ATI Medical Surgical MEDICAL SURGICAL
ASSESSMENT EXAM NEWEST / MEDICAL
SURGICAL ASSESSMENT PREPARATION / MEDIC,
Exams of Nursing
A nurse is reviewing the laboratory results of a client who has acute pancreatitis. Which of the
following findings should the nurse expect?
A. Blood glucose 110 mg/dL
B. Increased amylase
C. WBC count 9,000/mm3
D. Decreased bilirubin B
A nurse is developing a plan of care for a client who has cirrhosis and ascites. Which of the
following interventions should the nurse include in the plan?
A. Measure the client's abdominal girth daily
B. Check mental status once daily
C. Provide a daily intake of 4 g of sodium for the client
D. Assess the client breath sounds every 12 hours A
A nurse is assessing a client who has acute hepatitis B. Which of the following findings should
the nurse expect?
A. Joint pain
B. Obstipation
C. Abdominal distention
D. Periumbilical discoloration A
A nurse is assessing a client who is postoperative following a gastrectomy. The nurse should
identify which of the following findings as an indication of abdominal distention?
A. Hiccups
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,B. HTN
C. Bradycardia
D. Chest pain A
A nurse is providing discharge teaching for a client who has GERD. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I will decrease the amount of carbonated beverage I drink"
B. " I will avoid drinking liquid 30 minutes after taking a chewable antacid tablet"
C. "I will eat a snack before going to bed"
D. "I will lie down for at least 30 minutes after eating each meal" A
A nurse is admitting a client who has acute pancreatitis. Which of the following actions should
the nurse take first?
A. Insert a nasogastric tube for the client
B. Administer Ceftazidime to the client
C. Identify the client's current level of pain
D. Instruct the client to remain NPO C
A nurse is caring for a client who has GRD and a new prescription for metoclopramide. The
nurse should plan to monitor for which of the following adverse effect?
A. Thrombocytopenia
B. Hearing loss
C. Hypersalivation
D. Ataxia D
A nurse is planning care for a client who has leukemia and a platelet count of 48,000/mm3.
Which of the following interventions should the nurse include in the plan?
A. Provide the client with a diet that is low in Vitamin K
B. Place the client on contact precaution
C. Administer subcutaneous epoetin alfa
D. Test the client's urine and stool for occult blood D
2|Page
,A nurse is teaching the parent of a child about administration guidelines for the human
papilloma virus (HPV) vaccine. Which of the following information should the nurse include?
A. One dose is administered at birth and another is administered at age 5
B. The vaccine does not protect males
C. The vaccine protects against chlamydia
D. Three doses are administered to adolescents who start the series after age 15 D
A nurse is providing teaching to a client who has systemic lupus erythematosus (SLE). Which of
the following statements by the client indicates an understanding of the teaching?
A. "I should use a sunscreen with an SPF of at least 15"
B. "Long-term immunosuppressive therapy could cure this disease"
C. "I should wear gloves when it is cold outside"
D. "SLE should not affect my lungs or breathing" C
A nurse is providing teaching to a client who takes an oral contraceptive and has a new
prescription for Amoxicillin. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will use a backup method of birth control while I am taking this medication"
B. "I should take this medication on an empty stomach"
C. "I should expect to have constipation while taking this medication"
D. "I will keep taking this medication until I feel better" A
A nurse is caring for four clients. Which of the following clients is at greatest risk for
pneumonia?
A. A school-age child who has a history of asthma
B. A young adult client who is living in a college dormitory
C. A middle adult who is using an incentive spirometer following surgery
D. An older adult client who has dysphagia D
A nurse is reviewing the daily laboratory results for a female client who has acute leukemia.
Which of the following values is an expected findings?
A. WBC count 21,000/mm3
3|Page
, B. Hgb 14 g/dL
C. Hct 40%
D. Platelets 170,000/mmm3 A
A nurse is reviewing the laboratory report for a client who has Hodgkin's lymphoma. Which of
the following findings should the nurse expect?
A. Overgrowth of B-lymphocyte plasma cells
B. Reed-Sternberg cells
C. Epstein-Barr virus
D. Overproduction of blast phase cells B
A nurse is providing discharge teaching to a client who has HIV. Which of the following
statements by the clients indicates an understanding of the teaching?
A. "I will clean the bathroom surfaces with full-strength bleach"
B. "I should discard open beverages that have been unrefrigerated for 1 hour"
C. "I should wash laundry that is soiled with a body fluid in cool water"
D. "I will work in the garden for exercise" B
A nurse is providing teaching to a client who is scheduled for a Papanicolaou (Pap) test. The
nurse should inform the client that the Pap test is used to screen for which of the following?
A. Uterine cancer
B. Cervical cancer
C. Ovarian cysts
D. Fibroids B
A nurse is caring for a client who has viral pneumonia. Which of the following findings should
the nurse report to the provider immediately?
