ATI Med Surge Exam with complete
updated solutions 2025
A nurse is collecting data on a patient who is scheduled for a cardiac catherization. Which of the
following labs should the nurse review prior to the procedure? - Answers-BUN
a nurse is assisting with the plan of care for a client regarding bowel retraining after after a cervical
spinal cord injury. What should the nurse do? - Answers-A. determine the clients daily elimination
habits
B. administer a suppository 30 min before defecation time
C. offer 4oz of warm prune juice
D. provide dietary bulk to the client to ease passage of stools
Answer: A
A nurse is discussing health screening guidelines with an older adult client. Which of the following
statements should the nurse include? - Answers-A. you should have screening for glaucoma every 5
years
B. You should have a physical examination every other year
C. You should have your hearing checked every 2 years
D. You should have a pneumococcal every 10 years
Answer:D
A nurse is reinforcing teaching with a client who has asthma. Which of the following client
statements indicates an understanding of the use of budesonide and albuterol inhalers? - Answers-
A. I should expect to feel sleepy after using my albuterol inhaler
B. I never forget to rinse my mouth after using my beudesonide inhaler
C. Between office visits i keep track of how many times i use my inhalers
D. I use my albuterol inhaler before I go swimming
E. I should use my beudesonide inhaler before using my albuterol inhaler
,Answer: B,C,D
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? - Answers-A. Halitosis
B. hemorrhoids
C. Rebound tenderness
D. Small liquid stools
Answer: D
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? -
Answers-A. Clean the pin sites every 72hr
B. Use the halo ring to reposition the client when in bed
C. Change the sheepskin liner weekly
D. Tighten the traction as needed
Answer: C
A nurse in an oncology clinic is reinforcing teaching about mohs surgery with a client who has skin
cancer. which of the following information should the nurse include in the teaching? - Answers-A.
Mohs surgery is a horizontal shaving of thin layers of the tumor.
B. Mohs surgery uses liquid nitrogen to destroy the cancerous tissue.
C. Mohs surgery is the preferred treatment for melanoma skin cancer.
D. Mohs surgery is a palliative treatment for metastatic skin cancer.
Answer: A
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? - Answers-A. Five-year history of
menopause manifestations
,B. Topiramate use for migraine headaches
C. Increased serum cholesterol levels
D. History of treatment for blood clots
Answer: D
A nurse is reinforcing teaching with an adolescent client regarding testicular self-examination. Which
of the following statements by the client demonstrates an understanding of the teaching? -
Answers-A. "I will perform the exam before I shower."
B. "I will check my testicles every 6 months."
C. "I understand that testicular cancer is painless."
D. "I understand that pea-sized lumps are normal."
Answer: C
A nurse is reviewing the laboratory results of a client who has chronic kidney failure and is receiving
epoetin alfa. The nurse should identify that which of the following laboratory values indicates the
treatment is effective? - Answers-A.BUN 40 mg/dL
B. Hgb 11 g/dL
C. Urine specific gravity 1.035
D. Blood glucose 105 mg/dL
Answer: B
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? - Answers-A. Sodium 136 mEq/L
B. Potassium 4.8 mEq/L
C. Creatinine 1.9 mg/dL
D. Calcium 10 mg/dL
Answer: C
, 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? - Answers-A. Allow for 30 min of rest
before meals.
B. Provide a straw for drinking liquids.
C. Serve foods at room temperature.
D. Place 2 tsp of food in the client's mouth at a time.
Answer: A
A nurse is contributing to the plan of care for a client who is having difficulty eating following a
stroke. Which of the following interventions should the nurse plan to implement first? - Answers-a.
Collaborate with a dietitian.
B. Provide nutritional supplements.
C. Recommend a referral for a speech language pathologist.
d. Inform assistive personnel about proper positioning.
Answer: C
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? -
Answers-A. Restrict the time pregnant women are allowed in the client's room to 15 min.
