Download ATI Med Surge Proctored Exam 2025/26 COMPLETE 135 QUESTIONS AND CORRECT DETAILED ANSWERS ( and more Exams Nursing in PDF only on Docsity!
ATI Med Surge Proctored Exam 2025/
COMPLETE 135 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS).
A nurse is assisting with the care of a client who has a femur fracture and is in skeletal
traction. Which of the following actions should the nurse take - Correct
answer Ensure the client's weights are hanging freely from the bed.
A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions
should the nurse include? - Correct answer Take this medication between meals
A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions
should the nurse include? - Correct answer Take this medication between meals.
A nurse is reviewing the plan of care for a client who has cellulitis of the leg. Which of
the following interventions should the nurse recommend? - Correct answer Wash
daily with an antibacterial soap. A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established. Which of the following instructions should the nurse include in
the teaching? - Correct answer Avoid medications in capsule or enteric form.
A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an escharotomy and wants to know what the procedure involves. Which
of the following statements is appropriate for the nurse to make? - Correct
answer "Large incisions will be made in the burned tissue to improve circulation."
A nurse is collecting data from a client who has a possible cataract. Which of the
following manifestations should the nurse expect the client to report? - Correct
answer Decreased color perception
A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care? -
Correct answer Maintain the client in Fowler's position.
A nurse is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that apply.) -
Correct answer 1) Buffalo hump 2) Purple striations 3) Moon face
A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of
the following actions should the nurse take? - Correct answer Monitor intake and
output hourly A nurse is reinforcing teaching about an esophagogastroduodenoscopy with a client who has upper gastric pain. Which of the following statements should the nurse include
in the teaching? - Correct answer "You will remain NPO for 8 hours before the
procedure." A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Which of the following descriptions should
the nurse use when documenting this finding in the medical record? - Correct
answer Postictal phase
A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic cholecystectomy. Which of the following statements should the nurse
make? - Correct answer "The pain will dissipate if you ambulate frequently."
A nurse is checking the suction control chamber of a client's chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions
should the nurse take? - Correct answer Verify that the suction regulator is on.
A nurse is assisting with the care of a client immediately following a lumbar puncture.
Which of the following actions should the nurse take? (Select all that apply.) - Correct
answer Encourage fluid intake. 2) Monitor the puncture site for hematoma.
A nurse is assisting with the care of a client who is postoperative following surgical repair of a fractured mandible. The client's jaw is wired shut to repair and stabilize the fracture. The nurse should recognize which of the following is the priority action? -
Correct answer Prevent aspiration.
A nurse is collecting data from a client who has scleroderma. Which of the following
findings should the nurse expect? - Correct answer Hardened skin
A nurse is caring for an older adult client who has dysphagia and left-sided weakness
following a stroke. Which of the following actions should the nurse take? - Correct
answer Add thickener to fluids.
A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate (TURP). Which of the following is the priority finding for the
nurse report to the provider? - Correct answer Thick, red-colored urine
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a hypothermia blanket. The nurse should monitor the client for which of
the following adverse effects of the hypothermia blanket? - Correct answer Shivering
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of
the teaching? - Correct answer "I will not exercise if my urine is positive for ketones."
A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance, which of the following actions should
the nurse take first? - Correct answer Cover the client's wound with a moist, sterile
dressing. A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect? -
Correct answer Hyperventilation
A nurse is reinforcing discharge teaching with a client following a cataract extraction.
Which of the following should the nurse include in the teaching? - Correct
answer Avoid bending at the waist
A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions
should the nurse take first? - Correct answer Check the client's vital signs.
A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as
the type of drainage found? - Correct answer Purulent
A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent postoperative complications which of the following actions should be reinforced
during the teaching? - Correct answer Administer an opioid analgesic to the client 30
min prior to initiating CPM exercises. A nurse is collecting data from a client who has emphysema. Which of the following
findings should the nurse expect? (Select all that apply.) - Correct answer 1)
Dyspnea 2) Barrel chest 3) Clubbing of the fingers 4) Shallow respirations A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care, the nurse notices a thin stream of clear drainage coming from
out of the client's right nostril. Which of the following actions should the nurse take first?
