ATI PN ADULT MEDICAL SURGICAL 2025 EXAM FORM A, B AND C
ACTUAL EXAM UPDATE QUESTIONS AND CORRECT VERIFIED ANSWERS
ALREADY GRADED A+ (BRAND NEW VISION)
A nurse is reinforcing teaching about gastroesophageal reflux disease (GERD) with a client.
Which of the following statements by the client indicates an understanding of the teaching? -
ANSWER > "I should wait at least 2 hours after eating before going to bed."
Rationale:
The client should wait to lie down or go to bed at least 2 hr after eating to minimize reflux.
A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The client is
exhibiting hypotension, tachycardia, and tachypnea. The nurse should recognize that these
findings indicate which of the following complications? - ANSWER > Pulmonary embolism
Rationale:
Manifestations of a pulmonary embolism include hypotension, tachycardia, and tachypnea.
A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the
following laboratory levels should the nurse review prior to the procedure? - ANSWER > BUN
Rationale:
BUN levels indicate kidney function. The nurse should review the lab level to determine if the
client can tolerate the IV contrast dye during the procedure.
A nurse is assisting in the plan of care regarding bowel retraining for a client who has a cervical
spinal cord injury. Which of the following interventions should the nurse plan to implement
first? - ANSWER > Determine the client's daily elimination habits.
,A nurse is discussing health screening guidelines with an older adult client. Which of the
following statements should the nurse include? - ANSWER > "You should have a pneumococcal
immunization every 10 years."
A nurse is reinforcing teaching with a client who has asthma. Which of the following client
statements indicates an understanding of the ruse of budesonide and albuterol inhalers? SATA -
ANSWER > -"I never forget to rinse my mouth after using my budesonide inhaler."
-"Between office visits, I keep a record of how many times I use my albuterol inhaler."
-"I use my albuterol inhaler before I go swimming."
A nurse in a long-term care facility is collecting data from a client who reports fullness in the
rectum and abdominal cramping. Which of the following findings should indicate to the nurse
that the client might have a fecal impaction? - ANSWER > Small liquid stools
A nurse is reinforcing teaching with the family of a client who has a cervical injury and has a
halo vest in place. Which of the following safety precautions should the nurse include in
teaching? - ANSWER > Change the sheepskin liner weekly
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has
skin cancer. Which of the following information should the nurse include in the teaching? -
ANSWER > Mohs surgery is a horizontal shaving of thin layers of the tumor
A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot
flashes. The client is interested in trying hormone replacement therapy (HRT). Which of the
following should the nurse recognize as a contraindication to HRT? - ANSWER > History of
treatment for blood clots
A nurse is reinforcing teaching with an adolescent client regarding testicular self-examination.
Which of the following statements by the client demonstrates an understanding of the
teaching? - ANSWER > "I understand that pea-sized lumps are normal."
, A nurse is reviewing the laboratory results of a client who has chronic kidney failure and is
receiving epoetin Alfa. The nurse should identify that which of the following laboratory values
indicates the treatment is effective? - ANSWER > Hgb 11 g/dL
A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV
contrast agent. Which of the following laboratory findings should the nurse report to the
provider prior to the procedure? - ANSWER > Creatinine 1.9 mg/dL
Rationale:
Creatinine 1.9 mg/dL is not within the expected reference range. Therefore, the nurse should
report the finding to the provider before the client has a CT scan with an IV contrast agent.
This finding places the client at risk for developing contrast-induced nephropathy.
A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of the following
actions should the nurse take to reduce the risk for aspiration? - ANSWER > Allow for 30 min of
rest before meals
A nurse is contributing to the plan of care for a client who is having difficulty eating following a
stroke. Which of the following interventions should the nurse plan to implement first? -
ANSWER > Recommend a referral for a speech language pathologist.
