1
ATI PN MED SURG; GU :MEDICAL-SURGICAL ADULT MEDICAL SURGICAL TEST BANK
VERSION A, B AND C ANSWERED/ELABORATED 2023.PN Adult Medical Surgical
1. A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an
IV contrast agent. Which of the following laboratory findings should the nurse report to the
provider prior to the procedure?
Creatine 1.9 mg/dl
2. A nurse is monitoring a client who is take acarbose. Which of the following findings should
the nurse identify as an adverse effect of the medication?
Abdominal Cramps
3. A nurse is assisting with the care of a client who had a cardiac catheterization via the right
femoral artery. Which of the following actions should the nurse take to prevent post-
procedure complications?
Monitor the insertion site for bleeding, Maintain the pressure dressing, Check the client’s
peripheral pulses
4. A nurse is contributing to the plan of care for a client wo has chronic obstructive pulmonary
disease (COPD) and is dyspneic. Which of the following interventions should the nurse include
in the plan?
Encourage abdominal breathing
5. A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an
INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing
zero.)
0.7
6. A nurse is examining a client’s IV and notes a red line up his arm. The client reports a
throbbing, burning pain at the IV site. The nurse should identify that the client’s manifestations
indicate which of the following complications of IV therapy?
Thrombophlebitis
7. A nurse is reinforcing teaching about management of constipation with a client who
has hypothyroidism. Which od the following should the nurse include in the teaching?
Increase intake of fiber-rich foods.
,2
8. A nurse is caring for a client who has a compound fracture of the femur and was placed in
balanced suspension skeletal traction 4 days ago. Which of the following actions should
the nurse take?
Perform pin site care daily
9. A nurse observes a client who is lying in bed experiencing a tonic-clonic seizure. Which of
the following actions should the nurse take?
Loosen clothing around the client’s neck.
10. A nurse is contributing to the plan of care for a client who has multiple sclerosis and is taking
dantrolene to manage muscle spasms. Which of the following interventions should the
nurse include?
Encourage the client to complete ADLs
11. A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client following
a partial gastrectomy for ulcers. Which of the following information should the nurse include
in the teaching?
Avoid liquids at mealtimes.
12. A nurse is collecting data from a client who has heart failure and is taking digoxin. Which of
the following outcomes from the medication should the nurse expect?
Decreased shortness of breath
13. A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of
the following actions should the nurse take when communicating with the client?
Rephrase client instructions when not understood.
14. A nurse is preparing to remove a client's NG tube. Which of the following interventions
should the nurse take to decrease the risk of aspiration?
Pinch the NG tube.
15. A nurse is contributing to the plan of care for an older adult client who is at risk for
osteoporosis. Which of the following interventions should the nurse include to prevent bone
loss?
Encourage weight-bearing exercises.
,3
16. A home health nurse is reinforcing teaching with a client about preventing complications
of peripheral vascular disease. Which of the following statements indicates that the client
is adhering to the nurse's instructions?
"I don't cross my legs anymore."
17. A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client
who has diabetes mellitus. Which of the following statements indicates that the client
understands the teaching?
"I will have my HbA1c checked twice per year."
18. A nurse is assisting the charge nurse with developing an in-service about caring for clients
who have internal sealed radiation implants. Which of the following information should the
nurse include?
Dispose of radiation implants in a lead container.
19. A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of the
following actions should the nurse take to reduce the risk for aspiration?
Allow for 30 min of rest before meals.
20. A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The client
is exhibiting hypotension, tachycardia, and tachypnea. The nurse should recognize that these
findings indicate which of the following complications?
Pulmonary embolism
21. A nurse is reinforcing teaching with a client who has gonorrhea. Which of the
following information should the nurse include?
"You are at risk for infertility with this infection, regardless of treatment."
22. A nurse is contributing to the plan of care for a client who was admitted to the neurological unit
following a stroke 3 hr ago. Which of the following interventions should the nurse identify as
the priority?
Keep the client in a side-lying position.
23. A nurse is assisting in the care of a client who has manifestations of sepsis. Which of
the following provider prescriptions should the nurse implement first?
Initiate oxygen at 4 L/min via nasal cannula.
, 4
24. A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the
following information should the nurse include in the teaching?
"This type of insulin should be given at the same time every day."
25. A nurse is collecting data from a client who has hypothyroidism. Which of the
following manifestations should the nurse anticipate?
Bradycardia
26. A nurse is collecting data from a client who has chronic kidney disease with hyperkalemia.
Which of the following findings should the nurse expect related to hyperkalemia?
Bradycardia
27. A nurse enters the room of a client whose transfusion of packed RBCs was initiated 15 min
ago by the RN. The client reports dyspnea and urticaria. Which of the following actions should
the nurse perform first?
Stop the infusion.
28. A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and
hot flashes. The client is interested in trying hormone replacement therapy (HRT). Which of
the following should the nurse recognize as a contraindication to HRT?
History of treatment for blood clots
29. A nurse is reinforcing teaching with the family of a client who has a cervical injury and has a
halo vest in place. Which of the following safety precautions should the nurse include in the
teaching?
Change the sheepskin liner weekly.
30. A nurse is collecting data from a client who has hypokalemia. Which of the following
findings should the nurse identify as the priority?
Dysrhythmia
31. A nurse in a long-term care facility is collecting data from a client who reports fullness in the
rectum and abdominal cramping. Which of the following findings should indicate to the
nurse that the client might have a fecal impaction?
