2022 NEW MED SURG ATI PRACTICE EXAM SOLUTION
OVER 500 QUESTIONS AND ANSWERS
The nurse is providing teaching to a client who has a new prescription for psyllium.
Which of the following information should the nurse include in the teaching?
- Drink 240 mL (8 oz) of water after administration
The nurse is caring for a client who has DKA. Which of the following findings should
indicate to the nurse that the client's condition is improving?
- Glucose 272 mg/dL
The nurse is admitting a client who has active TB. Which of the following types of
transmission precautions should the nurse initiate?
- Airborne
The nurse is providing teaching to a client who has asthma about the use of a metered-
dose inhaler. The nurse should identify that which of the following client actions
indicates an understanding of the teaching?
- Holding breath for 10 secs after inhaling
The nurse is assessing a client who is at risk for the development of pernicious anemia
resulting from peptic ulcer disease. Which of the following images depicts a condition
caused by pernicious anemia?
- image of a smooth red tongue
The nurse on a medsurg unit is reviewing the medical record of an older adult client who
is receiving IV fluid therapy. Which of the following client information should indicate to
the nurse that the client requires re-evaluation of the IV therapy prescription?
- BUN
The nurse is assessing a client following the completion of hemodialysis. Which of the
following findings is the nurse's priority to report to the provider?
- Restlessness
The nurse is receiving report on a client who is postop following an open repair of
Zenker's diverticulum. The nurse should anticipate the surgical incision to be in which of
the following locations?
-A
The nurse is teaching a group of newly licensed nurses about pain management for
older adult clients. Which of the following statements by a newly licensed nurse
indicates an understanding of the teaching?
- Ibuprofen can cause gastrointestinal bleeding in older adult clients
,The nurse is planning a health promotional presentation for a group of African American
clients at a community center. Which of the following disorders presents the greatest
risk to this group?
- Hypertension
The nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount
available is oral solution 125 mg/5mL. how many mL should the nurse administer?
- 24 mL
The nurse is checking the ECG rhythm strip for a client who has temporary pacemaker.
The nurse notes a pacemaker artifact followed by a QRS complex. Which of the
following actions should the nurse take?
- Document that depolarization has occurred
The nurse is providing discharge instructions to a client who has active TB. Which of the
following information should the nurse include in the instructions?
- Sputum specimens are necessary every 2 to 4 weeks until there are 3 negative
cultures
The nurse is providing preop teaching for a client who is scheduled for a mastectomy.
Which of the following statements should the nurse make?
- I will refer you to community resources that can provide support
The nurse is assessing a client who is postop following a TURP and notes clots in the
clients indwelling urinary catheter and a decrease in urinary output. Which of the
following actions should the nurse take?
- Irrigate the indwelling urinary catheter
The nurse is assessing a client who has peripheral arterial disease. Which of the
following findings should the nurse expect?
- Hair loss on the lower legs
The nurse is planning discharge teaching for a client who has an external fixation device
for a fracture of the lower extremity. Which of the following instructions should the nurse
include in the plan of care?
- Use crutches with rubber tips
The nurse is reviewing the lab results of a client who has aplastic anemia. Which of the
following findings indicates a potential complication?
- WBC count 2,000/mm
The nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect?
- constipation
,The nurse is caring for a client who is receiving TPN and is NPO. When reviewing the
chart, the nurse notes the following prescription: capillary blood glucose AC and HS.
Which of the following acions should the nurse take?
- Contact the provider to clarify the prescription
The nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of
the following nonpharmacological interventions should the nurse suggest to the client to
reduce pain?
- Alternate application of heat and cold to the affected joints
The nurse is caring for a client who is 8 hr postop following a total hip arthroplasty. The
client is unable to void on the bedpan. Which of the following actions should the nurse
take first?
- Scan the bladder with a portable ultrasound
The nurse is providing postop teaching for a client who had a total knee arthroplasty.
