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ATI MED SURG EXAM 2025 EXAM ACTUAL
QUESTIONS AND CORRECT ANSWERS GRADE
A GUARANTEE PASS
A nurse is planning care for a client who is receiving mechanical ventilation. Which mode of ventilation increases the effort of the client's respiratory muscles? (Select all that apply) A. Assist-control B. Synchronized intermittent mandatory ventilation C. Continuous positive airway pressure D. Pressure support ventilation
E. Independent lung ventilation - CORRECT ANSWER B.
Synchronized intermittent mandatory ventilaiton C. Continuous positive airway pressure D. Pressure support ventilation A nurse is caring for a client who is experiencing respiratory distress. Which of the following are early clinical manifestations of hypoxemia? (Select all that apply) A. Confusion B. Pale skin C. Bradycardia
D. Hypotension
E. Elevated blood pressure - CORRECT ANSWER B. Pale skin
E. Elevated blood pressure A nurse is caring for a client that is receiving mechanical ventilation, which has been placed on pressure support ventilation (PSV) mode. Which of the following statements by the nurse demonstrates an understanding of PSV? A. It keep the alveoli open and prevents atelectasis B. It permits spontaneous ventilation to decrease the work of breathing C. It is used with clients who have difficulty weaning from the ventilator D. It delivers a preset ventilatory rate and tidal volume to the client -
CORRECT ANSWER B. PSV maintains a preset amount of
pressure during spontaneous ventilation to decrease the work of breathing A provider is discharging a client who has a prescription for home oxygen therapy via nasal cannula. Client and family teaching by the nurse should include which of the following instructions? -
CORRECT ANSWER 1. check the position of the cannula
frequently
- report any nasal or difficulty breathing
- post no smoking signs in a prominent location
retreatment if clinical signs persist or recur, a fourfold rise in titers occurs, or initially high titers fail to decrease fourfold by 6 months risks to the fetus if the patient is contemplating pregnancy and the need for all pregnant patients to be screened at the first prenatal visit information for the patient and sexual partners about human immunodeficiency virus infection importance of safer sex practices, including the use of condoms. As needed, obtain a physical or occupational therapy consultation. Refer the patient for contact tracing. Refer the patient to a specialist if congenital syphilis is suspected. Consult a social worker to determine home care needs.
Teaching after cervical biopsy - CORRECT ANSWER No
tampons and avoid heavy lifting for 2 weeks
Confirm syphilis diagnosis - CORRECT ANSWER FTA-A BS
Teaching prior to a Pap - CORRECT ANSWER Some bleeding
may occur after procedure Stroke: Caring for a Client who has Left-Sided Hemiplegia (Ch. 15) -
CORRECT ANSWER - Stroke of the right cerebral hemisphere
which is responsible for visual and spatial awareness-altered perceptions of deficits-ignore left side of body; can't move or feel affected side-loss of depth perceptions-poor impulse control and judgement-visual changes
Teaching prior to mammogram - CORRECT ANSWER No
deodorant prior to procedure
Testing for HIV - CORRECT ANSWER Western blot assay
confirms HIV diagnosis A nurse should intervene if which of the following actions were observed? A. A nurse moves all ambulatory clients into the hallways during a tornado warning. B. A nurse discards an empty blood bag and tubing in the client's bedside trash can. C. A nurse takes an infusion pump from the bedside of a client to the dirty utility room. D. A nurse disposes a used needle and syringe in
the biohazard box in the client's room. - CORRECT ANSWER
B. A nurse discards an empty blood bag and tubing in the client's bedside trash can. A nurse in a provider's office is reviewing the health record of a client who is being evaluated for Grave's disease. Which of the following is an expected laboratory finding for this client? A. Decreased thyrotropin receptor antibodies B. Decreased thyroid stimulating hormone C. Decreased free thyroxine index
B. Humidified O D. Tracheostomy tray A nurse in a provider's office is planning care for a client who has a new diagnosis of Graves' disease and a new prescription for methimazole (Tapazole). Which of the following should the nurse include in the plan of care? A. Monitor CBC B. Monitor triiodothyronine C. Inform the client to increase consumption of shellfish D. Advise the client to take the medication at the same time every day E. Inform the client that an adverse effects of this medication is iodine toxicity -
CORRECT ANSWER A. Monitor CBC
B. Monitor triiodothyronine D. Advise the client to take the medication at the same time every day A nurse is assessing a client who is 12 hr postoperative following a thyroidectomy. Which of the following findings are indicative of a thyroid crisis? Select all that apply. A. Bradycardia B. Hypothermia