- Correct answer Test the drainage for glucose. A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client is at risk for autonomic dysreflexia. Which of the following
interventions should the nurse take to prevent autonomic dysreflexia? - Correct
answer Prevent bladder distention.
A nurse is caring for a client who is being evaluated for endometrial cancer. Which of
the following findings should the nurse expect the client to report? - Correct
answer Abnormal vaginal bleeding
A nurse is caring for a client following an open reduction and internal fixation of a
fractured femur. Which of the following findings is the nurse's priority? - Correct
answer Altered level of consciousness
A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the left lung and has a chest tube to suction. Which of the following
is the priority finding the nurse should report to the provider? - Correct
answer Abdomen is distended
A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal conduit. Which of the following instructions should the nurse include in the
teaching? - Correct answer Change the ostomy pouch daily
A nurse is assisting in the plan of care for a client who had a removal of the pituitary
gland. Which of the following actions should the nurse include in the plan? - Correct
answer Change the nasal drip pad as needed.
A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following
effects? - Correct answer To prevent blood clotting
A nurse is collecting data from a client who has open-angle glaucoma. Which of the
following findings should the nurse expect? - Correct answer Loss of peripheral
vision A nurse is collecting data from a client who has acute gastroenteritis. Which of the
following data collection findings should the nurse identify as the priority? - Correct
answer Potassium 2.5 mEq/L
A nurse is reinforcing discharge teaching with a client who had a total abdominal hysterectomy and a vaginal repair. Which of the following statements by the client
A nurse is caring for a client who has heart failure and respiratory arrest. Which of the
following actions should the nurse take first? - Correct answer Feel for a carotid
pulse. A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer certain he wants to have the procedure. Which of the following
responses should the nurse make? - Correct answer "Bypass surgery must be very
frightening for you." A nurse is caring for a client who is postoperative following foot surgery and is not to bear weight on the operative foot. The nurse enters the room to discover the client hopped on one foot to the bathroom, using an IV pole for support. Which of the following
actions should the nurse take? - Correct answer Tell the client to remain in the
bathroom after toileting and obtain a wheelchair A nurse is assisting with the care of a client who is postoperative and has a closed- wound drainage system in place. Which of the following actions should the nurse take?
- Correct answer Fully recollapse the reservoir after emptying it A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following statements by the client indicates an understanding of the teaching? -
Correct answer "I will abstain from sexual intercourse."
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be
included in the teaching? - Correct answer Breathe in through her nose and out
through pursed lips. A nurse is caring for a client who is postoperative and has a history Addison's disease.
For which of the following manifestations should the nurse monitor? - Correct
answer Hypotension
A nurse is reinforcing pre-operative teaching for a client who is scheduled for surgery and is to take hydroxyzine preoperatively. Which of the following effects of the
medication should the nurse include in the teaching? (Select all that apply.) - Correct
answer 1) Decreasing anxiety 2) Controlling emesis 5) Reducing the amount of
narcotics needed for pain relief A nurse is reinforcing teaching with a client who has a new prescription for epoetin alfa. The nurse should reinforce to the client to take which of the following dietary
supplements with this medication? - Correct answer Iron
A nurse is caring for a client after a radical neck dissection. To which of the following
should the nurse give priority in the immediate postoperative period? - Correct
answer Ineffective airway clearance related to thick, copious secretions
A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8 who is admitted for comprehensive rehabilitation. Which of the following long-
term goals is appropriate with regard to the client's mobility? - Correct answer Propel
a wheelchair equipped with knobs on the wheels. A nurse is reinforcing health teaching about skin cancer with a group of clients. Which of the following risk factors should the nurse identify as the leading cause of non-
melanoma skin cancer? - Correct answer Sun exposure.
Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help
confirm the client is experiencing manifestations of menopause? - Correct
answer "Do you sleep well at night?"
