med-surg ATI Exam 2025 Latest Exam
QUESTIONS WITH CORRECT AND
VERIFIED ANSWERS Graded A+
TPN nutrition - Correct Answer: -TPN solutions contain a high concentration of dextrose
-if a TPN solution is temporarily unavailable the nurse should administer dextrose 10% in water
to avoid a drop in blood glucose levels
- never abruptly stop tpn. speeding up/slowing down the rate is contraindicated. an abrupt rate
change can alter blood glucose levels significantly
-check vitals q 4-8
sedimentation rate - Correct Answer: an increased sedimentation rate occurs whenever a client
has any type of inflammatory response
ciproflaxacin - Correct Answer: -*avoid calcium containing foods* (decrease the absorption)
-*do not take with antacids* (administer ciproflaxacin 2 hrs before antacid of 6 hrs after taking
an antacid) (decrease absorption)
enoxaparin - Correct Answer: -Lovenox, blood thinner, given subcutaneously
-should administer medication at the same time every day
-should not massage after giving,
order of using crutches while climbing stairs - Correct Answer: 1-place body weight on crutches
2- advance unaffected leg onto stairs
3- shift weight from the crutches to the unaffected leg
, 4- bring the crutches and unaffected leg up to the step
oral iron supplementation - Correct Answer: -*do not take with dairy* (inhibits absorption)
-*do not take with antacids*
-can cause gastrointestinal issues
-client should eat high fiber foods to prevent constipation
12 hrs post op for a hip arthroplasty - Correct Answer: -*place a pillow b/w legs* to prevent hip
dislocation
-assist client to maintain legs in abduction
-should not flex hip greater than 90 degrees
erythropoietin - Correct Answer: -goal= to decrease fatigue and improve activity tolerance
-increases the level of hematocrit and RBC
-can result in hypertension
discovered pt has a murmur, next action is to.. - Correct Answer: place client on the left side and
listen to the heart again
when a pt has a pace maker and a pacing stimulus is delivered to the ventricle... - Correct
Answer: a spike appears on the ECG rhythm strip followed by a QRS complex (indicates
pacemaker capture or depolarization)
-when the nurse sees this spike followed by a QRS complex, should document that
depolarization has occured
caring for a pt with seizures - Correct Answer: -limit intake of alcohol and caffeine, minimize
stress, fever, and fatigue to prevent triggering a seizure
-keep 2-3 side rails up
QUESTIONS WITH CORRECT AND
VERIFIED ANSWERS Graded A+
TPN nutrition - Correct Answer: -TPN solutions contain a high concentration of dextrose
-if a TPN solution is temporarily unavailable the nurse should administer dextrose 10% in water
to avoid a drop in blood glucose levels
- never abruptly stop tpn. speeding up/slowing down the rate is contraindicated. an abrupt rate
change can alter blood glucose levels significantly
-check vitals q 4-8
sedimentation rate - Correct Answer: an increased sedimentation rate occurs whenever a client
has any type of inflammatory response
ciproflaxacin - Correct Answer: -*avoid calcium containing foods* (decrease the absorption)
-*do not take with antacids* (administer ciproflaxacin 2 hrs before antacid of 6 hrs after taking
an antacid) (decrease absorption)
enoxaparin - Correct Answer: -Lovenox, blood thinner, given subcutaneously
-should administer medication at the same time every day
-should not massage after giving,
order of using crutches while climbing stairs - Correct Answer: 1-place body weight on crutches
2- advance unaffected leg onto stairs
3- shift weight from the crutches to the unaffected leg
, 4- bring the crutches and unaffected leg up to the step
oral iron supplementation - Correct Answer: -*do not take with dairy* (inhibits absorption)
-*do not take with antacids*
-can cause gastrointestinal issues
-client should eat high fiber foods to prevent constipation
12 hrs post op for a hip arthroplasty - Correct Answer: -*place a pillow b/w legs* to prevent hip
dislocation
-assist client to maintain legs in abduction
-should not flex hip greater than 90 degrees
erythropoietin - Correct Answer: -goal= to decrease fatigue and improve activity tolerance
-increases the level of hematocrit and RBC
-can result in hypertension
discovered pt has a murmur, next action is to.. - Correct Answer: place client on the left side and
listen to the heart again
when a pt has a pace maker and a pacing stimulus is delivered to the ventricle... - Correct
Answer: a spike appears on the ECG rhythm strip followed by a QRS complex (indicates
pacemaker capture or depolarization)
-when the nurse sees this spike followed by a QRS complex, should document that
depolarization has occured
caring for a pt with seizures - Correct Answer: -limit intake of alcohol and caffeine, minimize
stress, fever, and fatigue to prevent triggering a seizure
-keep 2-3 side rails up
