ATI RN ADULT MEDICAL
SURGICAL PRACTICE B
2023
85+ (Fully Updated 2026) Exam
Questions + Verified & Rationalized
Answers | A+ Graded
100% Guarantee Pass
This Exam contains: ATI RN Adult Medical Surgical
✓ Practice B 2023
✓ 100% Accurate Questions and Answers
✓ 100% Guarantee Pass - Verified by Experts
✓ Each Question Includes The Correct Answer
✓ Expert-Verified
Trusted by thousands of students and professionals worldwide Page 1 of 32
,Question 1
A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse
expect?
Correct Answer
Hair loss on the lower legs
Rationale:
Peripheral arterial disease (PAD) is characterized by reduced blood flow to the limbs, often resulting in decreased oxygen delivery and
nutrient supply to tissues. Hair loss on the lower legs is a common manifestation of PAD due to the insufficient blood flow, leading to
tissue ischemia and subsequent atrophy, including hair follicles.
Question 2
A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. Which of the
following statements should the nurse identify as an indication that the client understands the teaching?
Correct Answer
"I will use my hands rather than a washcloth to clean the radiation area.
Rationale:
This statement is correct because using hands instead of a washcloth to clean the radiation area reduces the risk of contamination by
limiting the number of surfaces the hands come into contact with, thereby minimizing the potential for radioactive material to spread.
Proper hand hygiene is crucial in radiation therapy to prevent secondary radiation exposure and ensure the client's safety and well-
being.
Question 3
A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy.
A nurse is providing teaching for the client. Which of the following instructions should the nurse include?
Select all that apply.
Correct Answer
Avoid drinking fluids with meals
Eat several small meals
Consume high-protein snacks
Avoid highly seasoned foods
Rationale:
After a gastrectomy, the client's stomach is significantly reduced in size, which can lead to nausea, vomiting, and intolerance to large
amounts of fluid with meals, making it essential to avoid drinking fluids with meals to prevent discomfort and complications.
Consuming high-protein snacks, eating several small meals, and avoiding highly seasoned foods helps to manage nausea, prevent
vomiting, and maintain adequate nutrition, which is crucial for wound healing and overall recovery in the postoperative period.
Trusted by thousands of students and professionals worldwide Page 2 of 32
,Question 4
A nurse is caring for a client who is scheduled for a right knee arthroplasty.
The nurse provided preoperative teaching to the client. Which of the following statements by the client indicates an
understanding of the teaching?
Select all that apply.
Correct Answer
"I will need to do the breathing exercises every 1 to 2 hours after the surgery"
"I will be sure to ask for pain medication before my knee starts to hurt too bad"
"I will probably be going home with a walker"
Rationale:
* "I will need to do the breathing exercises every 1 to 2 hours after the surgery"
This statement indicates an understanding of the client's need for deep breathing exercises to prevent respiratory complications after a
major surgery such as knee arthroplasty, and the nurse's instruction to perform them regularly.
* "I will be sure to ask for pain medication before my knee starts to hurt too bad"
This statement shows that the client understands the importance of pain management after surgery and is willing to take proactive
steps to prevent severe pain, as instructed by the nurse.
* "I will probably be going home with a walker"
This statement demonstrates an understanding of the client's postoperative mobility needs and the likely use of assistive devices such
as a walker for ambulation, as instructed by the nurse.
Question 5
A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at
risk for falls. Which of the
following instructions should the nurse include?
Correct Answer
Remind the client to scan their complete range of vision during ambulation.
Rationale:
Hemianopsia is a condition where an individual loses half of their visual field, which can increase their risk of falls due to impaired
depth perception and peripheral vision. By instructing the client to scan their complete range of vision during ambulation, the nurse is
promoting safe mobility practices, helping the client to compensate for their visual impairment and reduce the risk of falls.
Question 6
An older adult client is brought to an emergency department by a family member. Which of the following assessment
findings should cause the
nurse to suspect that the client has hypertonic dehydration?