B. Pick up a radiation implant with a double-gloved hand if it becomes dislodged.
C. Limit time spent in the client's room to 2 hr during an 8 hr shift.
D. Dispose of radiation implants in a lead container.
Answer: D
A nurse is reviewing the laboratory results of a client who has type 2 diabetes mellitus. The nurse
should identify that which of the following laboratory values indicates the client is at risk for delayed
wound healing? - Answers-A.HbA1c 6%
B.Prealbumin 12 mg/dL
C.WBC 8,000/mm3
D.Creatinine 0.8 mg/dL
updated solutions 2025
A nurse is collecting data on a patient who is scheduled for a cardiac catherization. Which of the
following labs should the nurse review prior to the procedure? - Answers-BUN
a nurse is assisting with the plan of care for a client regarding bowel retraining after after a cervical
spinal cord injury. What should the nurse do? - Answers-A. determine the clients daily elimination
habits
B. administer a suppository 30 min before defecation time
C. offer 4oz of warm prune juice
D. provide dietary bulk to the client to ease passage of stools
Answer: A
A nurse is discussing health screening guidelines with an older adult client. Which of the following
statements should the nurse include? - Answers-A. you should have screening for glaucoma every 5
years
B. You should have a physical examination every other year
C. You should have your hearing checked every 2 years
D. You should have a pneumococcal every 10 years
Answer:D
A nurse is reinforcing teaching with a client who has asthma. Which of the following client
statements indicates an understanding of the use of budesonide and albuterol inhalers? - Answers-
A. I should expect to feel sleepy after using my albuterol inhaler
B. I never forget to rinse my mouth after using my beudesonide inhaler
C. Between office visits i keep track of how many times i use my inhalers
D. I use my albuterol inhaler before I go swimming
E. I should use my beudesonide inhaler before using my albuterol inhaler
,Answer: B,C,D
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? - Answers-A. Halitosis
B. hemorrhoids
C. Rebound tenderness
D. Small liquid stools
Answer: D
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? -
Answers-A. Clean the pin sites every 72hr
B. Use the halo ring to reposition the client when in bed
C. Change the sheepskin liner weekly
D. Tighten the traction as needed
Answer: C
A nurse in an oncology clinic is reinforcing teaching about mohs surgery with a client who has skin
cancer. which of the following information should the nurse include in the teaching? - Answers-A.
Mohs surgery is a horizontal shaving of thin layers of the tumor.
B. Mohs surgery uses liquid nitrogen to destroy the cancerous tissue.
C. Mohs surgery is the preferred treatment for melanoma skin cancer.
D. Mohs surgery is a palliative treatment for metastatic skin cancer.
Answer: A
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? - Answers-A. Five-year history of
menopause manifestations
,B. Topiramate use for migraine headaches
C. Increased serum cholesterol levels
D. History of treatment for blood clots
Answer: D
A nurse is reinforcing teaching with an adolescent client regarding testicular self-examination. Which
of the following statements by the client demonstrates an understanding of the teaching? -
Answers-A. "I will perform the exam before I shower."
B. "I will check my testicles every 6 months."
C. "I understand that testicular cancer is painless."
D. "I understand that pea-sized lumps are normal."
Answer: C
A nurse is reviewing the laboratory results of a client who has chronic kidney failure and is receiving
epoetin alfa. The nurse should identify that which of the following laboratory values indicates the
treatment is effective? - Answers-A.BUN 40 mg/dL
B. Hgb 11 g/dL
C. Urine specific gravity 1.035
D. Blood glucose 105 mg/dL
Answer: B
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? - Answers-A. Sodium 136 mEq/L
B. Potassium 4.8 mEq/L
C. Creatinine 1.9 mg/dL
D. Calcium 10 mg/dL
Answer: C
, 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? - Answers-A. Allow for 30 min of rest
before meals.
B. Provide a straw for drinking liquids.
C. Serve foods at room temperature.
D. Place 2 tsp of food in the client's mouth at a time.
Answer: A
A nurse is contributing to the plan of care for a client who is having difficulty eating following a
stroke. Which of the following interventions should the nurse plan to implement first? - Answers-a.
Collaborate with a dietitian.
B. Provide nutritional supplements.
C. Recommend a referral for a speech language pathologist.
d. Inform assistive personnel about proper positioning.
Answer: C
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? -
Answers-A. Restrict the time pregnant women are allowed in the client's room to 15 min.
B. Pick up a radiation implant with a double-gloved hand if it becomes dislodged.
C. Limit time spent in the client's room to 2 hr during an 8 hr shift.
D. Dispose of radiation implants in a lead container.
Answer: D
A nurse is reviewing the laboratory results of a client who has type 2 diabetes mellitus. The nurse
should identify that which of the following laboratory values indicates the client is at risk for delayed
wound healing? - Answers-A.HbA1c 6%
B.Prealbumin 12 mg/dL
C.WBC 8,000/mm3
D.Creatinine 0.8 mg/dL
