QUESTIONS AND CORRECT ANSWERS 100% Top Score
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ATI RN MEDICAL
SURGICAL PROCTORED
EXAM 2025- ALL 180 QUESTIONS &
ANSWERS WITH RATIONALES |GUARANTEED
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,A nurse is caring for a client who has cancer. The client tells
the nurse, “I would prefer to try vitamins and minerals
instead of chemotherapy” which of the following responses
should the nurse make?
a) I have never heard of any holistic treatment that is
effective
b) you should ask your provider about your plan
c) the best way to treat your cancer is chemotherapy
d) tell me what you know about chemotherapy
ANS: D
• Tell me what you know about chemotherapy: This
response opens a dialogue, allowing the nurse to assess the
client’s understanding and concerns, and to provide
accurate, supportive education tailored to the client’s needs.
• I have never heard of any holistic treatment that is
effective: This response is dismissive and may shut down
communication.
• You should ask your provider about your plan: This
deflects responsibility and misses an opportunity to engage
with the client directly.
• The best way to treat your cancer is chemotherapy: This
is authoritative and may cause the client to feel pressured
or unheard.
,b)
DIF: Cognitive Level: Application REF: Patient
communication and education
OBJ: Demonstrate therapeutic communication and patient
education in oncology nursing.
TOP: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
A nurse is administering furosemide 80 mg PO twice-daily
to a client who has pulmonary edema. Which of the
following assessment findings indicates to the nurse that the
medication is effective?
a) Respiratory rate of 24 / min
b) adventitious breath sounds
c) weight loss of 1.8 kg (4 lb) in the past 24 hours
d) elevation in blood pressure
ANS: c) Weight loss of 1.8 kg (4 lb) in the past 24 hours
Rationale:
• Weight loss of 1.8 kg (4 lb) in 24 hours indicates effective
diuresis and fluid removal, which is the intended
therapeutic effect of furosemide, a loop diuretic used to
treat fluid overload in conditions such as pulmonary edema.
, • A respiratory rate of 24/min is still elevated, suggesting
incomplete resolution of symptoms.
• Adventitious breath sounds (such as crackles) indicate
persistent fluid in the lungs, meaning the medication has not
yet been fully effective.
• An elevation in blood pressure would not indicate
improvement and may suggest continued fluid retention or
other complications.
DIF: Cognitive Level: Application
REF: Pharmacologic Management of Fluid Volume Excess
OBJ: Evaluate effectiveness of medications used to treat
pulmonary edema
TOP: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity – Pharmacological
and Parenteral Therapies
A nurse is planning care for a client who has a
fullthickness burns on the lower extremities. Which of
the following interventions should the nurse include? a)
Limit visitation time for client’s children to 40 minutes
per day
b) clean the equipment in the client's room once per week
c) provide a diet of fresh fruits and vegetable for the client
d) apply new gloves when alternating between wound care
sites