lOMoAR cPSD| 21953575
Med Surg Final Exam 2025-2026 Prep with
Recently Tested Questions and Correct Verified
Answers / Medical Surgical Final Exam Ati
Practice Test (Chamberlain)
2. A nurse in an urgent care center is caring for a client who fell and injured her ankle. the ankle
appears swollen and ecchymotic. while the client waits for the technician to take x-rays, which of
the following are appropriate nursing interventions?
-apply ice to the ankle
-apply a compression bandage
-elevate the foot
3. A nurse is assessing a client who is postoperative and finds the client’s abdominal incision
has eviscerated. Which of the follow the nurse take?
Cover the wound with a sterile saline soaked dressing.
Cover the area with a sterile dressing, moistened with 0.9% sodium chloride irrigation.
4. A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the
following health care professionals is responsible for obtaining informed consent from the client
for the procedure?
Surgeon
5. A nurse is caring for a client who is post-operative following an open reduction internal
fixation (ORIF) of a femur fracture. Which of the following parameter should the nurse include in
the evaluation of the neurovascular status of the client's affect extremity? (Select all that Apply)
A. Color
B. Temperature
C. Ecchymosis
D. Skin integrity
E. Sensation
6. A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking
aspirin 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor
to evaluate the effectiveness of this medication?
a. White blood cell (WBC) count
b. Rheumatoid factor (RF)
c. Antinuclear antibody (ANA)
d. Erythrocyte sedimentation rate (ESR)
pg. 1
, lOMoAR cPSD| 21953575
7. A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions
is the nurse’s priority?
a. Provide the client with antipyretic therapy
b. Administer antibiotics to the client
c. Increase the client's protein intake
d. Teach relaxation breathing to reduce pain.
8. A nurse is providing discharge instructions with a client with gastroesophageal reflux disease.
Which of the following statements indicates an understanding of the instructions?
“I will sleep with the head of the bed elevated”
Lie on your right side when sleeping
Sleeping on your right-side increases peristalsis in the duodenum, so secretions don't go
back up into the stomach.
9. A nurse is assessing a client with a left lower arm fracture. Which of the following findings
indicates impaired venous return to the affected arm?
a) bounding distal pulse
b) acute pain
c) ecchymosis of the surrounding skin
d) increasing edema
10. A nurse is assessing a client who is in skeletal traction. Which of the following findings
should the nurse identify indication of infection at the pin sites?
a. Serosanguineous drainage
b. Mild erythema
c. Warmth
d. Fever
Rationale: Manifestations of inflammation and infection at the pin sites include fever,
purulent drainage, odor, loose pins, and tenting of the skin around the pin sites.
11. A nurse is caring for a client with cancer and is receiving total parenteral nutrition (TPN).
Which of the following lab values treatment is effective?
Prealbumin 30 mg/dL
Albumin 4.2 g/dL
pg. 2
, lOMoAR cPSD| 21953575
12. A nurse is preparing to administer metoclopramide 15 mg PO QID before meals and at
bedtime for a client who has GERD. The amount available is metoclopramide 5 mg/5mL. How
many mL should the nurse administer? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
15 mL
13. A nurse is discharging a client who came to the outpatient clinic with an ankle sprain. Which
of the following statements should the nurse identify as an indication that the client understands
the discharge instructions?
“ I will apply Ice to my ankle today and tomorrow”
" I'll apply ice to my ankle for 20 minutes every hour"
14. A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of
anemia. Which of the following manifestations of colitis should the nurse identify as a
contributing factor to the development of the anemia?
Chronic blood lost
Intestinal malabsorption syndrome.
15. A nurse is teaching a client about risk factors for osteoarthritis. Which of the following factors
should the nurse include in the teaching? (Select all that apply.)
Aging
Obesity
Smoking
Diuretic
Bacteria
16. a nurse is caring for a client who has ulcerative colitis and is teaching the client about the
common link with Crohn's disease? which of the following information should the nurse include?
both are inflammatory
17. A nurse is caring for a client who has urinary incontinence. Which of the following actions
should the nurse implement to prevent the development of skin breakdown?
Apply a moisture barrier ointment to the client's skin.
pg. 3
, lOMoAR cPSD| 21953575
18. A nurse is caring for a client who has an unrepaired femur fracture of the mid shaft. Which of
the following techniques should the nurse use when performing an assessment of the client's
neurovascular status?
Measure the circumference of the thigh
Palpate the femoral pulse
Monitor the client's calf for edema
Instruct the client to wiggle his toes
Monitor the client's pedal pulses every hour
19. A nurse is a provider's office is assessing a client who has AIDS. Then nurse notes that the
client has multiple and widespread raised, purplish-blown skin lesions. The nurse should
recognize that these findings indicate which of the following conditions?
Actinic keratosis
Kaposi's sarcoma
Toxic epidermal necrosis
Basal cell carcinoma
20. Which of the following signs and symptoms indicate compartment syndrome? select all that
apply.
1. Pulse
2. Skin color
3. Sensation
5. Capillary refill time
Taugh, shiny skin
Ecchymosis
Numbness
Moderate pain
Bounding pulse
Parasthesia
21. a nurse is receiving the cause of gout with a group of nurse. Which of the following
statements should the nurse make?