Correct Answer
Urine specific gravity 1.045
Rationale:
A urine specific gravity of 1.045 suggests that the client's body is producing highly concentrated urine, which is a hallmark of
hypertonic dehydration. This is because the kidneys are conserving water by producing more concentrated urine, indicating that the
client's body is attempting to compensate for a significant loss of fluids.
Trusted by thousands of students and professionals worldwide Page 3 of 32
, Question 7
A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The client's initial vital signs
were heart rate 80/min, blood
pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36° C (96.8° F). Which of the following vital sign
changes should alert the nurse
that the client might be hemorrhaging?
Correct Answer
Heart rate 110/min.
Rationale:
A heart rate of 110/min is an elevated heart rate, which is a compensatory response to significant blood loss due to hemorrhaging.
This is because the body attempts to maintain blood pressure and perfusion to vital organs by increasing heart rate, a key indicator of
hemodynamic instability in a postoperative patient.
Question 8
A nurse is caring for a client who is 4 hr postoperative following a total
vaginal hysterectomy.
Click to highlight the findings the nurse should report to the provider
immediately.
Correct Answer
Perineal pad saturated with blood, large clots present
Change of blood pressure, heart rate of 102/min
Rationale:
The nurse should report a perineal pad saturated with blood and large clots present because these findings indicate excessive
hemorrhage, a potential life-threatening complication after a surgical procedure. The change in blood pressure and increased heart
rate also suggest hemodynamic instability, which warrants immediate medical attention to prevent further complications.
Question 9
A nurse is caring for a client who has HIV. Which of the following findings indicates a positive response to the
prescribed HIV treatment?
Correct Answer
Decreased viral load
Rationale:
A decreased viral load indicates a positive response to HIV treatment because it signifies a reduction in the amount of virus present in
the client's bloodstream, which is a direct indicator of treatment efficacy. This reduction is a result of the treatment's ability to suppress
viral replication, thereby slowing disease progression and improving overall health outcomes.
Trusted by thousands of students and professionals worldwide Page 4 of 32
SURGICAL PRACTICE B
2023
85+ (Fully Updated 2026) Exam
Questions + Verified & Rationalized
Answers | A+ Graded
100% Guarantee Pass
This Exam contains: ATI RN Adult Medical Surgical
✓ Practice B 2023
✓ 100% Accurate Questions and Answers
✓ 100% Guarantee Pass - Verified by Experts
✓ Each Question Includes The Correct Answer
✓ Expert-Verified
Trusted by thousands of students and professionals worldwide Page 1 of 32
,Question 1
A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse
expect?
Correct Answer
Hair loss on the lower legs
Rationale:
Peripheral arterial disease (PAD) is characterized by reduced blood flow to the limbs, often resulting in decreased oxygen delivery and
nutrient supply to tissues. Hair loss on the lower legs is a common manifestation of PAD due to the insufficient blood flow, leading to
tissue ischemia and subsequent atrophy, including hair follicles.
Question 2
A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. Which of the
following statements should the nurse identify as an indication that the client understands the teaching?
Correct Answer
"I will use my hands rather than a washcloth to clean the radiation area.
Rationale:
This statement is correct because using hands instead of a washcloth to clean the radiation area reduces the risk of contamination by
limiting the number of surfaces the hands come into contact with, thereby minimizing the potential for radioactive material to spread.
Proper hand hygiene is crucial in radiation therapy to prevent secondary radiation exposure and ensure the client's safety and well-
being.
Question 3
A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy.
A nurse is providing teaching for the client. Which of the following instructions should the nurse include?
Select all that apply.
Correct Answer
Avoid drinking fluids with meals
Eat several small meals
Consume high-protein snacks
Avoid highly seasoned foods
Rationale:
After a gastrectomy, the client's stomach is significantly reduced in size, which can lead to nausea, vomiting, and intolerance to large
amounts of fluid with meals, making it essential to avoid drinking fluids with meals to prevent discomfort and complications.
