ATI Advanced Med-Surg Exam with Complete Solution 2025 Rated A+

1. A nurse is assessing the skin of a client who has frostbite. The client has small blisters that contain blood, and the skin of the affected area does not blanch. The nurse should classify this injury as which of the following? a. First-degree frostbite b. Second-degree frostbite c. Third-degree frostbite d. Fourth-degree frostbite 2. A nurse in the emergency department is caring for a client who has a snakebite on her arm. Which of the following interventions should thenurse implement? a. Immobilize the limb at the level of the heart b. Apply a tourniquet to the affected limb c. Use a sterile scapula to incise the wound d. Apply ice to the skin over the snakebite wound 3. A nurse is caring for an adolescent client who has burn wounds on her face and hands. Which of the following statements by the client indicates that she has adapted to her changed body image? a. “May I go with my family to the visitor’s lounge?” b. “I’ll see my friends when I get home” c. “My dad is coming to visit. Can you fix my hair for me?” d. “I told my cousins I’m in protective isolation.” 4. A nurse is assessing a client who is bedridden and was admitted from home. The nurse notes a shallow crater in the epidermis of the client’s sacral area. The nurse should document that the client has a pressure ulcer at which of the following stages? a. IV b. I c. III d. II 5. A nurse is teaching a client who has extensive deep partial- and full- thickness burns and requires a topical antimicrobial medication. The goal of this medication therapy is to reduce which of the following outcomes? a. Bacterial growth b. Scarring c. Skin graft size d. Pain 6. A nurse is planning care for a client who has deep partial-thickness and full- thickness thermal burns over 40% of his total body surface and is in the acute phase of burn injury. Which of the following interventions should the nurse include in the plan? a. Initiate range-of-motion exercises b. Use clean technique to provide wound care c. Place the client on a low-protein diet d. Maintain the client on bed rest 7. A nurse is providing teaching to a client who is wheelchair-bound and his caregiver about ways to reduce the risk of pressure ulcer formation. Which of the following instructions should the nurse include? a. “Move between the bed and the wheelchair once every 2 hr.” b. “Make sure that your caregiver massages your skin daily” c. “Use a rubber ring when sitting on the bedside.” d. “Shif t your weight in the wheelchair every 15 min.” 8. A nurse is evaluating the laboratory values of a client who is in the resuscitation phase following a major burn. Which of the following laboratory findings should the nurse expect? a. Hemoglobin 10 g/dL b. Sodium 132 mEq/L c. Albumin 3.6 g/dL d. Potassium 4.0 mEq/dL 9. A nurse in an emergency department is assessing a client who has extensive burns, including on her face. Which of the following assessments should the nurse perform first? a. Estimation of burn injury b. Characteristics of the cough and sputum c. Extent of peripheral edema d. Amount of urine output 10. A nurse in a provider’s office is caring for a client who has a new diagnosis of herpes zoster. The nurse should anticipate a prescription for which of the following medications? a. Zoster vaccine b. Acyclovir c. Amoxicillin d. Infliximab 11. A nurse in a provider’s office is caring for a client who has a new diagnosis of herpes zoster. The nurse should anticipate a prescription for which of the following medications? a. Cigarette smoking b. Low-fiber diet c. Excessive exposure to ultraviolet light d. Human papillomavirus 12. A community health nurse is teaching a group of clients about malignant melanoma. Which of the following traits places a client at risk for developing malignant melanoma? a. Brown eyes b. Light skin c. Black hair d. Dark skin 13. A nurse on a surgical unit is caring for 4 clients who have healing wounds. Which of the following wounds should the nurse expect to heal by primary intention? a. Partial-thickness burn b. Stage III pressure ulcer c. Surgical incision d. Dehisced sterile wound 14. A nurse is caring for a client who has regular occupational exposure to sunlight and presents for evaluation of several skin lesions. Which of the following findings should alert the nurse to the possibility of malignant melanoma? a. A pearly papule that is 0.5cm (0.20in) wide with raised, indistinct border on the upper right shoulder b. Several flat, pigmented, circumscribed areas of various sizes over the bridge of the nose c. A raised, circumscribed lesion on the face that contains yellow-white purulent material d. An irregularly shaped brown lesion with light blue areas on the neck 15. A nurse is caring for a client who has full-thickness burns covering 63% of her body and smoke inhalation. Which of the following nursing actions is the top priority? a. Monitor intake and output b. Administer antibiotics c. Monitor respiratory status d. Encourage fluid and food intake 16. A nurse is caring for a client whose wounds are covered with a heterograft dressing. In response to the client’s questions about the dressing, the nurse explains that it is obtained from which of the following sources? a. Cadaver skin b. Pig skin c. Amniotic membranes d. Beef collagen 17. A nurse is conducting discharge teaching about foot care for a client who has diabetes mellitus. Which of the following instructions should the nurse include? a. Wear nylon socks with shoes every day b. Trim toenails by rounding the edges of the nail c. Apply lotion between the toes after bathing d. Test water temperature with the wrist 18. A nurse is assessing the abdominal incision of a client who is 3 days postoperative. The incision is slightly edematous and pink with crusting on the edges and is draining serosanguineous fluid. Which of the following assessments describes the incision? a. The incision is showing early signs of infection b. The incision is showing early signs of dehiscence c. The incision is showing signs of healing without complications d. The incision is showing signs of developing a fistula