ATI RN ADULT MEDICAL-SURGICAL
NURSING 2024-2025 EXAM WITH
VERIFIED ANSWERS
A dnurse dis dproviding dpostoperative dteaching dfor da dclient dwho dhad da dtotal dknee
darthroplasty. dWhich dof dthe dfollowing dinstructions dshould dthe dnurse dinclude? d-
dcorrect danswers d-Flex dthe dfoot devery dhour dwhen dawake.
Rationale: dThe dnurse dshould dinstruct dthe dclient dto dflex dthe dfoot devery dhour dto
dreduce dthe drisk dfor dthromboembolism dand dpromote dvenous dreturn.
A dnurse dis dcaring dfor da dclient dwho dhas da dpneumothorax dand da dclosed-chest
ddrainage dsystem. dWhich dof dthe dfollowing dfindings dis dan dindication dof dlung dre-
expansion? d- dcorrect danswers d-Bubbling din dthe dwater dseal dchamber dhas dceased.
Rationale: dBubbling din dthe dwater dseal dchamber dceases dwhen dthe dlung dre-
expands.
,A dnurse dis dreviewing dthe dmedical drecord dof da dclient dwho dis dtaking dwarfarin dfor
dchronic datrial dfibrillation. dWhich dof dthe dfollowing dvalues dshould dthe dnurse didentify
das da ddesired doutcome dfor dthis dtherapy? d- dcorrect danswers d-INR d2.5
Rationale: dClients dreceive dwarfarin dtherapy dto ddecrease dthe drisk dof dstroke,
dmyocardial dinfarction d(MI), dor dpulmonary demboli d(PE) dfrom dblood dclots. dSince
dwarfarin dis dan danticoagulant, dthe dmedication dmust dbe dmonitored dto densure dthe
danticoagulation dis dwithin dthe dtherapeutic drange dand dprevent dhemorrhage d(high
dlevels dof danticoagulation) dor dstroke, dMI, dor dPE d(low dlevels dof danticoagulation).
dAn dINR dof d2.5 dis dwithin dthe dtargeted dtherapeutic drange dof d2 dto d3 dfor da dclient
dwho dhas datrial dfibrillation.
A dhome dhealth dnurse dis dproviding dteaching dto da dclient dwho dhas da dstage d1
dpressure dinjury don dthe dgreater dtrochanter dof dhis dleft dhip. dWhich dof dthe dfollowing
dinstructions dshould dthe dnurse dinclude din dthe dteaching? d- dcorrect danswers d-
Change dposition devery dhour
Rationale: dChanging dposition devery d1 dto d2 dhr ddecreases dpressure don dbony
dprominences. dThe dnurse dshould dalso dinstruct dthe dclient dto dlimit dthe dangle dof
dthe dhips dwhen din da dlateral dposition dto dno dmore dthan d30°. dThis dpositioning
dprevents ddirect dpressure don dthe dtrochanter.
A dnurse dis dassessing da dclient dfollowing dthe dcompletion dof dhemodialysis. dWhich
dof dthe dfollowing dfindings dis dthe dnurse's dpriority dto dreport dto dthe dprovider? d-
dcorrect danswers d-Restlessness
Rationale: dUsing dthe durgent dvs. dnonurgent dapproach dto dclient dcare, dthe dnurse
dshould ddetermine dthat dthe dpriority dfinding dto dreport dto dthe dprovider dis
drestlessness, dwhich dcan dbe dan dindication dthe dclient dis dexperiencing
ddisequilibrium dsyndrome. dDisequilibrium dsyndrome dis dcaused dby dthe drapid
dremoval dof delectrolytes dfrom dthe dclient's dblood dand dcan dlead dto ddysrhythmias
dor dseizures. dOther dmanifestations dinclude dnausea, dvomiting, dfatigue, dand
dheadache.
A dnurse dis dcaring dfor da dclient dwho dis d8 dhr dpostoperative dfollowing da dtotal dhip
darthroplasty. dThe dclient dis dunable dto dvoid don dthe dbedpan. dWhich dof dthe
dfollowing dactions dshould dthe dnurse dtake dfirst? d- dcorrect danswers d-Scan dthe
dbladder dwith da dportable dultrasound.
