ATI MEDSURG 2016 QUESTIONS AND
ANSWERS
1. A nurse is assessing a client who has acute pancreatitis and has been receiving total
parenteral nutrition for the past 72 hr. Which of the following findings requires the
nurse to intervene?
a. Right upper quadrant pain
b. WBC count of 13,000/mm³
c. Crackles in bilateral lower lobes
d. Capillary blood glucose level 164 mg/dL
ANS: C pg. 350 left lung effusion and atelectasis is common in older adults, can
precipitate pneumonia
2. A nurse is caring for a group of clients. The nurse should obtain a blood pressure using
only the left extremity from which of the following clients?
a. A client who has left-sided Bell’s Palsy
b. A client who has a peripherally inserted central catheter (PICC) in the left arm
c. A client who has right-sided weakness due to Parkinson’s disease
d. A client who has right upper extremity arteriovenous
fistula ANS: D
3. A nurse in a long-term facility is caring for a bedridden client. Which of the
following findings should alert the nurse to a potential complication of the client's
immobility?
a. Blurred vision
b. Confusion
c. Polyuria
d. Diarrhea
ANS: B
4. A client is assessing a client who has pericarditis. In which of the following areas should
the nurse place the stethoscope to best hear pericardial friction rub. (You will find hot
spots to select in the artwork below. Select only the hot spot that corresponds to your
answer)
,ATI MEDSURG 2016 QUESTIONS AND
ANSWERS
1. A nurse is preparing to administer thrombolytic therapy to a client who had an ischemic
stroke. Which of the following is an appropriate nursing action?
a. Start the therapy within 8 hr
b. Insert an indwelling urinary catheter after therapy begins
c. Monitor blood pressure every 30 min during infusion
d. Elevate the head of bed between 25` and 30`
ANS: D
2. A nurse is teaching 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. Exhale slowly through pursed lips
c. Hold breaths about 3-5 seconds before exhaling
d. Position the mouthpiece 2.5 cm (1 in) from the
mouth ANS: C
3. A nurse is assessing a client who is 12 hr postoperative following a colon resection.
Which of the following findings should the nurse report to the surgeon?
a. Heart rate 90/min
b. Hbg 8.2 g/dL
c. Gastric pH of 3.0
d. Absent bowel sounds
ANS: B
4. A nurse is caring for a client who has diabetes insipidus. Which of the
following medications should the nurse plan to administer?
a. Regular insulin
b. Furosemide
c. Desmopressin
d. Lithium
carbonate ANS: C
5. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several
times daily for 3 years. Which of the following tests should the nurse monitor?
,ATI MEDSURG 2016 QUESTIONS AND
ANSWERS
a. Stool for occult blood
b. Urine for white blood cells
c. Fasting blood glucose
d. Serum calcium
, ATI MEDSURG 2016 QUESTIONS AND
ANSWERS
ANS: A
6. A nurse in the emergency department is assessing a client. Which of the following
actions should the nurse take first? (Exhibit)
a. Obtain sputum sample for culture
b. Prepare the client for chest x-ray
c. Initiate airborne precautions
d. Administer Ondansetron
ANS: C
7. A nurse is contacting the provider of a client who has cancer and is experiencing
breakthrough pain. Which of the following prescriptions should the nurse anticipate?
a. Intravenous dexamethasone
b. Transmucosal fentanyl
c. Oral acetaminophen
d. Intramuscular meperidine
ANS: D; p.624
8. A nurse is admitting a client who reports chest pain and has been placed on a telemetry
monitor. Which of the following should the nurse analyze to determine whether the
client is experiencing a myocardial infarction?
a. QRS duration
b. ST segment
c. T wave
d. PR
interval ANS:
B
9. A nurse is teaching a client who has ovarian cancer about skin care following radiation
treatment. Which of the following instructions should the nurse include?
