ATI RN MEDICAL SURGICAL EXAM
QUESTIONS AND ANSWERS.
Ainurseioniaimedical-surgicaliunitiisireceivingichange-of-shiftireport
onifouriclients.iWhichiofitheifollowingiclientsishoulditheinurse
identifyiasihavingitheigreatestiriskiforidevelopingianiinfection?
a) Aiclientiwhoihasiaiclosedifractureiofitheiarmiandiisireceivingian
opioidipainimedication
b) AiclientiwhoihasiCOPDiandiisireceivingisteroiditherapy
c) Aiclientiwhoiisipostoperativeifollowingiailaparoscopic
appendectomyiandiisireceivingianiantibiotic
d) Aiclientiwhoihasiaideepiveinithrombosisi(DVT)iandiisireceiving
anticoagulantitherapyi-iANSWERi-b)iAiclientiwhoihasiCOPDiandiis
receivingisteroiditherapy
Ainurseiinianiemergencyidepartmentiisiassessingianiolderiadult
clientiwhoihasiaifracturediwristifollowingiaifall.iDuringithe
assessment,itheiclientistates,i"LastiweekiIicrashedimyicaribecause
myivisionisuddenlyiwentiblurry."iWhichiofitheifollowingiactionsiisithe
nurse'sipriority?
,a) Checkitheiclient'sineurologicalistatus
b) Documentitheiclient'sistatements
c) PrepareitheiclientiforiaiCTiscan
d) Teachitheiclientiaboutiusingisafetyiprecautionsiforifallsi-iANSWER
-a)iCheckitheiclient'sineurologicalistatus
Ainurseiisiprovidingipreoperativeiteachingiforiaiclientiwhoiis
schedulediforianiopenicholecystectomy.iWhichiofitheifollowing
actionsishoulditheinurseitake?
a) Teachitheiimportanceiofiaicleariliquididietiafteridischarge
b) Tellitheiclientitoiremoveiincisionaliadhesiveistripsi3idaysiafter
discharge
c) Demonstrateiwaysitoideepibreathiandicough
d) Instructitheiclientitoimaintainibedrestifori48ihoursi-iANSWERi-c)
Demonstrateiwaysitoideepibreathiandicough
Ainurseiinianiemergencyidepartmentiisicaringiforiaiclientiwhoihas
full-thicknessiburnsioveri20%iofihisitotalibodyisurfaceiarea.iAfter
ensuringiaipatentiairwayiandiadministeringioxygen,iwhichiofithe
followingiitemsishoulditheinurseiprepareitoiadminister?
,a) IVifluids
b) Analgesia
c) Antibiotics
d) Tetanusitoxoidi-iANSWERi-a)iIVifluids
Ainurseiiniaiprovider'siofficeiisiassessingiaiclientiwhoihasimigraine
headachesiandiisitakingifeverfewitoipreventiheriheadaches.iThe
nurseishouldiidentifyithatiwhichiofitheifollowingiclientimedications
interactsiwithifeverfew?
a) Metoprolol
b) Bupropion
c) Naproxen
d) Atorvastatini-iANSWERi-c)iNaproxen
Ainurseiisiprovidingidischargeiteachingitoiaiclientiwhoihasilaryngeal
canceriandiisireceivingiradiationitreatment.iWhichiofitheifollowing
statementsimadeibyitheiclientiindicatesianiunderstandingiofithe
teaching?
a) IiwilliweariaibadgeitoimeasureihowimuchiradiationiIiamireceiving
, b) Iiwilliremoveitheimarkingsionitheiskiniafterieachiradiation
treatment
c) Iiwilliavoididirectiexposureitoitheisun
d) Iiwillirinseimyimouthiwithiaicommercialimouthwashi-iANSWERi-c)iI
williavoididirectiexposureitoitheisun
Ainurseiisipreparingitoiadministeriaiblooditransfusionitoiaiclientiwho
hasianemia.iWhichiofitheifollowingiactionsishoulditheinurseitake
first?
a) Obtainitheiclient'sivitalisigns
b) Describeitheiblooditransfusioniprocedureitoitheiclient
c) Checkiforitheitypeiandinumberiofiunitsiofiblooditoiadminister
d) InitiateiaiperipheraliIVi-iANSWERi-c)iCheckiforitheitypeiand
numberiofiunitsiofiblooditoiadminister
Ainurseiisicaringiforiaiclientiwhoihasiaiprescriptioniforienalapril.iThe
nurseishouldiidentifyiwhichiofitheifollowingifindingsiasianiadverse
effectiofitheimedication?
a) Bradycardia
b) Tremors
QUESTIONS AND ANSWERS.
