ATI RN ADULT MEDICAL SURGICAL
2024-2025 WITH LATEST QUESTIONS
AND CORRECT ANSWERS ALREADY
GRADED A+
Seizure precautions - ANS-Ensure client has IV access for seizure medication administration.
Postoperative lab values - ANS-Report Hgb level of 8 g/dL to provider as an indicator of postoperative
hemorrhage or anemia.
ESWL procedure - ANS-Expect stone fragments in the urine after extracorporeal shock wave lithotripsy.
Airborne precautions - ANS-Initiate airborne precautions for a client with anorexia, low-grade fever,
night sweats, and productive cough, as these are manifestations of tuberculosis.
TPN administration - ANS-Administer dextrose 10% in water until new TPN bag arrives to avoid drop in
blood glucose level.
, Levothyroxine interaction - ANS-Instruct client to avoid taking calcium within 4 hr of levothyroxine
administration, as calcium can interfere with the effectiveness of the medication.
DKA laboratory findings - ANS-Expect elevated BUN levels in a client with diabetic ketoacidosis.
Follow-up findings - ANS-Follow up on visual disturbances, tingling of the lips, hand grasps, and
expressive aphasia.
Epoetin alfa understanding - ANS-Understand that taking the medication will increase energy levels.
Pancreatitis laboratory findings - ANS-Expect decreased calcium levels in a client with pancreatitis.
TPN infusion rate calculation - ANS-Set the IV pump at 167 mL/hr to deliver 2000 kcal/day with a TPN
solution concentration of 500 kcal/L.
Mechanical ventilation anxiety - ANS-Instruct client to allow the machine to breathe for them to reduce
anxiety and restlessness associated with fighting the ventilator.
Adverse effect of enalapril - ANS-Identify orthostatic hypotension as an adverse effect of enalapril.
Delayed wound healing - ANS-Identify urine output of 25 mL/hr as a finding that contributes to delayed
wound healing.
Hypothyroidism and opioid analgesic - ANS-Instruct client to void every 4 hours to decrease the risk of
urinary retention, which is an adverse effect of opioid analgesics.
Portal hypertension - ANS-Obtain vital signs first when caring for a client who is vomiting blood mixed
with food after a meal, as this indicates a potential rupture of esophageal varices.
Gastrectomy postoperative instructions - ANS-Instruct client to avoid drinking fluids with meals, eat
several small meals per day, consume high-protein snacks, and avoid highly seasoned foods.
2024-2025 WITH LATEST QUESTIONS
AND CORRECT ANSWERS ALREADY
GRADED A+
Seizure precautions - ANS-Ensure client has IV access for seizure medication administration.
Postoperative lab values - ANS-Report Hgb level of 8 g/dL to provider as an indicator of postoperative
hemorrhage or anemia.
ESWL procedure - ANS-Expect stone fragments in the urine after extracorporeal shock wave lithotripsy.
Airborne precautions - ANS-Initiate airborne precautions for a client with anorexia, low-grade fever,
night sweats, and productive cough, as these are manifestations of tuberculosis.
TPN administration - ANS-Administer dextrose 10% in water until new TPN bag arrives to avoid drop in
blood glucose level.
, Levothyroxine interaction - ANS-Instruct client to avoid taking calcium within 4 hr of levothyroxine
administration, as calcium can interfere with the effectiveness of the medication.
DKA laboratory findings - ANS-Expect elevated BUN levels in a client with diabetic ketoacidosis.
Follow-up findings - ANS-Follow up on visual disturbances, tingling of the lips, hand grasps, and
expressive aphasia.
Epoetin alfa understanding - ANS-Understand that taking the medication will increase energy levels.
Pancreatitis laboratory findings - ANS-Expect decreased calcium levels in a client with pancreatitis.
TPN infusion rate calculation - ANS-Set the IV pump at 167 mL/hr to deliver 2000 kcal/day with a TPN
solution concentration of 500 kcal/L.
Mechanical ventilation anxiety - ANS-Instruct client to allow the machine to breathe for them to reduce
anxiety and restlessness associated with fighting the ventilator.
Adverse effect of enalapril - ANS-Identify orthostatic hypotension as an adverse effect of enalapril.
Delayed wound healing - ANS-Identify urine output of 25 mL/hr as a finding that contributes to delayed
wound healing.
Hypothyroidism and opioid analgesic - ANS-Instruct client to void every 4 hours to decrease the risk of
urinary retention, which is an adverse effect of opioid analgesics.
Portal hypertension - ANS-Obtain vital signs first when caring for a client who is vomiting blood mixed
with food after a meal, as this indicates a potential rupture of esophageal varices.
Gastrectomy postoperative instructions - ANS-Instruct client to avoid drinking fluids with meals, eat
several small meals per day, consume high-protein snacks, and avoid highly seasoned foods.
