RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 (Content Mastery Series Review Module (ATI TESTBANK) 2026-03-06
RN Adult Medical Surgical Nursing
REVIEW MODULE EDITION 11.0
(Content Mastery Series Review Module
(ATI TESTBANK)
ATI FUNDAMENTAL
A nrs in a clinic is preparing to obtain a skin specimen from a client who has a
suspected herpes infection. Which of the following actions should the nurse take?
(select all that apply)
- scrape the site with a wooden tongue depressor
- use a razor to cut the scabbed area to obtain the specimen
- use a cotton-tipped application to obtain fluid from the lesion
- place specimen in a KOH solution tube
- place specimen tube on ice after obtaining sample -Answer: use a cotton-tipped
application to obtain fluid from the lesion
- place specimen tube on ice after obtaining sample
A nurse administered midazolam IV bolus to a client before a procedure. The client's
bood pressure is 86/40, HR is 134/min. Which of the following IV med should the nurse
administer?
- naloxone
-morphine
- flumazenil
- atropine -Answer: naloxone (revereses resp. depression resulting from an opiod med)
-morphine (relieves pain, can cause hypotension and resp depression)
- FLUMAZENIL (midazolam is a benzo. Flum reverses effects)
- atropine (treats bradycardia)
A nurse at a clinic is talking with a client who has cancer and takes extended-release
opiods twice daily. The client reports an incr in localized, achy pain over the last few
days. How should the nurse document this increase in pain?
- phantom limb pain
-mixed pain
- breakthrough pain
- neuropathic pain -Answer: breakthrough pain
A nurse caring for a client who has contact dermatitis and has a new prescription for
diphenhydramine. Which adverse effect should the nurse monitor?
Page 1 RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 (Content Mastery Series Review Module (ATI TESTBANK).pdf
,RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 (Content Mastery Series Review Module (ATI TESTBANK) 2026-03-06
- elev. blood glucose lvls
- anorexia
- incr salivation
- insomnia -Answer: anorexia
A nurse is assessing a client's lab values before surgery. Which to report? (select all)
- K 3.9
- Na 145
- Creatinine 2.8
- Blood Glucose 235
- WBC 17,850 -Answer: Creatinine 2.8
- Blood Glucose 235
- WBC 17,850
A nurse is assisting an anesthesiologist who is delivering nitrous oxide by face mask to
a client during the induction of anesthesia. Which of the following is the priority nursing
action?
- assessing oxygen saturation.
- measure BP
- palpate pulse rate
- check temperature -Answer: assessing oxygen saturation.
A nurse is caring for a client who develops a systemic toxic reaction following a regional
block. Which of the following actions should the nurse take?
- monitor blood creatinine levels
- provide airway support
- turn the client to the right side
- administer a diuretic -Answer: provide airway support
A nurse is caring for a client who develops malignant hyperthermia. WHich of the
following actions should the nurse take? (select all that apply)
- infuse iced IV fluids
- provide 100% oxygen
- place a cooling blanket on the client
- treat the complication while the surgeon continues surgery
- administer IV dantrolene -Answer: infuse iced IV fluids
- provide 100% oxygen
- place a cooling blanket on the client
- administer IV dantrolene
A nurse is caring for a client who has a suspected viral skin lesion. WHich of the
following lab findings should the nurse expect to review to confirm this diagnosis?
- Potassium hydroxide (KOH)
- Diascopy
- Tzanck smear report
- Biopsy -Answer: Tzanck smear report
Page 2 RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 (Content Mastery Series Review Module (ATI TESTBANK).pdf
,RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 (Content Mastery Series Review Module (ATI TESTBANK) 2026-03-06
- Biopsy (confirm or rule out malignancy)
- KOH (test for if fungal)
- Diascopy (provides incr visibility of a skin lesion by blanching the skin over the lesion,
thus eliminating erythema which can obscure findings)
A nurse is caring for a client who is experiencing mild acute pain after spraining an
ankle. Which of the following analgesics should the nurse expect to administer?
- ketorolac
- ketamine
- meperidine
- methadone -Answer: ketorolac
ketamine (anesthetic agent used for treating neuropathic pain); meperidine (not
recommended for reg use); methadone (effective for treating severe pain).
A nurse is caring for a client who is receiving morphine via a PCA after abdominal
surgery. Which statement indicates the client understands how to use the device?
- "I'll wait to use the device until absolutely necessary"
- "I'll be careful about pushing the button so I don't get an overdose"
- "I should tell the nurse if the pain doesn't stop after I use this device"
- "I will ask my son to push the s=dose button when I am sleeping" -Answer: "I should
tell the nurse if the pain doesn't stop after I use this device"
a nurse is caring for a client who is scheduled for an exploratory laparotomy. the client's
temp is 39*C (102.2 F) orally. which of the following actions should the nurse take?
- inform the surgeon of the elevated temp
- transfer the client to the preop unit
- apply ice packs to the groin
- encourage the client to increase intake of clear liquids -Answer: inform the surgeon of
the elevated temp (notifying the surgeon of the elevated temp to determine if canceling
the surgery is necessary due to an underlying infection)
A nurse is caring for a client who reports a headache following an epidural regional
nerve block. WHich of the following actions should the nurse take?
