RN ATI Medical Surgical Combination (A B C + New Questions)
Medical Surgical 3 Combination (All 3
forms + New Questions by ATI)
A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg fiberglass
cast. Which of the following findings should the nurse expect?
A. Capillary refill less than 2 seconds
B. Bounding distal pulses
C. Intense pain with movement
D. Erythema of the toes Correct Answer: C. Intense pain with movement
A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the following
manifestations indicates a hemolytic transfusion reaction?
A. Chills
B. Hypertension
C. Bradycardia
D. Back pain Correct Answer: A. Chills
A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should the
nurse take to prevent hip dislocation?
A. Remove the wedge device when turning
B. Place two bed pillows between the legs when in bed
C. Encourage the client to lean forward when attempting to stand
D. Elevate the knees higher than the hips when sitting Correct Answer: B. Place two bed pillows
between the legs when in bed
A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should
recognize that the client is at risk for an allergic cross-reactivity to which of the following substances
A. Povidone-iodine
B. Adhesive tape
C. Latex
D. Anesthetics Correct Answer: C. Latex
A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions
should the nurse include in the teaching?
A. Place hands on the upper abdomen during inhalation.
B. Position the mouthpiece 2.5 cm (1 in) from the mouth
C. Exhale slowly through pursed lips
D. Hold breaths about 3 to 5 seconds before exhalin Correct Answer: C. Exhale slowly through pursed
lips
,A nurse is caring for a client who arrives at the emergency department and reports vomiting and
diarrhea for the past 3 days. The client's serum potassium level is 2.8mEq/L. Which of the following
interventions should the nurse implement first? Priority question
A. Check the clients hand grasps
B. Administer an IV potassium drip
C. Listen to the client's bowel sounds
D. Initiate cardiac monitoring for the clients Correct Answer: D. Initiate cardiac monitoring for the
clients
A nurse is preparing to administer peritoneal dialysis to a client. Which of the following actions should
the nurse take?
A. Chill the dialysate before administration
B. Hang the drainage bag below the client's abdomen
C. Place the client in high-Fowlers position
D. Use clean technique to access the catheter Correct Answer: B. Hang the drainage bag below the
client's abdomen
A nurse is preforming a cranial nerve assessment on a client following a head injury. Which of the
following findings should the nurse expect if the client has impaired function of the vestibulocochlear
nerve (cranial nerve VIII)?
A. Inability to smell
B. loss of peripheral vision
C. Disequilibrium with movement
D. Deviation of the tongue from midline Correct Answer: C. Disequilibrium with movement
nurse is planning care for a client who is one day postoperative Following an open cholecystectomy.
Which of the following interventions should the nurse include in the plan of care?
A. Place pillows under the clients knees
B. Avoid use of anticoagulants
C. Discourage leg exercises while in bed
D. apply compression stockings to the lower extremities Correct Answer: D. apply compression
stockings to the lower extremities
A nurse is providing a discharge teaching to a client following a modified left radical mastectomy with
breast expander. Which of the following statements by the client indicates an understanding of the
teaching?
A. "I will keep my left arm flexed at the elbow as much as possible" ?
B. " I should expect less than 25 mL of secretions per day in the drainage devices"
C. "I will perform strength building arm exercises using a 15 pound weight"
D. " I will have to wait 2 months before additional saltine can be added to my breast expander" Correct
Answer: B. " I should expect less than 25 mL of secretions per day in the drainage devices"
,A nurse is teaching a client about using a metered-dose rescue inhaler. Which of the following
statements should the nurse include I the first teaching?
A. "Do not shake your inhaler before use"
B. "Exhale Fully before bringing the inhaler to your lips "
C. "Use Peroxide to clean the mouthpiece of your inhaler"
D. "Depress the canister after you inhale Correct Answer: B. "Exhale Fully before bringing the inhaler to
your lips "
A nurse is caring for a client who has been receiving total parental nutrition (TPN) for 1 week. For which
of the following findings should the nurse notify the provider?
A. Calcium level 11.5 mg/dL
B. Serum albumin level 3.9g/dl
C. Output 200 mL more than intake over the past 12 hr.
D. Fasting blood glucose level 105 mg/dL Correct Answer: A. Calcium level 11.5 mg/dL
A nurse is preparing to discharge a client who has a halo device and is reviewing new prescriptions from
the provider. The nurse should clarify which of the following prescriptions with the provider?
A. Take tub baths instead of showers
B. May place a small pillow under the head while sleeping
C. May operate a motor vehicle when no longer taking analgesics
D. Increase intake of fiber-rich food Correct Answer: C. May operate a motor vehicle when no longer
taking analgesics
A nurse is setting up a sterile field before preforming a dressing change on a client who is postoperative.
