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ATI MEDSURG 2 MUSCULOSKELETAL AND
RESPIRATORY EXAM NEWEST 2025/2026 ACTUAL
EXAM COMPLETE QUESTIONS AND 100%CORRECT
DETAILED ANSWERS (VERIFIED AND GRADED
A+|NEWEST VERSION)
1. A client who had a total hip replacement two days ago
reports new onset calf tenderness to the nurse. Which
action should the nurse take?
A. Administer pain medication.
B. Massage the client's calf.
C. Apply antiembolic stockings.
D. Notify the health care provider. - ANSWER-ANS: D
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Rationale: Since calf tenderness may be a sign of deep
vein thrombosis (DVT), the nurse should notify the health
care provider about this finding. The nurse should not
administer pain medication since it is prescribed for
surgical pain and this tenderness in the calf should not be
masked until it is evaluated. The nurse should not
massage the client's calf as this may dislodge a thrombus.
Antiembolic stockings should be worn prophylactically to
prevent DVT but are not applied to treat DVT.
18. A client has recently been admitted to the orthopedic
unit following total hip arthroplasty. The nurse assesses
that the indwelling urinary catheter was removed one hour
ago in the post-anesthesia care unit and that the client has
not yet voided. Which action should the nurse take?
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A. Inform the primary provider promptly.
B. Ask if the client needs to void.
C. Perform intermittent catheterization.
D. Obtain an order to reinsert the indwelling urinary
catheter. - ANSWER-ANS: B
Rationale: Since the indwelling urinary catheter was
removed one hour earlier, the client would be expected to
void within the next five hours (six hours after removal of
the catheter). The nurse should ask the client if there is an
urge to void. If the client does not feel the urge to void, the
nurse should check periodically over the next 5 hours.
Since not voiding within one hour of catheter removal is
within normal, the nurse does not need to inform the
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health care provider, perform intermittent catheterization,
or obtain an order to insert an indwelling catheter.
20. The nurse is teaching the client on bed rest to perform
quadriceps setting exercises. Which instruction should the
nurse give the client?
A. "Push the knees into the mattress."
B. "Lie prone in bed."
C. "Contract the buttock muscles."
D. "Bend the knees." - ANSWER-ANS: A
Rationale: To perform quadriceps setting exercises, the
client lies in the supine (face up) position with legs
extended, and pushes the knees into the bed while
ATI MEDSURG 2 MUSCULOSKELETAL AND
RESPIRATORY EXAM NEWEST 2025/2026 ACTUAL
EXAM COMPLETE QUESTIONS AND 100%CORRECT
DETAILED ANSWERS (VERIFIED AND GRADED
A+|NEWEST VERSION)
1. A client who had a total hip replacement two days ago
reports new onset calf tenderness to the nurse. Which
action should the nurse take?
A. Administer pain medication.
B. Massage the client's calf.
C. Apply antiembolic stockings.
D. Notify the health care provider. - ANSWER-ANS: D
,2|Page
Rationale: Since calf tenderness may be a sign of deep
vein thrombosis (DVT), the nurse should notify the health
care provider about this finding. The nurse should not
administer pain medication since it is prescribed for
surgical pain and this tenderness in the calf should not be
masked until it is evaluated. The nurse should not
massage the client's calf as this may dislodge a thrombus.
Antiembolic stockings should be worn prophylactically to
prevent DVT but are not applied to treat DVT.
18. A client has recently been admitted to the orthopedic
unit following total hip arthroplasty. The nurse assesses
that the indwelling urinary catheter was removed one hour
ago in the post-anesthesia care unit and that the client has
not yet voided. Which action should the nurse take?
,3|Page
A. Inform the primary provider promptly.
B. Ask if the client needs to void.
C. Perform intermittent catheterization.
D. Obtain an order to reinsert the indwelling urinary
catheter. - ANSWER-ANS: B
Rationale: Since the indwelling urinary catheter was
removed one hour earlier, the client would be expected to
void within the next five hours (six hours after removal of
the catheter). The nurse should ask the client if there is an
urge to void. If the client does not feel the urge to void, the
nurse should check periodically over the next 5 hours.
Since not voiding within one hour of catheter removal is
within normal, the nurse does not need to inform the
, 4|Page
health care provider, perform intermittent catheterization,
or obtain an order to insert an indwelling catheter.
20. The nurse is teaching the client on bed rest to perform
quadriceps setting exercises. Which instruction should the
nurse give the client?
A. "Push the knees into the mattress."
B. "Lie prone in bed."
C. "Contract the buttock muscles."
D. "Bend the knees." - ANSWER-ANS: A
Rationale: To perform quadriceps setting exercises, the
client lies in the supine (face up) position with legs
extended, and pushes the knees into the bed while