C. Dyspnea D. Abdominal pain
E. Mental confusion - CORRECT ANSWER C. Dyspnea
D. Abdominal pain E. Mental confusion A client has requested pain medication. The nurse notes that morphine 5 mg is ordered subcutaneously q3 to 4 hr. The medication is available in a pre filled syringe does of 10 mg/mL. The nurse knows that after giving the client 0.5 mL, the appropriate action is to A. place the unused portion in the client's medication drawer. B. dispose of the unused portion in the sharps container. C. return the unused portion to the pharmacy. D. have another nurse witness the disposal of the unused portion. -
CORRECT ANSWER D. have another nurse witness the
disposal of the unused portion. A nurse is orienting a newly licensed nurse on performing routine assessment of a client who is receiving mechanical ventilation via a endotracheal tube. Which of the following should the nurse include in the teaching? A. Apply a vest restraint if self-extubation is attempted B. Monitor ventilator settings every 8 hours
A nurse is caring for an older adult client who had an acute myocardial infarction (MI). When assessing this client the nurse should identify that older adults are prone to complications of MI from Poor tissue perfusion because of which of the following age related factors? - CORRECT ANSWER Peripheral vascular resistance increases A nurse in caring for a client who has a peripherally inserted central catheter (PICC) in place. Which of the following actions should the nurse take when handling this central venous access device? select all that apply - CORRECT ANSWER Flush the line with sterile 0.9% sodium chloride before and after medication administration Access the PICC for blood sampling Perform a heparin flush of the line at least daily when not in use A nurse is caring for an adult male client who is undergoing screen testing for atherosclerosis. Which of the following laboratory findings should the nurse identify as an increased risk for this disorder? - CORRECT ANSWER Elevated LDL levels A nurse is teaching a client who has coronary artery disease about eh difference between angina pectoris and myocardial infarction. Which of the following manifestations should the nurse identify as indications of MI? select all that apply - CORRECT ANSWER nausea and vomiting diaphoresis and dizziness anxiety and feeling of doom
A nurse is teaching a client with heart disease about a lower cholesterol diet. Which of the following client statements indicates the teaching was effective? - CORRECT ANSWER I should remove the skin form sultry before eating it. A nurse is planning care for a client who has thrombocytopenia. Which of the following interventions should the nurse include in the plan of care? - CORRECT ANSWER Measure the client's abdominal girth daily A nurse is checking paradoxical blood pressure of a client who has a possible cardiac tamponade. In what order should the nurse complete the following steps? - CORRECT ANSWER 1. Palpate the blood pressure and inflate the cuff above the systolic pressure.
- Deflate the cuff slowly and listen for the first audible sounds.
- identify the first BP sounds audible on expiration and then on inspiration 4. Subtract the inspiratory pressure from the expiratory pressure
- Inspect for jugular venous distention and notify the provider. a nurse is completing dietary teaching who a client who has heart failure and is prescribed a 2g sodium diet. Which of the following statements by the client indicates an understanding of the teaching? - CORRECT ANSWER I can have yogurt as a dessert rationale low in fat and sodium A nurse is assessing a client who has peripheral vascular disease and a venous ulcer
who has anemia. Which of the following actions should the nurse take first? - CORRECT ANSWER Witness the informed consent document A nurse is providing discharge teaching to a client who had a sickle cell crisis. Which of the following statements indicates that the client understands the instructions? - CORRECT ANSWER Physical activity is good for me, but I need to avoid overexertion A nurse is preparing an in service presentation about assessing clients who are having an acute myocardial infarction(MI). What is the most common assessment finding with acute MI? - CORRECT ANSWER substernal chest pain A nurse is caring for a client who has severely elevated blood pressure. Which of the following findings should the nurse identify as a manifestation of hypertension? - CORRECT ANSWER Epistaxis A nurse is assessing a client who has an abdominal aortic aneurysm. Which of the following manifestations should the nurse expect? - CORRECT ANSWER Lower back discomfort A charge nurse is observing a newly licensed nurse administer an IV medication to a client who has an implanted venous access port. Which of the following observations requires intervention by the charge nurse? - CORRECT ANSWER A solution of 5ml heparin 1,000 units/mL has been prepared.
