ATI MEDSURG ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS|| LATEST 2024/2025|| GRADED A+
1. A nurse is creating a plan of care to maintain the skin D.
integrity of a client who experiences frequent diar-
rhea due to ulcerative colitis. Which of the following
interventions should the nurse include in the plan?
A. Soak in a sitz bath for 20 min after each stool
B. Administer a soap-suds enema to cleanse the
colon
C. Cleanse with antimicrobial scrub and vigorously
dry
D. Wipe perineal area with warm water and apply bar-
rier cream
2. A nurse is planning care for four clients and is assign- C.
ment tasks to a licensed practical nurse (LPN) and
an assistive personnel (AP). Which of the following
should the nurse assign to the LPN?
A. Complete an admission assessment for a client
who has COPD
B. Measure I&O for a client who has an indwelling
urinary catheter
C. Reinforce teaching to a client to begin taking
Enoxaparin at home following a hip arthroplasty.
D. Develop a plan of care for a client who has chole-
cystitis
3. A nurse is reviewing the laboratory data of a client D.
who has acute pancreatitis. The nurse should expect
to find an elevation of which of the following values?
A. Calcium
B. RBC count
C. Magnesium
D. Amylase
4. A nurse in a long-term facility is caring for an older C.
adult client who has dementia and begins to have
frequent episodes of urinary incontinence. After the
provider determines no medical cause for the client's
incontinence, which of the following intervention
should the nurse initiate to manage this behavior?
, ATI MEDSURG ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS|| LATEST 2024/2025|| GRADED A+
A. remind the client to tell the nurse when he has to
urinate
B. Use adult diapers to prevent frequent clothing
changes
C. Take the client to the bathroom every 2 hours
D. Request a prescription for an indwelling urinary
catheter
5. A nurse is providing instructions for a 52-year-old B.
client who is scheduled for a colonoscopy. The client
reports that he has not had the procedure before
and is very anxious about feeling pain during the
procedure. Which of the following responses by the
nurse is appropriate?
A. "Don't worry; most clients dislike the prep more
than the procedure itself."
B. "Before the examination, your provider will give
you a sedative that will make you sleepy"
C. "I know you're anxious, but this procedure is rec-
ommended for people your age."
D. "After you have signed the consent form, we can
talk more about this."
6. A nurse is reviewing the medical list for a client who A.
has a new diagnosis of a small bowel obstruction.
The nurse should withhold, which of the following
medications?
A. Senna
B. Ibuprofen
C. Omeprazole
D. Zolpidem
7. A nurse is teaching a client who has a history of ul- C.
cerative colitis, and a new diagnosis of anemia. Which
of the following manifestations of colitis should the
nurse identify as a contributing factor to the develop-
ment of the anemia?
A. Dietary iron restrictions
B. Intestinal malabsorption syndrome
, ATI MEDSURG ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS|| LATEST 2024/2025|| GRADED A+
C. Chronic blood loss
D. Intestinal parasites
8. A nurse is caring for a client who has ulcerative colitis A.
and is teaching the client about the common link with
Crohn's disease. Which of the following information
should the nurse include?
A. Both are inflammatory
B. Both begin in the rectum
C. Both manifest fistula formation
D. Both require frequent surgery
9. A nurse is preparing dietary instructions for a client C.
who has episodes of Biliary colic from chronic chole-
cystitis. Which of the following instructions should
the nurse include in the teaching plan?
A. Include foods high in starch and proteins.
B. Include foods high in fiber
C. Avoid foods high in fat
D. Avoid foods high in sodium
10. A nurse is caring for a client who has just been di- D.
agnosed with cancer of the colon. The client asked
the nurse several questions about what the provider
might be planning to do. Which of the following nurs-
ing responses should the nurse make?
A. Provide the client with articles from the Internet
that explain colon cancer stages.
B. Assure the client that the provider will explain what
has been planned
C. Explain the various options available for treatment
based on the cancer stage
D. Encourage the client to write down questions to
ask the provider
11. A nurse is teaching a client who has constipation. A, B, C
Which of the following should the nurse discuss as
causes of constipation? (SATA)
A. Excessive laxative use
B. Ignoring the urge to defecate
, ATI MEDSURG ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS|| LATEST 2024/2025|| GRADED A+
C. Inadequate fluid intake
D. Increased fiber in the diet
E. Increased activity
12. A nurse is providing information about pain control A.
for a client who has acute pain following a subtotal
gastric resection. Which of the following client state-
ments indicates an understanding of pain control?
A. "I will call for pain medication before the previous
dose wears off."
B. "I will call for pain medication as my pain starts to
increase again."
C. "I will wait for you to evaluate my pain before
asking for more medication."
D. "I will ask for less medication to avoid addiction."
13. A nurse is assessing an older adult client who reports D.
a sudden onset of urinary incontinence. The nurse
should recognize, which of the following conditions
can cause incontinence in the older adult client?
A. Nephrosclerosis
B. Uremia
C. Diverticulitis
D. Cystitis
14. A nurse is caring for a client who has a prescription B.
for a stool test for guaiac. The nurse understands the
purpose of the test is to check the stool for which of
the following substances?
A. Steatorrhea
B. Blood
C. Bacteria
D. Parasites
15. A nurse is caring for a client who is receiving cisplatin A.
to treat bladder cancer. After several treatments, the
client reports fatigue. Which of the following actions
should the nurse take?