Ainurseioniaimedical-surgicaliunitiisireceivingichange-of-shiftireport
onifouriclients.iWhichiofitheifollowingiclientsishoulditheinurse
identifyiasihavingitheigreatestiriskiforidevelopingianiinfection?
a) Aiclientiwhoihasiaiclosedifractureiofitheiarmiandiisireceivingian
opioidipainimedication
b) AiclientiwhoihasiCOPDiandiisireceivingisteroiditherapy
c) Aiclientiwhoiisipostoperativeifollowingiailaparoscopic
appendectomyiandiisireceivingianiantibiotic
d) Aiclientiwhoihasiaideepiveinithrombosisi(DVT)iandiisireceiving
anticoagulantitherapyi-iANSWERi-b)iAiclientiwhoihasiCOPDiandiis
receivingisteroiditherapy
Ainurseiinianiemergencyidepartmentiisiassessingianiolderiadult
clientiwhoihasiaifracturediwristifollowingiaifall.iDuringithe
assessment,itheiclientistates,i"LastiweekiIicrashedimyicaribecause
myivisionisuddenlyiwentiblurry."iWhichiofitheifollowingiactionsiisithe
nurse'sipriority?
,a) Checkitheiclient'sineurologicalistatus
b) Documentitheiclient'sistatements
c) PrepareitheiclientiforiaiCTiscan
d) Teachitheiclientiaboutiusingisafetyiprecautionsiforifallsi-iANSWER
-a)iCheckitheiclient'sineurologicalistatus
Ainurseiisiprovidingipreoperativeiteachingiforiaiclientiwhoiis
schedulediforianiopenicholecystectomy.iWhichiofitheifollowing
actionsishoulditheinurseitake?
a) Teachitheiimportanceiofiaicleariliquididietiafteridischarge
b) Tellitheiclientitoiremoveiincisionaliadhesiveistripsi3idaysiafter
discharge
c) Demonstrateiwaysitoideepibreathiandicough
d) Instructitheiclientitoimaintainibedrestifori48ihoursi-iANSWERi-c)
Demonstrateiwaysitoideepibreathiandicough
Ainurseiinianiemergencyidepartmentiisicaringiforiaiclientiwhoihas
full-thicknessiburnsioveri20%iofihisitotalibodyisurfaceiarea.iAfter
ensuringiaipatentiairwayiandiadministeringioxygen,iwhichiofithe
followingiitemsishoulditheinurseiprepareitoiadminister?
,a) IVifluids
b) Analgesia
c) Antibiotics
d) Tetanusitoxoidi-iANSWERi-a)iIVifluids
Ainurseiiniaiprovider'siofficeiisiassessingiaiclientiwhoihasimigraine
headachesiandiisitakingifeverfewitoipreventiheriheadaches.iThe
nurseishouldiidentifyithatiwhichiofitheifollowingiclientimedications
interactsiwithifeverfew?
a) Metoprolol
b) Bupropion
c) Naproxen
d) Atorvastatini-iANSWERi-c)iNaproxen
Ainurseiisiprovidingidischargeiteachingitoiaiclientiwhoihasilaryngeal
canceriandiisireceivingiradiationitreatment.iWhichiofitheifollowing
statementsimadeibyitheiclientiindicatesianiunderstandingiofithe
teaching?
a) IiwilliweariaibadgeitoimeasureihowimuchiradiationiIiamireceiving
, b) Iiwilliremoveitheimarkingsionitheiskiniafterieachiradiation
treatment
c) Iiwilliavoididirectiexposureitoitheisun
d) Iiwillirinseimyimouthiwithiaicommercialimouthwashi-iANSWERi-c)iI
williavoididirectiexposureitoitheisun
Ainurseiisipreparingitoiadministeriaiblooditransfusionitoiaiclientiwho
hasianemia.iWhichiofitheifollowingiactionsishoulditheinurseitake
first?
a) Obtainitheiclient'sivitalisigns
b) Describeitheiblooditransfusioniprocedureitoitheiclient
c) Checkiforitheitypeiandinumberiofiunitsiofiblooditoiadminister
d) InitiateiaiperipheraliIVi-iANSWERi-c)iCheckiforitheitypeiand
numberiofiunitsiofiblooditoiadminister
Ainurseiisicaringiforiaiclientiwhoihasiaiprescriptioniforienalapril.iThe
nurseishouldiidentifyiwhichiofitheifollowingifindingsiasianiadverse
effectiofitheimedication?
a) Bradycardia
b) Tremors