Consuming high-protein snacks, eating several small meals, and avoiding highly seasoned foods helps to manage nausea, prevent
vomiting, and maintain adequate nutrition, which is crucial for wound healing and overall recovery in the postoperative period.
Trusted by thousands of students and professionals worldwide Page 2 of 32
,Question 4
A nurse is caring for a client who is scheduled for a right knee arthroplasty.
The nurse provided preoperative teaching to the client. Which of the following statements by the client indicates an
understanding of the teaching?
Select all that apply.
Correct Answer
"I will need to do the breathing exercises every 1 to 2 hours after the surgery"
"I will be sure to ask for pain medication before my knee starts to hurt too bad"
"I will probably be going home with a walker"
Rationale:
* "I will need to do the breathing exercises every 1 to 2 hours after the surgery"
This statement indicates an understanding of the client's need for deep breathing exercises to prevent respiratory complications after a
major surgery such as knee arthroplasty, and the nurse's instruction to perform them regularly.
* "I will be sure to ask for pain medication before my knee starts to hurt too bad"
This statement shows that the client understands the importance of pain management after surgery and is willing to take proactive
steps to prevent severe pain, as instructed by the nurse.
* "I will probably be going home with a walker"
This statement demonstrates an understanding of the client's postoperative mobility needs and the likely use of assistive devices such
as a walker for ambulation, as instructed by the nurse.
Question 5
A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at
risk for falls. Which of the
following instructions should the nurse include?
Correct Answer
Remind the client to scan their complete range of vision during ambulation.
Rationale:
Hemianopsia is a condition where an individual loses half of their visual field, which can increase their risk of falls due to impaired
depth perception and peripheral vision. By instructing the client to scan their complete range of vision during ambulation, the nurse is
promoting safe mobility practices, helping the client to compensate for their visual impairment and reduce the risk of falls.
Question 6
An older adult client is brought to an emergency department by a family member. Which of the following assessment
findings should cause the
nurse to suspect that the client has hypertonic dehydration?
Correct Answer
Urine specific gravity 1.045
Rationale:
A urine specific gravity of 1.045 suggests that the client's body is producing highly concentrated urine, which is a hallmark of
hypertonic dehydration. This is because the kidneys are conserving water by producing more concentrated urine, indicating that the
client's body is attempting to compensate for a significant loss of fluids.
Trusted by thousands of students and professionals worldwide Page 3 of 32
, Question 7
A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The client's initial vital signs
were heart rate 80/min, blood
pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36° C (96.8° F). Which of the following vital sign
changes should alert the nurse
that the client might be hemorrhaging?
Correct Answer
Heart rate 110/min.
Rationale:
A heart rate of 110/min is an elevated heart rate, which is a compensatory response to significant blood loss due to hemorrhaging.
This is because the body attempts to maintain blood pressure and perfusion to vital organs by increasing heart rate, a key indicator of
hemodynamic instability in a postoperative patient.
Question 8
A nurse is caring for a client who is 4 hr postoperative following a total
vaginal hysterectomy.
Click to highlight the findings the nurse should report to the provider
immediately.
Correct Answer
Perineal pad saturated with blood, large clots present
Change of blood pressure, heart rate of 102/min
Rationale:
The nurse should report a perineal pad saturated with blood and large clots present because these findings indicate excessive
hemorrhage, a potential life-threatening complication after a surgical procedure. The change in blood pressure and increased heart
rate also suggest hemodynamic instability, which warrants immediate medical attention to prevent further complications.
Question 9
A nurse is caring for a client who has HIV. Which of the following findings indicates a positive response to the
prescribed HIV treatment?
Correct Answer
Decreased viral load
Rationale:
A decreased viral load indicates a positive response to HIV treatment because it signifies a reduction in the amount of virus present in
the client's bloodstream, which is a direct indicator of treatment efficacy. This reduction is a result of the treatment's ability to suppress
viral replication, thereby slowing disease progression and improving overall health outcomes.
Trusted by thousands of students and professionals worldwide Page 4 of 32