A nurse is preparing to administer packed RBC's to a client who is anemic. Which of the following actions should the nurse take? select all that apply - CORRECT ANSWER Check to determine the packaged RBC's are less than 1 week old Ask another nurse to check the packaged RBC's label against the medical record Prime the transfusion tubing with 0.9% sodium chloride A nurse is caring for a client who has peripheral vascular disease (PVD) and ulcers on the toes. Which of the following findings of PVD is a risk factor for ulceration of the extremities? - CORRECT ANSWER Impaired circulation A nurse is teaching a 70 year old client about risk factors for heart failure. The client has mild asthma, diabetes mellitus, and coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching? - CORRECT ANSWER my coronary artery disease is a risk factor for heart failure A nurse is preparing an in service presentation about the basics of hematology. Which of the following factors provides a stimulus for the production fo RBC's? - CORRECT ANSWER tissue hypoxia rationale: the kidneys release erythropoietin, stimulates production of erythocytes in bone marrow A nurse is assessing a client who has deep vein thrombosis in her left calf. Which of the following manifestations should the nurse expect to find? select all that apply -
A nurse is preparing an automated external defibrillator (AED) for a client receiving CPR after a cardiac arrest. Which of the following actions should the nurse perform first? - CORRECT ANSWER apply the defibrillator pads to the clients chest A nurse in a provider's office is review the medical records of a group of clients. Which of the following clients is at risk for iron deficiency? select all that apply - CORRECT ANSWER a client who is a vegetarian a client who is pregnant a toddler who is overweight A nurse is caring for a client who has femoral thrombophlebitis and a prescription for enoxaparin. Which of the following actions should the nurse take? - CORRECT ANSWER elevate the affected leg A nurse is assessing a client who is receiving a transfusion of packed red blood cells (RBC). Which of the following findings should the nurse identify as an indication of an acute intravascular hemolytic reaction? - CORRECT ANSWER sudden oliguria rationale: indication fo acute intravascular hemolytic reaction. AKI A nurse is planning care for a client who has pernicious anemia. Which of the following interventions should the nurse include in the plan? - CORRECT ANSWER initiate weekly injections of vitamin B
A nurse is caring for a client who is receiving IV ampicillin and develops urticaria and dyspnea. Which of the following actions should the nurse take first? - CORRECT ANSWER stop the medication infusion A nurse is assessing the hematologic system of an older adult client. The nurse should report which of the following findings to the provider as a possible indication of a hematologic disorder? - CORRECT ANSWER Absence of hair on the legs rationale: indicates poor arterial circulation to that area A nurse is providing teaching about lifestyle changes to a client who experienced a myocardial infarction and has a new perception for a beta block. Which of the following client statements indicates an understanding of the teaching? - CORRECT ANSWER Before taking my medication. I will count my radial pulse rate. A nurse is caring for a client following a stroke. Which of the following actions should the nurse take first? - CORRECT ANSWER Keep the client NPO A nurse is planning care for a client during a sickle cell crisis. Which of the following interventions should the nurse include in the clients plan of care? - CORRECT ANSWER encourage increased fluid intake
A nurse is preparing a client for a bone marrow biopsy. Which of the following pieces of information should the nurse include in preoperative teaching? - CORRECT ANSWER You'll feel a painful, pulling sensation when the doctor withdraws the marrow. A nurse is caring for a client who has acute lymphocytic leukemia and reports a fever, chills, fatigue, and pallor over the past week. When checking the client's laboratory results, which of the following values should the nurse identify as contributing to the client's fatigue and pallor? - CORRECT ANSWER Hgb 6.5 f/dL A nurse is assessing a client who is 85 years old. Which of the following findings should the nurse identify as a manifestation of myocardial infarction? - CORRECT ANSWER acute confusion A nurse is monitoring a client for repercussion following thrombolytic therapy to treat acute myocardial infarction. Which of the following indicators should the nurse identify to confirm reperfusion? - CORRECT ANSWER ventricular dysrhythmias rationale: sign of reperfusion of the coronary artery A nurse is caring for a client who has a platelet count of 50,000/mm^3. After discontinuing the client's peripheral IV site, which of the following actions should the nurse take? - CORRECT ANSWER apply pressure to the catheter removal site for 5 min
A nurse is providing discharge teaching to a client who has aplastic anemia. Which of the following statements indicates that the client understands the instructions? - CORRECT ANSWER I should eliminate uncooked foods from my diet for now. rationale: to prevent infection A nurse is caring for a client who has a major burn injury and is experiencing third spacing. Which of the following fluid or electrolyte imbalances should the nurse expect?
- CORRECT ANSWER elevated HCT rationale: expect an elevated hematocrit level, blood volume is reduced by vascular dehydration. A nurse is caring for a client who has a demand pacemaker inserted with a set rat of 72/min. Which of the following findings should the nurse expect? - CORRECT ANSWER A nurse is assessing a client who has a diagnosis on colon cancer which of the following should the nurse expect? a. Steatorrhea b. Elevated hemoglobin c. Hematochezia
d. Weight gain - CORRECT ANSWER Hematochezia
