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“ATI MEDSURGE NURSING“ LATEST 2025 EXAM
UPDATED 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
Nursing Midterm (Chapter 94 + 95) (Multiple Choice)
A client with alcoholism states to the nurse, "I can't be an alcoholic. I can quit
whenever I want." What defense mechanism does the nurse recognize the
client is displaying?
a. Rationalization
b. Denial
c. Projection
d. Recognition
A
When attempting to obtain information regarding a client's alcohol use, what
statement will be most effective?
a. "Do you overuse alcohol?"
b. "Where do you drink?"
c. "How much do you drink?"
d. "Tell me about your alcohol use."
D
The nurse is caring for a group of clients in a behavioral health unit. Which
client would be documented as having a dual disorder?
a. A client with diabetes and hypertension
b. A client with depression and substance abuse
c. A client with schizophrenia and visual impairment
d. A client with borderline personality disorder and chronic kidney disease.
B
The nurse is caring for a client admitted for alcohol detoxification. When
assisting with the development of a care plan, what priority goals should be
addressed?
a. Nutrition and hydration
b. Maintenance of acid-base balance
c. Comfort and safety
d. Maintenance of skin integrity
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C
A client arrives in the emergency department with reports of an overdose of
oxycodone. What antidote should the nurse prepare for administration?
a. Buprenorphine
b. Lorazepam
c. Haloperidol
d. Naloxone
D
The nurse is caring for a client who is on the behavioral health unit. What
cluster of symptoms reported by the client should the nurse recognize as
indicating suicidal ideations?
a. Headache, insomnia, depression
b. Nausea, vomiting, diarrhea
c. Vomiting, mania, coughing
d. Flat affect, catatonia, hallucination
A
A parent brings her 2-year-old child to the emergency department frequently,
reporting seizure activity that has not been witnessed by anyone other than
the parent. Diagnostic tests reveal no organic cause. What should the nurse
monitor the parent for?
a. Obsessive-compulsive disorder
b. Post-traumatic stress disorder
c. Borderline personality disorder
d. Munchhausen syndrome by proxy
D
The nurse is caring for a client with schizophrenia who is experiencing
positive symptoms. Which symptoms observed by the nurse will be
documented as positive? Select all that apply.
a. Anhedonia
b. Delusions
c. Hallucinations
d. Disorganized speech
e. Apathy
B
C
D
The nurse says to a client, "How are you today?" The client repeats, "Today,
today, today, today." How will the nurse document this behavior?
a. Echopraxia
b. Echolalia
c. Mutism
d. Posturing
B
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A client treated for chemical dependency is being discharged from an inpatient
facility to a facility that will make the transition into the community less
traumatic. Where should the nurse ensure the client has a room?
a. A homeless shelter
b. A long-term care facility (LTC)
c. A halfway house
d. A hospice
C
The healthcare provider informs the nurse that a client is extremely
agoraphobic. Which is fearful for the client?
a. enclosed places
b. open spaces
c. heights
d. public speaking
B
A 31-year-old client is hospitalized and kept under observation for severe
behavioral changes. The healthcare provider confirms the diagnosis of
obsessive-compulsive disorder and starts the client on buspirone (BuSpar).
Which side effects should the nurse watch for in clients receiving buspirone
(BuSpar)?
a. headache
b. hypertension
c. peripheral edema
d. pain in calves
A
The healthcare provider prescribes monoamine oxidase inhibitors (MAOIs) to a
client to treat major depression. The nurse is asked to provide client teaching
regarding the medication. Which instruction should the nurse give to this
client?
a. encourage the client to eat ripe fruits, bananas, and yogurt.
b. instruct the client to drink large amounts of water to avoid dryness of the
mouth.
c. tell client not to take over-the-counter (OTC) drugs containing
sympathomimetic amines.
d. advise the client to restrict salt consumption as much as possible.
C
A client accused of a serious crime is admitted to the healthcare facility for an
extended period. The client is reported to exhibit aggressive behavior and has
twice escaped from the facility. Which step should the nurse employ to
prevent the client from escaping?
a. use a whiplash collar
b. use leather restraints
c. lock the nursing unit
d. use sally-port doors
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D
A psychiatric nurse is caring for a client with severe psychosis who is being
treated with neuroleptics. The nurse is instructed to administer anticholinergic
medication to the client. For which reason should the client take this
medication?
a. to prevent the side effects of neuroleptics
b. to increase the absorption of neuroleptics
c. to reduce the elimination of neuroleptics
d. to increase nutrient absorption capacity
C
The nurse caring for a client with a mental disorder who was diagnosed with
neuroleptic malignant syndrome (NMS) soon after the first administration of a
neuroleptic medication. Which is considered the most frequent cause of death
from NMS?
a. heart failure
b. respiratory failure
c. severe infections
d. myocardial infarction
B
A nurse is caring for a client who is diagnosed with schizophrenia. Which
symptom should the nurse expect to find in this client?
a. hallucinations
b. delusions
c. withdrawal
d. muscle rigidity
C
A nurse is caring for a client who was recently admitted to the healthcare
facility with severe bipolar disorder. Which of the following measures should
the nurse employ when assisting the client to fall asleep? select all that apply.
a. encourage use of relaxation tapes
b. encourage watching television at bedtime
c. provide a snack before bedtime
d. administer sleeping pills as needed (PRN).
e. encourage increased fluid intake
A
C
D
A nurse is caring for mentally ill clients in the psychiatric unit. In what capacity
should the nurse act to support mentally disordered clients? select all that
apply.
a. socializing agent
b. support person
c. dietitian
“ATI MEDSURGE NURSING“ LATEST 2025 EXAM
UPDATED 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
Nursing Midterm (Chapter 94 + 95) (Multiple Choice)
A client with alcoholism states to the nurse, "I can't be an alcoholic. I can quit
whenever I want." What defense mechanism does the nurse recognize the
client is displaying?
a. Rationalization
b. Denial
c. Projection
d. Recognition
A
When attempting to obtain information regarding a client's alcohol use, what
statement will be most effective?
a. "Do you overuse alcohol?"
b. "Where do you drink?"
c. "How much do you drink?"
d. "Tell me about your alcohol use."
