ATI
ATI ADULT MEDICAL/SURGICAL NURSING ELABORATION ACTUAL
EXAM WITH COMPLETE COMPREHENSIVE QUESTIONS AND DETAILED
ANSWERS | EXAM STUDY GUIDE | LATEST UPDATED VERSION | 100%
GUARANTEED PASS
THIS EXAM FEATURES:
❖ATI ADULT MEDICAL/SURGICAL NURSING
❖ELABORATION ACTUAL EXAM WITH COMPLETE
COMPREHENSIVE QUESTIONS AND DETAILED
ANSWERS
❖EXAM STUDY GUIDE
❖LATEST UPDATED VERSION
❖100% GUARANTEED PASS
,QUESTION 1
A nurse is caring for an older adult client who has a new diagnosis of type 2 diabetes
mellitus and reports difficulty following the diet and remembering to take the
prescribed medication. Which of the following is the appropriate action by the nurse?
(select all that apply)
A. Ask the dietitian to assist with meal planning
B. Contact the client's support system
C. Assess for age-related cognitive awareness
D. Encourage the use of daily medication dispenser
E. Provide educational materials for home use - ANSWER A. Ask the dietitian to assist
with meal planning
B. Contact the client's support system
D. Encourage the use of daily medication dispenser
E. Provide educational materials for home use
QUESTION 2
A nurse is assessing a client who has a calcium level of 12.3 mg/dL. Which of the
following findings should the nurse expect
A. lethargy
B. muscle spasms
C. positive chvostek's sign
D. shortened P-R interval - ANSWER A
12.3 calcium indicates hypercalcemia (range is 9-10.5).
Manifestations of hypercalcemia: muscle weakness, decreased deep tendon reflexes,
generalized weakness, fatigue, lethargy, confusion, weight loss, bone pain, cardiac
dysrhythmias (shortened QT interval) and kidney stones
Manifestations of hypocalcemia: muscle spasms, cramps, tetany, positive chvostek's
sign (tap on clients face below and in front of ear, positive sign is twitching on one side
of face)
QUESTION 3
A nurse in the ICU is caring for a client who is reporting heart palpitations. The
nurse notes ventricular tachycardia on the ECG monitor. Which of the following
,actions should the nurse take
A. Defibrillate the client
B. Prepare the client for cardioversion
C. Initiate CPR
D. Administer digoxin - ANSWER B
cardioversion is a synchronized countershock that uses a pulse to help convert vtach
back to sinus rhythm for a client who is STABLE AND RESPONSIVE
--
A, defibrillation does not have a synchronized current and is not appropriate for a client
who has stable Vtach and is responsive
C, the nurse needs to assess ABCS and level of consciousness before beginning CPR.
Because this patient is stable in vtach and is responsive, the pt does not need CPR
D, the nurse should give an anti-dysrhythmic agent (amiodarone) to treat Vtach. Digoxin
increases ventricular irritability and would increase the clients risk of vfib after
cardioversion
QUESTION 4
A nurse is providing discharge teaching to a client who has lithotripsy for calcium
phosphate renal calculi. Which of the following instructions should the nurse give
to the client
A. Limit intake of animal protein to 6 oz per day
B. Increase fluid intake to 1.5L/ day
C. Expect pain in the kidneys and bladder
D. Expect difficulty urinating for up to 1 week - ANSWER A
To prevent further kidney stones, the client should limit animal protein intake to 5
servings per week. Animal protein contains purine, which produces uric acid that can
accumulate as stones in the kidney
--
B, client should increase fluid intake to 3L/day
C, pain in the kidneys and bladder is a manifestation of infection or formation of a stone
, D, blood in the urine is expected for 4-5 days, but any dysuria should be reported to the
provider
QUESTION 5
A nurse is reviewing the ABG results of a client who is receiving total parenteral
nutrition. The nurse notes a pH of 7.25, a bicarbonate of 18 mEq/L, and PaCO2 of
43 mm Hg. Which of the following acid base imbalances is the client
experiencing
A. Metabolic alkalosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Respiratory acidosis -
ANSWER C Low pH (acidosis)
Normal PaCO2
Low bicarb (metabolic)
QUESTION 6
A nurse in a health care clinical is evaluating the level of wellness for clients using the
health/wellness/illness continuum tool. Which of the following clients is measured at
the center of the continuum?
