ATI RN ADULT MEDICAL SURGICAL
EXAM 2025 WITH 100% ACCURATE
SOLUTIONS
,1. What is a common adverse effect of ibuprofen that is particularly
concerning for older adult clients?
Skin rash
Gastrointestinal bleeding
Respiratory depression
Kidney failure
2. What is the first action a nurse should take before administering a blood
transfusion?
Inform the client about the procedure.
Obtain the client's vital signs.
Prepare the blood transfusion equipment.
Check for the type and number of units of blood to administer.
3. What action should a client take after using a metered-dose inhaler to
ensure effective medication delivery?
Hold breath for 10 seconds after inhaling
Shake the inhaler vigorously before use
Exhale immediately after inhaling
Take a deep breath before inhaling
4. A patient with lower leg fracture has an external fixation device in place
and is scheduled for discharge. Which information will the nurse include
in the discharge teaching?
, "You will need to remain on bed rest until bone healing is
complete."
"Prophylactic antibiotics are used until the external fixator is
removed."
"The external fixator can be removed during the bath or shower."
"You will need to assess and clean the pin insertion sites daily."
5. After teaching a client about taking daily iron preparations for a
moderate iron deficiency anemia, which statement by the client indicates
to the nurse that the client needs further education?
"I will call my doctor if my stool turns black."
"I will increase my fluid and fiber intake while I am taking the iron
tablets."
"I will take iron with orange juice an hour before eating."
"I will occasionally take a stool softener if I feel constipated."
6. The nurse is teaching the client who has AIDS how to avoid infection at
home. Which statement indicates that additional teaching is needed?
"I will run my toothbrush through the dishwasher every evening."
"I will wash my hands whenever I get home from work."
"I will be sure to eat lots of fresh fruits and vegetables every
day."
"I will make sure to have my own tube of toothpaste at home."
7. What is the recommended frequency for changing position to prevent
pressure injuries?
Every 1 to 2 hours
Every 30 minutes
, Every 3 to 4 hours
Every 5 hours
8. The healthcare provider orders gentamicin for a patient with a
postoperative wound infection. Which labora-tory result should prompt
the nurse to consult with the prescriber about possible nephrotoxicity of
this drug?
Decreased BUN level
Elevated serum iron level
Increased white blood cell count
Elevated serum creatinine level
9. Why is it important for a client with an external fixation device to use
crutches with rubber tips?
Rubber tips are lighter and easier to handle.
Rubber tips prevent slipping and decrease the risk of falls.
Rubber tips are more comfortable for long-term use.
Rubber tips provide better grip on uneven surfaces.
10. Describe why crackles heard on auscultation are significant in a patient
receiving mannitol for increased intracranial pressure.
Crackles are a normal finding in patients receiving diuretics.
Crackles indicate potential pulmonary edema, a serious
adverse effect of mannitol.
Crackles are unrelated to the effects of mannitol.
Crackles suggest the patient is improving and should continue
treatment.
EXAM 2025 WITH 100% ACCURATE
SOLUTIONS
,1. What is a common adverse effect of ibuprofen that is particularly
concerning for older adult clients?
Skin rash
Gastrointestinal bleeding
Respiratory depression
Kidney failure
2. What is the first action a nurse should take before administering a blood
transfusion?
Inform the client about the procedure.
Obtain the client's vital signs.
Prepare the blood transfusion equipment.
Check for the type and number of units of blood to administer.
3. What action should a client take after using a metered-dose inhaler to
ensure effective medication delivery?
Hold breath for 10 seconds after inhaling
Shake the inhaler vigorously before use
Exhale immediately after inhaling
Take a deep breath before inhaling
4. A patient with lower leg fracture has an external fixation device in place
and is scheduled for discharge. Which information will the nurse include
in the discharge teaching?
, "You will need to remain on bed rest until bone healing is
complete."
"Prophylactic antibiotics are used until the external fixator is
removed."
"The external fixator can be removed during the bath or shower."
"You will need to assess and clean the pin insertion sites daily."
5. After teaching a client about taking daily iron preparations for a
moderate iron deficiency anemia, which statement by the client indicates
to the nurse that the client needs further education?
"I will call my doctor if my stool turns black."
"I will increase my fluid and fiber intake while I am taking the iron
tablets."
"I will take iron with orange juice an hour before eating."
"I will occasionally take a stool softener if I feel constipated."
6. The nurse is teaching the client who has AIDS how to avoid infection at
home. Which statement indicates that additional teaching is needed?
"I will run my toothbrush through the dishwasher every evening."
"I will wash my hands whenever I get home from work."
"I will be sure to eat lots of fresh fruits and vegetables every
day."
"I will make sure to have my own tube of toothpaste at home."
7. What is the recommended frequency for changing position to prevent
pressure injuries?
Every 1 to 2 hours
Every 30 minutes
, Every 3 to 4 hours
Every 5 hours
8. The healthcare provider orders gentamicin for a patient with a
postoperative wound infection. Which labora-tory result should prompt
the nurse to consult with the prescriber about possible nephrotoxicity of
this drug?
Decreased BUN level
Elevated serum iron level
Increased white blood cell count
Elevated serum creatinine level
9. Why is it important for a client with an external fixation device to use
crutches with rubber tips?
Rubber tips are lighter and easier to handle.
Rubber tips prevent slipping and decrease the risk of falls.
Rubber tips are more comfortable for long-term use.
Rubber tips provide better grip on uneven surfaces.
10. Describe why crackles heard on auscultation are significant in a patient
receiving mannitol for increased intracranial pressure.
Crackles are a normal finding in patients receiving diuretics.
Crackles indicate potential pulmonary edema, a serious
adverse effect of mannitol.
Crackles are unrelated to the effects of mannitol.
Crackles suggest the patient is improving and should continue
treatment.