Rationale:
The greatest risk to the client following a stroke is injury from aspiration. Therefore, the first
intervention the nurse should include in the plan of care is to recommend a referral for a
speech language pathologist. A speech language pathologist can conduct a swallow study to
determine the client's risk for aspiration, provide teaching to the client regarding swallowing
techniques, and recommend the consistency of foods and liquids
ACTUAL EXAM UPDATE QUESTIONS AND CORRECT VERIFIED ANSWERS
ALREADY GRADED A+ (BRAND NEW VISION)
A nurse is reinforcing teaching about gastroesophageal reflux disease (GERD) with a client.
Which of the following statements by the client indicates an understanding of the teaching? -
ANSWER > "I should wait at least 2 hours after eating before going to bed."
Rationale:
The client should wait to lie down or go to bed at least 2 hr after eating to minimize reflux.
A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The client is
exhibiting hypotension, tachycardia, and tachypnea. The nurse should recognize that these
findings indicate which of the following complications? - ANSWER > Pulmonary embolism
Rationale:
Manifestations of a pulmonary embolism include hypotension, tachycardia, and tachypnea.
A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the
following laboratory levels should the nurse review prior to the procedure? - ANSWER > BUN
Rationale:
BUN levels indicate kidney function. The nurse should review the lab level to determine if the
client can tolerate the IV contrast dye during the procedure.
A nurse is assisting in the plan of care regarding bowel retraining for a client who has a cervical
spinal cord injury. Which of the following interventions should the nurse plan to implement
first? - ANSWER > Determine the client's daily elimination habits.
,A nurse is discussing health screening guidelines with an older adult client. Which of the
following statements should the nurse include? - ANSWER > "You should have a pneumococcal
immunization every 10 years."
A nurse is reinforcing teaching with a client who has asthma. Which of the following client
statements indicates an understanding of the ruse of budesonide and albuterol inhalers? SATA -
ANSWER > -"I never forget to rinse my mouth after using my budesonide inhaler."
-"Between office visits, I keep a record of how many times I use my albuterol inhaler."
-"I use my albuterol inhaler before I go swimming."
A nurse in a long-term care facility is collecting data from a client who reports fullness in the
rectum and abdominal cramping. Which of the following findings should indicate to the nurse
that the client might have a fecal impaction? - ANSWER > Small liquid stools
A nurse is reinforcing teaching with the family of a client who has a cervical injury and has a
halo vest in place. Which of the following safety precautions should the nurse include in
teaching? - ANSWER > Change the sheepskin liner weekly
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has
skin cancer. Which of the following information should the nurse include in the teaching? -
ANSWER > Mohs surgery is a horizontal shaving of thin layers of the tumor
A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot
flashes. The client is interested in trying hormone replacement therapy (HRT). Which of the
following should the nurse recognize as a contraindication to HRT? - ANSWER > History of
treatment for blood clots
A nurse is reinforcing teaching with an adolescent client regarding testicular self-examination.
Which of the following statements by the client demonstrates an understanding of the
teaching? - ANSWER > "I understand that pea-sized lumps are normal."
, A nurse is reviewing the laboratory results of a client who has chronic kidney failure and is
receiving epoetin Alfa. The nurse should identify that which of the following laboratory values
indicates the treatment is effective? - ANSWER > Hgb 11 g/dL
A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV
contrast agent. Which of the following laboratory findings should the nurse report to the
provider prior to the procedure? - ANSWER > Creatinine 1.9 mg/dL
Rationale:
Creatinine 1.9 mg/dL is not within the expected reference range. Therefore, the nurse should
report the finding to the provider before the client has a CT scan with an IV contrast agent.
This finding places the client at risk for developing contrast-induced nephropathy.
A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of the following
actions should the nurse take to reduce the risk for aspiration? - ANSWER > Allow for 30 min of
rest before meals
A nurse is contributing to the plan of care for a client who is having difficulty eating following a
stroke. Which of the following interventions should the nurse plan to implement first? -
ANSWER > Recommend a referral for a speech language pathologist.
Rationale:
The greatest risk to the client following a stroke is injury from aspiration. Therefore, the first
intervention the nurse should include in the plan of care is to recommend a referral for a
speech language pathologist. A speech language pathologist can conduct a swallow study to
determine the client's risk for aspiration, provide teaching to the client regarding swallowing
techniques, and recommend the consistency of foods and liquids
