring for a client who has a peripherally inserted central catheter (PICC) in place.
Which of the following actions should the nurse take when handling this central venous
access device? select all that apply - (answers)Flush the line with sterile 0.9% sodium
chloride before and after medication administration
Access the PICC for blood sampling
Perform a heparin flush of the line at least daily when not in use
A nurse is caring for an adult male client who is undergoing screen testing for
atherosclerosis. Which of the following laboratory findings should the nurse identify as an
increased risk for this disorder? - (answers)Elevated LDL levels
A nurse is teaching a client who has coronary artery disease about eh difference between
angina pectoris and myocardial infarction. Which of the following manifestations should the
nurse identify as indications of MI? select all that apply - (answers)nausea and vomiting
diaphoresis and dizziness
, anxiety and feeling of doom
A nurse is teaching a client with heart disease about a lower cholesterol diet. Which of the
following client statements indicates the teaching was effective? - (answers)I should remove
the skin form sultry before eating it.
A nurse is planning care for a client who has thrombocytopenia. Which of the following
interventions should the nurse include in the plan of care? - (answers)Measure the client's
abdominal girth daily
A nurse is checking paradoxical blood pressure of a client who has a possible cardiac
tamponade. In what order should the nurse complete the following steps? - (answers)1.
Palpate the blood pressure and inflate the cuff above the systolic pressure.
2. Deflate the cuff slowly and listen for the first audible sounds.
3. identify the first BP sounds audible on expiration and then on inspiration
4. Subtract the inspiratory pressure from the expiratory pressure
5. Inspect for jugular venous distention and notify the provider.
a nurse is completing dietary teaching who a client who has heart failure and is prescribed a
2g sodium diet. Which of the following statements by the client indicates an understanding
of the teaching? - (answers)I can have yogurt as a dessert
rationale low in fat and sodium
A nurse is assessing a client who has peripheral vascular disease and a venous ulcer on the
right ankle. Which of the following findings should the nurse expect in the client's affected
extremity? - (answers)Ankle swelling
A nurse is monitoring the electrocardiogram of a client who has hypocalcemia. Which of the
following findings should the nurse expect? - (answers)Prolonged QT intervals
A nurse is caring for a client who has pernicious anemia. Which of the following factors
should the nurse identify with this condition? - (answers)Vitamin B12 deficiency
UPDATE 2025|RATED 100% CORRECT WITH COMPLETE
QUESTIONS AND ANSWERS|ALREADY GRADED A+ -
GUARANTEED PASS!!
A nurse observes tachycardia, dyspnea, a cough and distended neck being in a client who is
receiving a transfusion of packed red blood cells (RBC's). Which of the following
interventions should the nurse use to prevent these manifestations with the client's next
transfusion? - (answers)Use a transfusion pump to regulate and maintain the transfusion at
a slower rate.
A nurse is providing discharge teaching for a client who has a newly inserted permanent
pacemaker. Which of the following instructions should the nurse include in the teaching? -
(answers)Keep your cell phone 6 inches away from your pace maker when making a call.
A nurse is caring for an older adult client who had an acute myocardial infarction (MI). When
assessing this client the nurse should identify that older adults are prone to complications of
MI from Poor tissue perfusion because of which of the following age related factors? -
(answers)Peripheral vascular resistance increases
A nurse in caring for a client who has a peripherally inserted central catheter (PICC) in place.
Which of the following actions should the nurse take when handling this central venous
access device? select all that apply - (answers)Flush the line with sterile 0.9% sodium
chloride before and after medication administration
Access the PICC for blood sampling
Perform a heparin flush of the line at least daily when not in use
A nurse is caring for an adult male client who is undergoing screen testing for
atherosclerosis. Which of the following laboratory findings should the nurse identify as an
increased risk for this disorder? - (answers)Elevated LDL levels
A nurse is teaching a client who has coronary artery disease about eh difference between
angina pectoris and myocardial infarction. Which of the following manifestations should the
nurse identify as indications of MI? select all that apply - (answers)nausea and vomiting
diaphoresis and dizziness
, anxiety and feeling of doom
A nurse is teaching a client with heart disease about a lower cholesterol diet. Which of the
following client statements indicates the teaching was effective? - (answers)I should remove
the skin form sultry before eating it.
A nurse is planning care for a client who has thrombocytopenia. Which of the following
interventions should the nurse include in the plan of care? - (answers)Measure the client's
abdominal girth daily
A nurse is checking paradoxical blood pressure of a client who has a possible cardiac
tamponade. In what order should the nurse complete the following steps? - (answers)1.
Palpate the blood pressure and inflate the cuff above the systolic pressure.
2. Deflate the cuff slowly and listen for the first audible sounds.
3. identify the first BP sounds audible on expiration and then on inspiration
4. Subtract the inspiratory pressure from the expiratory pressure
5. Inspect for jugular venous distention and notify the provider.
a nurse is completing dietary teaching who a client who has heart failure and is prescribed a
2g sodium diet. Which of the following statements by the client indicates an understanding
of the teaching? - (answers)I can have yogurt as a dessert
rationale low in fat and sodium
A nurse is assessing a client who has peripheral vascular disease and a venous ulcer on the
right ankle. Which of the following findings should the nurse expect in the client's affected
extremity? - (answers)Ankle swelling
A nurse is monitoring the electrocardiogram of a client who has hypocalcemia. Which of the
following findings should the nurse expect? - (answers)Prolonged QT intervals
A nurse is caring for a client who has pernicious anemia. Which of the following factors
should the nurse identify with this condition? - (answers)Vitamin B12 deficiency
