1|Page
Nursing MED SURG ATI EXAM Complete
Practice Test with 100% Verified Answers
and rationales already graded A+, Exams of
Nursing
The nurse is caring for a client with non-Hodgkin's lymphoma who is receiving chemotherapy.
Laboratory results reveal a platelet count of 10,000/mL. What action should the nurse
implement?
A. provide oral hygiene every 2 hours
B. check for fever every 4 hours
C. encourage fluids to 3000 mL/day
D. check stools for occult blood - answer..,D. check stools for occult blod
Platelet counts less than 100,000/mm3 are indicative of thrombocytopenia, a common side effect
of chemotherapy. A client with thrombocytopenia should be assessed frequently for occult
bleeding in the emesis, sputum, feces, urine, nasogastric secretions, or wounds.
,2|Page
A couple trying to cope with an infertility problem wants to know what can be done to preserve
emotional equilibrium. What is the best response for the nurse to provide?
A. "talk only to other friends who are infertile since only they can help"
B. "tell your friends and family so that they can help you"
C. "get involved in a support group. I will give you some names"
D. "start adoption proceedings immediately since obtaining an infant is very difficult" -
answer..,C
A support group provides a safe haven for the couple to share experiences and gain insight from
others' experiences. Although talking about feelings may unburden the couple of negative
feelings, infertility is a major stressor that affects the couple's relationships, so discussion with
family and friends should be minimal. Limiting interaction to other infertile couples may address
some psychosocial needs, but depending on where the other couples are in the recovery process,
it may not be helpful. Giving an opinion about adoption is not therapeutic nor supportive of the
psychosocial needs.
The nurse is providing post-operative instructions for a female client after a mastectomy. Which
information should the nurse include in the teaching plan?
A. avoid lifting more than 4.5 kg (10 lb) or reaching above her head
B. empty surgical drains once a week using procedural gloves
C. report inflammation of the incision site or the affected arm
D. wearing clothing with snug sleeves over the arm on the operative side - answer..,A and D
,3|Page
Part of the client's teaching plan should include reporting evidence of inflammation at the
incision or of the affected arm and to avoid lifting or reaching, which places the client at risk for
injury to the extremity that may have compromised lymphatic drainage. the client should be
instructed to empty surgical drains daily, no weekly. Activity that decreases circulation in the
affected arm, such as carrying a handbag over the shoulder, wearing tight clothing, or tight
jewelry, should be avoided.
the nurse directs an unlicensed assisstive personnel (UAP) to obtain vital signs for a client who
returns to the unit after having a mastectomy for cancer. What information should the nurse
provide the UAP?
A. elevate the arm with an IV infusing on the operative side with a pillow
B. apply the blood pressure cuff to the arm on the non-operative side
C. position the arm on the operative side close to the body
D. collect a fingerstick blood specimen from the arm on the operative side - answer..,B.
Blood pressure reading should be obtained from the arm on the unoperative side to reduce the
risk of injury of the extremity that may have compromised lymphatic drainage postoperatively.
The arm on the operative side of the mastectomy should be elevated on a pillow above the level
of the right atrium to facilitate lymphatic drainage, not close to the body. An IV infusion or
blood specimen collection should not involve the use of the arm on the operative side.
, 4|Page
Which client is at the highest risk for compromised psychological adjustment after a
hysterectomy?
A. a 62-year-old widow who has three friends who had uncomplicated hysterectomies
B. A 29-year-old woman whose uterus ruptured after giving birth to her first child
C. A 46-year-old woman with three children and a recent promotion at work
D. A 55-year-old woman with abnormal bleeding and pain for 3 years - answer..,B
The client who is a primipara and is still in her childbearing years is at highest risk for
unresolved conflicts about the end of her childbearing opportunities. The client with a family and
positive life events, the menopausal client with physical distress, the post-menopausal client with
support of peers with similar positive outcomes are less likely to be psychologically distressed.
A 48-year-old client with endometrial cancer is being discharged after a total hysterectomy and
bilateral salpingo-oophorectomy. Which client statement indicates that further teaching is
needed?
A. "I have asked my daughter to stay with me next week after I am discharged"
B. "Well, I don't have to worry about getting pregnant anymore"
C. "I know I will miss having sexual intercourse with my husband"
D. "I can't wait to go on the cruise that I have planned for this summer" - answer..,C
further teaching is needed in response to the client's misunderstanding of sexuality after a
hysterectomy that is reflected in the statement. the client's knowledge about reproduction, a
Nursing MED SURG ATI EXAM Complete
Practice Test with 100% Verified Answers
and rationales already graded A+, Exams of
Nursing
The nurse is caring for a client with non-Hodgkin's lymphoma who is receiving chemotherapy.
