ATI ADULT MEDICAL SURGICAL 2019 (UPDATED) EXAM
ACTUAL 250 QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT) AND EXPLANATION /ALREADY
GRADED A+
A nurse is providing teaching to a client who has end-stage kidney disease and is
waiting for a kidney transplant. Which of the following information should the nurse
provide? - (correct answer) Hemodialysis is sometimes needed after surgery.
A nurse is reviewing the health record of a client who is scheduled for allergy skin
testing. The nurse should postpone the testing and report to the provider which of the
following findings? - (correct answer) Current medications
A nurse is assessing a client who is receiving morphine via a PCA pump. Which of the
following findings indicates an adverse effect of the medication? - (correct answer)
Urinary retention
**** A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of
the following findings should the nurse identify as a component of Cushing's triad? -
(correct answer) Bradycardia
R: A client who has increased intracranial pressure from a traumatic brain injury can
develop bradycardia, which is one component of Cushing's triad. The other components
of Cushing's triad are severe hypertension and a widened pulse pressure.
A nurse is providing teaching for a female client who has recurrent urinary tract
infections. Which of the following information should the nurse include in the teaching? -
(correct answer) Void before and after intercourse
R: The nurse should instruct the client to empty her bladder before and after
intercourse, which flushes bacteria out of the urinary tract and prevents the occurrence
of infection.
A nurse is providing education to a client who has tuberculosis (TB) and his family.
Which of the following information should the nurse include in the teaching? - (correct
answer) Family members in the household should undergo TB testing
A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes
the formation of a hematoma at the insertion site and a decreased pulse rate in the
affected extremity. Which of the following interventions is the nurse's priority? -
(correct answer) Apply firm pressure to the insertion site
A nurse is caring for a client who has cirrhosis of the liver with esophageal varices.
Which of the following activities should the nurse instruct the client to avoid? -
(correct answer) Straining to have bowel movements
, A nurse is providing dietary teaching to a client who has celiac disease. Which of the
following food choices should the nurse identify as an indication that the client
understands the teaching? - (correct answer) Grilled chicken breast
A nurse is providing discharge instructions to a client following an upper gastrointestinal
series with barium contrast. Which of the following information should the nurse
provide? - (correct answer) Increased fluid intake
A nurse is receiving report on a client who is postoperative following an open repair of
Zenker's Diverticulum. The nurse should anticipate the surgical incision to be in which of
the following locations? - (correct answer) Throat
A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the
following assessment findings should the nurse expect? - (correct answer)
Hypoactive bowel sounds
A nurse is providing discharge instructions to a client who has a partial thickness burn of
the hand. Which of the following instructions should the nurse include? - (correct
answer) Wrap fingers with individual dressings
***A nurse is assessing a client following the administration of magnesium sulfate 1g IV
bolus. For which of the following adverse effects should the nurse monitor? - (correct
answer) Respiratory Paralysis
R: The nurse should monitor a client who is receiving magnesium sulfate via IV bolus
closely as the adverse effects can impact the CNS, the cardiovascular system, and the
respiratory system. Respiratory paralysis is a life-threatening adverse effect of
magnesium sulfate.
A nurse is assessing a client's hydration status. Which of the following findings indicate
fluid volume overload? - (correct answer) Distended neck veins
A nurse is assessing a client following the administration of IV penicillin G. Which of the
following findings should indicate to the nurse that the client is experiencing an
anaphylactic reaction? - (correct answer) Flushing
A nurse is providing teaching to a client who has a severe form of stage II Lyme
disease. Which of the following statements made by the client reflects an understanding
of the teaching? - (correct answer) My joints ache because I have Lyme Disease
A nurse is caring for a client who has portal hypertension. The client is vomiting blood
mixed with food after a meal. Which of the following actions should the nurse take first?
- (correct answer) Obtain vital signs
R: The first action the nurse should take using the nursing process is to assess the
client's vital signs. A client who has portal hypertension can develop esophageal
varices, which are fragile and can rupture, resulting in large amounts of blood loss and
shock. Obtaining vital signs provides information about the client's condition that can
contribute to decision making.
