MEDIC-SURGEO ATI 1 FINAL EXAM 2025 AND
CORRECT A+ GRADED ANSWERS
A nurse is assessing a client who has right-sided heart failure. Which of the
following assessment findings should the nurse expect to find? -
Answer Pitting edema
A nurse is caring for a client who has newly inserted chest tube. The nurse
should clarify which of the following prescriptions with the provider? -
Answer Vigorously strip the chest tube twice daily.
A nurse is teaching a client who is taking an ACE inhibitor for heart failure. Which
of the following instructions should the nurse include for home management of
heart failure? -
Answer Monitor Intake and Output
A nurse is providing discharge teaching to a client who has a permanent
pacemaker. Which of the following statements by the client indicates an
understanding of the teaching? -
Answer I need to check my pulse rate every day for a full minute.
A nurse in a clinic is providing preventive teaching to an older adult client during
well visit. The nurse should instruct the client that which of the following
immunization are recommended for healthy adults after age 60? Select all the
Apply. -
Answer Herpes Zoster
Influenza
Pneumococcal Polysaccharide
A nurse is assessing a client who is 4hr postoperative following arterial
revascularization of the left femoral artery. Which of the following findings should
the nurse report immediately? -
Answer Pallor in the affected extremity
A nurse is caring for an older adult client who has not been eating. Which of the
following findings indicates dehydration? -
,Answer Diminished peripheral pulses
A nurse is preparing to discharge a client who has a halo device and is reviewing
new prescriptions from the provider. The nurse should clarify which of the
following prescriptions with the provider? -
Answer May operate a motor vehicle when no longer taking analgesics
A nurse is assessing for elderly signs of compartment syndrome for a client who
has a short leg fiberglass cast. Which of the following findings should the nurse
expect? -
Answer Intense pain with movement
A nurse is caring for a client who is postoperative following coronary artery
bypass surgery and reports shortness of breath. The nurse administers oxygen at
3L/min and obtains arterial blood gases 60 min later. Which of the following lab
findings indicates a positive response to the oxygen therapy? -
Answer PaO2 90 mmHg (
A nurse is performing a cranial nerve assessment on a client following a head
injury. Which of the following findings should the nurse expect if the client has
impaired function of the vestibulocochlear (VIII)? -
Answer Disequilibrium with movement
A nurse is caring for a client admitted with a skull fracture. Which of the following
assessment findings should be of greatest concern to the nurse? -
Answer Glasgow coma scale score changes from 14 to 9
A nurse is caring for a client who is taking furosemide. The client has a
potassium level of 3.1 me/L. Which of the following should the nurse assess first?
-
Answer Cardiovascular status dysrhythmia due to potassium
A nurse is caring for a client who is scheduled for an abdominal paracentesis.
The nurse should plan to take which of the following actions? -
Answer Ask the client to empty his bladder prior to the procedure
,A nurse is caring for a client who is 6 hours postoperatively following a
thyroidectomy. The client reports tingling and numbness in the hands. The nurse
should identify this as a sign of which of following electrolytes imbalances? -
Answer Hypocalcemia
A nurse is assessing a client 15 min after the start of a transfusion of 1 unit of
packed RBC's. Which of the following findings is an indication of a hemolytic
transfusion reaction? -
Answer Hypotension
A nurse in an emergency department is caring for a client who has sinus
bradycardia. Which of the following actions should the nurse take first? -
Answer Administer atropine to the client
A nurse is caring for a client who has a prescription to discontinue a peripherally
inserted central catheter. Which of the following actions should the nurse take? -
Answer Place a dry sterile dressing to the site after removal
A nurse is caring for a client who has a flail chest. Which of the following actions
should the nurse take? -
Answer Provide humidified oxygen
A nurse is teaching a group of newly licensed nurses about acute respiratory
failure. Which of the following manifestations should the nurse include in the
teaching? -
Answer Hypoxemia
A nurse is caring for a client who is experiencing a seizure. Which of the
following actions should the nurse take? -
Answer Lower the client to the floor (ATI video says this if standing)
A nurse is teaching a client who is receiving total parenteral nutrition at home
through a central venous access device about transparent dressing changes.
Which of the following instructions should the nurse include in the teaching? -
Answer Wear a mask during dressing change
, A nurse is caring for a client in the emergency department who experienced a
full-thickness burn injury to the lower torso 1 hr. ago. Which of the following
findings should the nurse expect? -
Answer Hypotension
A nurse in an emergency department is assessing a client who has cirrhosis of
the liver. Which of the following is a priority finding? -
Answer Mental confusion
A nurse is providing instructions about foot care for a client who has a peripheral
arterial disease. The nurse should identify which of the following statements by
the client indicates an understanding of the teaching? -
Answer I rest in my recliner with my feet elevated for about an hour every
afternoon
A nurse is teaching a client who has a new prescription for alendronate to treat
osteoporosis. Which of the following instructions should the nurse include in the
teaching? -
Answer Sit upright for 30 min after taking the medication (
A nurse is admitting a client to the emergency department after a gunshot wound
to the abdomen. Which of the following actions should the nurse take to help
prevent the onset of acute kidney failure? -
Answer Administer IV fluids to the client
A nurse is completing an assessment of an older adult client and notes redness
areas over the bony prominences, but the client's skin is intact. Which of the
following interventions should the nurse include in the plan of care? -
Answer Support bony prominences with pillows
A nurse is caring for a client who has completed 10 daily cycles of Total
Parenteral Nutrition (TPN). Which of the following findings indicates that the
client is receiving adequate TPN supplementation? -
Answer Weight gain of 9.1 kilograms to 20 pounds
A nurse is providing teaching to a client who is post-operative following a partial
glossectomy. Which of the following statements by the client indicates an
understanding of the teaching? -
CORRECT A+ GRADED ANSWERS
A nurse is assessing a client who has right-sided heart failure. Which of the
following assessment findings should the nurse expect to find? -
Answer Pitting edema
A nurse is caring for a client who has newly inserted chest tube. The nurse
should clarify which of the following prescriptions with the provider? -
Answer Vigorously strip the chest tube twice daily.
