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Title
ATI RN ADULT MEDICAL SURGICAL EXAM
Description
ATI-RN ADULT MEDICAL SURGICAL Exam 2025 UPDATE/PRACTICE QUESTIONS
AND CORRECT VERIFIED ANSWERS (complete solutions) ASSURED
Import Add diagram Create from notes
1
A nurse is providing postoperative Flex the foot every hour
Image
teaching for a client who had a total when awake.
knee arthroplasty. Which of the Rationale: The nurse
following instructions should the nurse should instruct the client
include? to flex the foot every
hour to reduce the risk
TERM
for thromboembolism
and promote venous
return.
DEFINITION
2
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A nurse is caring for a client who has a Bubbling in the water
Image
pneumothorax and a closed-chest seal chamber has
drainage system. Which of the ceased.
following findings is an indication of Rationale: Bubbling in
lung re-expansion? the water seal chamber
ceases when the lung
TERM
re-expands.
DEFINITION
3
A nurse is reviewing the medical record INR 2.5
Image
of a client who is taking warfarin for Rationale: Clients
chronic atrial fibrillation. Which of the receive warfarin therapy
following values should the nurse to decrease the risk of
identify as a desired outcome for this stroke, myocardial
therapy? infarction (MI), or
pulmonary emboli (PE)
TERM
from blood clots. Since
warfarin is an
anticoagulant, the
medication must be
monitored to ensure the
anticoagulation is within
the therapeutic range
and prevent
hemorrhage (high levels
of anticoagulation) or
stroke, MI, or PE (low
levels of
anticoagulation). An INR
of 2.5 is within the
targeted therapeutic
range of 2 to 3 for a
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client who has atrial
fibrillation.
DEFINITION
4
A home health nurse is providing Change position every
Image
teaching to a client who has a stage 1 hour
pressure injury on the greater Rationale: Changing
trochanter of his left hip. Which of the position every 1 to 2 hr
following instructions should the nurse decreases pressure on
include in the teaching? bony prominences. The
nurse should also
TERM
instruct the client to limit
the angle of the hips
when in a lateral
position to no more
than 30°. This
positioning prevents
direct pressure on the
trochanter.
DEFINITION
5
A nurse is assessing a client following Restlessness
Image
the completion of hemodialysis. Which Rationale: Using the
of the following findings is the nurse's urgent vs. nonurgent
priority to report to the provider? approach to client care,
the nurse should
TERM
determine that the
priority finding to report
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to the provider is
restlessness, which can
be an indication the
client is experiencing
disequilibrium
syndrome.
Disequilibrium
syndrome is caused by
the rapid removal of
electrolytes from the
client's blood and can
lead to dysrhythmias or
seizures. Other
manifestations include
nausea, vomiting,
fatigue, and headache.
DEFINITION
6
A nurse is caring for a client who is 8 hr Scan the bladder with a
Image
postoperative following a total hip portable ultrasound.
arthroplasty. The client is unable to Rationale: The first
void on the bedpan. Which of the action the nurse should
following actions should the nurse take take using the nursing
first? process is to assess the
client. Scanning the
TERM
bladder with a portable
ultrasound device will
determine the amount
of urine in the bladder
DEFINITION
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Scheduled maintenance: May 17, 2025 from 07:00 AM to 10:00 AM
Title
ATI RN ADULT MEDICAL SURGICAL EXAM
Description
ATI-RN ADULT MEDICAL SURGICAL Exam 2025 UPDATE/PRACTICE QUESTIONS
AND CORRECT VERIFIED ANSWERS (complete solutions) ASSURED
Import Add diagram Create from notes
1
A nurse is providing postoperative Flex the foot every hour
Image
teaching for a client who had a total when awake.
knee arthroplasty. Which of the Rationale: The nurse
following instructions should the nurse should instruct the client
include? to flex the foot every
hour to reduce the risk
TERM
for thromboembolism
and promote venous
return.
DEFINITION
2
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A nurse is caring for a client who has a Bubbling in the water
Image
pneumothorax and a closed-chest seal chamber has
drainage system. Which of the ceased.
following findings is an indication of Rationale: Bubbling in
lung re-expansion? the water seal chamber
ceases when the lung
TERM
re-expands.
DEFINITION
3
A nurse is reviewing the medical record INR 2.5
Image
of a client who is taking warfarin for Rationale: Clients
chronic atrial fibrillation. Which of the receive warfarin therapy
following values should the nurse to decrease the risk of
identify as a desired outcome for this stroke, myocardial
therapy? infarction (MI), or
pulmonary emboli (PE)
TERM
from blood clots. Since
warfarin is an
anticoagulant, the
medication must be
monitored to ensure the
anticoagulation is within
the therapeutic range
and prevent
hemorrhage (high levels
of anticoagulation) or
stroke, MI, or PE (low
levels of
anticoagulation). An INR
of 2.5 is within the
targeted therapeutic
range of 2 to 3 for a
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client who has atrial
fibrillation.
DEFINITION
4
A home health nurse is providing Change position every
Image
teaching to a client who has a stage 1 hour
pressure injury on the greater Rationale: Changing
trochanter of his left hip. Which of the position every 1 to 2 hr
following instructions should the nurse decreases pressure on
include in the teaching? bony prominences. The
nurse should also
TERM
instruct the client to limit
the angle of the hips
when in a lateral
position to no more
than 30°. This
positioning prevents
direct pressure on the
trochanter.
DEFINITION
5
A nurse is assessing a client following Restlessness
Image
the completion of hemodialysis. Which Rationale: Using the
of the following findings is the nurse's urgent vs. nonurgent
priority to report to the provider? approach to client care,
the nurse should
TERM
determine that the
priority finding to report
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to the provider is
restlessness, which can
be an indication the
client is experiencing
disequilibrium
syndrome.
Disequilibrium
syndrome is caused by
the rapid removal of
electrolytes from the
client's blood and can
lead to dysrhythmias or
seizures. Other
manifestations include
nausea, vomiting,
fatigue, and headache.
DEFINITION
6
A nurse is caring for a client who is 8 hr Scan the bladder with a
Image
postoperative following a total hip portable ultrasound.
arthroplasty. The client is unable to Rationale: The first
void on the bedpan. Which of the action the nurse should
following actions should the nurse take take using the nursing
first? process is to assess the
client. Scanning the
TERM
bladder with a portable
ultrasound device will
determine the amount
of urine in the bladder
DEFINITION
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