ATI RN ADULT MED SURG 2022 ACTUAL EXAM ALL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
A nurse is providing teaching to a patient who has esophageal cancer and is to
undergo radiation therapy. Which of the following statements to the nurse identify
as an indication that the patient understands the teaching?
A. I will wash the ink markings off the radiation area after each treatment
B. I will use my hands rather than a washcloth to clean the radiation area
C. I will be able to be out in the sun one month after my radiation treatments are
over
D. I will use a heating pad on my neck if it becomes sore during radiation therapy -
ANSWER: B. I will use my hands rather than a washcloth to clean the radiation area
A nurse is providing dietary teaching to a patient who has celiac disease. Which of
the following food choices should the nurse identify as an indication that the patient
understands the teaching?
A. Chocolate pudding
B. Grilled chicken breast
C. Macaroni and cheese
D. Peanut butter and saltine crackers - ANSWER: B. Grilled chicken breast
A nurse is caring for a patient who is experiencing acute MI. The nurse should
identify which of the following findings as manifestation of cardiogenic shock?
A. Hypotension
B. Bradypnea
C. Warm dry skin
D. Increased urinary output - ANSWER: A. Hypotension
A nurse is providing teaching to a patient who has hypothyroidism and is receiving
love with the rock scene. The nurse should instruct the client that which of the
following supplements can interfere with this medication?
A. Ginkgo bI lob a
B. Glucosamine
C. Calcium
D. Vitamin C - ANSWER: A. Calcium
A nurse is providing teaching to a patient who is receiving chemotherapy and has a
new prescription for the EPOETOIN ALFA Which of the following patient statements
indicates an understanding of the teaching?
A. I will monitor my BP while taking this med
B. I should take vitamin D supplement to increase the effectiveness of this med
C. An increase in my appetite indicates that the med has reached a toxic level
D. I will decrease the amount of protein in my diet while taking this med - ANSWER:
A. I will monitor my BP while taking this med
,A patient who has emphysema is receiving mechanical ventilation. The patient
appears anxious and restless and the high-pressure alarm is sounding. Which of the
following action should the nurse take first?
A. Teen ABGs
B. Administer PROPOFOL
C. Instruct patient to allow the machine to breathe for him
D. Disconnect the machine and manually ventilate the client - ANSWER: C. Instruct
patient to allow the machine to breathe for him
A nurse is caring for a patient who has AMYOTROPIC lateral sclerosis and is being a
bit it to the hospital with pneumonia. Which of the following assessment findings is
the nurses priority?
A. Temperature 38.4°C 101.1°F
B. Increased respiratory secretions
C. Fluid intake of 200 ML in the prior eight hours
D. Limited range of motion - ANSWER: B. Increased respiratory secretions
A nurse is preparing to give AMIKACIN 500 MG by intermittent IV bolus to a patient.
Available is AMIKACIN 500 MG in dextrose 5% in water 200 ML to infuse over 30
minutes. The nurse should set the IV pump to deliver how many ML/hour? -
ANSWER: 400 mL/hr
A nurse is assessing a patient who has Cushing's disease. Which of the following
findings should the nurse expect?
A. Muscle atrophy
B. Ataxia
C. Weight loss
D. Hypotension - ANSWER: A. Muscle atrophy
A nurse is reviewing the health record of a patient who is scheduled for allergy skin
testing. The nurse should postpone the testing and report to the provider which of
the following findings?
Disease processes
Lab findings
Current meds
Family history - ANSWER: Current meds
A nurse admits a patient who has anorexia, low-grade fever, night sweats, and
productive cough. Which of the following action should the nurse take first?
A. Obtain sputum sample
B. Administer antipyretics
C. Secure venous access
D. Initiate airborne precautions - ANSWER: D. Initiate airborne precautions
, A nurse in a providers office is assessing a patient who has HTN antics propanolol.
Which of the following findings should indicate to the nurse that the patient is
experiencing an adverse reaction to this med??
A. Report of night cough
B. Report of tinnitus
C. Report of excessive tearing
D. Report of increased salivation - ANSWER: A. Report of night cough
A nurse is assessing a patient who is at risk for development of pernicious anemia
resulting from peptic ulcer disease. Which of the following images detects a
condition caused by pernicious anemia? - ANSWER: 3rd pic
Image depicts glossitis which can indicate pernicious anemia. Glossitis a smooth red
tongue is also a manifestation of deficiencies in vitamin B6, zinc, Nisen, folic acid
A nurse is assessing a patient who is taking CARVEDIOL for heart failure. Which of the
following findings is the priority for the nurse to report to the provider?
A. Fatigue
B. Diarrhea
C. Rhinitis
D. Weight gain - ANSWER: D. Weight gain
Can indicate a worsening of the patient's heart failure and require immediate
intervention
A nurse is reviewing the lab results of a patient who had a recent exposure to hep C
virus. Which of the following tests are there nurse identify as indicating the presence
of hep C antibodies?
A. ALT
B. Total Bilirubin
C. ALP
D. Enzyme immunoassay - ANSWER: D. Enzyme immunoassay
A nurse in the ER is caring for a patient who reports chest pain of 8 out of 10. Which
of the following action should the nurse take first?
A. Obtain cardiac enzymes and biomarkers
B. Administer morphine
C. Transfer to ICU
C. Prepare patient for cardiac Cath - ANSWER: B. Administer morphine
A nurse is caring for a patient who is undergoing renal dialysis to treat end-stage
kidney disease. The patient reports muscle cramps and a tingling sensation in his
hands. Which of the following medication should the nurse plan to administer?