D
The nurse is caring for a group of clients in a behavioral health unit. Which
client would be documented as having a dual disorder?
a. A client with diabetes and hypertension
b. A client with depression and substance abuse
c. A client with schizophrenia and visual impairment
d. A client with borderline personality disorder and chronic kidney disease.
B
The nurse is caring for a client admitted for alcohol detoxification. When
assisting with the development of a care plan, what priority goals should be
addressed?
a. Nutrition and hydration
b. Maintenance of acid-base balance
c. Comfort and safety
d. Maintenance of skin integrity
, Page 2 of 75
C
A client arrives in the emergency department with reports of an overdose of
oxycodone. What antidote should the nurse prepare for administration?
a. Buprenorphine
b. Lorazepam
c. Haloperidol
d. Naloxone
D
The nurse is caring for a client who is on the behavioral health unit. What
cluster of symptoms reported by the client should the nurse recognize as
indicating suicidal ideations?
a. Headache, insomnia, depression
b. Nausea, vomiting, diarrhea
c. Vomiting, mania, coughing
d. Flat affect, catatonia, hallucination
A
A parent brings her 2-year-old child to the emergency department frequently,
reporting seizure activity that has not been witnessed by anyone other than
the parent. Diagnostic tests reveal no organic cause. What should the nurse
monitor the parent for?
a. Obsessive-compulsive disorder
b. Post-traumatic stress disorder
c. Borderline personality disorder
d. Munchhausen syndrome by proxy
D
The nurse is caring for a client with schizophrenia who is experiencing
positive symptoms. Which symptoms observed by the nurse will be
documented as positive? Select all that apply.
a. Anhedonia
b. Delusions
c. Hallucinations
d. Disorganized speech
e. Apathy
B
C
D
The nurse says to a client, "How are you today?" The client repeats, "Today,
today, today, today." How will the nurse document this behavior?
a. Echopraxia
b. Echolalia
c. Mutism
d. Posturing
B
, Page 3 of 75
A client treated for chemical dependency is being discharged from an inpatient
facility to a facility that will make the transition into the community less
traumatic. Where should the nurse ensure the client has a room?
a. A homeless shelter
b. A long-term care facility (LTC)
c. A halfway house
d. A hospice
C
The healthcare provider informs the nurse that a client is extremely
agoraphobic. Which is fearful for the client?
a. enclosed places
b. open spaces
c. heights
d. public speaking
B
A 31-year-old client is hospitalized and kept under observation for severe
behavioral changes. The healthcare provider confirms the diagnosis of
obsessive-compulsive disorder and starts the client on buspirone (BuSpar).
Which side effects should the nurse watch for in clients receiving buspirone
(BuSpar)?
a. headache
b. hypertension
c. peripheral edema
d. pain in calves
A
The healthcare provider prescribes monoamine oxidase inhibitors (MAOIs) to a
client to treat major depression. The nurse is asked to provide client teaching
regarding the medication. Which instruction should the nurse give to this
client?
a. encourage the client to eat ripe fruits, bananas, and yogurt.
b. instruct the client to drink large amounts of water to avoid dryness of the
mouth.
c. tell client not to take over-the-counter (OTC) drugs containing
sympathomimetic amines.
d. advise the client to restrict salt consumption as much as possible.
C
A client accused of a serious crime is admitted to the healthcare facility for an
extended period. The client is reported to exhibit aggressive behavior and has
twice escaped from the facility. Which step should the nurse employ to
prevent the client from escaping?
a. use a whiplash collar
b. use leather restraints
c. lock the nursing unit
d. use sally-port doors
, Page 4 of 75
D
A psychiatric nurse is caring for a client with severe psychosis who is being
treated with neuroleptics. The nurse is instructed to administer anticholinergic
medication to the client. For which reason should the client take this
medication?
a. to prevent the side effects of neuroleptics
b. to increase the absorption of neuroleptics
c. to reduce the elimination of neuroleptics
d. to increase nutrient absorption capacity
C
The nurse caring for a client with a mental disorder who was diagnosed with
neuroleptic malignant syndrome (NMS) soon after the first administration of a
neuroleptic medication. Which is considered the most frequent cause of death
from NMS?
a. heart failure
b. respiratory failure
c. severe infections
d. myocardial infarction
B
A nurse is caring for a client who is diagnosed with schizophrenia. Which
symptom should the nurse expect to find in this client?
a. hallucinations
b. delusions
c. withdrawal
d. muscle rigidity
C
A nurse is caring for a client who was recently admitted to the healthcare
facility with severe bipolar disorder. Which of the following measures should
the nurse employ when assisting the client to fall asleep? select all that apply.
a. encourage use of relaxation tapes
b. encourage watching television at bedtime
c. provide a snack before bedtime
d. administer sleeping pills as needed (PRN).
e. encourage increased fluid intake
A
C
D
A nurse is caring for mentally ill clients in the psychiatric unit. In what capacity
should the nurse act to support mentally disordered clients? select all that
apply.
a. socializing agent
b. support person
c. dietitian
