ATI RN ADULT MEDICAL SURGICAL
2023 EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
Seizure precautions - CORRECT ANSWERSEnsure client has IV access for seizure medication
administration.
Postoperative lab values - CORRECT ANSWERSReport Hgb level of 8 g/dL to provider as an
indicator of postoperative hemorrhage or anemia.
ESWL procedure - CORRECT ANSWERSExpect stone fragments in the urine after
extracorporeal shock wave lithotripsy.
,Airborne precautions - CORRECT ANSWERSInitiate airborne precautions for a client with
anorexia, low-grade fever, night sweats, and productive cough, as these are manifestations of
tuberculosis.
TPN administration - CORRECT ANSWERSAdminister dextrose 10% in water until new TPN
bag arrives to avoid drop in blood glucose level.
Levothyroxine interaction - CORRECT ANSWERSInstruct client to avoid taking calcium within 4
hr of levothyroxine administration, as calcium can interfere with the effectiveness of the
medication.
Mechanical ventilation anxiety - CORRECT ANSWERSInstruct client to allow the machine to
breathe for them to reduce anxiety and restlessness associated with fighting the ventilator.
, Adverse effect of enalapril - CORRECT ANSWERSIdentify orthostatic hypotension as an
adverse effect of enalapril.
Delayed wound healing - CORRECT ANSWERSIdentify urine output of 25 mL/hr as a finding
that contributes to delayed wound healing.
Hypothyroidism and opioid analgesic - CORRECT ANSWERSInstruct client to void every 4
hours to decrease the risk of urinary retention, which is an adverse effect of opioid analgesics.
Portal hypertension - CORRECT ANSWERSObtain vital signs first when caring for a client who
is vomiting blood mixed with food after a meal, as this indicates a potential rupture of
esophageal varices.
2023 EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
Seizure precautions - CORRECT ANSWERSEnsure client has IV access for seizure medication
administration.
Postoperative lab values - CORRECT ANSWERSReport Hgb level of 8 g/dL to provider as an
indicator of postoperative hemorrhage or anemia.
ESWL procedure - CORRECT ANSWERSExpect stone fragments in the urine after
extracorporeal shock wave lithotripsy.
,Airborne precautions - CORRECT ANSWERSInitiate airborne precautions for a client with
anorexia, low-grade fever, night sweats, and productive cough, as these are manifestations of
tuberculosis.
TPN administration - CORRECT ANSWERSAdminister dextrose 10% in water until new TPN
bag arrives to avoid drop in blood glucose level.
Levothyroxine interaction - CORRECT ANSWERSInstruct client to avoid taking calcium within 4
hr of levothyroxine administration, as calcium can interfere with the effectiveness of the
medication.
Mechanical ventilation anxiety - CORRECT ANSWERSInstruct client to allow the machine to
breathe for them to reduce anxiety and restlessness associated with fighting the ventilator.
, Adverse effect of enalapril - CORRECT ANSWERSIdentify orthostatic hypotension as an
adverse effect of enalapril.
Delayed wound healing - CORRECT ANSWERSIdentify urine output of 25 mL/hr as a finding
that contributes to delayed wound healing.
Hypothyroidism and opioid analgesic - CORRECT ANSWERSInstruct client to void every 4
hours to decrease the risk of urinary retention, which is an adverse effect of opioid analgesics.
Portal hypertension - CORRECT ANSWERSObtain vital signs first when caring for a client who
is vomiting blood mixed with food after a meal, as this indicates a potential rupture of
esophageal varices.
