ATI MED SURG CMS LATEST VERSION (FORM A, B, C &
D) NEWEST 2025 ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS )||ALREADY GRADED A+
A nurse is reviewing the Answer: D. A severe allergy to amoxicillin
medical record of a patient
who is to receive the first
dose of cefoxitin via
intermittent IV bolus. Which
of the following findings
should the nurse identify as
a contraindication for the
patient to receive cefoxitin
and report. to the
provider?
A. A history of phlebitis
following an IV infusion of
0.9% sodium chloride
with 10 mEq of potassium
chloride
B. A recent history of diarrhea
for 3 days
C. Serum Creatinine 0.8 mg/dL
D. A severe allergy to
amoxicillin
A nurse is collecting data on Answer: C. Wheezing
a patient who has a new
prescription for ampicillin.
The
nurse should recognize
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which of the following
findings is a priority?
A. Nausea
B. Vomiting
C. Wheezing
D. None of the above
A nurse is planning care for turn the client by log rolling with a turning sheet
a client who had a lumbar
laminectomy. Which of the
following
interventions should the
nurse include in the plan of
care?
A nurse is teaching a client avoid eating red meat
how to obtain a specimen at
home for a fecal occult
blood test.
Which of the following
actions should the nurse
instruct the client to take for
3 days prior to
collecting the specimen?
A nurse is caring for a client Apply a sterile, saline-soaked dressing over the wound.
who is 5 days post op
following abdominal
surgery. The client coughs
and reports to the nurse "I
feel as if I just split open."
The nurse sees a protrusion
of internal organs. After
calling for help, which
action is a priority
intervention?
A nurse is caring for a client Limit visitors to healthy adults
who was
admitted with neutropenia.
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Which of the following
interventions is appropriate
for this client?
A nurse is reinforcing teaching I understand that testicular cancer is painless
with an
adolescent client regarding
testicular self- examination.
Which statement by the
client demonstrates an
understanding of the
teaching?
A nurse is preparing to 30 gtt/min
administer dextrose 5% in
0.9% sodium chloride 1200
mg IV to infuse over 10 hr.
The drop factor of the
manual IV tubing is 15 gtt/ml.
The nurse
should set the manual IV
infusion to deliver how many
gtt/min?
A nurse is reinforcing Take calcium supplements 30 min before meals
teaching to an older client
who has osteoporosis.
Which instructions should the
nurse include in the
teaching?
A client who has AIDS is Decrease in exertional dyspnea
admitted with pneumocystis
jurovecil (carinii) pneumonia.
The client is receiving
pentamidine
isethionate 268 mg IV daily,
nebulizer
treatments with albuterol
four times a day, and IV
fluids at 125 ml/hr. Which
of the
following indicates the
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therapeutic regimen is
effective?
A nurse is preparing to Hyperactive bowel sounds
auscultate the bowel
sounds of a client who
has
abdominal adhesions in the
upper GI tract. When
listening in the left upper
quadrant, the nurse should
identify the sound as
which of the following?
A client who has a new Green leafy vegetables such as spinach, are high in calcium.
diagnosis of osteoporosis
states to a nurse. "I am
lactose intolerant, so I
cannot eat dairy products."
Which of the following
responses by the nurse is
appropriate?
A nurse is caring for a Maintain compression of the bulb
client who is 8 hr. post op
from abdominal surgery and
has a Jackson-Pratt suction
device. Which of the
following actions should the
nurse plan to take?
A nurse is caring for a client Rewrap the compression dressing 3 times daily
who is post op following an
amputation of the lower
left extremity. Which of
the following actions
should the nurse take?
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