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RN Adult Medical Surgical Online Practice 2023 B
ATI 2023 – RN Adult Medical Surgical Online Practice B – Practice
Questions with Rationales – VERIFIED VERSION
(NGN)
A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart
failure. Based on the information in the client's chart, which of the following findings should the nurse report to
the provider?
(Click on the "Exhibit" button for additional information about the client. There are three tabs that contain
separate categories of data.)-
ANSWER
Heart rate 55/min
Rational:
The client's heart rate of 55/min is a decrease from the client's baseline of 74/min, and it can indicate the
development of digoxin toxicity. The nurse should report this finding to the provider.
A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the
management of bone cancer pain. The nurse should explain that applying a TENS unit to the painful area has
which of the following effects?-
ANSWER
A tingling sensation replacing the pain
Rational:
A TENS unit applies small electric currents to the painful area, with the client increasing the current until the
"pins and needles" sensation overrides the pain.
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?-
ANSWER
Bradycardia
Rational:
A client who has increased intracranial pressure from a traumatic brain injury can develop bradycardia, which is
one component of Cushing's triad. The other components of Cushing's triad are severe hypertension and a
widened pulse pressure.
,2|Page
A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. Which
of the following information should the nurse include in the teaching?-
ANSWER
Create complete outfits and allow the client to select one each day.
Rational:
The family should place completed outfits on hangers and allow the client to select which one to wear each day.
A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the
following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa
infection?-
ANSWER
Avoid placing plants or flowers in the client's room.
Rational:
Live plants can harbor P. aeruginosa, and this bacterium can infect burn wounds and cause life-threatening
complications. The nurse should ensure no one brings live plants or flowers into the client's room.
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?-
ANSWER
Increase fiber intake to at least 30 g per day.
Rational:
Dietary fiber helps produce bulky, soft stools and establish regular bowel patterns.
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse
expect?-
ANSWER
Low urine specific gravity
Rational:
An expected finding for a client who has diabetes insipidus is a urine specific gravity between 1.001 and 1.005.
Decreased water reabsorption by the renal tubules is caused by an alteration in antidiuretic hormone release or
the kidneys' responsiveness to the hormone.
A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The client is to
receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV pump should be set at how many mL/hr?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)-
ANSWER
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167 mL/hr
Rational:
mL/hr =
4000/24 = 166.6 = 167
(NGN)
A nurse is caring for a client who is 4 hr postoperative following a total vaginal hysterectomy.
Click to highlight the findings the nurse should report to the provider immediately.-
ANSWER
- Perineal pad saturated with blood, large clots present
- Change of blood pressure, heart rate of 102/min
Rational:
Perineal pad saturated with blood, large clots present, blood pressure trend, and heart rate of 102/min are
correct. The client has manifestations of vaginal hemorrhage, including vaginal bleeding, blood clots, reduced
blood pressure, and tachycardia. The nurse should report these findings to the provider.
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following
items at the client's bedside?-
ANSWER
Suction machine
Rational:
The nurse should ensure that a suction machine is at the bedside of a client who has dysphagia to clear the
client's airway as needed and reduce the risk for aspiration.
A nurse is providing discharge teaching about infection prevention to a client who is receiving chemotherapy.
Which of the following statements by the client indicates understanding of the teaching?-
ANSWER
"I can ask a friend to change my cats litter box."
Rational:
Changing a pet's litter box increases the client's risk of being exposed to toxoplasmosis. Therefore, the client
should wear gloves or avoid changing the pet's litter box.
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?-
ANSWER
RN Adult Medical Surgical Online Practice 2023 B
ATI 2023 – RN Adult Medical Surgical Online Practice B – Practice
Questions with Rationales – VERIFIED VERSION
(NGN)
A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart
failure. Based on the information in the client's chart, which of the following findings should the nurse report to
the provider?
(Click on the "Exhibit" button for additional information about the client. There are three tabs that contain
separate categories of data.)-
ANSWER
Heart rate 55/min
Rational:
The client's heart rate of 55/min is a decrease from the client's baseline of 74/min, and it can indicate the
development of digoxin toxicity. The nurse should report this finding to the provider.
A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the
management of bone cancer pain. The nurse should explain that applying a TENS unit to the painful area has
which of the following effects?-
ANSWER
A tingling sensation replacing the pain
Rational:
A TENS unit applies small electric currents to the painful area, with the client increasing the current until the
"pins and needles" sensation overrides the pain.
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?-
ANSWER
Bradycardia
Rational:
A client who has increased intracranial pressure from a traumatic brain injury can develop bradycardia, which is
one component of Cushing's triad. The other components of Cushing's triad are severe hypertension and a
widened pulse pressure.
,2|Page
A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. Which
of the following information should the nurse include in the teaching?-
ANSWER
Create complete outfits and allow the client to select one each day.
Rational:
The family should place completed outfits on hangers and allow the client to select which one to wear each day.
A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the
following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa
infection?-
ANSWER
Avoid placing plants or flowers in the client's room.
Rational:
Live plants can harbor P. aeruginosa, and this bacterium can infect burn wounds and cause life-threatening
complications. The nurse should ensure no one brings live plants or flowers into the client's room.
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?-
ANSWER
Increase fiber intake to at least 30 g per day.
Rational:
Dietary fiber helps produce bulky, soft stools and establish regular bowel patterns.
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse
expect?-
ANSWER
Low urine specific gravity
Rational:
An expected finding for a client who has diabetes insipidus is a urine specific gravity between 1.001 and 1.005.
Decreased water reabsorption by the renal tubules is caused by an alteration in antidiuretic hormone release or
the kidneys' responsiveness to the hormone.
A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The client is to
receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV pump should be set at how many mL/hr?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)-
ANSWER
, 3|Page
167 mL/hr
Rational:
mL/hr =
4000/24 = 166.6 = 167
(NGN)
A nurse is caring for a client who is 4 hr postoperative following a total vaginal hysterectomy.
Click to highlight the findings the nurse should report to the provider immediately.-
ANSWER
- Perineal pad saturated with blood, large clots present
- Change of blood pressure, heart rate of 102/min
Rational:
Perineal pad saturated with blood, large clots present, blood pressure trend, and heart rate of 102/min are
correct. The client has manifestations of vaginal hemorrhage, including vaginal bleeding, blood clots, reduced
blood pressure, and tachycardia. The nurse should report these findings to the provider.
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following
items at the client's bedside?-
ANSWER
Suction machine
Rational:
The nurse should ensure that a suction machine is at the bedside of a client who has dysphagia to clear the
client's airway as needed and reduce the risk for aspiration.
A nurse is providing discharge teaching about infection prevention to a client who is receiving chemotherapy.
Which of the following statements by the client indicates understanding of the teaching?-
ANSWER
"I can ask a friend to change my cats litter box."
Rational:
Changing a pet's litter box increases the client's risk of being exposed to toxoplasmosis. Therefore, the client
should wear gloves or avoid changing the pet's litter box.
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?-
ANSWER
