ATI RN ADULT MEDICAL SURGICAL
EXAM 2025 ORGANIZED
QUESTIONS,STEP BY STEP
EXPLANATIONS AND REVIEW GUIDE
AND 100% CORRECT EXPERT VERIFIED
ANSWERS GRADED A+ (BRAND
NEW!!!!!!!!!)
A home health nurse is providing teaching to a client who has a
stage 1 pressure injury on the greater trochanter of his left hip.
Which of the following instructions should the nurse include in
the teaching? - THE CORRECT ANSWER-Change position every hour
Rationale: Changing position every 1 to 2 hr decreases pressure
on bony prominences. The nurse should also instruct the client
to limit the angle of the hips when in a lateral position to no
more than 30°. This positioning prevents direct pressure on the
trochanter.
A nurse is assessing a client following the completion of
hemodialysis. Which of the following findings is the nurse's
priority to report to the provider? - THE CORRECT ANSWER-
Restlessness
Rationale: Using the urgent vs. nonurgent approach to client
care, the nurse should determine that the priority finding to
report to the provider is restlessness, which can be an
indication the client is experiencing disequilibrium syndrome.
,Disequilibrium syndrome is caused by the rapid removal of
electrolytes from the client's blood and can lead to
dysrhythmias or seizures. Other manifestations include nausea,
vomiting, fatigue, and headache.
A nurse is caring for a client who is 8 hr postoperative following
a total hip arthroplasty. The client is unable to void on the
bedpan. Which of the following actions should the nurse take
first? - THE CORRECT ANSWER-Scan the bladder with a portable
ultrasound.
Rationale: The first action the nurse should take using the
nursing process is to assess the client. Scanning the bladder
with a portable ultrasound device will determine the amount of
urine in the bladder
A nurse is planning a health promotional presentation for a
group of African American clients at a community center.
Which of the following disorders presents the greatest risk to
this group of clients? - THE CORRECT ANSWER-Hypertension
Rationale: When using the safety/risk reduction approach to
client care, the nurse should determine that the disorder with
the greatest risk for this group of clients is hypertension. The
prevalence of hypertension is highest among African American
clients, followed by Caucasian clients, and then Hispanic
clients.
A nurse is caring for a client who has DKA. Which of the
following findings should indicate to the nurse that the client's
condition is improving? - THE CORRECT ANSWER-Glucose 272 mg/dL
Rationale: A glucose reading less than 300 mg/dL indicates
improvement in the client's status.
,A nurse is caring for a client following extubation of an
endotracheal tube 10 min. ago. Which of the following findings
should the nurse report to the provider immediately? - THE
CORRECT ANSWER-Stridor
Rationale: Using the urgent vs. nonurgent approach to client
care, the nurse should determine that the priority finding is
stridor. Stridor can indicate a narrowing airway or possible
obstruction caused by edema or laryngeal spasms. The nurse
should report the finding immediately and implement an
intervention.
A nurse is caring for a client who had a nephrostomy tube
inserted 112 hr ago. Which of the following findings should the
nurse report to the provider? - THE CORRECT ANSWER-The client
reports back pain
Rationale: The nurse should notify the provider if the client
reports back pain, which can indicate that the nephrostomy
tube is dislodged or clogged.
A nurse is admitting a client who has active TB. Which of the
following types of transmission precautions should the nurse
initiate? - THE CORRECT ANSWER-Airborne
Rationale: Airborne precautions are required for clients who
have infections due to micro-organisms that can remain
suspended in air for lengthy periods of time, such as
tuberculosis, measles, varicella, and disseminated varicella
zoster.
A nurse is planning care for a client who has a sealed radiation
implant for cervical cancer. Which of the following
, interventions should the nurse include in the plan of care? - THE
CORRECT ANSWER-Keep a lead-lined container in the client's room
Rationale: The nurse should keep a lead-lined container and
forceps in the client's room in case of accidental dislodgement
of the implant.
A nurse is assessing a client who is postoperative following a
thyroidectomy. Which of the following findings is the nurse's
priority? - THE CORRECT ANSWER-Temperature 38.9° C (102° F)
Rationale: When using the urgent vs. nonurgent approach to
client care, the nurse should determine that the priority finding
is an elevated temperature. An elevated temperature is a
manifestation of excessive thyroid hormone release, or thyroid
storm, due to an increase in metabolic rate. The nurse should
report this finding immediately to the provider because it can
lead to seizures and coma.
A nurse is providing discharge teaching about infection
prevention to a client who has AIDS. Which of the following
statements by the client indicates understanding of the
teaching? - THE CORRECT ANSWER-"I will no longer floss my teeth
after brushing my teeth."
Rationale: The nurse should instruct the client to avoid flossing
teeth to prevent gum inflammation, which could create the
opportunity for infection.
A nurse is providing teaching to a client who has hypertension
and a new prescription for verapamil. Which of the following
information should the nurse include in the teaching? - THE
CORRECT ANSWER-"Increase fiber intake to avoid constipation."