ACTUAL 250 QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT) AND EXPLANATION /ALREADY
GRADED A+
A nurse is providing teaching to a client who has end-stage kidney disease and is
waiting for a kidney transplant. Which of the following information should the nurse
provide? - (correct answer) Hemodialysis is sometimes needed after surgery.
A nurse is reviewing the health record of a client who is scheduled for allergy skin
testing. The nurse should postpone the testing and report to the provider which of the
following findings? - (correct answer) Current medications
A nurse is assessing a client who is receiving morphine via a PCA pump. Which of the
following findings indicates an adverse effect of the medication? - (correct answer)
Urinary retention
**** A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of
the following findings should the nurse identify as a component of Cushing's triad? -
(correct answer) Bradycardia
R: A client who has increased intracranial pressure from a traumatic brain injury can
develop bradycardia, which is one component of Cushing's triad. The other components
of Cushing's triad are severe hypertension and a widened pulse pressure.
A nurse is providing teaching for a female client who has recurrent urinary tract
infections. Which of the following information should the nurse include in the teaching? -
(correct answer) Void before and after intercourse
R: The nurse should instruct the client to empty her bladder before and after
intercourse, which flushes bacteria out of the urinary tract and prevents the occurrence
of infection.
A nurse is providing education to a client who has tuberculosis (TB) and his family.
Which of the following information should the nurse include in the teaching? - (correct
answer) Family members in the household should undergo TB testing
A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes
the formation of a hematoma at the insertion site and a decreased pulse rate in the
affected extremity. Which of the following interventions is the nurse's priority? -
(correct answer) Apply firm pressure to the insertion site
A nurse is caring for a client who has cirrhosis of the liver with esophageal varices.
Which of the following activities should the nurse instruct the client to avoid? -
(correct answer) Straining to have bowel movements
, A nurse is providing dietary teaching to a client who has celiac disease. Which of the
following food choices should the nurse identify as an indication that the client
understands the teaching? - (correct answer) Grilled chicken breast
A nurse is providing discharge instructions to a client following an upper gastrointestinal
series with barium contrast. Which of the following information should the nurse
provide? - (correct answer) Increased fluid intake
A nurse is receiving report on a client who is postoperative following an open repair of
Zenker's Diverticulum. The nurse should anticipate the surgical incision to be in which of
the following locations? - (correct answer) Throat
A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the
following assessment findings should the nurse expect? - (correct answer)
Hypoactive bowel sounds
A nurse is providing discharge instructions to a client who has a partial thickness burn of
the hand. Which of the following instructions should the nurse include? - (correct
answer) Wrap fingers with individual dressings
***A nurse is assessing a client following the administration of magnesium sulfate 1g IV
bolus. For which of the following adverse effects should the nurse monitor? - (correct
answer) Respiratory Paralysis
R: The nurse should monitor a client who is receiving magnesium sulfate via IV bolus
closely as the adverse effects can impact the CNS, the cardiovascular system, and the
respiratory system. Respiratory paralysis is a life-threatening adverse effect of
magnesium sulfate.
A nurse is assessing a client's hydration status. Which of the following findings indicate
fluid volume overload? - (correct answer) Distended neck veins
A nurse is assessing a client following the administration of IV penicillin G. Which of the
following findings should indicate to the nurse that the client is experiencing an
anaphylactic reaction? - (correct answer) Flushing
A nurse is providing teaching to a client who has a severe form of stage II Lyme
disease. Which of the following statements made by the client reflects an understanding
of the teaching? - (correct answer) My joints ache because I have Lyme Disease
A nurse is caring for a client who has portal hypertension. The client is vomiting blood
mixed with food after a meal. Which of the following actions should the nurse take first?
- (correct answer) Obtain vital signs
R: The first action the nurse should take using the nursing process is to assess the
client's vital signs. A client who has portal hypertension can develop esophageal
varices, which are fragile and can rupture, resulting in large amounts of blood loss and
shock. Obtaining vital signs provides information about the client's condition that can
contribute to decision making.