“The intra articular deposition of urate crystal cause inflammation”
pg. 4
Med Surg Final Exam 2025-2026 Prep with
Recently Tested Questions and Correct Verified
Answers / Medical Surgical Final Exam Ati
Practice Test (Chamberlain)
2. A nurse in an urgent care center is caring for a client who fell and injured her ankle. the ankle
appears swollen and ecchymotic. while the client waits for the technician to take x-rays, which of
the following are appropriate nursing interventions?
-apply ice to the ankle
-apply a compression bandage
-elevate the foot
3. A nurse is assessing a client who is postoperative and finds the client’s abdominal incision
has eviscerated. Which of the follow the nurse take?
Cover the wound with a sterile saline soaked dressing.
Cover the area with a sterile dressing, moistened with 0.9% sodium chloride irrigation.
4. A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the
following health care professionals is responsible for obtaining informed consent from the client
for the procedure?
Surgeon
5. A nurse is caring for a client who is post-operative following an open reduction internal
fixation (ORIF) of a femur fracture. Which of the following parameter should the nurse include in
the evaluation of the neurovascular status of the client's affect extremity? (Select all that Apply)
A. Color
B. Temperature
C. Ecchymosis
D. Skin integrity
E. Sensation
6. A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking
aspirin 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor
to evaluate the effectiveness of this medication?
a. White blood cell (WBC) count
b. Rheumatoid factor (RF)
c. Antinuclear antibody (ANA)
d. Erythrocyte sedimentation rate (ESR)
pg. 1
, lOMoAR cPSD| 21953575
7. A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions
is the nurse’s priority?
a. Provide the client with antipyretic therapy
b. Administer antibiotics to the client
c. Increase the client's protein intake
d. Teach relaxation breathing to reduce pain.
8. A nurse is providing discharge instructions with a client with gastroesophageal reflux disease.
Which of the following statements indicates an understanding of the instructions?
“I will sleep with the head of the bed elevated”
Lie on your right side when sleeping
Sleeping on your right-side increases peristalsis in the duodenum, so secretions don't go
back up into the stomach.
9. A nurse is assessing a client with a left lower arm fracture. Which of the following findings
indicates impaired venous return to the affected arm?
a) bounding distal pulse
b) acute pain
c) ecchymosis of the surrounding skin
d) increasing edema
10. A nurse is assessing a client who is in skeletal traction. Which of the following findings
should the nurse identify indication of infection at the pin sites?
a. Serosanguineous drainage
b. Mild erythema
c. Warmth
d. Fever
Rationale: Manifestations of inflammation and infection at the pin sites include fever,
purulent drainage, odor, loose pins, and tenting of the skin around the pin sites.
11. A nurse is caring for a client with cancer and is receiving total parenteral nutrition (TPN).
Which of the following lab values treatment is effective?
Prealbumin 30 mg/dL
Albumin 4.2 g/dL
pg. 2
, lOMoAR cPSD| 21953575
12. A nurse is preparing to administer metoclopramide 15 mg PO QID before meals and at
bedtime for a client who has GERD. The amount available is metoclopramide 5 mg/5mL. How
many mL should the nurse administer? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
15 mL
13. A nurse is discharging a client who came to the outpatient clinic with an ankle sprain. Which
of the following statements should the nurse identify as an indication that the client understands
the discharge instructions?
“ I will apply Ice to my ankle today and tomorrow”
" I'll apply ice to my ankle for 20 minutes every hour"
14. A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of
anemia. Which of the following manifestations of colitis should the nurse identify as a
contributing factor to the development of the anemia?
Chronic blood lost
Intestinal malabsorption syndrome.
15. A nurse is teaching a client about risk factors for osteoarthritis. Which of the following factors
should the nurse include in the teaching? (Select all that apply.)
Aging
Obesity
Smoking
Diuretic
Bacteria
16. a nurse is caring for a client who has ulcerative colitis and is teaching the client about the
common link with Crohn's disease? which of the following information should the nurse include?
both are inflammatory
17. A nurse is caring for a client who has urinary incontinence. Which of the following actions
should the nurse implement to prevent the development of skin breakdown?
Apply a moisture barrier ointment to the client's skin.
pg. 3
, lOMoAR cPSD| 21953575
18. A nurse is caring for a client who has an unrepaired femur fracture of the mid shaft. Which of
the following techniques should the nurse use when performing an assessment of the client's
neurovascular status?
Measure the circumference of the thigh
Palpate the femoral pulse
Monitor the client's calf for edema
Instruct the client to wiggle his toes
Monitor the client's pedal pulses every hour
19. A nurse is a provider's office is assessing a client who has AIDS. Then nurse notes that the
client has multiple and widespread raised, purplish-blown skin lesions. The nurse should
recognize that these findings indicate which of the following conditions?
Actinic keratosis
Kaposi's sarcoma
Toxic epidermal necrosis
Basal cell carcinoma
20. Which of the following signs and symptoms indicate compartment syndrome? select all that
apply.
1. Pulse
2. Skin color
3. Sensation
5. Capillary refill time
Taugh, shiny skin
Ecchymosis
Numbness
Moderate pain
Bounding pulse
Parasthesia
21. a nurse is receiving the cause of gout with a group of nurse. Which of the following
statements should the nurse make?
“The intra articular deposition of urate crystal cause inflammation”
pg. 4