Which if the following instruction should the nurse include? - Flex the foot every hour
when awake
The nurse is teaching a client about osteoporosis prevention. The nurse should instruct
the client that which of the following medications can increase their risk for developing
osteoporosis? - Prednisone
The nurse is planning care for a client who is having a modified radical mastectomy of
the right breast. Which of the following interventions should the nurse include in the plan
of care? - Instruct the client that the drain will be removed when there is 25 mL of output
or less over a 24-hour period
The nurse is assessing a client's hydration status. Which of the following findings
indicates fluid volume overload? - distended neck veins
The nurse is caring for a client who has homonymous hemianopsia as a result of a
stroke. To reduce the risk of falls when ambulating, the nurse should provide which of
the following instructions to the client? - Scan the environment by turning your head
from side to side
The nurse is providing follow-up care for a client who sustained a compound fracture 3
weeks ago. The nurse should recognize that an unexpected finding for which of the
following lab values is a manifestation of osteomyelitis and should be reported to the
provider? - Sedimentation rate
The nurse is caring for a client who has a positive culture for MRSA. Which of the
following actions should the nurse take? - Bathe the client using chlorhexidine solution
The nurse is assessing a client who has diabetes insipidus. Which of the following
findings should the nurse expect? - Low urine specific gravity
, The nurse is assessing a client who has advanced lung cancer and is receiving
palliative care. The client has just undergone thoracentesis. The nurse should expect a
reduction in which of the following common manifestations of advanced cancer? -
dyspnea
The nurse is caring for a client who is receiving a blood transfusion. The client becomes
restless, dyspneic, and has crackles noted to the lung bass. Which of the following
acitons should the nurse anticipate taking? - Slow the infusion rate
The nurse is assessing a client who is postop following a thyroidectomy. Which of the
following findings is the nurses priority? - Temperature 102
The nurse is providing education to a client who has TB and their family. Which of the
following information should the nurse include in the teaching? - Family members in the
household should undergo TB testing
The nurse is caring for a client who has a cervical spinal cord injury sustained 1 month
ago. Which of the following manifestations indicates that the client is experiencing AD? -
heart rate 52
The nurse is caring for a client who has an arterial line. Which of the following actions
should the nurse take - Place a pressure bag around the flush solution
The nurse is providing teaching to a client who has AIDS. Which of the following
statement by the client indicates an understanding of the teaching? - I will take my temp
once a day
The nurse is planning care for an older adult client who has dementia. Which of the
following interventions should the nurse include in the plan of care - Place personal
items, such as pictures, at the client's bedside
The nurse is providing teaching to a client who takes ginkgo biloba as an herbal
supplement. Which of the following statements should the nurse make? - Ginkgo biloba
can cause an increased risk for bleeding
The nurse is obtaining a medication history from a client who is scheduled to undergo
cataract surgery. The nurse should recognize that which of the following client meds is a
contraindication for the surgery and notify the provider - warfarin
A PACU nurse is assessing a client who is postop following a right nephrectomy. The
client's initial vital signs were heart rate 80/min, BP 130/70, RR 16/min, and temp 96.8.
which of the following vital sign changes should alert the nurse that the client might be
hemorrhaging - HR 110
OVER 500 QUESTIONS AND ANSWERS
The nurse is providing teaching to a client who has a new prescription for psyllium.
Which of the following information should the nurse include in the teaching?
- Drink 240 mL (8 oz) of water after administration
The nurse is caring for a client who has DKA. Which of the following findings should
indicate to the nurse that the client's condition is improving?
- Glucose 272 mg/dL
The nurse is admitting a client who has active TB. Which of the following types of
transmission precautions should the nurse initiate?
- Airborne
The nurse is providing teaching to a client who has asthma about the use of a metered-
dose inhaler. The nurse should identify that which of the following client actions
indicates an understanding of the teaching?
- Holding breath for 10 secs after inhaling
The nurse is assessing a client who is at risk for the development of pernicious anemia
resulting from peptic ulcer disease. Which of the following images depicts a condition
caused by pernicious anemia?
- image of a smooth red tongue
The nurse on a medsurg unit is reviewing the medical record of an older adult client who
is receiving IV fluid therapy. Which of the following client information should indicate to
the nurse that the client requires re-evaluation of the IV therapy prescription?
- BUN
The nurse is assessing a client following the completion of hemodialysis. Which of the
following findings is the nurse's priority to report to the provider?
- Restlessness
The nurse is receiving report on a client who is postop following an open repair of
Zenker's diverticulum. The nurse should anticipate the surgical incision to be in which of
the following locations?
-A
The nurse is teaching a group of newly licensed nurses about pain management for
older adult clients. Which of the following statements by a newly licensed nurse
indicates an understanding of the teaching?
- Ibuprofen can cause gastrointestinal bleeding in older adult clients
,The nurse is planning a health promotional presentation for a group of African American
clients at a community center. Which of the following disorders presents the greatest
risk to this group?
- Hypertension
The nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount
available is oral solution 125 mg/5mL. how many mL should the nurse administer?
- 24 mL
The nurse is checking the ECG rhythm strip for a client who has temporary pacemaker.
The nurse notes a pacemaker artifact followed by a QRS complex. Which of the
following actions should the nurse take?
- Document that depolarization has occurred
The nurse is providing discharge instructions to a client who has active TB. Which of the
following information should the nurse include in the instructions?
- Sputum specimens are necessary every 2 to 4 weeks until there are 3 negative
cultures
The nurse is providing preop teaching for a client who is scheduled for a mastectomy.
