ATI RN MEDICAL SURGICAL WITH NGN COMPLETE 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (Latest 2025 / 2026 Update) 100% Pass

ATI RN MEDICAL SURGICAL WITH NGN
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COMPLETE 180 QUESTIONS AND CORRECT DETAILED A g g g g g g




NSWERS WITH RATIONALES g g




1. A nurse is caring for a client who has a leg cast and is returning to demonstr
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ate on the proper use of crutches while climbing stairs. Identify the sequence t
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he should follow when demonstrating crutch use.
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- Brings the crutches and the affected leg up to the stair
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- Places body weight on the crutches
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- Shifts weight from the crutches to the unaffected leg
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- Advances the unaffected leg onto the stair
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Answer> - Places body weight on the crutches
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- Advances the unaffected leg onto the stair
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- Shifts weight from the crutches to the unaffected leg
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,- Brings the crutches and the affected leg up to the stair
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2. A nurse is caring for a client who has hypothyroidism.Which of the following m
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anifestations should the nurse expect? g g g g




- Constipation

- Insomnia

- Tachycardia

- Diaphoresis

Answer> - Constipation g g




RATIONALE>>A client who has hypothyroidism can experience constipation due to t
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he decrease in the client's metabolism, resulting in slow motility of the GI tract. The nur
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se should instruct the client to increase fiber and fluid intake to reduce the risk for con
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stipation.

3. A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. W
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hich of the following nonpharmacological interventions should the nurse sug
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gest to the client to reduce pain?
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- Increase intake of foods containing calcium
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- Alternate application of heat and cold to the affected joints
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- Keep the affected extremities elevated
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,- Limit movement of the affected joints
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Answer> - Alternate application of heat and cold to the affected joints
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RATIONALE>>The nurse should instruct the client to alternate heat and cold appli- g g g g g g g g g g g




cations to decrease joint inflammation and pain. The application of cold can relieve joi
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nt swelling and the application of heat can decrease joint stiffness and pain.
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4. A nurse is caring for a client who is receiving a blood transfusion. The client b
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ecomes restless, dyspneic, and has crackles noted to the lung bases. Which of t
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he following actions should the nurse anticipate taking?
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- Administer an antihistamine g g




- Slow the infusion rateg g g




- Give the client a corticosteroid
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- Elevate the client's lower extremitiesg g g g




Answer> - Slow the infusion rate g g g g g




RATIONALE>>Dyspnea, restlessness, and the onset of crackles during a blood tran g g g g g g g g g g




sfusion are manifestations of circulatory overload.The nurse should slow or stop the inf
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usion to improve the client's ability to breath, place the client in an upright position, an
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d notify the provider. The provider might prescribe a diuretic to alleviate the fluid overl
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oad.
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, 5. A nurse in the emergency department is assessing a client who has a detac
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hed retina. Which of the following should the nurse expect the client to report?
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- "It's like a curtain closed over my eye."
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- "This sharp pain in my eye started 2 hours ago."
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- "I've been having more and more difficulty seeing over the last few weeks."
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- "I seem to have more problems seeing different colors."
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Answer> - "It's like a curtain closed over my eye." g g g g g g g g g




RATIONALE>>A retinal detachment is the separation of the retina from the epithelium. I g g g g g g g g g g g g




t can occur because of trauma, cataract surgery, retinopathy, or uveitis. Clients who ha
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ve retinal detachment typically report the sensation of a curtain being pulled over part
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of the visual field.
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6. A nurse is teaching a client who has a family history of colorectal cancer. To
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help mitigate this risk, which of the following dietary alterations should the nurs
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e recommend? g




- Add full-fat yogurt to the diet g g g g g




- Add cabbage to the diet g g g g




- Replace butter with coconut oil g g g g




- Replace shellfish with red meat g g g g




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