2024 ATI Adult Medical Surgical 2019 New Latest Version
with All Questions from Actual Past Exam and 100%
Correct Answers
Question 1:
A nurse is caring for a female client who has toxic shock syndrome.
Which of the following findings should the nurse expect?
A. Elevated platelet count.
B. Decreased total bilirubin.
C. Hypertension.
D. Generalized rash.
Show correct answer and explanation
Explanation
Toxic shock syndrome (TSS) is a life-threatening condition caused by bacterial
toxins.
Common symptoms include high fever, low blood pressure, headache, rapid
heartbeat, nausea and vomiting, muscle pain, malaise, confusion, and rashes on
the soles and palms.
A generalized rash resembling a sunburn is one of the possible signs and
,symptoms of TSS.
A. Elevated platelet count: TSS does not cause an elevated platelet count.
B. Decreased total bilirubin: TSS does not cause a decrease in total bilirubin levels.
C. Hypertension: TSS causes low blood pressure (hypotension), not high blood
pressure (hypertension).
Question 2:
A nurse is providing instructions about foot care for a client who has peripheral
arterial disease.
The nurse should identify which of the following statements by the client
indicates an understanding of the teaching.
A. "I rest in my recliner with my feet elevated for about an hour every
afternoon.".
B. "l apply a lubricating lotion to the cracked areas on the soles of my feet every
morning.".
C. "I soak my feet in hot water before trimming my toenails.".
D. "I use my heating pad on a low setting to keep my feet warm.".
Show correct answer and explanation
Explanation
“I rest in my recliner with my feet elevated for about an hour every afternoon.”
Elevating the feet can help improve blood flow and reduce swelling.
,B. “l apply a lubricating lotion to the cracked areas on the soles of my feet every
morning.” While moisturizing the feet is important, it is not specific to peripheral
arterial disease.
C. “I soak my feet in hot water before trimming my toenails.” Soaking the feet in
hot water is not recommended for people with peripheral arterial disease.
D. “I use my heating pad on a low setting to keep my feet warm.” While keeping
the feet warm is important, using a heating pad is not recommended as it can
cause burns.
Question 3:
A nurse is assessing a client who has a pressure ulcer.
Which of the following findings should the nurse expect as an indication the
wound is healing?
A. Dark red granulation tissue.
B. Light yellow exudate.
C. Dry brown eschar.
D. Wound tissue firm to palpation.
, Show correct answer and explanation
Explanation
Granulation tissue is new connective tissue and tiny blood vessels that form on
the surfaces of a wound during the healing process.
The presence of dark red granulation tissue is a sign that the wound is healing.
B.Light yellow exudate: Light yellow exudate may indicate the presence of
infection and is not a sign of healing.
C. Dry brown eschar: Dry brown eschar is dead tissue that needs to be removed
for the wound to heal properly.
D.Wound tissue firm to palpation: Wound tissue firm to palpation is not a specific
sign of healing.
Question 4:
A nurse is caring for a client in diabetic ketoacidosis (DKA).
Which of the following is the priority intervention by the nurse?
with All Questions from Actual Past Exam and 100%
Correct Answers
Question 1:
A nurse is caring for a female client who has toxic shock syndrome.
Which of the following findings should the nurse expect?
A. Elevated platelet count.
B. Decreased total bilirubin.
C. Hypertension.
D. Generalized rash.
Show correct answer and explanation
Explanation
Toxic shock syndrome (TSS) is a life-threatening condition caused by bacterial
toxins.
Common symptoms include high fever, low blood pressure, headache, rapid
heartbeat, nausea and vomiting, muscle pain, malaise, confusion, and rashes on
the soles and palms.
A generalized rash resembling a sunburn is one of the possible signs and
,symptoms of TSS.
A. Elevated platelet count: TSS does not cause an elevated platelet count.
B. Decreased total bilirubin: TSS does not cause a decrease in total bilirubin levels.
C. Hypertension: TSS causes low blood pressure (hypotension), not high blood
pressure (hypertension).
Question 2:
A nurse is providing instructions about foot care for a client who has peripheral
arterial disease.
The nurse should identify which of the following statements by the client
indicates an understanding of the teaching.
A. "I rest in my recliner with my feet elevated for about an hour every
afternoon.".
B. "l apply a lubricating lotion to the cracked areas on the soles of my feet every
morning.".
C. "I soak my feet in hot water before trimming my toenails.".
D. "I use my heating pad on a low setting to keep my feet warm.".
Show correct answer and explanation
Explanation
“I rest in my recliner with my feet elevated for about an hour every afternoon.”
Elevating the feet can help improve blood flow and reduce swelling.
,B. “l apply a lubricating lotion to the cracked areas on the soles of my feet every
morning.” While moisturizing the feet is important, it is not specific to peripheral
arterial disease.
C. “I soak my feet in hot water before trimming my toenails.” Soaking the feet in
hot water is not recommended for people with peripheral arterial disease.
D. “I use my heating pad on a low setting to keep my feet warm.” While keeping
the feet warm is important, using a heating pad is not recommended as it can
cause burns.
Question 3:
A nurse is assessing a client who has a pressure ulcer.
Which of the following findings should the nurse expect as an indication the
wound is healing?
A. Dark red granulation tissue.
B. Light yellow exudate.
C. Dry brown eschar.
D. Wound tissue firm to palpation.
, Show correct answer and explanation
Explanation
Granulation tissue is new connective tissue and tiny blood vessels that form on
the surfaces of a wound during the healing process.
The presence of dark red granulation tissue is a sign that the wound is healing.
B.Light yellow exudate: Light yellow exudate may indicate the presence of
infection and is not a sign of healing.
C. Dry brown eschar: Dry brown eschar is dead tissue that needs to be removed
for the wound to heal properly.
D.Wound tissue firm to palpation: Wound tissue firm to palpation is not a specific
sign of healing.
Question 4:
A nurse is caring for a client in diabetic ketoacidosis (DKA).
Which of the following is the priority intervention by the nurse?
