2024 ATI RN ADULT MEDICAL SURGICAL EXAM QUESTIONS AND ANSWERS EXAM
| ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EXAM | ACCURATE REAL
EXAM QUESTIONS AND ANSWERS | GUARANTEED PASS | LATEST UPDATE
A nurse is providing teaching for the client. Which of the following
instructions should the nurse include?
Select all that apply.
(Select All that Apply.)
Eat several small meals per day.
Consume high-protein snacks.
Maintain a high carbohydrate intake.
Avoid drinking fluids with meals.
Eat five servings of fresh fruit per day.
Avoid highly seasoned foods. - CORRECT ANSWER Avoid drinking
fluids with meals.
Consume high-protein snacks.
Avoid highly seasoned foods.
Eat several small meals per day.
The nurse provided preoperative teaching to the client. Which of the
following statements by the client indicates an understanding of the
teaching?
Select all that apply.
"My physical therapy will start after I leave the hospital."
"I will probably be going home with a walker."
"I will be sure to ask for pain medication before my knee starts to hurt too
bad."
"I will need to do the breathing exercises every 1 to 2 hours after the
surgery."
"Well, I guess there's no changing my mind about having surgery now." -
CORRECT ANSWER "I will be sure to ask for pain medication before
my knee starts to hurt too bad."
"I will need to do the breathing exercises every 1 to 2 hours after the
surgery."
"I will probably be going home with a walker."
,A nurse is teaching a client who has a cardiac dysrhythmia about the
purpose of undergoing continuous telemetry monitoring. Which of the
following statements by the client reflects an understanding of the
teaching?
"This measures how much blood my heart is pumping."
"This identifies if I have a defective heart valve."
"This identifies if the pacemaker cells of my heart are working properly."
"This measures the blood circulating to my heart muscle." - CORRECT
ANSWER "This identifies if the pacemaker cells of my heart are
working properly."
A nurse is preparing to administer phenytoin 600 mg PO daily to a client.
The amount available is oral solution 125 mg/5 mL. How many mL should
the nurse administer? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.) - CORRECT
ANSWER 24 mL
A nurse is providing discharge teaching to a client who has heart failure
and a new prescription for a potassium-sparing diuretic. Which of the
following information should the nurse include in the teaching?
Try to walk at least three times per week for exercise.
To increase stamina, walk for 5 min after fatigue begins.
Take over-the-counter cough medicine for persistent cough.
Use a salt substitute to reduce sodium intake. - CORRECT ANSWER
Try to walk at least three times per week for exercise.
A nurse in an ICU is assessing a client who has a traumatic brain injury.
Which of the following findings should the nurse identify as a component
of Cushing's triad?
Hypotension
Tachypnea
Nuchal rigidity
Bradycardia - CORRECT ANSWER Bradycardia
,A nurse and an assistive personnel (AP) are caring for a client who has
bacterial meningitis. The nurse should give the AP which of the following
instructions?
Wear a mask.
Wear a gown.
Keep the client's room well-lit.
Maintain the head of the bed at a 45° elevation. - CORRECT ANSWER
Wear a mask.
A nurse is planning care for a client who is having a modified radical
mastectomy of the right breast. Which of the following interventions
should the nurse include in the plan of care?
Instruct the client that the drain will be removed when there is 25 mL of
output or less over a 24-hr period.
Assist the client to start arm exercises 48 hr after surgery.
Maintain the right arm in an extended position at the client's side when in
bed.
Place the client in a supine position for the first 24 hr after surgery. -
CORRECT ANSWER Instruct the client that the drain will be
removed when there is 25 mL of output or less over a 24-hr period.
A nurse is assessing a client who has acute cholecystitis. Which of the
following findings is the nurse's priority?
Anorexia
Abdominal pain radiating to the right shoulder
Rebound abdominal tenderness
Tachycardia - CORRECT ANSWER Tachycardia
A nurse is providing teaching to a client who has irritable bowel syndrome
(IBS). Which of the following instructions should the nurse include in the
teaching?
Take an antacid before meals and at bedtime.
Increase fiber intake to at least 30 g per day.
Drink ginger tea daily.
Consume no more than 1 L of water per day. - CORRECT ANSWER
Increase fiber intake to at least 30 g per day.
, A nurse is caring for a client who is receiving morphine for daily dressing
changes. The client tells the nurse, "I don't want any more morphine
because I don't want to get addicted." Which of the following actions
should the nurse take?
Administer a placebo to the client without their knowledge.
Instruct the client on alternative therapies for pain reduction.
Tell the client not to worry about addiction to prescribed narcotics.
Suggest the client receive a different opioid for pain reduction. -
CORRECT ANSWER Instruct the client on alternative therapies for
pain reduction.
A nurse is assessing for compartment syndrome in a client who has a
short leg cast. Which of the following findings should the nurse identify as
a manifestation of this condition?
Bounding pedal pulse
Capillary refill less than 2 seconds
Pain that increases with passive movement
Areas of warmth on the cast - CORRECT ANSWER Pain that
increases with passive movement
A nurse is assessing a client who has had a plaster cast applied to their
left leg 2 hr ago. Which of the following actions should the nurse take?
Inspect the cast for drainage once every 24 hr.
Check that one finger fits between the cast and the leg.
Perform neurovascular checks every 2 to 3 hr.
Make sure the client has a warm blanket covering the cast. - CORRECT
ANSWER Check that one finger fits between the cast and the leg.
A nurse is providing discharge instructions to a client who has a partial-
thickness burn on the hand. Which of the following instructions should the
nurse include?
Change the dressing every 72 hr.
Immobilize the hand with a pressure dressing.
Take pain medication 30 min after changing the dressing.
