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ATI PN ADULT MEDICAL SURGICAL EXAM 2025
WITH REAL QUESTIONS AND CORRECT
ANSWERS | ALREADY GRADED A+ | ATI PN
ADULT MEDICAL SURGICAL EXAM LATEST
VERSION | GUARANTEED SUCCESS!!

A nurse is reinforcing discharge instructions with a client who is postoperative
following a right hip arthroplasty
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"

A nurse is reinforcing teaching with a client who has systemic lupus erythematosus
(SLE) and is to begin taking methylprednisolone orally
...
"

Rationale:
Glucocorticoids cause immunosuppression and may mask infection
...


A nurse is caring for an older adult client who has a reddened area over the sacrum
...
Which
of the following actions should the nurse take? - ANSWER- Position pillows
between the bone prominences

A nurse enters the room of a client whose transfusion of packed RBCs was
initiated 15 min ago by the RN
...
Which of
the following actions should the nurse perform first? - ANSWER- Stop the
infusion

A nurse is caring for a client who is 24 hr postoperative following abdominal
surgery and has an NG tube
...
Which of the following actions should the nurse take to
prevent post procedure complications? SATA - ANSWER- - Position the affected
extremity at a 45 degree angle
- Maintain the pressure dressing
- Check the client's peripheral pulses

A nurse is caring for a client who has acute pancreatitis
...
The nurse should identify that
this is a manifestation of which of the following? - ANSWER- Intra-abdominal
bleeding

A nurse is reinforcing discharge teaching with a client who has cirrhosis
...
"

A nurse is preparing to auscultate the bowel sounds of a client who has a
mechanical bowel obstruction in the descending colon
...
) - ANSWER- Hyperactive bowel
sounds

A nurse is assisting in the care of a client who has manifestations of sepsis
...


Rationale:
When using the airway, breathing, circulation approach to client care, the first
action the nurse should take is to initiate oxygen
...
The nurse should provide supplemental oxygen to keep the client's oxygen
saturation levels at 95% or greater, which will maximize the ability of the
hemoglobin to support the oxygen needs of the body
...
The client states,
"I don't think I can go on any longer
...
"

A nurse is caring for a client who is 3 days postoperative following a total right hip
arthroplasty
...

Which of the following actions should the nurse take? - ANSWER- Loosen
clothing around the client's neck
...


A nurse is reinforcing teaching with a client who is on a low-sodium diet and asks
about how to improve the taste of bland food
...
Which of the following should the nurse include in
the teaching? - ANSWER- Report purulent drainage to the provider

Rationale:
The family member should report signs of infection, including purulent drainage
...
Which of the following factors should the nurse identify as an
indication that a barrier to learning might be present? - ANSWER- The client stops
the nurse and asks for pain medication

A nurse is collecting data from a client and notices several skin lesions
...

Which of the following findings should the nurse report before administering the
medication? - ANSWER- Decreased potassium

A nurse is reinforcing teaching about gastroesophageal reflux disease (GERD)
with a client
...
"

Rationale:
The client should wait to lie down or go to bed at least 2 hr after eating to
minimize reflux
...
The client is exhibiting hypotension, tachycardia, and tachypnea
...


A nurse is contributing to the plan of care for a client who has peripheral arterial
disease (PAD) of the lower extremities
...


Rationale:
The nurse should include in the plan of care to have the client dangle the lower
extremities off the side of the bed to aid in reducing pain by increasing arterial
blood flow
...


A nurse is assisting a client who reports difficulty falling asleep
...
Which
of the following information should the nurse include in the teaching? - ANSWER"This type of insulin should be given at the same time every day
...
Which of the
following manifestations should the nurse anticipate? - ANSWER- Bradycardia

A nurse is contributing to the plan of care for a client who has a methicillinresistant Staphylococcus aureus (MRSA) infection and is on contact isolation
precautions
...
The client
reports a throbbing, burning pain at the IV site
...
Which of the following interventions
should the nurse include in the plan? - ANSWER- Encourage abdominal breathing

A nurse is collecting data from a client who has chronic kidney disease with
hyperkalemia
...
Which of the following interventions
should the nurse identify as the priority? - ANSWER- Keep the client in a sidelaying position

A nurse is reinforcing teaching about management of constipation with a client
who has hypothyroidism
...
Which of the following instructions should the
nurse include in the discharge plan? - ANSWER- Obtain a raised toilet seat

A nurse is collecting data on a client who is scheduled for a cardiac catheterization
...
The nurse should review the lab level to
determine if the client can tolerate the IV contrast dye during the procedure
...
Which of the following interventions should the
nurse plan to implement first? - ANSWER- Determine the client's daily elimination
habits
...
Which
of the following statements should the nurse include? - ANSWER- "You should
have a pneumococcal immunization every 10 years
...
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
...
"
-"I use my albuterol inhaler before I go swimming
...
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 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
...
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 selfexamination
...
"

A nurse is reviewing the laboratory results of a client who has chronic kidney
failure and is receiving epoetin Alfa
...
Which of the following laboratory findings should
the nurse report to the provider prior to the procedure? - ANSWER- Creatinine 1
...
9 mg/dL is not within the expected reference range
...
This finding places the client at risk for developing contrastinduced nephropathy
...
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
...