Which of the following actions should the nurse plan to take to maintain the sterile field? (Select all that
apply)
A. Grasp 2.5 cm (1 in) of the outer edge to open the surgical wrap
B. Open the first flap of the sterile package toward the nurse's body
C. Place a surgical pack with a sterile drape on the work surface
D. Select a work surface at the nurse's waist level this is wrong
E. Apply sterile gloves before opening the pack Correct Answer: A. Grasp 2.5 cm (1 in) of the outer edge
to open the surgical wrap
B. Open the first flap of the sterile package toward the nurse's body
C. Place a surgical pack with a sterile drape on the work surface
nurse is an emergency department is preparing a client for emergency surgery. The clients blood alcohol
level is 180mg/dL. Which of the following actions is the nurse's priority?
A. Obtain consent for surgery ?
B. Insert an indwelling urinary catheter
C. Insert an NG tube
D. Apply antiembolic stoking's Correct Answer: D. Apply antiembolic stoking's
, A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that
which of the first sign of deteriorating neurological status?
A. Pupillary dilation
B. Cheyne-Strokes respirations
C. Decorticate posturing
D. Altered level of Consciousness Correct Answer: D. Altered level of Consciousness
A nurse is performing skin cancer screening on a group of clients. Which of the following findings should
the nurse Identify as an indication of melanoma?
A. Flat lesion with irregular borders
B. Raised lesion with a rolled border
C. Scaly lesion with the crusted appearance
D. Reddened lesion with dilated blood vessels Correct Answer: A. Flat lesion with irregular borders
A nurse is caring for a client who has diabetes insipidus. Which Of the following medications should the
nurse plan to administer.
A. Lithium
B. Desmopressin
C. Regular insulin
D. Furosemide Correct Answer: B. Desmopressin
A nurse is preparing to assist with the insertion of a non-tunneled Central venous catheter for a client
who is malnourished. Which of the following actions should the nurse plan to take.
A. Cleanse the site with a hydrogen peroxide solution
B. instruct the client to cough as the catheter is inserted
C. confirm the correct position of the line by obtaining a blood sample
D. place the head of the client's bed lower than the foot Correct Answer: C. confirm the correct position
of the line by obtaining a blood sample
A nurse is providing discharge teaching to a client who has chronic urinary tract infections. The client has
a prescription for ciprofloxacin 250 mg PO twice daily. Which of the following instructions should the
nurse include in the teaching?
A. Monitor heart rate once daily.
B. Take a laxative to prevent constipation.
C. Drink 2 to 3 L of fluids daily.
D. Take an antacid 30 min before taking the medication Correct Answer: C. Drink 2 to 3 L of fluids daily.
A nurse is providing discharge teaching for a client who has HIV. Which of the following information is
the priority for the nurse to review with the client?
A. "List some ways you can cope with the stress of your illness"
B. "Name a few things you will change about your diet."
C. "Tell me why it's important to have your CD4+ count checked"
Medical Surgical 3 Combination (All 3
forms + New Questions by ATI)
A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg fiberglass
cast. Which of the following findings should the nurse expect?
A. Capillary refill less than 2 seconds
B. Bounding distal pulses
C. Intense pain with movement
D. Erythema of the toes Correct Answer: C. Intense pain with movement
A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the following
manifestations indicates a hemolytic transfusion reaction?
A. Chills
B. Hypertension
C. Bradycardia
D. Back pain Correct Answer: A. Chills
A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should the
nurse take to prevent hip dislocation?
A. Remove the wedge device when turning
B. Place two bed pillows between the legs when in bed
C. Encourage the client to lean forward when attempting to stand
D. Elevate the knees higher than the hips when sitting Correct Answer: B. Place two bed pillows
between the legs when in bed
A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should
recognize that the client is at risk for an allergic cross-reactivity to which of the following substances
A. Povidone-iodine
B. Adhesive tape
C. Latex
D. Anesthetics Correct Answer: C. Latex
A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions
should the nurse include in the teaching?
A. Place hands on the upper abdomen during inhalation.
B. Position the mouthpiece 2.5 cm (1 in) from the mouth
C. Exhale slowly through pursed lips
D. Hold breaths about 3 to 5 seconds before exhalin Correct Answer: C. Exhale slowly through pursed
lips
,A nurse is caring for a client who arrives at the emergency department and reports vomiting and
diarrhea for the past 3 days. The client's serum potassium level is 2.8mEq/L. Which of the following
interventions should the nurse implement first? Priority question
A. Check the clients hand grasps
B. Administer an IV potassium drip
C. Listen to the client's bowel sounds
D. Initiate cardiac monitoring for the clients Correct Answer: D. Initiate cardiac monitoring for the
clients
A nurse is preparing to administer peritoneal dialysis to a client. Which of the following actions should
the nurse take?
A. Chill the dialysate before administration
B. Hang the drainage bag below the client's abdomen
C. Place the client in high-Fowlers position
D. Use clean technique to access the catheter Correct Answer: B. Hang the drainage bag below the
client's abdomen
A nurse is preforming a cranial nerve assessment on a client following a head injury. Which of the
following findings should the nurse expect if the client has impaired function of the vestibulocochlear
nerve (cranial nerve VIII)?
A. Inability to smell
B. loss of peripheral vision
C. Disequilibrium with movement
D. Deviation of the tongue from midline Correct Answer: C. Disequilibrium with movement
nurse is planning care for a client who is one day postoperative Following an open cholecystectomy.
