ATI RN ADULT MEDICAL SURGICAL EXAM
2025.
A nurse is evaluating the plan of care for four clients after 2 days of
hospitalization. The nurse should identify the need to revise the plan for
which of the following clients? - CorreCt Answers -A client who is
postoperative following abdominal surgery and reports feeling that
something "popped" when they coughed
Rationale: A feeling of something popping or loosening with coughing
might indicate a wound dehiscence. This client will need to have revisions
to the plan of care, which can include management of the dehiscence,
prevention of evisceration, or possible surgical repair of an evisceration if
one occurs.
A nurse is caring for a client who has hypothyroidism. Which of the
following manifestations should the nurse expect? - CorreCt Answers -
Constipation
Rationale: A client who has hypothyroidism can experience constipation
due to the decrease in the client's metabolism, resulting in slow motility of
the gastrointestinal tract. The nurse should instruct the client to increase
fiber and fluid intake to reduce the risk for constipation.
A nurse is caring for a client who has cervical spinal cord injury sustained 1
month ago. Which of the following manifestations indicates that the client
is experiencing autonomic dysreflexia (AD)? - CorreCt Answers -Heart Rate
52/min
Rationale: A client who is experiencing AD will exhibit multiple
manifestations, including bradycardia, severe headache, and flushing.
,A nurse is caring for a client who has an arterial line. Which of the following
actions should the nurse take? - CorreCt Answers -Place a pressure bag
around the flush solutions
Rationale: The nurse should place a pressure bag around the flush solution
of 0.9% sodium chloride because the pressure from an artery is greater than
that of the line.
A nurse is reviewing the medical record of a client who has osteomyelitis
and a prescription for gentamicin. Which of the following findings from the
client's medical record should indicate to the nurse the need to withhold
the medication and notify the provider? - CorreCt Answers -Serum
creatinine
Rationale: A client who has an elevated serum creatinine level should not
receive gentamicin because the medication is nephrotoxic.
A nurse is preparing to administer phenytoin 600 mg PO daily to a client.
he amount available is oral solution 125 mg/5 mL. How many mL should
the nurse administer? - CorreCt Answers -24
Rationale: Desired/have x mL
A nurse is providing preoperative teaching for a client who is scheduled for
a mastectomy. Which of the following statements should the nurse make? -
CorreCt Answers -"I will refer you to community resources that can provide
support."
Rationale: The nurse should provide the client with support resources,
including community programs, to assist the client with acceptance of body
image changes.
, A nurse is planning care for a client who is scheduled for a thoracentesis.
Which of the following interventions should the nurse include in the plan? -
CorreCt Answers -Encourage the client to take deep breaths after the
procedure.
Rationale: After a thoracentesis, the client should deep breathe to re-
expand the lung.
A nurse is providing discharge instructions to a client who has laryngeal
cancer and is receiving radiation therapy. Which of the following
statements by the client indicates an understanding of the teaching? -
CorreCt Answers -"I will avoid direct exposure to the sun."
Rationale: The client should avoid exposure of irradiated skin areas to the
sun for at least 1 year after completing radiation therapy. Skin in the
radiation path is especially sensitive to sun damage.
A 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? - CorreCt Answers -Alternate the
application of heat and cold to the affected joints.
Rationale: The nurse should instruct the client to alternate heat and cold
applications to decrease joint inflammation and pain. The application of
cold can relieve joint swelling and the application of heat can decrease joint
stiffness and pain.
A nurse is assessing a client's hydration status. Which of the following
findings indicates fluid volume overload? - CorreCt Answers -Distended
neck veins
Rationale: The nurse should identify distended neck and hand veins as
indicators of fluid volume overload.
2025.
A nurse is evaluating the plan of care for four clients after 2 days of
hospitalization. The nurse should identify the need to revise the plan for
which of the following clients? - CorreCt Answers -A client who is
postoperative following abdominal surgery and reports feeling that
something "popped" when they coughed
Rationale: A feeling of something popping or loosening with coughing
might indicate a wound dehiscence. This client will need to have revisions
to the plan of care, which can include management of the dehiscence,
prevention of evisceration, or possible surgical repair of an evisceration if
one occurs.
A nurse is caring for a client who has hypothyroidism. Which of the
following manifestations should the nurse expect? - CorreCt Answers -
Constipation
Rationale: A client who has hypothyroidism can experience constipation
due to the decrease in the client's metabolism, resulting in slow motility of
the gastrointestinal tract. The nurse should instruct the client to increase
fiber and fluid intake to reduce the risk for constipation.
A nurse is caring for a client who has cervical spinal cord injury sustained 1
month ago. Which of the following manifestations indicates that the client
is experiencing autonomic dysreflexia (AD)? - CorreCt Answers -Heart Rate
52/min
Rationale: A client who is experiencing AD will exhibit multiple
manifestations, including bradycardia, severe headache, and flushing.
,A nurse is caring for a client who has an arterial line. Which of the following
actions should the nurse take? - CorreCt Answers -Place a pressure bag
around the flush solutions
Rationale: The nurse should place a pressure bag around the flush solution
of 0.9% sodium chloride because the pressure from an artery is greater than
that of the line.
A nurse is reviewing the medical record of a client who has osteomyelitis
and a prescription for gentamicin. Which of the following findings from the
client's medical record should indicate to the nurse the need to withhold
the medication and notify the provider? - CorreCt Answers -Serum
creatinine
Rationale: A client who has an elevated serum creatinine level should not
receive gentamicin because the medication is nephrotoxic.
A nurse is preparing to administer phenytoin 600 mg PO daily to a client.
he amount available is oral solution 125 mg/5 mL. How many mL should
the nurse administer? - CorreCt Answers -24
Rationale: Desired/have x mL
A nurse is providing preoperative teaching for a client who is scheduled for
a mastectomy. Which of the following statements should the nurse make? -
CorreCt Answers -"I will refer you to community resources that can provide
support."
Rationale: The nurse should provide the client with support resources,
including community programs, to assist the client with acceptance of body
image changes.
, A nurse is planning care for a client who is scheduled for a thoracentesis.
Which of the following interventions should the nurse include in the plan? -
CorreCt Answers -Encourage the client to take deep breaths after the
procedure.
Rationale: After a thoracentesis, the client should deep breathe to re-
expand the lung.
A nurse is providing discharge instructions to a client who has laryngeal
cancer and is receiving radiation therapy. Which of the following
statements by the client indicates an understanding of the teaching? -
CorreCt Answers -"I will avoid direct exposure to the sun."
Rationale: The client should avoid exposure of irradiated skin areas to the
sun for at least 1 year after completing radiation therapy. Skin in the
radiation path is especially sensitive to sun damage.
A 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? - CorreCt Answers -Alternate the
application of heat and cold to the affected joints.
Rationale: The nurse should instruct the client to alternate heat and cold
applications to decrease joint inflammation and pain. The application of
cold can relieve joint swelling and the application of heat can decrease joint
stiffness and pain.
A nurse is assessing a client's hydration status. Which of the following
findings indicates fluid volume overload? - CorreCt Answers -Distended
neck veins
Rationale: The nurse should identify distended neck and hand veins as
indicators of fluid volume overload.
