ATI RN MEDICAL SURGICAL FINAL STUDY
GUIDE 2026 COMPLETE QUESTIONS WITH
VERIFIED RATIONALES GRADED A+
⩥Postoperative lab values. Answer: Report Hgb level of 8 g/dL to
provider as an indicator of postoperative hemorrhage or anemia.
⩥ESWL procedure. Answer: Expect stone fragments in the urine after
extracorporeal shock wave lithotripsy.
⩥Airborne precautions. Answer: Initiate airborne precautions for a client
with anorexia, low-grade fever, night sweats, and productive cough, as
these are manifestations of tuberculosis.
⩥TPN administration. Answer: Administer dextrose 10% in water until
new TPN bag arrives to avoid drop in blood glucose level.
⩥Levothyroxine interaction. Answer: Instruct client to avoid taking
calcium within 4 hr of levothyroxine administration, as calcium can
interfere with the effectiveness of the medication.
⩥Mechanical ventilation anxiety. Answer: Instruct client to allow the
machine to breathe for them to reduce anxiety and restlessness
associated with fighting the ventilator.
, ⩥Adverse effect of enalapril. Answer: Identify orthostatic hypotension
as an adverse effect of enalapril.
⩥Delayed wound healing. Answer: Identify urine output of 25 mL/hr as
a finding that contributes to delayed wound healing.
⩥Hypothyroidism and opioid analgesic. Answer: Instruct client to void
every 4 hours to decrease the risk of urinary retention, which is an
adverse effect of opioid analgesics.
⩥Portal hypertension. Answer: Obtain vital signs first when caring for a
client who is vomiting blood mixed with food after a meal, as this
indicates a potential rupture of esophageal varices.
⩥Gastrectomy postoperative instructions. Answer: Instruct client to
avoid drinking fluids with meals, eat several small meals per day,
consume high-protein snacks, and avoid highly seasoned foods.
⩥Cushing's triad. Answer: Identify bradycardia as a component of
Cushing's triad in a client with increased intracranial pressure from a
traumatic brain injury.
GUIDE 2026 COMPLETE QUESTIONS WITH
VERIFIED RATIONALES GRADED A+
⩥Postoperative lab values. Answer: Report Hgb level of 8 g/dL to
provider as an indicator of postoperative hemorrhage or anemia.
⩥ESWL procedure. Answer: Expect stone fragments in the urine after
extracorporeal shock wave lithotripsy.
⩥Airborne precautions. Answer: Initiate airborne precautions for a client
with anorexia, low-grade fever, night sweats, and productive cough, as
these are manifestations of tuberculosis.
⩥TPN administration. Answer: Administer dextrose 10% in water until
new TPN bag arrives to avoid drop in blood glucose level.
⩥Levothyroxine interaction. Answer: Instruct client to avoid taking
calcium within 4 hr of levothyroxine administration, as calcium can
interfere with the effectiveness of the medication.
⩥Mechanical ventilation anxiety. Answer: Instruct client to allow the
machine to breathe for them to reduce anxiety and restlessness
associated with fighting the ventilator.
, ⩥Adverse effect of enalapril. Answer: Identify orthostatic hypotension
as an adverse effect of enalapril.
⩥Delayed wound healing. Answer: Identify urine output of 25 mL/hr as
a finding that contributes to delayed wound healing.
⩥Hypothyroidism and opioid analgesic. Answer: Instruct client to void
every 4 hours to decrease the risk of urinary retention, which is an
adverse effect of opioid analgesics.
⩥Portal hypertension. Answer: Obtain vital signs first when caring for a
client who is vomiting blood mixed with food after a meal, as this
indicates a potential rupture of esophageal varices.
⩥Gastrectomy postoperative instructions. Answer: Instruct client to
avoid drinking fluids with meals, eat several small meals per day,
consume high-protein snacks, and avoid highly seasoned foods.
⩥Cushing's triad. Answer: Identify bradycardia as a component of
Cushing's triad in a client with increased intracranial pressure from a
traumatic brain injury.