Which of the following interventions should the nurse include in the plan of care?
A. Place pillows under the clients knees
B. Avoid use of anticoagulants
C. Discourage leg exercises while in bed
D. apply compression stockings to the lower extremities Correct Answer: D. apply compression
stockings to the lower extremities
A nurse is providing a discharge teaching to a client following a modified left radical mastectomy with
breast expander. Which of the following statements by the client indicates an understanding of the
teaching?
A. "I will keep my left arm flexed at the elbow as much as possible" ?
B. " I should expect less than 25 mL of secretions per day in the drainage devices"
C. "I will perform strength building arm exercises using a 15 pound weight"
D. " I will have to wait 2 months before additional saltine can be added to my breast expander" Correct
Answer: B. " I should expect less than 25 mL of secretions per day in the drainage devices"
,A nurse is teaching a client about using a metered-dose rescue inhaler. Which of the following
statements should the nurse include I the first teaching?
A. "Do not shake your inhaler before use"
B. "Exhale Fully before bringing the inhaler to your lips "
C. "Use Peroxide to clean the mouthpiece of your inhaler"
D. "Depress the canister after you inhale Correct Answer: B. "Exhale Fully before bringing the inhaler to
your lips "
A nurse is caring for a client who has been receiving total parental nutrition (TPN) for 1 week. For which
of the following findings should the nurse notify the provider?
A. Calcium level 11.5 mg/dL
B. Serum albumin level 3.9g/dl
C. Output 200 mL more than intake over the past 12 hr.
D. Fasting blood glucose level 105 mg/dL Correct Answer: A. Calcium level 11.5 mg/dL
A nurse is preparing to discharge a client who has a halo device and is reviewing new prescriptions from
the provider. The nurse should clarify which of the following prescriptions with the provider?
A. Take tub baths instead of showers
B. May place a small pillow under the head while sleeping
C. May operate a motor vehicle when no longer taking analgesics
D. Increase intake of fiber-rich food Correct Answer: C. May operate a motor vehicle when no longer
taking analgesics
A nurse is setting up a sterile field before preforming a dressing change on a client who is postoperative.
Which of the following actions should the nurse plan to take to maintain the sterile field? (Select all that
apply)
A. Grasp 2.5 cm (1 in) of the outer edge to open the surgical wrap
B. Open the first flap of the sterile package toward the nurse's body
C. Place a surgical pack with a sterile drape on the work surface
D. Select a work surface at the nurse's waist level this is wrong
E. Apply sterile gloves before opening the pack Correct Answer: A. Grasp 2.5 cm (1 in) of the outer edge
to open the surgical wrap
B. Open the first flap of the sterile package toward the nurse's body
C. Place a surgical pack with a sterile drape on the work surface
nurse is an emergency department is preparing a client for emergency surgery. The clients blood alcohol
level is 180mg/dL. Which of the following actions is the nurse's priority?
A. Obtain consent for surgery ?
B. Insert an indwelling urinary catheter
C. Insert an NG tube
D. Apply antiembolic stoking's Correct Answer: D. Apply antiembolic stoking's
, A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that
which of the first sign of deteriorating neurological status?
A. Pupillary dilation
B. Cheyne-Strokes respirations
C. Decorticate posturing
D. Altered level of Consciousness Correct Answer: D. Altered level of Consciousness
A nurse is performing skin cancer screening on a group of clients. Which of the following findings should
the nurse Identify as an indication of melanoma?
A. Flat lesion with irregular borders
B. Raised lesion with a rolled border
C. Scaly lesion with the crusted appearance
D. Reddened lesion with dilated blood vessels Correct Answer: A. Flat lesion with irregular borders
A nurse is caring for a client who has diabetes insipidus. Which Of the following medications should the
nurse plan to administer.
A. Lithium
B. Desmopressin
C. Regular insulin
D. Furosemide Correct Answer: B. Desmopressin
A nurse is preparing to assist with the insertion of a non-tunneled Central venous catheter for a client
who is malnourished. Which of the following actions should the nurse plan to take.
A. Cleanse the site with a hydrogen peroxide solution
B. instruct the client to cough as the catheter is inserted
C. confirm the correct position of the line by obtaining a blood sample
D. place the head of the client's bed lower than the foot Correct Answer: C. confirm the correct position
of the line by obtaining a blood sample
A nurse is providing discharge teaching to a client who has chronic urinary tract infections. The client has
a prescription for ciprofloxacin 250 mg PO twice daily. Which of the following instructions should the
nurse include in the teaching?
A. Monitor heart rate once daily.
B. Take a laxative to prevent constipation.
C. Drink 2 to 3 L of fluids daily.
D. Take an antacid 30 min before taking the medication Correct Answer: C. Drink 2 to 3 L of fluids daily.
A nurse is providing discharge teaching for a client who has HIV. Which of the following information is
the priority for the nurse to review with the client?
A. "List some ways you can cope with the stress of your illness"
B. "Name a few things you will change about your diet."
C. "Tell me why it's important to have your CD4+ count checked"