A nurse is reinforcing teaching with a client about cancer prevention and plans to address the importance of foods high in antioxidants. Which of the following foods
should the nurse include in the teaching? - Correct answer Fresh berries
A nurse is assisting with caring for a client who has a new concussion following a motor- vehicle crash. The nurse should monitor the client for which of the following
manifestations of increased intracranial pressure? - Correct answer Lethargy
A nurse is reinforcing teaching about a tonometry examination with a client who has manifestations of glaucoma. Which of the following statements should the nurse include
in the teaching? - Correct answer "This test will measure the intraocular pressure of
the eye." A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following laboratory findings should the nurse
identify as the most important to report to the provider? - Correct answer Increase in
serum creatinine A nurse is checking for paradoxical blood pressure on a client who has constrictive
pericarditis. Which of the following findings should the nurse expect? - Correct
answer Drop in systolic BP more than 10 mm Hg on inspiration
A nurse is caring for a client who has Alzheimer's disease. The nurse discovers the client entering the room of another client, who becomes upset and frightened. Which of
the following actions should the nurse take? - Correct answer Attempt to determine
what the client was looking for
A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the
following sounds? - Correct answer Expiratory wheeze
A nurse is planning to change an abdominal dressing for a client who has an incision
with a drain. Which of the following actions should the nurse plan to take? - Correct
answer Don clean gloves to remove the dressing.
A nurse is caring for a client who is scheduled to undergo thoracentesis. In which of the
following positions should the nurse place the client for the procedure? - Correct
answer Sitting, leaning forward over the bedside table.
A nurse is caring for a client newly diagnosed with ovarian cancer. Which of the
following reactions from the client should the nurse initially expect? - Correct
answer Denial
A nurse is contributing to the plan of care for a client who is postoperative following peritoneal lavage for peritonitis. The client has a nasogastric tube to low-intermittent suction and closed-suction drains in place. Which of the following interventions should
the nurse include in the plan? - Correct answer Body weight
A nurse is caring for a client who is receiving a unit of packed RBCs. About 15 min following the start of the transfusion, the nurse notes that the client is flushed and febrile, and reports chills. To help confirm that the client is having an acute hemolytic transfusion reaction, the nurse should observe for which of the following
manifestations? - Correct answer Hypotension
A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. The nurse should recognize the client is experiencing which of the following
conditions? - Correct answer A sensory warning that a seizure is imminent
A nurse is caring for a client who just had cataract surgery. Which of the following
comments from the client should the nurse report to the provider? - Correct answer "I
need something for the horrible pain in my eye." A nurse is caring for a client who is scheduled for a colonoscopy. The client asks the nurse if there will be a lot of pain during the procedure. Which of the following
responses should the nurse make? - Correct answer "You may feel some cramping
during the procedure." A nurse caring for a client at risk for increased intracranial pressure is monitoring the client for manifestations that indicate that the pressure is increasing. To do this, the nurse should check the function of the third cranial nerve by performing which of the
following data-collection activities? - Correct answer Checking pupillary responses to
light A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should
explain that the medication should have which of the following effects? - Correct
answer Reducing anxiety
A nurse is collecting data on a client who has hyperthyroidism. Which of the following
manifestations should the nurse expect the client to report? - Correct
answer Frequent mood changes
A nurse is collecting data from a client who has skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites? -
Correct answer Fever
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the
following manifestations of hypoglycemia? (Select all that apply.) - Correct
answer Blurry vision 3) Tachycardia 5) Sweating
A nurse is collecting data from a client who has an exacerbation of gout. Which of the
following findings should the nurse expect? (Select all that apply.) - Correct
answer Edema 2) Erythema 3) Tophi 4) Tight skin
A nurse is caring for a client who has myasthenia gravis (MG). Which of the following is
a complication of MG for which the nurse should monitor? - Correct
answer Respiratory difficulty
.A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize that which of the following actions is the priority? -
Correct answer Evaluate fluid and electrolyte levels.
