BESTLEC
ATI Med Surg. Midterm Actual Exam 2025/2026
Complete Solution Question and Correct Detailed Answers.
Graded A+
A 45-year-old man with diabetic nephropathy has end-stage renal disease and is starting dialysis.
What should the nurse teach the patient about hemodialysis?
- Correct Answer a. "Hemodialysis is a treatment option that is usually required three times a
week."
Mr. John Oliver, with a history of HTM an DM presents with "crushing" substernal chest pain,
diaphoresis, hypotension, tachycardia, and cool, clammy extremities. What type of shock do you
C
suspect?
- Correct Answer-Cardiogenic
LE
A client in the ICU has had an endotracheal tube in place for
ST
3 weeks. The health care provider has ordered a tracheostomy tube be placed. The client's family
wants to know why the endotracheal tube cannot be left in place. What would be the nurse's best
response?
BE
- Correct Answer-a. "When an endotracheal tube is left in too long it can damage the lining of
the windpipe."
The nurse is caring for a client in the ICU admitted with ARDS after exposure to toxic fumes
from a hazardous spill at work. The client has become hypotensive. What is the cause of this
complication to the ARDS treatment?
- Correct Answer-a. Hypovolemia secondary to leakage of fluid into the interstitial spaces.
A nurse educator is reviewing the indications for chest drainage systems with a group of medical
nurses. What indications should the nurse identify? Select all the apply.
- Correct Answer-a. Spontaneous pneumothorax b. Chest trauma resulting is pneumothorax
c. Post thoracotomy
, BESTLEC
A team of nurses are reviewing the similarities and differences between the different
classifications of shock. Which sub-classifications of distributive shock should nurses identify?
- Correct Answer-a. Neurogenic b. Anaphylactic
c. Septic
The nurse is caring for a patient admitted with cardiogenic shock. The patient is experiencing
chest pain and there is an order for the administration of morphine. IN addition to pain control,
what is the main rationale for administering morphine to this patient?
- Correct Answer-It dilates blood vessels
C
A client is responding poorly to interventions aimed at treating shock and appears to be
transitioning to the irreversible stage of shock. What action should the intensive
LE
care nurse include during this phase of the client's care? -
Correct Answer-Communicate clearly and frequently with the client's family
ST
The acute care nurse is providing care for an adult patient who is in hypovolemic shock. The
nurse recognizes that antidiuretic hormone plays a significant role in this health problem. What
assessment finding will the nurse most likely observe related to the role of AD during
BE
hypovolemic shock?
- Correct Answer- Decreased Urinary Output
The nurse in the ICU is admitting a 57-year old man with a diagnosis of possible septic shock.
The nurse's assessment reveals that the client has a normal blood pressure, increased heart rate,
decreased bowel sounds, and cold, clammy skin. The nurse's analysis of these data should lead to
what preliminary conclusion?
- Correct Answer-The client is in the compensatory stage of shock
Which safety measures would me most important to implement when caring for a client who is
receiving 2 units of packed red bloods cells (PRBCs)? Select ALL that apply - Correct Answer-
a. Stop the transfusion if a reaction occurs
, BESTLEC
b. Inspect the blood bag for leaks, abnormal color, and clots
c. Infuse a unit of PRBCs in < 4 hours
D.H. is diagnosed with hypomagnesemia, which nursing intervention would be appropriate? -
Correct Answer-a. Instituting seizure reaction to prevent patient injury
A nurse in the ICU is planning the care of a client who is being treated for shock. What statement
best describes the pathophysiology of this client's health problem? - Correct Answer-a. Cells
lack an adequate blood supply and are
deprived of oxygen and nutrient
C
The critical care nurse is preparing to initiate an infusion of a vasoactive medication to a patient
in shock. The nurse knows that vasoactive medications are given in all forms of shock.
LE
What is the primary goal of this aspect of treatment? - Correct Answer-a. To maintain adequate
mean arterial pressure
ST
A patient in septic shock has a BP of 70/46 mm Hg, pulse
136, respirations 32, temperature 104F, and blood glucose of 246mg/dl. Which interventions
order by the health care provider should the nurse implement first? - Correct Answer-a. Give a
BE
fluid bolus challenge with Normal saline at 500ml/hr.
A patient admitted to the hospital from a long-term care facility appears to be in the late stage of
shock with systemic inflammatory response syndrome (SIRS). Vital signs are: BP
92/60, HR 118, RR 28, Temp 96.6, SpO2 85%. Which order implemented by the nurse has the
highest priority? -
Correct Answer-a. Administer 100% oxygen by a nonrebreather mask
A critical care nurse is aware of similarities and differences between the treatments for different
types of shock. What
ATI Med Surg. Midterm Actual Exam 2025/2026
Complete Solution Question and Correct Detailed Answers.