Rationale: dThe dfirst daction dthe dnurse dshould dtake dusing dthe dnursing dprocess dis
dto dassess dthe dclient. dScanning dthe dbladder dwith da dportable dultrasound ddevice
dwill ddetermine dthe damount dof durine din dthe dbladder
A dnurse dis dplanning da dhealth dpromotional dpresentation dfor da dgroup dof dAfrican
dAmerican dclients dat da dcommunity dcenter. dWhich dof dthe dfollowing ddisorders
dpresents dthe dgreatest drisk dto dthis dgroup dof dclients? d- dcorrect danswers d-
Hypertension
Rationale: dWhen dusing dthe dsafety/risk dreduction dapproach dto dclient dcare, dthe
dnurse dshould ddetermine dthat dthe ddisorder dwith dthe dgreatest drisk dfor dthis dgroup
dof dclients dis dhypertension. dThe dprevalence dof dhypertension dis dhighest damong
, dAfrican dAmerican dclients, dfollowed dby dCaucasian dclients, dand dthen dHispanic
dclients.
A dnurse dis dcaring dfor da dclient dwho dhas dDKA. dWhich dof dthe dfollowing dfindings
dshould dindicate dto dthe dnurse dthat dthe dclient's dcondition dis dimproving? d- dcorrect
danswers d-Glucose d272 dmg/dL
Rationale: dA dglucose dreading dless dthan d300 dmg/dL dindicates dimprovement din dthe
dclient's dstatus.
A dnurse dis dcaring dfor da dclient dfollowing dextubation dof dan dendotracheal dtube d10
dmin. dago. dWhich dof dthe dfollowing dfindings dshould dthe dnurse dreport dto dthe
dprovider dimmediately? d- dcorrect danswers d-Stridor
Rationale: dUsing dthe durgent dvs. dnonurgent dapproach dto dclient dcare, dthe dnurse
dshould ddetermine dthat dthe dpriority dfinding dis dstridor. dStridor dcan dindicate da
dnarrowing dairway dor dpossible dobstruction dcaused dby dedema dor dlaryngeal
dspasms. dThe dnurse dshould dreport dthe dfinding dimmediately dand dimplement dan
dintervention.
A dnurse dis dcaring dfor da dclient dwho dhad da dnephrostomy dtube dinserted d112 dhr
dago. dWhich dof dthe dfollowing dfindings dshould dthe dnurse dreport dto dthe dprovider?
d- dcorrect danswers d-The dclient dreports dback dpain
Rationale: dThe dnurse dshould dnotify dthe dprovider dif dthe dclient dreports dback dpain,
dwhich dcan dindicate dthat dthe dnephrostomy dtube dis ddislodged dor dclogged.
A dnurse dis dadmitting da dclient dwho dhas dactive dTB. dWhich dof dthe dfollowing dtypes
dof dtransmission dprecautions dshould dthe dnurse dinitiate? d- dcorrect danswers d-
Airborne
Rationale: dAirborne dprecautions dare drequired dfor dclients dwho dhave dinfections ddue
dto dmicro-organisms dthat dcan dremain dsuspended din dair dfor dlengthy dperiods dof
dtime, dsuch das dtuberculosis, dmeasles, dvaricella, dand ddisseminated dvaricella
dzoster.
A dnurse dis dplanning dcare dfor da dclient dwho dhas da dsealed dradiation dimplant dfor
dcervical dcancer. dWhich dof dthe dfollowing dinterventions dshould dthe dnurse dinclude
din dthe dplan dof dcare? d- dcorrect danswers d-Keep da dlead-lined dcontainer din dthe
dclient's droom
Rationale: dThe dnurse dshould dkeep da dlead-lined dcontainer dand dforceps din dthe
dclient's droom din dcase dof daccidental ddislodgement dof dthe dimplant.
A dnurse dis dassessing da dclient dwho dis dpostoperative dfollowing da dthyroidectomy.
dWhich dof dthe dfollowing dfindings dis dthe dnurse's dpriority? d- dcorrect danswers d-
Temperature d38.9° dC d(102° dF)
Rationale: dWhen dusing dthe durgent dvs. dnonurgent dapproach dto dclient dcare, dthe
dnurse dshould ddetermine dthat dthe dpriority dfinding dis dan delevated dtemperature. dAn
delevated dtemperature dis da dmanifestation dof dexcessive dthyroid dhormone drelease,
dor dthyroid dstorm, ddue dto dan dincrease din dmetabolic drate. dThe dnurse dshould
NURSING 2024-2025 EXAM WITH
VERIFIED ANSWERS
A dnurse dis dproviding dpostoperative dteaching dfor da dclient dwho dhad da dtotal dknee
darthroplasty. dWhich dof dthe dfollowing dinstructions dshould dthe dnurse dinclude? d-
dcorrect danswers d-Flex dthe dfoot devery dhour dwhen dawake.
