ATI Med Surg Assessment Exam | Questions and Verified Answers| 2023/ 2024 New Update
1. A nurse is caring for a client who has acute dehydration is
... [Show More] receiving IV fluids. Which of the
following laboratory values indicates to the nurse that the current treatment regimen is effective?
Answer: urine specific gravity 1.020
2. A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy.
The client begins to experience a tonic-clonic seizure. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right
Answer: Remain with the client and call for help
Place the client in the lateral position
Check the client for injuries
Reorient and reassure the client
3. A nurse is reinforcing teaching about the frequency of breast self-exami- nation (BSE) with a
young adult client. Which of the following statements by the client indicates an understanding
of the teaching?
Answer: The best day to perform BSE is 7 Days after the menstrual cycle begins
4. A nurse is reviewing the admission prescriptions for a client who has benign prostatic
hyperplasia. Which of the following medications should the nurse expect to administer?
Answer: silodosin
5. A nurse is collecting data from a client who has herpes zoster (shingles)
which of the following is
an expected finding?
Answer: Pain full vesicles following a nerve pathway
6. A nurse is caring for a client who has a gastrointestinal (GI) bleed. Which of the following
findings is the priority for the nurse to report to the provider?
Answer: Urine output of
0 mL in 2 hours
7. A nurse is collecting data from a client who has a hip fracture. Which of the following findings
should the nurse expect when checking the extremity?
Answer: muscles spasms
8. A nurse is reviewing HIPAA with a newly licensed nurse. Which of the following statements by
the newly licensed nurse indicates a need for further instruction?
Answer: Information about a client can be disclosed to family members at any time
9. A nurse collecting data from a client who has manifestations of appendici- tis. Where would the
nurse palpate to monitor for pain at McBurney's point? (You will find hot spots to select in the
artwork below. Select only the hot spot that corresponds to your answer.)
Answer: -
McBurney's point is found between the navel and the anterior iliac crest.
10. A nurse is assisting in planning care for a client who has cystitis. Which of the following
interventions should be included in the plan of care?
Answer: Instruct the client to avoid drinking caffeinated beverages
1. A nurse is reinforcing teaching with a client about how to use a patient-con- trolled analgesia
(PCA) pump. Which of the following statements should the nurse include in the teaching?
Answer: use the pain scale to determine if you should push the medication self administration button
2. A nurse is reinforcing teaching with a newly licensed nurse about the manifestations of hypoxia. Which of the following findings should the nurse include in the teaching?
Answer: agitation
3. A nurse is collecting data from a client who has meningitis. When passively flexing the client's
neck, the nurse notes an involuntary flexion of both legs. Which of the follow- ing conditions is
the client displaying?
Answer: Brudzinski sign
4. A nurse is preparing a client who has hypotension for gastric lavage using a large-bore
nasogastric (NG) tube. In which of the following positions should the nurse place the client?
Answer: left lateral
5. A nurse is caring for a client who is postoperative following a colon resection. For which of the following findings should the nurse monitor to identify a pulmonary embo- lus?
Answer: sudden shortness of breath
6. A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
Answer: I will be more thirsty than usual
7. A nurse at a community center is assisting with a presentation about sun protection to a group [Show Less]