ATI Med-Surg 2025 Form A Quiz
A nurse is teaching a client who asks about taking a glucosamine supplement for osteoarthritis. Which
of the following information should the nurse include in the teaching?
1. "Avoid using glucosamine with chondroitin."
2. "Glucosamine can cause degradation of cartilage when used over a long time."
3. "Avoid taking glucosamine if you have a shellfish allergy."
4. "You can take glucosamine with an anticoagulant medication." - ANSWER-3. "Avoid taking
glucosamine if you have a shellfish allergy."
R: The client should avoid taking glucosamine if they have a shellfish allergy because this medication is
made from the exoskeletons of shellfish, such as shrimp.
A nurse is caring for a client who has visual loss. Which of the following actions should the nurse
implement?
1. Remove all objects form the client's bedside table.
2. Instruct the client to open items on the food tray.
3. Walk a step behind the client when assisting with ambulation.
4. Count steps to the bathroom with the client. - ANSWER-4. Count steps to the bathroom with the
client.
R: The nurse should orient the client to the room by counting the steps to the bathroom to reduce the
risk for falls.
A nurse is discussing activity modification with a client who had a right total hip arthroplasty. Which
of the following statements should the nurse include in the information?
1. "Plan to sit in a straight-backed chair when out of bed."
2. "Place a pillow between your legs when lying in bed."
3. "You can cross your legs at the ankles when sitting."
4. "You should bend at the waist when tying your shoes." - ANSWER-2. "Place a pillow between your
legs when lying in bed."
R: The nurse should teach to place an abductor pillow between the legs when lying in bed to prevent
adduction of the hip and possible dislocation.
A nurse is teaching a newly licensed nurse about preventing a catheter-associated urinary tract
infection for a client who has an indwelling urinary catheter. Which of the following instructions
should the nurse include?
1. Ensure the urinary catheter tubing is not kinked.
2. Rest the catheter bag on the floor when the client is sitting in a chair.
3. Clean the perineal area with an antiseptic solution.
4. Empty the collection bag for the client every 12 hr. - ANSWER-1. Ensure the urinary catheter tubing
is not kinked.
R: The nurse should instruct the newly licensed nurse to make certain the catheter tubing if free of
kinks, which could cause a blockage of urinary flow and result in a UTI.
A nurse is planning wound management for a client who has a stage 3 pressure injury. Which of the
following interventions should the nurse include in the plan?
, 1. Measure the depth of the wound with a cotton-tipped applicator.
2. Measure the wound using a reusable tape measure.
3. Cover the wound bed with dry gauze dressings.
4. Cleanse the wound with soap and water. - ANSWER-1. Measure the depth of the wound with a
cotton-tipped applicator.
R: The nurse should plan to reapply new dressings after checking the depth of the wound for
tunneling using a cotton-tipped applicator.
A nurse is planning care for four clients following change-of-shift report. Which of the following
clients is the nurse's priority?
1. A client who had a stroke and has expressive aphasia.
2. A client who has a hemoglobin of 11 g/dL and requires 1 unit of blood.
3. A client who has asthma and a peak expiratory flow rate in the green zone.
4. A client who has peptic ulcer disease and a rigid abdomen. - ANSWER-4. A client who has peptic
ulcer disease and a rigid abdomen.
R: When using the stable vs unstable approach to client care, the nurse should assess this client first.
A client who has peptic ulcer disease and a rigid abdomen is unstable. A rigid abdomen is a
manifestation of a perforated peptic ulcer and could lead to septicemia and shock.
A nurse is planning care for four clients following change-of-shift report. Which of the following
clients should the nurse see first?
1. A client who is receiving propranolol and has a heart rate of 55/min.
2. A client who is receiving warfarin and has an INR of 2.5.
3. A client who has a pacemaker and has persistent hiccupping.
4. A client who has cholecystitis and reports rebound tenderness. - ANSWER-3. A client who has a
pacemaker and has persistent hiccupping.
R: When using the urgent vs nonurgent approach to client care, the nurse determines that the priority
client to see who has a pacemaker and has persistent hiccupping. Hiccupping is a manifestation of a
dislocation of the pacemaker lead and could lead to bradycardia and decreased cardiac output.
A nurse is reviewing the laboratory data of a client who is taking the herbal supplement feverfew to
reduce the frequency of migraine headaches. The nurse should identify that which of the following
findings indicates a potential contraindication to taking this herbal supplement?
1. Potassium 3.5 mEq/L
2. Platelet count 100,000/mm3
3. Cholesterol 250 mg/dL
4. Urine bilirubin 0.2 mg/dL - ANSWER-2. Platelet count 100,000/mm3
R: Feverfew can lead to platelet dysfunction by suppressing platelet aggregation. A client who has a
decreased platelet count should not take feverfew because this can increase the risk of bleeding.
Clients should monitor for bleeding and impaired coagulation while taking feverfew.
A nurse is providing dietary teaching to a client who has heart failure. The nurse should identify which
of the following client statements indicates an understanding of the teaching?
1. "I will use homemade vinegar and oil dressings on my salads."
2. "I should purchase low-calorie frozen meals for my lunches."
3. "I should add salt when cooking my food so I do not add it at the table."
4. "I will increase my dietary intake of processed cheese products." - ANSWER-1. "I will use
homemade vinegar and oil dressings on my salads."