Small liquid stools
ATI PN MED SURG; GU :MEDICAL-SURGICAL ADULT MEDICAL SURGICAL TEST BANK
VERSION A, B AND C ANSWERED/ELABORATED 2023.PN Adult Medical Surgical
1. A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an
IV contrast agent. Which of the following laboratory findings should the nurse report to the
provider prior to the procedure?
Creatine 1.9 mg/dl
2. A nurse is monitoring a client who is take acarbose. Which of the following findings should
the nurse identify as an adverse effect of the medication?
Abdominal Cramps
3. A nurse is assisting with the care of a client who had a cardiac catheterization via the right
femoral artery. Which of the following actions should the nurse take to prevent post-
procedure complications?
Monitor the insertion site for bleeding, Maintain the pressure dressing, Check the client’s
peripheral pulses
4. A nurse is contributing to the plan of care for a client wo has chronic obstructive pulmonary
disease (COPD) and is dyspneic. Which of the following interventions should the nurse include
in the plan?
Encourage abdominal breathing
5. A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an
INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing
zero.)
0.7
6. A nurse is examining a client’s IV and notes a red line up his arm. The client reports a
throbbing, burning pain at the IV site. The nurse should identify that the client’s manifestations
indicate which of the following complications of IV therapy?
Thrombophlebitis
7. A nurse is reinforcing teaching about management of constipation with a client who
has hypothyroidism. Which od the following should the nurse include in the teaching?
Increase intake of fiber-rich foods.
,2
8. A nurse is caring for a client who has a compound fracture of the femur and was placed in
balanced suspension skeletal traction 4 days ago. Which of the following actions should
the nurse take?
Perform pin site care daily
9. A nurse observes a client who is lying in bed experiencing a tonic-clonic seizure. Which of
the following actions should the nurse take?
Loosen clothing around the client’s neck.
10. A nurse is contributing to the plan of care for a client who has multiple sclerosis and is taking
dantrolene to manage muscle spasms. Which of the following interventions should the
nurse include?
Encourage the client to complete ADLs
11. A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client following
a partial gastrectomy for ulcers. Which of the following information should the nurse include
in the teaching?
Avoid liquids at mealtimes.
12. A nurse is collecting data from a client who has heart failure and is taking digoxin. Which of
the following outcomes from the medication should the nurse expect?
Decreased shortness of breath
13. A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of
the following actions should the nurse take when communicating with the client?
Rephrase client instructions when not understood.
14. A nurse is preparing to remove a client's NG tube. Which of the following interventions
should the nurse take to decrease the risk of aspiration?
Pinch the NG tube.
15. A nurse is contributing to the plan of care for an older adult client who is at risk for
osteoporosis. Which of the following interventions should the nurse include to prevent bone
loss?
Encourage weight-bearing exercises.
,3
16. A home health nurse is reinforcing teaching with a client about preventing complications
of peripheral vascular disease. Which of the following statements indicates that the client
is adhering to the nurse's instructions?
"I don't cross my legs anymore."
17. A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client
who has diabetes mellitus. Which of the following statements indicates that the client
understands the teaching?
"I will have my HbA1c checked twice per year."
18. A nurse is assisting the charge nurse with developing an in-service about caring for clients
who have internal sealed radiation implants. Which of the following information should the
nurse include?
Dispose of radiation implants in a lead container.
19. A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of the
following actions should the nurse take to reduce the risk for aspiration?
Allow for 30 min of rest before meals.
20. A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The client
is exhibiting hypotension, tachycardia, and tachypnea. The nurse should recognize that these
findings indicate which of the following complications?
Pulmonary embolism
21. A nurse is reinforcing teaching with a client who has gonorrhea. Which of the
following information should the nurse include?
"You are at risk for infertility with this infection, regardless of treatment."
22. A nurse is contributing to the plan of care for a client who was admitted to the neurological unit
following a stroke 3 hr ago. Which of the following interventions should the nurse identify as
the priority?
Keep the client in a side-lying position.
23. A nurse is assisting in the care of a client who has manifestations of sepsis. Which of
the following provider prescriptions should the nurse implement first?
Initiate oxygen at 4 L/min via nasal cannula.
, 4
24. A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the
following information should the nurse include in the teaching?
"This type of insulin should be given at the same time every day."
25. A nurse is collecting data from a client who has hypothyroidism. Which of the
following manifestations should the nurse anticipate?
Bradycardia
26. A nurse is collecting data from a client who has chronic kidney disease with hyperkalemia.
Which of the following findings should the nurse expect related to hyperkalemia?
Bradycardia
27. A nurse enters the room of a client whose transfusion of packed RBCs was initiated 15 min
ago by the RN. The client reports dyspnea and urticaria. Which of the following actions should
the nurse perform first?
Stop the infusion.
28. A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and
hot flashes. The client is interested in trying hormone replacement therapy (HRT). Which of
the following should the nurse recognize as a contraindication to HRT?
History of treatment for blood clots
29. A nurse is reinforcing teaching with the family of a client who has a cervical injury and has a
halo vest in place. Which of the following safety precautions should the nurse include in the
teaching?
Change the sheepskin liner weekly.
30. A nurse is collecting data from a client who has hypokalemia. Which of the following
findings should the nurse identify as the priority?
Dysrhythmia
31. A nurse in a long-term care facility is collecting data from a client who reports fullness in the
rectum and abdominal cramping. Which of the following findings should indicate to the
nurse that the client might have a fecal impaction?
Small liquid stools