Graded A+
A 45-year-old man with diabetic nephropathy has end-stage renal disease and is starting dialysis.
What should the nurse teach the patient about hemodialysis?
- Correct Answer a. "Hemodialysis is a treatment option that is usually required three times a
week."
Mr. John Oliver, with a history of HTM an DM presents with "crushing" substernal chest pain,
diaphoresis, hypotension, tachycardia, and cool, clammy extremities. What type of shock do you
C
suspect?
- Correct Answer-Cardiogenic
LE
A client in the ICU has had an endotracheal tube in place for
ST
3 weeks. The health care provider has ordered a tracheostomy tube be placed. The client's family
wants to know why the endotracheal tube cannot be left in place. What would be the nurse's best
response?
BE
- Correct Answer-a. "When an endotracheal tube is left in too long it can damage the lining of
the windpipe."
The nurse is caring for a client in the ICU admitted with ARDS after exposure to toxic fumes
from a hazardous spill at work. The client has become hypotensive. What is the cause of this
complication to the ARDS treatment?
- Correct Answer-a. Hypovolemia secondary to leakage of fluid into the interstitial spaces.
A nurse educator is reviewing the indications for chest drainage systems with a group of medical
nurses. What indications should the nurse identify? Select all the apply.
- Correct Answer-a. Spontaneous pneumothorax b. Chest trauma resulting is pneumothorax
c. Post thoracotomy
, BESTLEC
A team of nurses are reviewing the similarities and differences between the different
classifications of shock. Which sub-classifications of distributive shock should nurses identify?
- Correct Answer-a. Neurogenic b. Anaphylactic
c. Septic
The nurse is caring for a patient admitted with cardiogenic shock. The patient is experiencing
chest pain and there is an order for the administration of morphine. IN addition to pain control,
what is the main rationale for administering morphine to this patient?
- Correct Answer-It dilates blood vessels
C
A client is responding poorly to interventions aimed at treating shock and appears to be
transitioning to the irreversible stage of shock. What action should the intensive
LE
care nurse include during this phase of the client's care? -
Correct Answer-Communicate clearly and frequently with the client's family
ST
The acute care nurse is providing care for an adult patient who is in hypovolemic shock. The
nurse recognizes that antidiuretic hormone plays a significant role in this health problem. What
assessment finding will the nurse most likely observe related to the role of AD during
BE
hypovolemic shock?
- Correct Answer- Decreased Urinary Output
The nurse in the ICU is admitting a 57-year old man with a diagnosis of possible septic shock.
The nurse's assessment reveals that the client has a normal blood pressure, increased heart rate,
decreased bowel sounds, and cold, clammy skin. The nurse's analysis of these data should lead to
what preliminary conclusion?
- Correct Answer-The client is in the compensatory stage of shock
Which safety measures would me most important to implement when caring for a client who is
receiving 2 units of packed red bloods cells (PRBCs)? Select ALL that apply - Correct Answer-
a. Stop the transfusion if a reaction occurs
, BESTLEC
b. Inspect the blood bag for leaks, abnormal color, and clots
c. Infuse a unit of PRBCs in < 4 hours
D.H. is diagnosed with hypomagnesemia, which nursing intervention would be appropriate? -
Correct Answer-a. Instituting seizure reaction to prevent patient injury
A nurse in the ICU is planning the care of a client who is being treated for shock. What statement
best describes the pathophysiology of this client's health problem? - Correct Answer-a. Cells
lack an adequate blood supply and are
deprived of oxygen and nutrient
C
The critical care nurse is preparing to initiate an infusion of a vasoactive medication to a patient
in shock. The nurse knows that vasoactive medications are given in all forms of shock.
LE
What is the primary goal of this aspect of treatment? - Correct Answer-a. To maintain adequate
mean arterial pressure
ST
A patient in septic shock has a BP of 70/46 mm Hg, pulse
136, respirations 32, temperature 104F, and blood glucose of 246mg/dl. Which interventions
order by the health care provider should the nurse implement first? - Correct Answer-a. Give a
BE
fluid bolus challenge with Normal saline at 500ml/hr.
A patient admitted to the hospital from a long-term care facility appears to be in the late stage of
shock with systemic inflammatory response syndrome (SIRS). Vital signs are: BP
92/60, HR 118, RR 28, Temp 96.6, SpO2 85%. Which order implemented by the nurse has the
highest priority? -
Correct Answer-a. Administer 100% oxygen by a nonrebreather mask
A critical care nurse is aware of similarities and differences between the treatments for different
types of shock. What