Rationale: dThe dnurse dshould dinstruct dthe dclient dto dflex dthe dfoot devery dhour dto
dreduce dthe drisk dfor dthromboembolism dand dpromote dvenous dreturn.
A dnurse dis dcaring dfor da dclient dwho dhas da dpneumothorax dand da dclosed-chest
ddrainage dsystem. dWhich dof dthe dfollowing dfindings dis dan dindication dof dlung dre-
expansion? d- dcorrect danswers d-Bubbling din dthe dwater dseal dchamber dhas dceased.
Rationale: dBubbling din dthe dwater dseal dchamber dceases dwhen dthe dlung dre-
expands.
,A dnurse dis dreviewing dthe dmedical drecord dof da dclient dwho dis dtaking dwarfarin dfor
dchronic datrial dfibrillation. dWhich dof dthe dfollowing dvalues dshould dthe dnurse didentify
das da ddesired doutcome dfor dthis dtherapy? d- dcorrect danswers d-INR d2.5
Rationale: dClients dreceive dwarfarin dtherapy dto ddecrease dthe drisk dof dstroke,
dmyocardial dinfarction d(MI), dor dpulmonary demboli d(PE) dfrom dblood dclots. dSince
dwarfarin dis dan danticoagulant, dthe dmedication dmust dbe dmonitored dto densure dthe
danticoagulation dis dwithin dthe dtherapeutic drange dand dprevent dhemorrhage d(high
dlevels dof danticoagulation) dor dstroke, dMI, dor dPE d(low dlevels dof danticoagulation).
dAn dINR dof d2.5 dis dwithin dthe dtargeted dtherapeutic drange dof d2 dto d3 dfor da dclient
dwho dhas datrial dfibrillation.
A dhome dhealth dnurse dis dproviding dteaching dto da dclient dwho dhas da dstage d1
dpressure dinjury don dthe dgreater dtrochanter dof dhis dleft dhip. dWhich dof dthe dfollowing
dinstructions dshould dthe dnurse dinclude din dthe dteaching? d- dcorrect danswers d-
Change dposition devery dhour
Rationale: dChanging dposition devery d1 dto d2 dhr ddecreases dpressure don dbony
dprominences. dThe dnurse dshould dalso dinstruct dthe dclient dto dlimit dthe dangle dof
dthe dhips dwhen din da dlateral dposition dto dno dmore dthan d30°. dThis dpositioning
dprevents ddirect dpressure don dthe dtrochanter.
A dnurse dis dassessing da dclient dfollowing dthe dcompletion dof dhemodialysis. dWhich
dof dthe dfollowing dfindings dis dthe dnurse's dpriority dto dreport dto dthe dprovider? d-
dcorrect danswers d-Restlessness
Rationale: dUsing dthe durgent dvs. dnonurgent dapproach dto dclient dcare, dthe dnurse
dshould ddetermine dthat dthe dpriority dfinding dto dreport dto dthe dprovider dis
drestlessness, dwhich dcan dbe dan dindication dthe dclient dis dexperiencing
ddisequilibrium dsyndrome. dDisequilibrium dsyndrome dis dcaused dby dthe drapid
dremoval dof delectrolytes dfrom dthe dclient's dblood dand dcan dlead dto ddysrhythmias
dor dseizures. dOther dmanifestations dinclude dnausea, dvomiting, dfatigue, dand
dheadache.
A dnurse dis dcaring dfor da dclient dwho dis d8 dhr dpostoperative dfollowing da dtotal dhip
darthroplasty. dThe dclient dis dunable dto dvoid don dthe dbedpan. dWhich dof dthe
dfollowing dactions dshould dthe dnurse dtake dfirst? d- dcorrect danswers d-Scan dthe
dbladder dwith da dportable dultrasound.