A. EPOETIN ALFA
B. FUROSEMIDE
C. CAPTOPRIL
D. Calcium carbonate - ANSWER: D. Calcium carbonate
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
A nurse is providing teaching to a patient who has esophageal cancer and is to
undergo radiation therapy. Which of the following statements to the nurse identify
as an indication that the patient understands the teaching?
A. I will wash the ink markings off the radiation area after each treatment
B. I will use my hands rather than a washcloth to clean the radiation area
C. I will be able to be out in the sun one month after my radiation treatments are
over
D. I will use a heating pad on my neck if it becomes sore during radiation therapy -
ANSWER: B. I will use my hands rather than a washcloth to clean the radiation area
A nurse is providing dietary teaching to a patient who has celiac disease. Which of
the following food choices should the nurse identify as an indication that the patient
understands the teaching?
A. Chocolate pudding
B. Grilled chicken breast
C. Macaroni and cheese
D. Peanut butter and saltine crackers - ANSWER: B. Grilled chicken breast
A nurse is caring for a patient who is experiencing acute MI. The nurse should
identify which of the following findings as manifestation of cardiogenic shock?
A. Hypotension
B. Bradypnea
C. Warm dry skin
D. Increased urinary output - ANSWER: A. Hypotension
A nurse is providing teaching to a patient who has hypothyroidism and is receiving
love with the rock scene. The nurse should instruct the client that which of the
following supplements can interfere with this medication?
A. Ginkgo bI lob a
B. Glucosamine
C. Calcium
D. Vitamin C - ANSWER: A. Calcium
A nurse is providing teaching to a patient who is receiving chemotherapy and has a
new prescription for the EPOETOIN ALFA Which of the following patient statements
indicates an understanding of the teaching?
A. I will monitor my BP while taking this med
B. I should take vitamin D supplement to increase the effectiveness of this med
C. An increase in my appetite indicates that the med has reached a toxic level
D. I will decrease the amount of protein in my diet while taking this med - ANSWER:
A. I will monitor my BP while taking this med
,A patient who has emphysema is receiving mechanical ventilation. The patient
appears anxious and restless and the high-pressure alarm is sounding. Which of the
following action should the nurse take first?
A. Teen ABGs
B. Administer PROPOFOL
C. Instruct patient to allow the machine to breathe for him
D. Disconnect the machine and manually ventilate the client - ANSWER: C. Instruct
patient to allow the machine to breathe for him
A nurse is caring for a patient who has AMYOTROPIC lateral sclerosis and is being a
bit it to the hospital with pneumonia. Which of the following assessment findings is
the nurses priority?
A. Temperature 38.4°C 101.1°F
B. Increased respiratory secretions
C. Fluid intake of 200 ML in the prior eight hours
D. Limited range of motion - ANSWER: B. Increased respiratory secretions
A nurse is preparing to give AMIKACIN 500 MG by intermittent IV bolus to a patient.
Available is AMIKACIN 500 MG in dextrose 5% in water 200 ML to infuse over 30
minutes. The nurse should set the IV pump to deliver how many ML/hour? -
ANSWER: 400 mL/hr
A nurse is assessing a patient who has Cushing's disease. Which of the following
findings should the nurse expect?
A. Muscle atrophy
B. Ataxia
C. Weight loss
D. Hypotension - ANSWER: A. Muscle atrophy
A nurse is reviewing the health record of a patient who is scheduled for allergy skin
testing. The nurse should postpone the testing and report to the provider which of
the following findings?
Disease processes
Lab findings
Current meds
Family history - ANSWER: Current meds
A nurse admits a patient who has anorexia, low-grade fever, night sweats, and
productive cough. Which of the following action should the nurse take first?
A. Obtain sputum sample
B. Administer antipyretics
C. Secure venous access
D. Initiate airborne precautions - ANSWER: D. Initiate airborne precautions
, A nurse in a providers office is assessing a patient who has HTN antics propanolol.
Which of the following findings should indicate to the nurse that the patient is
experiencing an adverse reaction to this med??
A. Report of night cough
B. Report of tinnitus
C. Report of excessive tearing
D. Report of increased salivation - ANSWER: A. Report of night cough
A nurse is assessing a patient who is at risk for development of pernicious anemia
resulting from peptic ulcer disease. Which of the following images detects a
condition caused by pernicious anemia? - ANSWER: 3rd pic
Image depicts glossitis which can indicate pernicious anemia. Glossitis a smooth red
tongue is also a manifestation of deficiencies in vitamin B6, zinc, Nisen, folic acid
A nurse is assessing a patient who is taking CARVEDIOL for heart failure. Which of the
following findings is the priority for the nurse to report to the provider?
A. Fatigue
B. Diarrhea
C. Rhinitis
D. Weight gain - ANSWER: D. Weight gain
Can indicate a worsening of the patient's heart failure and require immediate
intervention
A nurse is reviewing the lab results of a patient who had a recent exposure to hep C
virus. Which of the following tests are there nurse identify as indicating the presence
of hep C antibodies?
A. ALT
B. Total Bilirubin
C. ALP
D. Enzyme immunoassay - ANSWER: D. Enzyme immunoassay
A nurse in the ER is caring for a patient who reports chest pain of 8 out of 10. Which
of the following action should the nurse take first?
A. Obtain cardiac enzymes and biomarkers
B. Administer morphine
C. Transfer to ICU
C. Prepare patient for cardiac Cath - ANSWER: B. Administer morphine
A nurse is caring for a patient who is undergoing renal dialysis to treat end-stage
kidney disease. The patient reports muscle cramps and a tingling sensation in his
hands. Which of the following medication should the nurse plan to administer?
A. EPOETIN ALFA
B. FUROSEMIDE
C. CAPTOPRIL
D. Calcium carbonate - ANSWER: D. Calcium carbonate
