ATI PN ADULT MEDICAL SURGICAL
2025/2026 EXAM
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
2025/2026 EXAM
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