a. Apply over the counter moisturizer to the radiation site
b. Cover the radiation site loosely with a gauze wrap before dressing
c. Use a soft washcloth to clean the area around the radiation site
ANSWERS
1. A nurse is assessing a client who has acute pancreatitis and has been receiving total
parenteral nutrition for the past 72 hr. Which of the following findings requires the
nurse to intervene?
a. Right upper quadrant pain
b. WBC count of 13,000/mm³
c. Crackles in bilateral lower lobes
d. Capillary blood glucose level 164 mg/dL
ANS: C pg. 350 left lung effusion and atelectasis is common in older adults, can
precipitate pneumonia
2. A nurse is caring for a group of clients. The nurse should obtain a blood pressure using
only the left extremity from which of the following clients?
a. A client who has left-sided Bell’s Palsy
b. A client who has a peripherally inserted central catheter (PICC) in the left arm
c. A client who has right-sided weakness due to Parkinson’s disease
d. A client who has right upper extremity arteriovenous
fistula ANS: D
3. A nurse in a long-term facility is caring for a bedridden client. Which of the
following findings should alert the nurse to a potential complication of the client's
immobility?
a. Blurred vision
b. Confusion
c. Polyuria
d. Diarrhea
ANS: B
4. A client is assessing a client who has pericarditis. In which of the following areas should
the nurse place the stethoscope to best hear pericardial friction rub. (You will find hot
spots to select in the artwork below. Select only the hot spot that corresponds to your
answer)
,ATI MEDSURG 2016 QUESTIONS AND
ANSWERS
1. A nurse is preparing to administer thrombolytic therapy to a client who had an ischemic
stroke. Which of the following is an appropriate nursing action?
a. Start the therapy within 8 hr
b. Insert an indwelling urinary catheter after therapy begins
c. Monitor blood pressure every 30 min during infusion
d. Elevate the head of bed between 25` and 30`
ANS: D
2. A nurse is teaching 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. Exhale slowly through pursed lips
c. Hold breaths about 3-5 seconds before exhaling
d. Position the mouthpiece 2.5 cm (1 in) from the
mouth ANS: C
3. A nurse is assessing a client who is 12 hr postoperative following a colon resection.
Which of the following findings should the nurse report to the surgeon?
a. Heart rate 90/min
b. Hbg 8.2 g/dL
c. Gastric pH of 3.0
d. Absent bowel sounds
ANS: B
4. A nurse is caring for a client who has diabetes insipidus. Which of the
following medications should the nurse plan to administer?
a. Regular insulin
b. Furosemide
c. Desmopressin
d. Lithium
carbonate ANS: C
5. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several
times daily for 3 years. Which of the following tests should the nurse monitor?
,ATI MEDSURG 2016 QUESTIONS AND
ANSWERS
a. Stool for occult blood
b. Urine for white blood cells
c. Fasting blood glucose
d. Serum calcium
, ATI MEDSURG 2016 QUESTIONS AND
ANSWERS
ANS: A
6. A nurse in the emergency department is assessing a client. Which of the following
actions should the nurse take first? (Exhibit)
a. Obtain sputum sample for culture
b. Prepare the client for chest x-ray
c. Initiate airborne precautions
d. Administer Ondansetron
ANS: C
7. A nurse is contacting the provider of a client who has cancer and is experiencing
breakthrough pain. Which of the following prescriptions should the nurse anticipate?
a. Intravenous dexamethasone
b. Transmucosal fentanyl
c. Oral acetaminophen
d. Intramuscular meperidine
ANS: D; p.624
8. A nurse is admitting a client who reports chest pain and has been placed on a telemetry
monitor. Which of the following should the nurse analyze to determine whether the
client is experiencing a myocardial infarction?
a. QRS duration
b. ST segment
c. T wave
d. PR
interval ANS:
B
9. A nurse is teaching a client who has ovarian cancer about skin care following radiation
treatment. Which of the following instructions should the nurse include?
a. Apply over the counter moisturizer to the radiation site
b. Cover the radiation site loosely with a gauze wrap before dressing
c. Use a soft washcloth to clean the area around the radiation site