A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the
teaching? - Correct answer "You should wear glasses instead of contacts while
taking this medication." A nurse is reinforcing teaching about cyclosporine for a client who is postoperative following a renal transplant. Which of the following statements by the client indicates an
understanding of the teaching? - Correct answer "I will need to take this medication
for the rest of my life."
A nurse is collecting data from a client who has Cushing's syndrome. Which of the
following manifestations should the nurse expect? - Correct answer Bruising
A nurse is caring for a client who is postoperative and requesting something to drink. The nurse reads the client's postoperative prescriptions, which include, "Clear liquids, advance diet as tolerated." Which of the following actions should the nurse take first? -
Correct answer Auscultate the client's abdomen.
A nurse is collecting data on a client who has a surgical wound healing by secondary intention. Which of the following findings should the nurse report to the charge nurse? -
Correct answer The wound has a halo of erythema on the surrounding skin.
A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a
pneumothorax? - Correct answer Absence of breath sounds
A nurse is collecting data from a client who has right-sided heart failure. Which of the
following findings should the nurse expect? - Correct answer Peripheral edema
A nurse is caring for a client who is receiving chemotherapy for treatment of ovarian cancer and experiencing nausea. Which of the following actions should the nurse take?
- Correct answer Encourage the client to drink a carbonated beverage 1 hr before meals. A nurse is assisting with the care of a client following a transurethral resection of the prostate (TURP) and has an indwelling urinary catheter. Which of the following actions
should the nurse take? - Correct answer Irrigate the catheter as prescribed.
A nurse is evaluating discharge instructions for a client following a right cataract extraction. Which of the following client statements indicates the teaching is effective? -
Correct answer "I will take a stool softener until my eye is healed."
A nurse is collecting data from a client who is 6 days post craniotomy for removal of an intracerebral aneurysm. The nurse should monitor the client for which of the following
manifestations of increased intracranial pressure? - Correct answer Hypertension
A nurse is caring for a client who has COPD. Which of the following actions should the
nurse take? - Correct answer Encourage the client to drink 8 glasses of water a day.
. A nurse is caring for a client who was admitted with major burns to the head, neck, and chest. Which of the following complications should the nurse identify as the greatest risk
to the client? - Correct answer Airway obstruction
A nurse is collecting data from a client who was bitten by a tick one week ago. Which of the following client manifestations should the nurse identify as an indication of the
development of Lyme disease? - Correct answer An expanding circular rash
A nurse is contribution to the plan of care for a client who is 12 hr postoperative following a right radical mastectomy with closed suction drains present. The nurse should expect that the client will be unable to perform which of the following activities
with her right arm? - Correct answer Combing her hair
A nurse in a provider's office is collecting data for a 45-year-old client who is having manifestations associated with perimenopause. Which of the following findings should
the nurse expect? - Correct answer Report of dryness with vaginal intercourse
A nurse is reinforcing teaching about breast self-examination (BSE) with a client who has a regular menstrual cycle. The nurse should instruct the client to perform BSE at
which of the following times? - Correct answer Three to seven days after menses
stops A nurse is caring for a client who has second- and third-degree burns and a prescription for a high-calorie, high-protein diet. Which of the following menu choices should the
nurse recommend? - Correct answer Turkey and cheese sandwich with scalloped
potatoes A nurse is reinforcing teaching to a client who is scheduled for an intravenous
pyelogram. Which of the following should the nurse include in the teaching? - Correct
answer Take a laxative the evening before the procedure.
A nurse is collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as
being consistent with peptic ulcer disease? - Correct answer "I feel so much better
after eating." A nurse is contributing to the plan of care for a client who has a terminal illness. Which
of the following interventions should the nurse identify as the priority? - Correct
answer Schedule pain medication on a routine basis.
A nurse is reinforcing teaching with a client who has been newly diagnosed with chronic open angle glaucoma. Which of the following statements by the client indicates an
understanding of the teaching? - Correct answer "I should call the clinic before taking
any over-the-counter medications."