Laboratory results reveal a platelet count of 10,000/mL. What action should the nurse
implement?
A. provide oral hygiene every 2 hours
B. check for fever every 4 hours
C. encourage fluids to 3000 mL/day
D. check stools for occult blood - answer..,D. check stools for occult blod
Platelet counts less than 100,000/mm3 are indicative of thrombocytopenia, a common side effect
of chemotherapy. A client with thrombocytopenia should be assessed frequently for occult
bleeding in the emesis, sputum, feces, urine, nasogastric secretions, or wounds.
,2|Page
A couple trying to cope with an infertility problem wants to know what can be done to preserve
emotional equilibrium. What is the best response for the nurse to provide?
A. "talk only to other friends who are infertile since only they can help"
B. "tell your friends and family so that they can help you"
C. "get involved in a support group. I will give you some names"
D. "start adoption proceedings immediately since obtaining an infant is very difficult" -
answer..,C
A support group provides a safe haven for the couple to share experiences and gain insight from
others' experiences. Although talking about feelings may unburden the couple of negative
feelings, infertility is a major stressor that affects the couple's relationships, so discussion with
family and friends should be minimal. Limiting interaction to other infertile couples may address
some psychosocial needs, but depending on where the other couples are in the recovery process,
it may not be helpful. Giving an opinion about adoption is not therapeutic nor supportive of the
psychosocial needs.
The nurse is providing post-operative instructions for a female client after a mastectomy. Which
information should the nurse include in the teaching plan?
A. avoid lifting more than 4.5 kg (10 lb) or reaching above her head
B. empty surgical drains once a week using procedural gloves
C. report inflammation of the incision site or the affected arm
D. wearing clothing with snug sleeves over the arm on the operative side - answer..,A and D
,3|Page
Part of the client's teaching plan should include reporting evidence of inflammation at the
incision or of the affected arm and to avoid lifting or reaching, which places the client at risk for
injury to the extremity that may have compromised lymphatic drainage. the client should be
instructed to empty surgical drains daily, no weekly. Activity that decreases circulation in the
affected arm, such as carrying a handbag over the shoulder, wearing tight clothing, or tight
jewelry, should be avoided.
the nurse directs an unlicensed assisstive personnel (UAP) to obtain vital signs for a client who
returns to the unit after having a mastectomy for cancer. What information should the nurse
provide the UAP?
A. elevate the arm with an IV infusing on the operative side with a pillow
B. apply the blood pressure cuff to the arm on the non-operative side
C. position the arm on the operative side close to the body
D. collect a fingerstick blood specimen from the arm on the operative side - answer..,B.
Blood pressure reading should be obtained from the arm on the unoperative side to reduce the
risk of injury of the extremity that may have compromised lymphatic drainage postoperatively.
The arm on the operative side of the mastectomy should be elevated on a pillow above the level
of the right atrium to facilitate lymphatic drainage, not close to the body. An IV infusion or
blood specimen collection should not involve the use of the arm on the operative side.
, 4|Page
Which client is at the highest risk for compromised psychological adjustment after a
hysterectomy?
A. a 62-year-old widow who has three friends who had uncomplicated hysterectomies
B. A 29-year-old woman whose uterus ruptured after giving birth to her first child
C. A 46-year-old woman with three children and a recent promotion at work
D. A 55-year-old woman with abnormal bleeding and pain for 3 years - answer..,B
The client who is a primipara and is still in her childbearing years is at highest risk for
unresolved conflicts about the end of her childbearing opportunities. The client with a family and
positive life events, the menopausal client with physical distress, the post-menopausal client with
support of peers with similar positive outcomes are less likely to be psychologically distressed.
A 48-year-old client with endometrial cancer is being discharged after a total hysterectomy and
bilateral salpingo-oophorectomy. Which client statement indicates that further teaching is
needed?
A. "I have asked my daughter to stay with me next week after I am discharged"
B. "Well, I don't have to worry about getting pregnant anymore"
C. "I know I will miss having sexual intercourse with my husband"
D. "I can't wait to go on the cruise that I have planned for this summer" - answer..,C
further teaching is needed in response to the client's misunderstanding of sexuality after a
hysterectomy that is reflected in the statement. the client's knowledge about reproduction, a