EXAM 2025 ORGANIZED
QUESTIONS,STEP BY STEP
EXPLANATIONS AND REVIEW GUIDE
AND 100% CORRECT EXPERT VERIFIED
ANSWERS GRADED A+ (BRAND
NEW!!!!!!!!!)
A home health nurse is providing teaching to a client who has a
stage 1 pressure injury on the greater trochanter of his left hip.
Which of the following instructions should the nurse include in
the teaching? - THE CORRECT ANSWER-Change position every hour
Rationale: Changing position every 1 to 2 hr decreases pressure
on bony prominences. The nurse should also instruct the client
to limit the angle of the hips when in a lateral position to no
more than 30°. This positioning prevents direct pressure on the
trochanter.
A nurse is assessing a client following the completion of
hemodialysis. Which of the following findings is the nurse's
priority to report to the provider? - THE CORRECT ANSWER-
Restlessness
Rationale: Using the urgent vs. nonurgent approach to client
care, the nurse should determine that the priority finding to
report to the provider is restlessness, which can be an
indication the client is experiencing disequilibrium syndrome.
,Disequilibrium syndrome is caused by the rapid removal of
electrolytes from the client's blood and can lead to
dysrhythmias or seizures. Other manifestations include nausea,
vomiting, fatigue, and headache.
A nurse is caring for a client who is 8 hr postoperative following
a total hip arthroplasty. The client is unable to void on the
bedpan. Which of the following actions should the nurse take
first? - THE CORRECT ANSWER-Scan the bladder with a portable
ultrasound.
Rationale: The first action the nurse should take using the
nursing process is to assess the client. Scanning the bladder
with a portable ultrasound device will determine the amount of
urine in the bladder
A nurse is planning a health promotional presentation for a
group of African American clients at a community center.
Which of the following disorders presents the greatest risk to
this group of clients? - THE CORRECT ANSWER-Hypertension
Rationale: When using the safety/risk reduction approach to
client care, the nurse should determine that the disorder with
the greatest risk for this group of clients is hypertension. The
prevalence of hypertension is highest among African American
clients, followed by Caucasian clients, and then Hispanic
clients.
A nurse is caring for a client who has DKA. Which of the
following findings should indicate to the nurse that the client's
condition is improving? - THE CORRECT ANSWER-Glucose 272 mg/dL
Rationale: A glucose reading less than 300 mg/dL indicates
improvement in the client's status.
,A nurse is caring for a client following extubation of an
endotracheal tube 10 min. ago. Which of the following findings
should the nurse report to the provider immediately? - THE
CORRECT ANSWER-Stridor
Rationale: Using the urgent vs. nonurgent approach to client
care, the nurse should determine that the priority finding is
stridor. Stridor can indicate a narrowing airway or possible
obstruction caused by edema or laryngeal spasms. The nurse
should report the finding immediately and implement an
intervention.
A nurse is caring for a client who had a nephrostomy tube
inserted 112 hr ago. Which of the following findings should the
nurse report to the provider? - THE CORRECT ANSWER-The client
reports back pain
Rationale: The nurse should notify the provider if the client
reports back pain, which can indicate that the nephrostomy
tube is dislodged or clogged.
A nurse is admitting a client who has active TB. Which of the
following types of transmission precautions should the nurse
initiate? - THE CORRECT ANSWER-Airborne
Rationale: Airborne precautions are required for clients who
have infections due to micro-organisms that can remain
suspended in air for lengthy periods of time, such as
tuberculosis, measles, varicella, and disseminated varicella
zoster.
A nurse is planning care for a client who has a sealed radiation
implant for cervical cancer. Which of the following
, interventions should the nurse include in the plan of care? - THE
CORRECT ANSWER-Keep a lead-lined container in the client's room
Rationale: The nurse should keep a lead-lined container and
forceps in the client's room in case of accidental dislodgement
of the implant.
A nurse is assessing a client who is postoperative following a
thyroidectomy. Which of the following findings is the nurse's
priority? - THE CORRECT ANSWER-Temperature 38.9° C (102° F)
Rationale: When using the urgent vs. nonurgent approach to
client care, the nurse should determine that the priority finding
is an elevated temperature. An elevated temperature is a
manifestation of excessive thyroid hormone release, or thyroid
storm, due to an increase in metabolic rate. The nurse should
report this finding immediately to the provider because it can
lead to seizures and coma.
A nurse is providing discharge teaching about infection
prevention to a client who has AIDS. Which of the following
statements by the client indicates understanding of the
teaching? - THE CORRECT ANSWER-"I will no longer floss my teeth
after brushing my teeth."
Rationale: The nurse should instruct the client to avoid flossing
teeth to prevent gum inflammation, which could create the
opportunity for infection.
A nurse is providing teaching to a client who has hypertension
and a new prescription for verapamil. Which of the following
information should the nurse include in the teaching? - THE
CORRECT ANSWER-"Increase fiber intake to avoid constipation."