A. Negative blood culture
B. Left shift in WBC differntial
C. Oxygen saturation 93%
D. Crackles heard on auscultation B
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ASSESSMENT EXAM NEWEST / MEDICAL
SURGICAL ASSESSMENT PREPARATION / MEDIC,
Exams of Nursing
A nurse is reviewing the laboratory results of a client who has acute pancreatitis. Which of the
following findings should the nurse expect?
A. Blood glucose 110 mg/dL
B. Increased amylase
C. WBC count 9,000/mm3
D. Decreased bilirubin B
A nurse is developing a plan of care for a client who has cirrhosis and ascites. Which of the
following interventions should the nurse include in the plan?
A. Measure the client's abdominal girth daily
B. Check mental status once daily
C. Provide a daily intake of 4 g of sodium for the client
D. Assess the client breath sounds every 12 hours A
A nurse is assessing a client who has acute hepatitis B. Which of the following findings should
the nurse expect?
A. Joint pain
B. Obstipation
C. Abdominal distention
D. Periumbilical discoloration A
A nurse is assessing a client who is postoperative following a gastrectomy. The nurse should
identify which of the following findings as an indication of abdominal distention?
A. Hiccups
1|Page
,B. HTN
C. Bradycardia
D. Chest pain A
A nurse is providing discharge teaching for a client who has GERD. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I will decrease the amount of carbonated beverage I drink"
B. " I will avoid drinking liquid 30 minutes after taking a chewable antacid tablet"
C. "I will eat a snack before going to bed"
D. "I will lie down for at least 30 minutes after eating each meal" A
A nurse is admitting a client who has acute pancreatitis. Which of the following actions should
the nurse take first?
A. Insert a nasogastric tube for the client
B. Administer Ceftazidime to the client
C. Identify the client's current level of pain
D. Instruct the client to remain NPO C
A nurse is caring for a client who has GRD and a new prescription for metoclopramide. The
nurse should plan to monitor for which of the following adverse effect?
A. Thrombocytopenia
B. Hearing loss
C. Hypersalivation
D. Ataxia D
A nurse is planning care for a client who has leukemia and a platelet count of 48,000/mm3.
Which of the following interventions should the nurse include in the plan?
A. Provide the client with a diet that is low in Vitamin K
B. Place the client on contact precaution
C. Administer subcutaneous epoetin alfa
D. Test the client's urine and stool for occult blood D
2|Page
,A nurse is teaching the parent of a child about administration guidelines for the human
papilloma virus (HPV) vaccine. Which of the following information should the nurse include?
A. One dose is administered at birth and another is administered at age 5
B. The vaccine does not protect males
C. The vaccine protects against chlamydia
D. Three doses are administered to adolescents who start the series after age 15 D
A nurse is providing teaching to a client who has systemic lupus erythematosus (SLE). Which of
the following statements by the client indicates an understanding of the teaching?
A. "I should use a sunscreen with an SPF of at least 15"
B. "Long-term immunosuppressive therapy could cure this disease"
C. "I should wear gloves when it is cold outside"
D. "SLE should not affect my lungs or breathing" C
A nurse is providing teaching to a client who takes an oral contraceptive and has a new
prescription for Amoxicillin. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will use a backup method of birth control while I am taking this medication"
B. "I should take this medication on an empty stomach"
C. "I should expect to have constipation while taking this medication"
D. "I will keep taking this medication until I feel better" A
A nurse is caring for four clients. Which of the following clients is at greatest risk for
pneumonia?
A. A school-age child who has a history of asthma
B. A young adult client who is living in a college dormitory
C. A middle adult who is using an incentive spirometer following surgery
D. An older adult client who has dysphagia D
A nurse is reviewing the daily laboratory results for a female client who has acute leukemia.
Which of the following values is an expected findings?
A. WBC count 21,000/mm3
3|Page
, B. Hgb 14 g/dL
C. Hct 40%
D. Platelets 170,000/mmm3 A
A nurse is reviewing the laboratory report for a client who has Hodgkin's lymphoma. Which of
the following findings should the nurse expect?
A. Overgrowth of B-lymphocyte plasma cells
B. Reed-Sternberg cells
C. Epstein-Barr virus
D. Overproduction of blast phase cells B
A nurse is providing discharge teaching to a client who has HIV. Which of the following
statements by the clients indicates an understanding of the teaching?
A. "I will clean the bathroom surfaces with full-strength bleach"
B. "I should discard open beverages that have been unrefrigerated for 1 hour"
C. "I should wash laundry that is soiled with a body fluid in cool water"
D. "I will work in the garden for exercise" B
A nurse is providing teaching to a client who is scheduled for a Papanicolaou (Pap) test. The
nurse should inform the client that the Pap test is used to screen for which of the following?
A. Uterine cancer
B. Cervical cancer
C. Ovarian cysts
D. Fibroids B
A nurse is caring for a client who has viral pneumonia. Which of the following findings should
the nurse report to the provider immediately?
A. Negative blood culture
B. Left shift in WBC differntial
C. Oxygen saturation 93%
D. Crackles heard on auscultation B
4|Page
