ATI Medical-Surgical Exam A – Updated Questions & Correct Answers Nursing Study
Guide
A nurse is assessing a group of clients for indications of role changes. The nurse should identify
that which of the following clients is at risk for experiencing a role change? A client who
has multiple sclerosis and is experiencing progressive difficulty ambulating. CORRECT
ANSWER A nurse is providing follow-up care for a client who sustained a compound fracture
3 weeks ago. The nurse should recognize that an unexpected finding for which of the following
laboratory values is a manifestation of osteomyelitis and should be reported to the provider?
Sedimentation rate CORRECT ANSWER A nurse is caring for a client who is
postoperative. Complete the diagram by dragging from the choices below to specify what
condition the client is most likely experiencing, two actions the nurse should take to address that
condition, and two parameters the nurse should monitor to assess the client's progress. -
Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge because the client is most
likely experiencing hypovolemia as evidenced by the client's restlessness, tachycardia,
hypotension, decreased pulses, cool extremities, and decreased urine output. The nurse should
monitor the client's urine output and blood pressure to evaluate the effectiveness of treatment.
CORRECT ANSWER A nurse is providing teaching to a client who has stage II cervical
cancer and is scheduled for brachytherapy. Which of the following instructions should the nurse
include? "You will need to stay still in the bed during each treatment session." CORRECT
ANSWER A nurse is caring for a client who is receiving dialysis treatment. For each potential
nursing intervention, click to specify if the intervention is indicated or not indicated.
Indicated:
- Place the client in Trendelenburg position.
, - Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG. CORRECT ANSWER A nurse is assessing a client who has had a
suspected stroke. The nurse should place the priority on which of the following findings?
Dysphagia CORRECT ANSWER A nurse is caring for a client who is 12 hr
postoperative following a total hip arthroplasty. Which of the following actions should the nurse
take? Place a pillow between the client's legs. CORRECT ANSWER A nurse is providing
teaching to a client who takes ginkgo biloba as an herbal supplement. Which of the following
statements should the nurse make? "Ginkgo biloba can cause an increased risk for bleeding."
CORRECT ANSWER A nurse is providing preoperative teaching for a client who is scheduled
for an open cholecystectomy. Which of the following actions should the nurse take?
Demonstrate ways to deep breathe and cough. CORRECT ANSWER A nurse is
assessing a client who has advanced lung cancer and is receiving palliative care. The client has
just undergone thoracentesis. The nurse should expect a reduction in which of the following
common manifestations of advanced cancer?Dyspnea CORRECT ANSWER A nurse is
assessing a client while suctioning the client's tracheostomy tube. Which of the following
findings should indicate to the nurse the client is experiencing hypoxia? The client's heart rate
increases. CORRECT ANSWER A nurse in the emergency department is caring for a client.
Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The
client is experiencing manifestations of PANCREATITIS as evidenced by the AMYLASE AND
LIPASE. CORRECT ANSWER A nurse is assessing a client who is postoperative following a
thyroidectomy. Which of the following findings is the nurse's priority? Temperature 38.9° C
(102° F) CORRECT ANSWER A nurse is caring for a client who has anorexia, low-grade
fever, night sweats, and a productive cough. Which of the following actions should the nurse
take first? Initiate airborne precautions. CORRECT ANSWER A nurse is caring for a
Guide
A nurse is assessing a group of clients for indications of role changes. The nurse should identify
that which of the following clients is at risk for experiencing a role change? A client who
has multiple sclerosis and is experiencing progressive difficulty ambulating. CORRECT
ANSWER A nurse is providing follow-up care for a client who sustained a compound fracture
3 weeks ago. The nurse should recognize that an unexpected finding for which of the following
laboratory values is a manifestation of osteomyelitis and should be reported to the provider?
Sedimentation rate CORRECT ANSWER A nurse is caring for a client who is
postoperative. Complete the diagram by dragging from the choices below to specify what
condition the client is most likely experiencing, two actions the nurse should take to address that
condition, and two parameters the nurse should monitor to assess the client's progress. -
Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge because the client is most
likely experiencing hypovolemia as evidenced by the client's restlessness, tachycardia,
hypotension, decreased pulses, cool extremities, and decreased urine output. The nurse should
monitor the client's urine output and blood pressure to evaluate the effectiveness of treatment.
CORRECT ANSWER A nurse is providing teaching to a client who has stage II cervical
cancer and is scheduled for brachytherapy. Which of the following instructions should the nurse
include? "You will need to stay still in the bed during each treatment session." CORRECT
ANSWER A nurse is caring for a client who is receiving dialysis treatment. For each potential
nursing intervention, click to specify if the intervention is indicated or not indicated.
Indicated:
- Place the client in Trendelenburg position.
, - Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG. CORRECT ANSWER A nurse is assessing a client who has had a
suspected stroke. The nurse should place the priority on which of the following findings?
Dysphagia CORRECT ANSWER A nurse is caring for a client who is 12 hr
postoperative following a total hip arthroplasty. Which of the following actions should the nurse
take? Place a pillow between the client's legs. CORRECT ANSWER A nurse is providing
teaching to a client who takes ginkgo biloba as an herbal supplement. Which of the following
statements should the nurse make? "Ginkgo biloba can cause an increased risk for bleeding."
CORRECT ANSWER A nurse is providing preoperative teaching for a client who is scheduled
for an open cholecystectomy. Which of the following actions should the nurse take?
Demonstrate ways to deep breathe and cough. CORRECT ANSWER A nurse is
assessing a client who has advanced lung cancer and is receiving palliative care. The client has
just undergone thoracentesis. The nurse should expect a reduction in which of the following
common manifestations of advanced cancer?Dyspnea CORRECT ANSWER A nurse is
assessing a client while suctioning the client's tracheostomy tube. Which of the following
findings should indicate to the nurse the client is experiencing hypoxia? The client's heart rate
increases. CORRECT ANSWER A nurse in the emergency department is caring for a client.
Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The
client is experiencing manifestations of PANCREATITIS as evidenced by the AMYLASE AND
LIPASE. CORRECT ANSWER A nurse is assessing a client who is postoperative following a
thyroidectomy. Which of the following findings is the nurse's priority? Temperature 38.9° C
(102° F) CORRECT ANSWER A nurse is caring for a client who has anorexia, low-grade
fever, night sweats, and a productive cough. Which of the following actions should the nurse
take first? Initiate airborne precautions. CORRECT ANSWER A nurse is caring for a