Rationale: dThe dfirst daction dthe dnurse dshould dtake dusing dthe dnursing dprocess dis
dto dassess dthe dclient. dScanning dthe dbladder dwith da dportable dultrasound ddevice
dwill ddetermine dthe damount dof durine din dthe dbladder
A dnurse dis dplanning da dhealth dpromotional dpresentation dfor da dgroup dof dAfrican
dAmerican dclients dat da dcommunity dcenter. dWhich dof dthe dfollowing ddisorders
dpresents dthe dgreatest drisk dto dthis dgroup dof dclients? d- dcorrect danswers d-
Hypertension
Rationale: dWhen dusing dthe dsafety/risk dreduction dapproach dto dclient dcare, dthe
dnurse dshould ddetermine dthat dthe ddisorder dwith dthe dgreatest drisk dfor dthis dgroup
dof dclients dis dhypertension. dThe dprevalence dof dhypertension dis dhighest damong
, dAfrican dAmerican dclients, dfollowed dby dCaucasian dclients, dand dthen dHispanic
dclients.
A dnurse dis dcaring dfor da dclient dwho dhas dDKA. dWhich dof dthe dfollowing dfindings
dshould dindicate dto dthe dnurse dthat dthe dclient's dcondition dis dimproving? d- dcorrect
danswers d-Glucose d272 dmg/dL
Rationale: dA dglucose dreading dless dthan d300 dmg/dL dindicates dimprovement din dthe
dclient's dstatus.
A dnurse dis dcaring dfor da dclient dfollowing dextubation dof dan dendotracheal dtube d10
dmin. dago. dWhich dof dthe dfollowing dfindings dshould dthe dnurse dreport dto dthe
dprovider dimmediately? d- dcorrect danswers d-Stridor
Rationale: dUsing dthe durgent dvs. dnonurgent dapproach dto dclient dcare, dthe dnurse
dshould ddetermine dthat dthe dpriority dfinding dis dstridor. dStridor dcan dindicate da
dnarrowing dairway dor dpossible dobstruction dcaused dby dedema dor dlaryngeal
dspasms. dThe dnurse dshould dreport dthe dfinding dimmediately dand dimplement dan
dintervention.
A dnurse dis dcaring dfor da dclient dwho dhad da dnephrostomy dtube dinserted d112 dhr
dago. dWhich dof dthe dfollowing dfindings dshould dthe dnurse dreport dto dthe dprovider?
d- dcorrect danswers d-The dclient dreports dback dpain
Rationale: dThe dnurse dshould dnotify dthe dprovider dif dthe dclient dreports dback dpain,
dwhich dcan dindicate dthat dthe dnephrostomy dtube dis ddislodged dor dclogged.
A dnurse dis dadmitting da dclient dwho dhas dactive dTB. dWhich dof dthe dfollowing dtypes
dof dtransmission dprecautions dshould dthe dnurse dinitiate? d- dcorrect danswers d-
Airborne
Rationale: dAirborne dprecautions dare drequired dfor dclients dwho dhave dinfections ddue
dto dmicro-organisms dthat dcan dremain dsuspended din dair dfor dlengthy dperiods dof
dtime, dsuch das dtuberculosis, dmeasles, dvaricella, dand ddisseminated dvaricella
dzoster.
A dnurse dis dplanning dcare dfor da dclient dwho dhas da dsealed dradiation dimplant dfor
dcervical dcancer. dWhich dof dthe dfollowing dinterventions dshould dthe dnurse dinclude
din dthe dplan dof dcare? d- dcorrect danswers d-Keep da dlead-lined dcontainer din dthe
dclient's droom
Rationale: dThe dnurse dshould dkeep da dlead-lined dcontainer dand dforceps din dthe
dclient's droom din dcase dof daccidental ddislodgement dof dthe dimplant.
A dnurse dis dassessing da dclient dwho dis dpostoperative dfollowing da dthyroidectomy.
dWhich dof dthe dfollowing dfindings dis dthe dnurse's dpriority? d- dcorrect danswers d-
Temperature d38.9° dC d(102° dF)
Rationale: dWhen dusing dthe durgent dvs. dnonurgent dapproach dto dclient dcare, dthe
dnurse dshould ddetermine dthat dthe dpriority dfinding dis dan delevated dtemperature. dAn
delevated dtemperature dis da dmanifestation dof dexcessive dthyroid dhormone drelease,
dor dthyroid dstorm, ddue dto dan dincrease din dmetabolic drate. dThe dnurse dshould