Wrap fingers with individual dressings. - CORRECT ANSWER Wrap
fingers with individual dressings.
| ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EXAM | ACCURATE REAL
EXAM QUESTIONS AND ANSWERS | GUARANTEED PASS | LATEST UPDATE
A nurse is providing teaching for the client. Which of the following
instructions should the nurse include?
Select all that apply.
(Select All that Apply.)
Eat several small meals per day.
Consume high-protein snacks.
Maintain a high carbohydrate intake.
Avoid drinking fluids with meals.
Eat five servings of fresh fruit per day.
Avoid highly seasoned foods. - CORRECT ANSWER Avoid drinking
fluids with meals.
Consume high-protein snacks.
Avoid highly seasoned foods.
Eat several small meals per day.
The nurse provided preoperative teaching to the client. Which of the
following statements by the client indicates an understanding of the
teaching?
Select all that apply.
"My physical therapy will start after I leave the hospital."
"I will probably be going home with a walker."
"I will be sure to ask for pain medication before my knee starts to hurt too
bad."
"I will need to do the breathing exercises every 1 to 2 hours after the
surgery."
"Well, I guess there's no changing my mind about having surgery now." -
CORRECT ANSWER "I will be sure to ask for pain medication before
my knee starts to hurt too bad."
"I will need to do the breathing exercises every 1 to 2 hours after the
surgery."
"I will probably be going home with a walker."
,A nurse is teaching a client who has a cardiac dysrhythmia about the
purpose of undergoing continuous telemetry monitoring. Which of the
following statements by the client reflects an understanding of the
teaching?
"This measures how much blood my heart is pumping."
"This identifies if I have a defective heart valve."
"This identifies if the pacemaker cells of my heart are working properly."
"This measures the blood circulating to my heart muscle." - CORRECT
ANSWER "This identifies if the pacemaker cells of my heart are
working properly."
A nurse is preparing to administer phenytoin 600 mg PO daily to a client.
The amount available is oral solution 125 mg/5 mL. How many mL should
the nurse administer? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.) - CORRECT
ANSWER 24 mL
A nurse is providing discharge teaching to a client who has heart failure
and a new prescription for a potassium-sparing diuretic. Which of the
following information should the nurse include in the teaching?
Try to walk at least three times per week for exercise.
To increase stamina, walk for 5 min after fatigue begins.
Take over-the-counter cough medicine for persistent cough.
Use a salt substitute to reduce sodium intake. - CORRECT ANSWER
Try to walk at least three times per week for exercise.
A nurse in an ICU is assessing a client who has a traumatic brain injury.
Which of the following findings should the nurse identify as a component
of Cushing's triad?
Hypotension
Tachypnea
Nuchal rigidity
Bradycardia - CORRECT ANSWER Bradycardia
,A nurse and an assistive personnel (AP) are caring for a client who has
bacterial meningitis. The nurse should give the AP which of the following
instructions?
Wear a mask.
Wear a gown.
Keep the client's room well-lit.
Maintain the head of the bed at a 45° elevation. - CORRECT ANSWER
Wear a mask.
A nurse is planning care for a client who is having a modified radical
mastectomy of the right breast. Which of the following interventions
should the nurse include in the plan of care?
Instruct the client that the drain will be removed when there is 25 mL of
output or less over a 24-hr period.
Assist the client to start arm exercises 48 hr after surgery.
Maintain the right arm in an extended position at the client's side when in
bed.
Place the client in a supine position for the first 24 hr after surgery. -
CORRECT ANSWER Instruct the client that the drain will be
removed when there is 25 mL of output or less over a 24-hr period.
A nurse is assessing a client who has acute cholecystitis. Which of the
following findings is the nurse's priority?
Anorexia
Abdominal pain radiating to the right shoulder
Rebound abdominal tenderness
Tachycardia - CORRECT ANSWER Tachycardia
A nurse is providing teaching to a client who has irritable bowel syndrome
(IBS). Which of the following instructions should the nurse include in the
teaching?
Take an antacid before meals and at bedtime.
Increase fiber intake to at least 30 g per day.
Drink ginger tea daily.
Consume no more than 1 L of water per day. - CORRECT ANSWER
Increase fiber intake to at least 30 g per day.
, A nurse is caring for a client who is receiving morphine for daily dressing
changes. The client tells the nurse, "I don't want any more morphine
because I don't want to get addicted." Which of the following actions
should the nurse take?
Administer a placebo to the client without their knowledge.
Instruct the client on alternative therapies for pain reduction.
Tell the client not to worry about addiction to prescribed narcotics.
Suggest the client receive a different opioid for pain reduction. -
CORRECT ANSWER Instruct the client on alternative therapies for
pain reduction.
A nurse is assessing for compartment syndrome in a client who has a
short leg cast. Which of the following findings should the nurse identify as
a manifestation of this condition?
Bounding pedal pulse
Capillary refill less than 2 seconds
Pain that increases with passive movement
Areas of warmth on the cast - CORRECT ANSWER Pain that
increases with passive movement
A nurse is assessing a client who has had a plaster cast applied to their
left leg 2 hr ago. Which of the following actions should the nurse take?
Inspect the cast for drainage once every 24 hr.
Check that one finger fits between the cast and the leg.
Perform neurovascular checks every 2 to 3 hr.
Make sure the client has a warm blanket covering the cast. - CORRECT
ANSWER Check that one finger fits between the cast and the leg.
A nurse is providing discharge instructions to a client who has a partial-
thickness burn on the hand. Which of the following instructions should the
nurse include?
Change the dressing every 72 hr.
Immobilize the hand with a pressure dressing.
Take pain medication 30 min after changing the dressing.
Wrap fingers with individual dressings. - CORRECT ANSWER Wrap
fingers with individual dressings.