- decrease the client's fluid intake
- apply pressure to the puncture site
- place the head of the bed flat
- instruct the client to lie prone -Answer: place the head of the bed flat
A nurse is discussing pain assessment with a newly licensed nurse. Which of the
following information should the nurse include?
- most clients exaggerate their level of pain
- pain must have an identifiable source to justify the use of opioids
- objective data are essential in assessing pain
- pain is whatever the client says it is -Answer: pain is whatever the client says it is
Page 3 RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 (Content Mastery Series Review Module (ATI TESTBANK).pdf
, RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 (Content Mastery Series Review Module (ATI TESTBANK) 2026-03-06
a nurse is educating a client on the use of calcipotriene topical med for the treatment of
psoriasis. WHich lab values should the nurse monitor?
-K
- Ca
- Na
- Cl -Answer: Ca
A nurse is instructing a client on home care after a culture for a bacterial infection and
cellulitis. WHich of the following info should the nurse include?
- bathe daily with moisturizing soap
- apply antibacterial topical med to the crusted exudate
- apply warm compresses to the affected area
- cover affected area with snug-fitted clothing -Answer: apply warm compresses to the
affected area
A nurse is monitoring a client who is receiving opioid analgesia. WHich of the following
should the nurse identify as adverse effects of opioid analgesics? (select all that apply)
- urinary incontinence
- diarrhea
- bradypnea
- orthostatic hypotension
- nausea -Answer: bradypnea
- orthostatic hypotension
- nausea
a nurse is planning care for an adult client who sustained severe burn injuries. Select all
interventions that apply.
- limit visitors in the client's room
- encourage fresh vegetables in the diet
- increase protein intake
- instruct the client to consume 2,000 cal/day
- restrict fresh flowers in the room -Answer: limit visitors in the client's room
- increase protein intake
- restrict fresh flowers in the room
A nurse is providing information about a new prescription for corticosteroid cream to a
client who has mild psoriasis. Which of the following instructions should the nurse
include? (select all)
- apply an occlusive dressing after application
- apply 3-4x per day
- wear gloves after application to lesions on the hands
- avoid applying in skin folds
- use medication continuously over a period of several months -Answer: apply an
occlusive dressing after application
- wear gloves after application to lesions on the hands
- avoid applying in skin folds (risk for yeast)
Page 4 RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 (Content Mastery Series Review Module (ATI TESTBANK).pdf
RN Adult Medical Surgical Nursing
REVIEW MODULE EDITION 11.0
(Content Mastery Series Review Module
(ATI TESTBANK)
ATI FUNDAMENTAL
A nrs in a clinic is preparing to obtain a skin specimen from a client who has a
suspected herpes infection. Which of the following actions should the nurse take?
(select all that apply)
- scrape the site with a wooden tongue depressor
- use a razor to cut the scabbed area to obtain the specimen
- use a cotton-tipped application to obtain fluid from the lesion
- place specimen in a KOH solution tube
- place specimen tube on ice after obtaining sample -Answer: use a cotton-tipped
application to obtain fluid from the lesion
- place specimen tube on ice after obtaining sample
A nurse administered midazolam IV bolus to a client before a procedure. The client's
bood pressure is 86/40, HR is 134/min. Which of the following IV med should the nurse
administer?
- naloxone
-morphine
- flumazenil
- atropine -Answer: naloxone (revereses resp. depression resulting from an opiod med)
-morphine (relieves pain, can cause hypotension and resp depression)
- FLUMAZENIL (midazolam is a benzo. Flum reverses effects)
- atropine (treats bradycardia)
A nurse at a clinic is talking with a client who has cancer and takes extended-release
opiods twice daily. The client reports an incr in localized, achy pain over the last few
days. How should the nurse document this increase in pain?
- phantom limb pain
-mixed pain
- breakthrough pain
- neuropathic pain -Answer: breakthrough pain
A nurse caring for a client who has contact dermatitis and has a new prescription for
diphenhydramine. Which adverse effect should the nurse monitor?
Page 1 RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 (Content Mastery Series Review Module (ATI TESTBANK).pdf
,RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 (Content Mastery Series Review Module (ATI TESTBANK) 2026-03-06
- elev. blood glucose lvls
- anorexia
- incr salivation
- insomnia -Answer: anorexia
A nurse is assessing a client's lab values before surgery. Which to report? (select all)
- K 3.9
- Na 145
- Creatinine 2.8
- Blood Glucose 235
- WBC 17,850 -Answer: Creatinine 2.8
- Blood Glucose 235
- WBC 17,850
A nurse is assisting an anesthesiologist who is delivering nitrous oxide by face mask to
a client during the induction of anesthesia. Which of the following is the priority nursing
action?
- assessing oxygen saturation.
- measure BP
- palpate pulse rate
- check temperature -Answer: assessing oxygen saturation.
