ATI RN ADULT MEDICAL-SURGICAL PROCTORED EXAM|
RN MED-SURG
EXAM QUESTIONS & CORRECT VERIFIED ANSWERS, [2024-
2025] BEST FOR EXAM PRACTICE – GRADED A+,100% PASS!
A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The
client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory
rate 16/min, and temperature 36° C (96.8° F). Which of the following vital sign changes
should alert the nurse that the client might be hemorrhaging?
Heart rate 110/min.
A nurse is assessing a client who has peripheral arterial disease. Which of the following
findings should the nurse expect?
Hair loss on the lower legs.
A nurse is providing teaching to a client who has esophageal cancer and is to undergo
radiation therapy. Which of the following statements should the nurse identify as an
indication that the client understands the teaching?
"I will use my hands rather than a washcloth to clean the radiation area.
A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a
gastrectomy. A nurse is providing teaching for the client. Which of the following instructions
should the nurse include?
Avoid drinking fluids with meals Eat several small meals Consume high-protein snacks
Avoid highly seasoned foods
A nurse is caring for a client who is scheduled for a right knee arthroplasty. The nurse
provided preoperative teaching to the client. Which of the following statements by the client
indicates an understanding of the teaching?
"I will need to do the breathing exercises every 1 to 2 hours after the surgery" "I
will be sure to ask for pain medication before my knee starts to hurt too bad" "I
will probably be going home with a walker".
A nurse is planning to provide discharge teaching for the family of an older adult client who
has hemianopsia and is at risk for falls. Which of the following instructions should the nurse
include?
,Remind the client to scan their complete range of vision during ambulation.
An older adult client is brought to an emergency department by a family member. Which of
the following assessment findings should cause the nurse to suspect that the client has
hypertonic dehydration?
Urine specific gravity 1.045
A nurse is caring for a client who is 4 hr postoperative following a total vaginal hysterectomy.
Click to highlight the findings the nurse should report to the provider immediately.
Perineal pad saturated with blood, large clots present Change of blood pressure, heart rate of
102/min.
A nurse is caring for a client who has HIV. Which of the following findings indicates a
positive response to the prescribed HIV treatment?
Decreased viral load.
A nurse is providing discharge teaching to a client who has heart failure and a new
prescription for a potassium-sparing diuretic. Which of the following information should the
nurse include in the teaching?
Try to walk at least three times per week for exercise.
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV
contrast agent. The nurse should identify that which of the following findings requires further
assessment?
History of asthma
A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish a ureterostomy. Which of the following
statements should the nurse include in the teaching?
"You should cut the opening of the skin barrier one-eighth inch wider than the stoma."
A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Which
of the following information should the nurse include in the instructions?
Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures.
A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of
the following findings should the nurse identify as a manifestation of this condition?
Pain that increases with passive movement
,A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The
client is unable to void on the bedpan. Which of the following actions should the nurse take
first?
Scan the bladder with a portable ultrasound.
A nurse is providing teaching to a client who has AIDS. Which of the following statements by
the client indicates an understanding of the teaching?
"I will take my temperature once a day."
A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation
(TENS) for the management of bone cancer pain. The nurse should explain that applying a
TENS unit to the painful area has which of the following effects?
A tingling sensation replacing the pain.
A nurse in a provider's office is assessing a client who has migraine headaches and is taking
feverfew to prevent headaches. The nurse should identify that which of the following client
medications interacts with feverfew?
Naproxen.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following
findings should the nurse identify as a component of Cushing's triad?
Bradycardia
A nurse is teaching a client who has venous insufficiency about self-care. Which of the
following statements should the nurse identify as an indication that the client understands
the teaching?
"I will wear clean graduated compression stockings every day."
A nurse is assessing a client who is postoperative following a transurethral resection of the
prostate (TURP) and notes clots in the client's indwelling urinary catheter and a decrease in
urinary output. Which of the following actions should the nurse take?
Irrigate the indwelling urinary catheter.
A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following
actions should the nurse take?
Remain with the client for the first 15 min of the infusion.
A nurse is caring for a client who is receiving morphine for daily dressing changes. The client
tells the nurse, "I don't want any more morphine because I don't want to get addicted."
Which of the following actions should the nurse take?
, Instruct the client on alternative therapies for pain reduction.
A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the
following findings should the nurse identify as the priority?
Report of sore throat
A nurse is planning care for a client who has dementia. Which of the following interventions
should the nurse include in the plan of care?
Place personal items, such as pictures, at the client's bedside.
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client appears anxious and restless, and the high-pressure alarm is sounding. Which of the
following actions should the nurse take first?
Instruct the client to allow the machine to breathe for them.
A nurse is providing teaching to a client who has a history of urinary tract infections (UTIS).
Which of the following information should the nurse include in the teaching?
Take daily cranberry supplements.
A nurse is reviewing the laboratory results of a client who has AIDS and is taking
amphotericin B for a fungal infection. The nurse should identify that which of the following
values is an indication of an adverse effect of the medication?
BUN 34 mg/dL.
A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system.
Which of the following findings is an indication of lung re-expansion?
Bubbling in the water seal chamber has ceased.
A nurse is planning care for a client who is having a modified radical mastectomy of the right
breast. Which of the following interventions should the nurse include in the plan of care?
Instruct the client that the drain will be removed when there is 25 mL of output or less over a
24-hr period.
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago.
Which of the following actions should the nurse take?
Check that one finger fits between the cast and the leg.