A. A college student who has influenza
B. An older adult who is newly diagnosed type 2 diabetes mellitus
C. A new mother who has a urinary tract infection
D. A young male who has a long history of well-controlled rheumatoid arthritis - ANSWER
D.A young male who has a long history of well-controlled rheumatoid arthritis
QUESTION 7
A nurse is evaluating clients at a health fair for modifiable variables affecting
health andwellness. The nurse identifies which of the following as a modifiable
variable? (select all that apply)
A. A male who smokes on social occasions
B. A female with a BMI of 28
C. An adult with alopecia
ATI ADULT MEDICAL/SURGICAL NURSING ELABORATION ACTUAL
EXAM WITH COMPLETE COMPREHENSIVE QUESTIONS AND DETAILED
ANSWERS | EXAM STUDY GUIDE | LATEST UPDATED VERSION | 100%
GUARANTEED PASS
THIS EXAM FEATURES:
❖ATI ADULT MEDICAL/SURGICAL NURSING
❖ELABORATION ACTUAL EXAM WITH COMPLETE
COMPREHENSIVE QUESTIONS AND DETAILED
ANSWERS
❖EXAM STUDY GUIDE
❖LATEST UPDATED VERSION
❖100% GUARANTEED PASS
,QUESTION 1
A nurse is caring for an older adult client who has a new diagnosis of type 2 diabetes
mellitus and reports difficulty following the diet and remembering to take the
prescribed medication. Which of the following is the appropriate action by the nurse?
(select all that apply)
A. Ask the dietitian to assist with meal planning
B. Contact the client's support system
C. Assess for age-related cognitive awareness
D. Encourage the use of daily medication dispenser
E. Provide educational materials for home use - ANSWER A. Ask the dietitian to assist
with meal planning
B. Contact the client's support system
D. Encourage the use of daily medication dispenser
E. Provide educational materials for home use
QUESTION 2
A nurse is assessing a client who has a calcium level of 12.3 mg/dL. Which of the
following findings should the nurse expect
A. lethargy
B. muscle spasms
C. positive chvostek's sign
D. shortened P-R interval - ANSWER A
12.3 calcium indicates hypercalcemia (range is 9-10.5).
Manifestations of hypercalcemia: muscle weakness, decreased deep tendon reflexes,
generalized weakness, fatigue, lethargy, confusion, weight loss, bone pain, cardiac
dysrhythmias (shortened QT interval) and kidney stones
Manifestations of hypocalcemia: muscle spasms, cramps, tetany, positive chvostek's
sign (tap on clients face below and in front of ear, positive sign is twitching on one side
of face)
QUESTION 3
A nurse in the ICU is caring for a client who is reporting heart palpitations. The
nurse notes ventricular tachycardia on the ECG monitor. Which of the following
,actions should the nurse take
A. Defibrillate the client
B. Prepare the client for cardioversion
C. Initiate CPR
D. Administer digoxin - ANSWER B
cardioversion is a synchronized countershock that uses a pulse to help convert vtach
back to sinus rhythm for a client who is STABLE AND RESPONSIVE
--
A, defibrillation does not have a synchronized current and is not appropriate for a client
who has stable Vtach and is responsive
C, the nurse needs to assess ABCS and level of consciousness before beginning CPR.
Because this patient is stable in vtach and is responsive, the pt does not need CPR
D, the nurse should give an anti-dysrhythmic agent (amiodarone) to treat Vtach. Digoxin
increases ventricular irritability and would increase the clients risk of vfib after
cardioversion
QUESTION 4
A nurse is providing discharge teaching to a client who has lithotripsy for calcium
phosphate renal calculi. Which of the following instructions should the nurse give
to the client
A. Limit intake of animal protein to 6 oz per day
B. Increase fluid intake to 1.5L/ day
C. Expect pain in the kidneys and bladder
D. Expect difficulty urinating for up to 1 week - ANSWER A
To prevent further kidney stones, the client should limit animal protein intake to 5
servings per week. Animal protein contains purine, which produces uric acid that can
accumulate as stones in the kidney
--
B, client should increase fluid intake to 3L/day
C, pain in the kidneys and bladder is a manifestation of infection or formation of a stone
, D, blood in the urine is expected for 4-5 days, but any dysuria should be reported to the
provider
QUESTION 5
A nurse is reviewing the ABG results of a client who is receiving total parenteral
nutrition. The nurse notes a pH of 7.25, a bicarbonate of 18 mEq/L, and PaCO2 of
43 mm Hg. Which of the following acid base imbalances is the client
experiencing
A. Metabolic alkalosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Respiratory acidosis -
ANSWER C Low pH (acidosis)
Normal PaCO2
Low bicarb (metabolic)
QUESTION 6
A nurse in a health care clinical is evaluating the level of wellness for clients using the
health/wellness/illness continuum tool. Which of the following clients is measured at
the center of the continuum?
A. A college student who has influenza
B. An older adult who is newly diagnosed type 2 diabetes mellitus
C. A new mother who has a urinary tract infection
D. A young male who has a long history of well-controlled rheumatoid arthritis - ANSWER
D.A young male who has a long history of well-controlled rheumatoid arthritis
QUESTION 7
A nurse is evaluating clients at a health fair for modifiable variables affecting
health andwellness. The nurse identifies which of the following as a modifiable
variable? (select all that apply)
A. A male who smokes on social occasions
B. A female with a BMI of 28
C. An adult with alopecia