A nurse is teaching a client who asks about taking a glucosamine supplement for osteoarthritis. Which
of the following information should the nurse include in the teaching?
1. "Avoid using glucosamine with chondroitin."
2. "Glucosamine can cause degradation of cartilage when used over a long time."
3. "Avoid taking glucosamine if you have a shellfish allergy."
4. "You can take glucosamine with an anticoagulant medication." - ANSWER-3. "Avoid taking
glucosamine if you have a shellfish allergy."
R: The client should avoid taking glucosamine if they have a shellfish allergy because this medication is
made from the exoskeletons of shellfish, such as shrimp.
A nurse is caring for a client who has visual loss. Which of the following actions should the nurse
implement?
1. Remove all objects form the client's bedside table.
2. Instruct the client to open items on the food tray.
3. Walk a step behind the client when assisting with ambulation.
4. Count steps to the bathroom with the client. - ANSWER-4. Count steps to the bathroom with the
client.
R: The nurse should orient the client to the room by counting the steps to the bathroom to reduce the
risk for falls.
A nurse is discussing activity modification with a client who had a right total hip arthroplasty. Which
of the following statements should the nurse include in the information?
1. "Plan to sit in a straight-backed chair when out of bed."
2. "Place a pillow between your legs when lying in bed."
3. "You can cross your legs at the ankles when sitting."
4. "You should bend at the waist when tying your shoes." - ANSWER-2. "Place a pillow between your
legs when lying in bed."
R: The nurse should teach to place an abductor pillow between the legs when lying in bed to prevent
adduction of the hip and possible dislocation.
A nurse is teaching a newly licensed nurse about preventing a catheter-associated urinary tract
infection for a client who has an indwelling urinary catheter. Which of the following instructions
should the nurse include?
1. Ensure the urinary catheter tubing is not kinked.
2. Rest the catheter bag on the floor when the client is sitting in a chair.
3. Clean the perineal area with an antiseptic solution.
4. Empty the collection bag for the client every 12 hr. - ANSWER-1. Ensure the urinary catheter tubing
is not kinked.
R: The nurse should instruct the newly licensed nurse to make certain the catheter tubing if free of
kinks, which could cause a blockage of urinary flow and result in a UTI.
A nurse is planning wound management for a client who has a stage 3 pressure injury. Which of the
following interventions should the nurse include in the plan?
, 1. Measure the depth of the wound with a cotton-tipped applicator.
2. Measure the wound using a reusable tape measure.
3. Cover the wound bed with dry gauze dressings.
4. Cleanse the wound with soap and water. - ANSWER-1. Measure the depth of the wound with a
cotton-tipped applicator.
R: The nurse should plan to reapply new dressings after checking the depth of the wound for
tunneling using a cotton-tipped applicator.
A nurse is planning care for four clients following change-of-shift report. Which of the following
clients is the nurse's priority?
1. A client who had a stroke and has expressive aphasia.
2. A client who has a hemoglobin of 11 g/dL and requires 1 unit of blood.
3. A client who has asthma and a peak expiratory flow rate in the green zone.
4. A client who has peptic ulcer disease and a rigid abdomen. - ANSWER-4. A client who has peptic
ulcer disease and a rigid abdomen.
R: When using the stable vs unstable approach to client care, the nurse should assess this client first.
A client who has peptic ulcer disease and a rigid abdomen is unstable. A rigid abdomen is a
manifestation of a perforated peptic ulcer and could lead to septicemia and shock.
A nurse is planning care for four clients following change-of-shift report. Which of the following
clients should the nurse see first?
1. A client who is receiving propranolol and has a heart rate of 55/min.
2. A client who is receiving warfarin and has an INR of 2.5.
3. A client who has a pacemaker and has persistent hiccupping.
4. A client who has cholecystitis and reports rebound tenderness. - ANSWER-3. A client who has a
pacemaker and has persistent hiccupping.
R: When using the urgent vs nonurgent approach to client care, the nurse determines that the priority
client to see who has a pacemaker and has persistent hiccupping. Hiccupping is a manifestation of a
dislocation of the pacemaker lead and could lead to bradycardia and decreased cardiac output.
A nurse is reviewing the laboratory data of a client who is taking the herbal supplement feverfew to
reduce the frequency of migraine headaches. The nurse should identify that which of the following
findings indicates a potential contraindication to taking this herbal supplement?
1. Potassium 3.5 mEq/L
2. Platelet count 100,000/mm3
3. Cholesterol 250 mg/dL
4. Urine bilirubin 0.2 mg/dL - ANSWER-2. Platelet count 100,000/mm3
R: Feverfew can lead to platelet dysfunction by suppressing platelet aggregation. A client who has a
decreased platelet count should not take feverfew because this can increase the risk of bleeding.
Clients should monitor for bleeding and impaired coagulation while taking feverfew.
A nurse is providing dietary teaching to a client who has heart failure. The nurse should identify which
of the following client statements indicates an understanding of the teaching?
1. "I will use homemade vinegar and oil dressings on my salads."
2. "I should purchase low-calorie frozen meals for my lunches."
3. "I should add salt when cooking my food so I do not add it at the table."
4. "I will increase my dietary intake of processed cheese products." - ANSWER-1. "I will use
homemade vinegar and oil dressings on my salads."