A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount
available is oral solution 125 mg/5 mL. How many mL should the nurse administer? (Round
RN MED-SURG
EXAM QUESTIONS & CORRECT VERIFIED ANSWERS, [2024-
2025] BEST FOR EXAM PRACTICE – GRADED A+,100% PASS!
A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The
client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory
rate 16/min, and temperature 36° C (96.8° F). Which of the following vital sign changes
should alert the nurse that the client might be hemorrhaging?
Heart rate 110/min.
A nurse is assessing a client who has peripheral arterial disease. Which of the following
findings should the nurse expect?
Hair loss on the lower legs.
A nurse is providing teaching to a client who has esophageal cancer and is to undergo
radiation therapy. Which of the following statements should the nurse identify as an
indication that the client understands the teaching?
"I will use my hands rather than a washcloth to clean the radiation area.
A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a
gastrectomy. A nurse is providing teaching for the client. Which of the following instructions
should the nurse include?
Avoid drinking fluids with meals Eat several small meals Consume high-protein snacks
Avoid highly seasoned foods
A nurse is caring for a client who is scheduled for a right knee arthroplasty. The nurse
provided preoperative teaching to the client. Which of the following statements by the client
indicates an understanding of the teaching?
"I will need to do the breathing exercises every 1 to 2 hours after the surgery" "I
will be sure to ask for pain medication before my knee starts to hurt too bad" "I
will probably be going home with a walker".
A nurse is planning to provide discharge teaching for the family of an older adult client who
has hemianopsia and is at risk for falls. Which of the following instructions should the nurse
include?
,Remind the client to scan their complete range of vision during ambulation.
An older adult client is brought to an emergency department by a family member. Which of
the following assessment findings should cause the nurse to suspect that the client has
hypertonic dehydration?
Urine specific gravity 1.045
A nurse is caring for a client who is 4 hr postoperative following a total vaginal hysterectomy.
Click to highlight the findings the nurse should report to the provider immediately.
Perineal pad saturated with blood, large clots present Change of blood pressure, heart rate of
102/min.
A nurse is caring for a client who has HIV. Which of the following findings indicates a
positive response to the prescribed HIV treatment?
Decreased viral load.
A nurse is providing discharge teaching to a client who has heart failure and a new
prescription for a potassium-sparing diuretic. Which of the following information should the
nurse include in the teaching?
Try to walk at least three times per week for exercise.
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV
contrast agent. The nurse should identify that which of the following findings requires further
assessment?
History of asthma
A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish a ureterostomy. Which of the following
statements should the nurse include in the teaching?
"You should cut the opening of the skin barrier one-eighth inch wider than the stoma."
A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Which
of the following information should the nurse include in the instructions?
Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures.
A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of
the following findings should the nurse identify as a manifestation of this condition?
Pain that increases with passive movement
,A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The
client is unable to void on the bedpan. Which of the following actions should the nurse take
first?
Scan the bladder with a portable ultrasound.
A nurse is providing teaching to a client who has AIDS. Which of the following statements by
the client indicates an understanding of the teaching?
"I will take my temperature once a day."
A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation
(TENS) for the management of bone cancer pain. The nurse should explain that applying a
TENS unit to the painful area has which of the following effects?
A tingling sensation replacing the pain.
A nurse in a provider's office is assessing a client who has migraine headaches and is taking
feverfew to prevent headaches. The nurse should identify that which of the following client
medications interacts with feverfew?
Naproxen.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following
findings should the nurse identify as a component of Cushing's triad?
Bradycardia
A nurse is teaching a client who has venous insufficiency about self-care. Which of the
following statements should the nurse identify as an indication that the client understands
the teaching?
"I will wear clean graduated compression stockings every day."
A nurse is assessing a client who is postoperative following a transurethral resection of the
prostate (TURP) and notes clots in the client's indwelling urinary catheter and a decrease in
urinary output. Which of the following actions should the nurse take?
Irrigate the indwelling urinary catheter.
A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following
actions should the nurse take?
Remain with the client for the first 15 min of the infusion.
A nurse is caring for a client who is receiving morphine for daily dressing changes. The client
tells the nurse, "I don't want any more morphine because I don't want to get addicted."
Which of the following actions should the nurse take?
, Instruct the client on alternative therapies for pain reduction.
A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the
following findings should the nurse identify as the priority?
Report of sore throat
A nurse is planning care for a client who has dementia. Which of the following interventions
should the nurse include in the plan of care?
Place personal items, such as pictures, at the client's bedside.
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client appears anxious and restless, and the high-pressure alarm is sounding. Which of the
following actions should the nurse take first?
Instruct the client to allow the machine to breathe for them.
A nurse is providing teaching to a client who has a history of urinary tract infections (UTIS).
Which of the following information should the nurse include in the teaching?
Take daily cranberry supplements.
A nurse is reviewing the laboratory results of a client who has AIDS and is taking
amphotericin B for a fungal infection. The nurse should identify that which of the following
values is an indication of an adverse effect of the medication?
BUN 34 mg/dL.
A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system.
Which of the following findings is an indication of lung re-expansion?
Bubbling in the water seal chamber has ceased.
A nurse is planning care for a client who is having a modified radical mastectomy of the right
breast. Which of the following interventions should the nurse include in the plan of care?
Instruct the client that the drain will be removed when there is 25 mL of output or less over a
24-hr period.
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago.
Which of the following actions should the nurse take?
Check that one finger fits between the cast and the leg.
A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount
available is oral solution 125 mg/5 mL. How many mL should the nurse administer? (Round