A nurse is caring for a client who develops a systemic toxic reaction following a regional
block. Which of the following actions should the nurse take?
- monitor blood creatinine levels
- provide airway support
- turn the client to the right side
- administer a diuretic -Answer: provide airway support
A nurse is caring for a client who develops malignant hyperthermia. WHich of the
following actions should the nurse take? (select all that apply)
- infuse iced IV fluids
- provide 100% oxygen
- place a cooling blanket on the client
- treat the complication while the surgeon continues surgery
- administer IV dantrolene -Answer: infuse iced IV fluids
- provide 100% oxygen
- place a cooling blanket on the client
- administer IV dantrolene
A nurse is caring for a client who has a suspected viral skin lesion. WHich of the
following lab findings should the nurse expect to review to confirm this diagnosis?
- Potassium hydroxide (KOH)
- Diascopy
- Tzanck smear report
- Biopsy -Answer: Tzanck smear report
Page 2 RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 (Content Mastery Series Review Module (ATI TESTBANK).pdf
,RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 (Content Mastery Series Review Module (ATI TESTBANK) 2026-03-06
- Biopsy (confirm or rule out malignancy)
- KOH (test for if fungal)
- Diascopy (provides incr visibility of a skin lesion by blanching the skin over the lesion,
thus eliminating erythema which can obscure findings)
A nurse is caring for a client who is experiencing mild acute pain after spraining an
ankle. Which of the following analgesics should the nurse expect to administer?
- ketorolac
- ketamine
- meperidine
- methadone -Answer: ketorolac
ketamine (anesthetic agent used for treating neuropathic pain); meperidine (not
recommended for reg use); methadone (effective for treating severe pain).
A nurse is caring for a client who is receiving morphine via a PCA after abdominal
surgery. Which statement indicates the client understands how to use the device?
- "I'll wait to use the device until absolutely necessary"
- "I'll be careful about pushing the button so I don't get an overdose"
- "I should tell the nurse if the pain doesn't stop after I use this device"
- "I will ask my son to push the s=dose button when I am sleeping" -Answer: "I should
tell the nurse if the pain doesn't stop after I use this device"
a nurse is caring for a client who is scheduled for an exploratory laparotomy. the client's
temp is 39*C (102.2 F) orally. which of the following actions should the nurse take?
- inform the surgeon of the elevated temp
- transfer the client to the preop unit
- apply ice packs to the groin
- encourage the client to increase intake of clear liquids -Answer: inform the surgeon of
the elevated temp (notifying the surgeon of the elevated temp to determine if canceling
the surgery is necessary due to an underlying infection)
A nurse is caring for a client who reports a headache following an epidural regional
nerve block. WHich of the following actions should the nurse take?
- decrease the client's fluid intake
- apply pressure to the puncture site
- place the head of the bed flat
- instruct the client to lie prone -Answer: place the head of the bed flat
A nurse is discussing pain assessment with a newly licensed nurse. Which of the
following information should the nurse include?
- most clients exaggerate their level of pain
- pain must have an identifiable source to justify the use of opioids
- objective data are essential in assessing pain
- pain is whatever the client says it is -Answer: pain is whatever the client says it is
Page 3 RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 (Content Mastery Series Review Module (ATI TESTBANK).pdf
, RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 (Content Mastery Series Review Module (ATI TESTBANK) 2026-03-06
a nurse is educating a client on the use of calcipotriene topical med for the treatment of
psoriasis. WHich lab values should the nurse monitor?
-K
- Ca
- Na
- Cl -Answer: Ca
A nurse is instructing a client on home care after a culture for a bacterial infection and
cellulitis. WHich of the following info should the nurse include?
- bathe daily with moisturizing soap
- apply antibacterial topical med to the crusted exudate
- apply warm compresses to the affected area
- cover affected area with snug-fitted clothing -Answer: apply warm compresses to the
affected area
A nurse is monitoring a client who is receiving opioid analgesia. WHich of the following
should the nurse identify as adverse effects of opioid analgesics? (select all that apply)
- urinary incontinence
- diarrhea
- bradypnea
- orthostatic hypotension
- nausea -Answer: bradypnea
- orthostatic hypotension
- nausea
a nurse is planning care for an adult client who sustained severe burn injuries. Select all
interventions that apply.
- limit visitors in the client's room
- encourage fresh vegetables in the diet
- increase protein intake
- instruct the client to consume 2,000 cal/day
- restrict fresh flowers in the room -Answer: limit visitors in the client's room
- increase protein intake
- restrict fresh flowers in the room
A nurse is providing information about a new prescription for corticosteroid cream to a
client who has mild psoriasis. Which of the following instructions should the nurse
include? (select all)
- apply an occlusive dressing after application
- apply 3-4x per day
- wear gloves after application to lesions on the hands
- avoid applying in skin folds
- use medication continuously over a period of several months -Answer: apply an
occlusive dressing after application
- wear gloves after application to lesions on the hands
- avoid applying in skin folds (risk for yeast)
Page 4 RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 (Content Mastery Series Review Module (ATI TESTBANK).pdf