A nurse is teaching a client who is taking an ACE inhibitor for heart failure. Which
of the following instructions should the nurse include for home management of
heart failure? -
Answer Monitor Intake and Output
A nurse is providing discharge teaching to a client who has a permanent
pacemaker. Which of the following statements by the client indicates an
understanding of the teaching? -
Answer I need to check my pulse rate every day for a full minute.
A nurse in a clinic is providing preventive teaching to an older adult client during
well visit. The nurse should instruct the client that which of the following
immunization are recommended for healthy adults after age 60? Select all the
Apply. -
Answer Herpes Zoster
Influenza
Pneumococcal Polysaccharide
A nurse is assessing a client who is 4hr postoperative following arterial
revascularization of the left femoral artery. Which of the following findings should
the nurse report immediately? -
Answer Pallor in the affected extremity
A nurse is caring for an older adult client who has not been eating. Which of the
following findings indicates dehydration? -
,Answer Diminished peripheral pulses
A nurse is preparing to discharge a client who has a halo device and is reviewing
new prescriptions from the provider. The nurse should clarify which of the
following prescriptions with the provider? -
Answer May operate a motor vehicle when no longer taking analgesics
A nurse is assessing for elderly signs of compartment syndrome for a client who
has a short leg fiberglass cast. Which of the following findings should the nurse
expect? -
Answer Intense pain with movement
A nurse is caring for a client who is postoperative following coronary artery
bypass surgery and reports shortness of breath. The nurse administers oxygen at
3L/min and obtains arterial blood gases 60 min later. Which of the following lab
findings indicates a positive response to the oxygen therapy? -
Answer PaO2 90 mmHg (
A nurse is performing a cranial nerve assessment on a client following a head
injury. Which of the following findings should the nurse expect if the client has
impaired function of the vestibulocochlear (VIII)? -
Answer Disequilibrium with movement
A nurse is caring for a client admitted with a skull fracture. Which of the following
assessment findings should be of greatest concern to the nurse? -
Answer Glasgow coma scale score changes from 14 to 9
A nurse is caring for a client who is taking furosemide. The client has a
potassium level of 3.1 me/L. Which of the following should the nurse assess first?
-
Answer Cardiovascular status dysrhythmia due to potassium
A nurse is caring for a client who is scheduled for an abdominal paracentesis.
The nurse should plan to take which of the following actions? -
Answer Ask the client to empty his bladder prior to the procedure
,A nurse is caring for a client who is 6 hours postoperatively following a
thyroidectomy. The client reports tingling and numbness in the hands. The nurse
should identify this as a sign of which of following electrolytes imbalances? -
Answer Hypocalcemia
A nurse is assessing a client 15 min after the start of a transfusion of 1 unit of
packed RBC's. Which of the following findings is an indication of a hemolytic
transfusion reaction? -
Answer Hypotension
A nurse in an emergency department is caring for a client who has sinus
bradycardia. Which of the following actions should the nurse take first? -
Answer Administer atropine to the client
A nurse is caring for a client who has a prescription to discontinue a peripherally
inserted central catheter. Which of the following actions should the nurse take? -
Answer Place a dry sterile dressing to the site after removal
A nurse is caring for a client who has a flail chest. Which of the following actions
should the nurse take? -
Answer Provide humidified oxygen
A nurse is teaching a group of newly licensed nurses about acute respiratory
failure. Which of the following manifestations should the nurse include in the
teaching? -
Answer Hypoxemia
A nurse is caring for a client who is experiencing a seizure. Which of the
following actions should the nurse take? -
Answer Lower the client to the floor (ATI video says this if standing)
A nurse is teaching a client who is receiving total parenteral nutrition at home
through a central venous access device about transparent dressing changes.
Which of the following instructions should the nurse include in the teaching? -
Answer Wear a mask during dressing change
, A nurse is caring for a client in the emergency department who experienced a
full-thickness burn injury to the lower torso 1 hr. ago. Which of the following
findings should the nurse expect? -
Answer Hypotension
A nurse in an emergency department is assessing a client who has cirrhosis of
the liver. Which of the following is a priority finding? -
Answer Mental confusion
A nurse is providing instructions about foot care for a client who has a peripheral
arterial disease. The nurse should identify which of the following statements by
the client indicates an understanding of the teaching? -
Answer I rest in my recliner with my feet elevated for about an hour every
afternoon
A nurse is teaching a client who has a new prescription for alendronate to treat
osteoporosis. Which of the following instructions should the nurse include in the
teaching? -
Answer Sit upright for 30 min after taking the medication (
A nurse is admitting a client to the emergency department after a gunshot wound
to the abdomen. Which of the following actions should the nurse take to help
prevent the onset of acute kidney failure? -
Answer Administer IV fluids to the client
A nurse is completing an assessment of an older adult client and notes redness
areas over the bony prominences, but the client's skin is intact. Which of the
following interventions should the nurse include in the plan of care? -
Answer Support bony prominences with pillows
A nurse is caring for a client who has completed 10 daily cycles of Total
Parenteral Nutrition (TPN). Which of the following findings indicates that the
client is receiving adequate TPN supplementation? -
Answer Weight gain of 9.1 kilograms to 20 pounds
A nurse is providing teaching to a client who is post-operative following a partial
glossectomy. Which of the following statements by the client indicates an
understanding of the teaching? -
