ATI Med surg Practice 2025-Questions with
Correct Answers
Cardiac output is the relationship between ____________ and _____________.
stoke volume & heart rate
Diverticular disease manifestations
Abdominal distention. A client who has __________ can have abdominal distention due to the
herniation, inflammation, or perforation of the diverticulum, causing protrusion of the
abdomen.
Empty your ostomy pouch when it is _______ to ______ of the way full.
1/3 to 1/2 bc a heavy bag can pull and break the seal on the skin
Patient just had a vertebral compression fracture (VCF) and is postop following a kyphoplasty.
What intervention should nurse do?
The nurse should position the client supine with the head of the bed flat for 1 to 2 hr
following the procedure until the bone cement is set in the vertebral area.
Nurse is caring for a pt with a fistula for hemodialysis. What is an appropriate nursing action?
- The nurse should take the client's weight before and after each dialysis treatment to
evaluate the amount of fluid removed during the treatment.
- Inform dialysis tx lasts about 4 hrs
DO NOT:
- admin meds before (admin after dialysis bc meds are dialyzable)
, - The nurse should not perform routine venipunctures using the AV fistula or use the
extremity in which the AV fistula is located to reduce the risk for clot formation.
Planning care for pt with low cardiac output from heart failure. What med should nurse
administer?
According to evidence-based practice, the nurse should FIRST plan to administer enalapril,
which is an ACE inhibitor. Enalapril causes dilation of the arteries, improves stroke volume,
and decreases afterload. The result is to increase cardiac output.
Pt has hx of coronary artery disease and is experiencing chest pain and nausea. Which finding
should nurse report to provider immediately?
a. Total cholesterol 260 mg/dL
b. RBC count 6.2 million/mm3
c. Troponin T 0.3 ng/mL
d. C-reactive protein 1.3 mg/dL
c. Troponin T 0.3 ng/mL. When using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding is a troponin T level of 0.3 ng/mL, which is
above the expected reference range. This can indicate the client is experiencing
myocardial injury or infarction and requires immediate intervention.
Pt experiencing tonic clonic seizure. What should nurse do?
- Loosen restricting clothing. Loosen tie around neck so airway is not obstructed.
- Place pt on their side to allow secretions to drain and prevent aspiration
- DON'T restrain pt
- DON'T insert tongue blade
What pt education will you provide to pt w/ DM regarding foot care?
- Trim nails straight across (emery board to smooth)
- Wear cotton socks to reduce risk of tissue damage
Correct Answers
Cardiac output is the relationship between ____________ and _____________.
stoke volume & heart rate
Diverticular disease manifestations
Abdominal distention. A client who has __________ can have abdominal distention due to the
herniation, inflammation, or perforation of the diverticulum, causing protrusion of the
abdomen.
Empty your ostomy pouch when it is _______ to ______ of the way full.
1/3 to 1/2 bc a heavy bag can pull and break the seal on the skin
Patient just had a vertebral compression fracture (VCF) and is postop following a kyphoplasty.
What intervention should nurse do?
The nurse should position the client supine with the head of the bed flat for 1 to 2 hr
following the procedure until the bone cement is set in the vertebral area.
Nurse is caring for a pt with a fistula for hemodialysis. What is an appropriate nursing action?
- The nurse should take the client's weight before and after each dialysis treatment to
evaluate the amount of fluid removed during the treatment.
- Inform dialysis tx lasts about 4 hrs
DO NOT:
- admin meds before (admin after dialysis bc meds are dialyzable)
, - The nurse should not perform routine venipunctures using the AV fistula or use the
extremity in which the AV fistula is located to reduce the risk for clot formation.
Planning care for pt with low cardiac output from heart failure. What med should nurse
administer?
According to evidence-based practice, the nurse should FIRST plan to administer enalapril,
which is an ACE inhibitor. Enalapril causes dilation of the arteries, improves stroke volume,
and decreases afterload. The result is to increase cardiac output.
Pt has hx of coronary artery disease and is experiencing chest pain and nausea. Which finding
should nurse report to provider immediately?
a. Total cholesterol 260 mg/dL
b. RBC count 6.2 million/mm3
c. Troponin T 0.3 ng/mL
d. C-reactive protein 1.3 mg/dL
c. Troponin T 0.3 ng/mL. When using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding is a troponin T level of 0.3 ng/mL, which is
above the expected reference range. This can indicate the client is experiencing
myocardial injury or infarction and requires immediate intervention.
Pt experiencing tonic clonic seizure. What should nurse do?
- Loosen restricting clothing. Loosen tie around neck so airway is not obstructed.
- Place pt on their side to allow secretions to drain and prevent aspiration
- DON'T restrain pt
- DON'T insert tongue blade
What pt education will you provide to pt w/ DM regarding foot care?
- Trim nails straight across (emery board to smooth)
- Wear cotton socks to reduce risk of tissue damage
