ATI Med-Surg Final Questions & Answers Graded A+ 2025

1. A nurse is reinforcing teaching with a client who has gout and urolithiasis. The client asks how to prevent future uric acid stones. Which of the following suggestions should the nurse make? (select all that apply) - - Exercise several times a week - Take allopurinol as prescribed - Limit intake of foods high in purine 2. A nurse is reviewing a client's laboratory report. The client's ABG levels are pH 7.5, PaCO2 32 mmHg, and HCO3- 24 mEq/L. The nurse should determine that the client has which of the following acid-base imbalances? - Respiratory Alkalosis 3. A nurse is reinforcing teaching with a client about how to perform a breast self exam (BSE). The nurse should identify which of the following findings as an indication of breast cancer? - A nontender, hard lump that is palpated in one breast 4. A nurse is reinforcing discharge teaching with a client who has AIDS. Which of the following statements should the nurse include? - "You should clean bathroom surfaces with a bleach and water solution." 5. A nurse is reinforcing teaching with a client who has tuberculosis and a prescription for rifampin. The nurse should identify which of the following findings as a harmless and expected adverse effect of rifampin? - Red- Orange discoloration of Urine 6. A nurse is contributing to the plan of care for a client who has thrombocytopenia due to chemotherapy. Which of the following interventions should the nurse include? - Avoid IM injections 7. A nurse is assisting with the care of a client who has a chest tube in place following a thoracotomy. Which of the following actions should the nurse take? - Place the drainage unit below the client's chest level. 8. A nurse is contributing to the plan of care for a client during a sickle cell crisis. Which of the following interventions should the nurse recommend? - Administer oxygen via nasal cannula 9. A nurse is monitoring a client following a thyroidectomy. Which of the following findings should the nurse identify as an indication of hypoparathyroidism? - Involuntary muscle spasms 10. A nurse is reinforcing teaching with a client who has tuberculosis (TB) and a prescription for isoniazid. Which of the following instructions should the nurse include? - "Your provider will monitor your liver function while you are taking this medication" 11. A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following actions should the nurse take? - Report viscous drainage with clots to the provider. 12. A nurse is reinforcing discharge teaching with a client who has a new diagnosis of systemic lupus erythematosus (SLE). Which of the following statements by the client indicates an understanding of the teachings? - "I should take ibuprofen for my joint pain." 13. A nurse is collecting data from a client who has asthma and reports several food allergies. Which of the following actions should the nurse take first? - Ask the client to identify the specific food allergies. 14. A nurse is caring for a client following a hip arthroplasty. The nurse should place an abduction pillow on the client for which of the following purposes? - Preventing dislocation of the hip during position changes or movement 15. A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48 mg/dL. Which of the following findings should the nurse expect? - Diaphoresis 16. A nurse is reinforcing teaching with a client who has a new diagnosis of multiple sclerosis (MS). The client asks the nurse about the usual course of MS. Which of the following responses should the nurse make? - "Acute episodes are usually followed by remissions, which can last varying lengths of time." 17. A nurse is collecting data from a client who has a fractured left femur and is in skeletal tractions. Which of the following findings should the nurse identify as an indication of fat emboli to report to the provider? - Chest petechiae 18. A nurse is caring for a client who has a stage III pressure ulcer on his heel. When preparing to irrigate the wound, which of the following actions should the nurse take first? - Check the client's pain level. 19. A nurse in an urgent care clinic is collection data from a client who sustained a fall. Which of the following findings should the nurse identify as an indication of a skull fracture? - Clear fluid coming from the nares 20. A nurse is collecting data from a client who has encephalitis due to West Nile virus. Which of the following findings should the nurse expect? - - Stiff neck - Lethargy - Photophobia 21. A nurse is caring for a client who is receiving continuous enteral feedings. Which of the following actions should the nurse take? - Monitor the client's blood glucose level.