A. Check the results of the client's most recent CBC
B. Assess the client for a hypersensitivity reaction
DETAILED ANSWERS|| LATEST 2024/2025|| GRADED A+
1. A nurse is creating a plan of care to maintain the skin D.
integrity of a client who experiences frequent diar-
rhea due to ulcerative colitis. Which of the following
interventions should the nurse include in the plan?
A. Soak in a sitz bath for 20 min after each stool
B. Administer a soap-suds enema to cleanse the
colon
C. Cleanse with antimicrobial scrub and vigorously
dry
D. Wipe perineal area with warm water and apply bar-
rier cream
2. A nurse is planning care for four clients and is assign- C.
ment tasks to a licensed practical nurse (LPN) and
an assistive personnel (AP). Which of the following
should the nurse assign to the LPN?
A. Complete an admission assessment for a client
who has COPD
B. Measure I&O for a client who has an indwelling
urinary catheter
C. Reinforce teaching to a client to begin taking
Enoxaparin at home following a hip arthroplasty.
D. Develop a plan of care for a client who has chole-
cystitis
3. A nurse is reviewing the laboratory data of a client D.
who has acute pancreatitis. The nurse should expect
to find an elevation of which of the following values?
A. Calcium
B. RBC count
C. Magnesium
D. Amylase
4. A nurse in a long-term facility is caring for an older C.
adult client who has dementia and begins to have
frequent episodes of urinary incontinence. After the
provider determines no medical cause for the client's
incontinence, which of the following intervention
should the nurse initiate to manage this behavior?
, ATI MEDSURG ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS|| LATEST 2024/2025|| GRADED A+
A. remind the client to tell the nurse when he has to
urinate
B. Use adult diapers to prevent frequent clothing
changes
C. Take the client to the bathroom every 2 hours
D. Request a prescription for an indwelling urinary
catheter
5. A nurse is providing instructions for a 52-year-old B.
client who is scheduled for a colonoscopy. The client
reports that he has not had the procedure before
and is very anxious about feeling pain during the
procedure. Which of the following responses by the
nurse is appropriate?
A. "Don't worry; most clients dislike the prep more
than the procedure itself."
B. "Before the examination, your provider will give
you a sedative that will make you sleepy"
C. "I know you're anxious, but this procedure is rec-
ommended for people your age."
D. "After you have signed the consent form, we can
talk more about this."
6. A nurse is reviewing the medical list for a client who A.
has a new diagnosis of a small bowel obstruction.
The nurse should withhold, which of the following
medications?
A. Senna
B. Ibuprofen
C. Omeprazole
D. Zolpidem
7. A nurse is teaching a client who has a history of ul- C.
cerative colitis, and a new diagnosis of anemia. Which
of the following manifestations of colitis should the
nurse identify as a contributing factor to the develop-
ment of the anemia?
A. Dietary iron restrictions
B. Intestinal malabsorption syndrome
, ATI MEDSURG ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS|| LATEST 2024/2025|| GRADED A+
C. Chronic blood loss
D. Intestinal parasites
8. A nurse is caring for a client who has ulcerative colitis A.
and is teaching the client about the common link with
Crohn's disease. Which of the following information
should the nurse include?
A. Both are inflammatory
B. Both begin in the rectum
C. Both manifest fistula formation
D. Both require frequent surgery
9. A nurse is preparing dietary instructions for a client C.
who has episodes of Biliary colic from chronic chole-
cystitis. Which of the following instructions should
the nurse include in the teaching plan?
A. Include foods high in starch and proteins.
B. Include foods high in fiber
C. Avoid foods high in fat
D. Avoid foods high in sodium
10. A nurse is caring for a client who has just been di- D.
agnosed with cancer of the colon. The client asked
the nurse several questions about what the provider
might be planning to do. Which of the following nurs-
ing responses should the nurse make?
A. Provide the client with articles from the Internet
that explain colon cancer stages.
B. Assure the client that the provider will explain what
has been planned
C. Explain the various options available for treatment
based on the cancer stage
D. Encourage the client to write down questions to
ask the provider
11. A nurse is teaching a client who has constipation. A, B, C
Which of the following should the nurse discuss as
causes of constipation? (SATA)
A. Excessive laxative use
B. Ignoring the urge to defecate
, ATI MEDSURG ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS|| LATEST 2024/2025|| GRADED A+
C. Inadequate fluid intake
D. Increased fiber in the diet
E. Increased activity
12. A nurse is providing information about pain control A.
for a client who has acute pain following a subtotal
gastric resection. Which of the following client state-
ments indicates an understanding of pain control?
A. "I will call for pain medication before the previous
dose wears off."
B. "I will call for pain medication as my pain starts to
increase again."
C. "I will wait for you to evaluate my pain before
asking for more medication."
D. "I will ask for less medication to avoid addiction."
13. A nurse is assessing an older adult client who reports D.
a sudden onset of urinary incontinence. The nurse
should recognize, which of the following conditions
can cause incontinence in the older adult client?
A. Nephrosclerosis
B. Uremia
C. Diverticulitis
D. Cystitis
14. A nurse is caring for a client who has a prescription B.
for a stool test for guaiac. The nurse understands the
purpose of the test is to check the stool for which of
the following substances?
A. Steatorrhea
B. Blood
C. Bacteria
D. Parasites
15. A nurse is caring for a client who is receiving cisplatin A.
to treat bladder cancer. After several treatments, the
client reports fatigue. Which of the following actions
should the nurse take?
A. Check the results of the client's most recent CBC
B. Assess the client for a hypersensitivity reaction