Rationale:
The greatest risk to the client following a stroke is injury from aspiration
...
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

A nurse is assisting the charge nurse with developing an in-service about caring for
clients who have internal sealed radiation implants
...


Rationale:
Lead impairs the emission of radiation
...


A nurse is reviewing the laboratory results of a client who has type 2 diabetes
mellitus
...


A nurse is participating in a health fair for older adult client
...

Which of the following actions should the nurse take when communicating with
the client? - ANSWER- Rephrase client instructions when not understood

A nurse is reviewing the medical record of a client who has a prescription for
morphine
...
Therefore, the nurse should report this finding to the provider
...
Which of the
following actions should the nurse take first? - ANSWER- Ventilate with 100%
oxygen
...


A nurse is planning to implement droplet precautions for a client who has
manifestations of pertussis
...

Which of the following outcomes from the medication should the nurse expect? ANSWER- Decreased shortness of breath

Rationale:
The nurse should expect the client to have decreased shortness of breath
...


A nurse is reinforcing teaching with a client who has mitral valve disease
...
"

Rationale:
Swelling of the ankles can indicate heart failure
...


A nurse is preparing to administer scheduled medications to a client
...
There are three tabs
that contain separate categories of data
...
Which of the following interventions should the nurse identity as the
priority? - ANSWER- Determine the client's understanding of the procedure

A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client
who has an INR of 4
...
How many mL should
the nurse administer? (Round the answer to the nearest tenth
...
Do not use a trailing zero
...
7 mL

A nurse is contributing to the plan of care for a client who has multiple sclerosis
and is taking dantrolene to manage muscle spasms
...


Rationale:

The nurse should encourage the client to complete ADLs and provide assistance as
needed
...


A nurse is caring for a client who is in Buck's traction
...
Which of the following instructions should the nurse
include in the teaching? - ANSWER- Avoid stopping this medication suddenly

A nurse is contributing to the plan of care for a client who has a new prescription
for nystatin suspension for oral candidiasis
...
Which of the
following personal protective equipment should the nurse use? - ANSWER- Mask

A nurse is reinforcing teaching with a client who has gonorrhea
...
"

A nurse is reinforcing teaching about glycoslated hemoglobin (HbA1c) testing
with a client who has diabetes mellitus
...
"

A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus
(MRSA) infection in a surgical wound
...
Which of the
following findings should the nurse identify as the priority? - ANSWERDysthymia

A nurse is caring for a client who has difficulty swallowing
...


A nurse is performing an ECG on a client who is scheduled for surgery the
following morning
...
Select only
the hotspot that corresponds to your answer
...
Which of the following statements
indicates that the client is adhering to the nurse's instructions? - ANSWER- "I don't
cross my legs anymore
...
Upon monitoring the
client, which of the following findings should the nurse expect? - ANSWER- Red
macular rash

Rationale:
The nurse should expect to find a red macular rash, sometimes called a petechial
rash, which is a manifestation of meningococcal meningitis
...
Which of the following information should the nurse include
in the teaching? - ANSWER- Remind the client to avoid watching her feet when
walking

A nurse is caring for a client who has a history of breast cancer
...
Which of the following methods of birth control is
contraindicated for this client? - ANSWER- Combination oral contraceptives

A nurse is monitoring a client who recently had a cast placed on the right lower
extremity for a bone fracture
...
The
nurse should notify the provider immediately
...
The client mentions
that she has a loss of appetite because she has sores in her mouth and that food no
longer tastes good
...


Rationale:

Clients who have difficulty eating because of pain or anorexia can usually tolerate
small amounts of food at one time
...


A nurse is caring for a client who has a prescription for phenazopyridine
...
Which of the following
findings should the nurse identify as an adverse effect of the medication? ANSWER- Abdominal cramps

Rationale:
Acarbose affects the gastrointestinal system
...


A nurse is monitoring an older adult client who has a history of an enlarged
prostate and is experiencing suprapubic discomfort
...

Which of the following findings should the nurse recognize as the priority? ANSWER- Dyspnea

A nurse is assisting with the care of a client who is receiving 0
...
The client reports pain and swelling at the IV site
...
Use all the steps
...
Ten minutes after beginning the infusion, the client reports intense
itching
...
All I've had
since midnight is water and some juice
...
Which of the following
actions should the nurse take? - ANSWER- Perform pin site care daily

A nurse is reinforcing teaching about joint protection with a client who has an
acute exacerbation of rheumatoid arthritis
...
Which of the following
intervention should the nurse take to decrease the risk of aspiration? - ANSWERPinch the NG tube

A nurse is reinforcing teaching about dietary changes with a client who has
cardiovascular disease
...
The client begins
exhibiting hives and has severe difficulty breathing
...


Rationale:
The greatest risk to the client is death from anaphylaxis
...


A nurse is contributing to the plan of care for an older adult client who is at risk for
osteoporosis
...
Which of the following information
should the nurse include in the teaching? - ANSWER- Avoid liquids at mealtimes
...


A nurse is contributing to the plan of care for a client who os postoperative
following a total know arthroplasty
...
Which of the following interventions should the nurse
recommend for the plan of care? - ANSWER- Keep a sheepskin pad between the
client's extremity and the CPM



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