Which of the following statements should the nurse make?
- I will refer you to community resources that can provide support
The nurse is assessing a client who is postop following a TURP and notes clots in the
clients indwelling urinary catheter and a decrease in urinary output. Which of the
following actions should the nurse take?
- Irrigate the indwelling urinary catheter
The nurse is assessing a client who has peripheral arterial disease. Which of the
following findings should the nurse expect?
- Hair loss on the lower legs
The nurse is planning discharge teaching for a client who has an external fixation device
for a fracture of the lower extremity. Which of the following instructions should the nurse
include in the plan of care?
- Use crutches with rubber tips
The nurse is reviewing the lab results of a client who has aplastic anemia. Which of the
following findings indicates a potential complication?
- WBC count 2,000/mm
The nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect?
- constipation
,The nurse is caring for a client who is receiving TPN and is NPO. When reviewing the
chart, the nurse notes the following prescription: capillary blood glucose AC and HS.
Which of the following acions should the nurse take?
- Contact the provider to clarify the prescription
The nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of
the following nonpharmacological interventions should the nurse suggest to the client to
reduce pain?
- Alternate application of heat and cold to the affected joints
The nurse is caring for a client who is 8 hr postop following a total hip arthroplasty. The
client is unable to void on the bedpan. Which of the following actions should the nurse
take first?
- Scan the bladder with a portable ultrasound
The nurse is providing postop teaching for a client who had a total knee arthroplasty.
Which if the following instruction should the nurse include? - Flex the foot every hour
when awake
The nurse is teaching a client about osteoporosis prevention. The nurse should instruct
the client that which of the following medications can increase their risk for developing
osteoporosis? - Prednisone
The nurse is planning care for a client who is having a modified radical mastectomy of
the right breast. Which of the following interventions should the nurse include in the plan
of care? - Instruct the client that the drain will be removed when there is 25 mL of output
or less over a 24-hour period
The nurse is assessing a client's hydration status. Which of the following findings
indicates fluid volume overload? - distended neck veins
The nurse is caring for a client who has homonymous hemianopsia as a result of a
stroke. To reduce the risk of falls when ambulating, the nurse should provide which of
the following instructions to the client? - Scan the environment by turning your head
from side to side
The nurse is providing follow-up care for a client who sustained a compound fracture 3
weeks ago. The nurse should recognize that an unexpected finding for which of the
following lab values is a manifestation of osteomyelitis and should be reported to the
provider? - Sedimentation rate
The nurse is caring for a client who has a positive culture for MRSA. Which of the
following actions should the nurse take? - Bathe the client using chlorhexidine solution
The nurse is assessing a client who has diabetes insipidus. Which of the following
findings should the nurse expect? - Low urine specific gravity
, The nurse is assessing a client who has advanced lung cancer and is receiving
palliative care. The client has just undergone thoracentesis. The nurse should expect a
reduction in which of the following common manifestations of advanced cancer? -
dyspnea
The nurse is caring for a client who is receiving a blood transfusion. The client becomes
restless, dyspneic, and has crackles noted to the lung bass. Which of the following
acitons should the nurse anticipate taking? - Slow the infusion rate
The nurse is assessing a client who is postop following a thyroidectomy. Which of the
following findings is the nurses priority? - Temperature 102
The nurse is providing education to a client who has TB and their family. Which of the
following information should the nurse include in the teaching? - Family members in the
household should undergo TB testing
The nurse is caring for a client who has a cervical spinal cord injury sustained 1 month
ago. Which of the following manifestations indicates that the client is experiencing AD? -
heart rate 52
The nurse is caring for a client who has an arterial line. Which of the following actions
should the nurse take - Place a pressure bag around the flush solution
The nurse is providing teaching to a client who has AIDS. Which of the following
statement by the client indicates an understanding of the teaching? - I will take my temp
once a day
The nurse is planning care for an older adult client who has dementia. Which of the
following interventions should the nurse include in the plan of care - Place personal
items, such as pictures, at the client's bedside
The nurse is providing teaching to a client who takes ginkgo biloba as an herbal
supplement. Which of the following statements should the nurse make? - Ginkgo biloba
can cause an increased risk for bleeding
The nurse is obtaining a medication history from a client who is scheduled to undergo
cataract surgery. The nurse should recognize that which of the following client meds is a
contraindication for the surgery and notify the provider - warfarin
A PACU nurse is assessing a client who is postop following a right nephrectomy. The
client's initial vital signs were heart rate 80/min, BP 130/70, RR 16/min, and temp 96.8.
which of the following vital sign changes should alert the nurse that the client might be
hemorrhaging - HR 110
