ATI RN MEDSURG WITH CORRECT QUESTIONS AND
ANSWERS LATEST UPDATED 2023
NEW
1. The nurse is preparing the discontinue long term TPN therapy for a
... [Show More] client. The nurse should plan todiscontinuetheTPN
graduallytoreducethe riskof which of the followingadverseeffects?
a. Hyperglycemia
b. Diarrhea
c. Constipation
d. Hypoglycemia-Youtaper itoff toavoidthis!!!
Rationale Never abruptlystopTPN. Speedingup/slowingdowntherateiscontraindicated.Anabrupt ratechange canalter blood
glucoselevels significantly.
Rationale don’tdiscontinueabruptly, must tapertoprevent reboundhypoglycemia
2. A nurse is preparing a client for an ECG. The client is anxious and says that he is afraid the equipmentwillgive him anelectric
shock. Whichof the following is anappropriate responsebythe nurse?
The machineonlysenses andrecordselectrical currents comingfrom your heart
Electrocardiography uses an electrocardiograph to record the electrical activity of the heart over time.
a. Thelead wiresandcablesare insulated for your safety
b. Theelectrodepads willprevent the conductionofelectricitytoyourskin
c. The machine voltagedeliveryis low enoughthat you won’t feel anydiscomfort
3. A nurse is caring for client who has hypertension and has a new prescription for lisinopril. The nurse should consult with the provider
about which of the following medications in the client’s medication administrationrecord?
a. Potassium chloride
b. Levothyroxine
c. Acetaminophen
d. Metformin
4. A nurse is administering furosemide 80 mg PO twice dailyto a client who has pulmonaryedema. Whichof thefollowing assessment
findings indicates tothe nursethat the medication is effective?
a. Elevationinbloodpressure
b. Adventitiousbreathsounds
c. Weight loss of 1.8 kg(4lb) inthepast24hr
d. Respiratoryrate of24/min
5. Couldn't paste the picture on here. But it asked where u can hear pericardial friction rub the best at…Erb’s Point (3rd
Intercostal, Central)
6. A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of thefollowingstatements bythe
nurseindicates an understandingof the teaching?
a. I will increasetheamount of freshveggies
b. I will wipe upareassoiled withbodyfluids withalcoholandimmediatelydisposeof thetrash
c. I willneedtotake myclothes tothedrycleaners tosterilize them
d. I will besureto wear gloves and wash myhands whenIchange mycat’s litter box
7. A nurse is performing a venipuncture on an older adult client whose veins are difficult. Which of thefollowing actions should the
nursetake?
a. Applycool compresses
b. Elevatetheclient’s extremityusingapillow
c. Taptheskinaroundtheinsertionsite
d. Raisetheangle of thecatheter to 30 degreesabove theinsertionsite
8. A nurse is caring for a client inthe ER following a myocardial infarction. which of the following actionsshouldthenurse anticipate if
the client developsasystole?
a. Administeratropine
b. Defibrillate with200 joules
c. Startsacontinuouslidocaine infusion
d. Begin CPR – first line of medical management is CPR and ACLS.
9. A nurse is caring for a client with severe burn injury. The nurse should recognize which of the followingclient findings as anindication
of hypovolemic shock?
a. Potassium 5.2 mEq/L
b. Capillaryrefill 1.5 seconds
c. Urineoutput 45 mL/hr
d. PaCO3 37 mmHg
10. A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli the client does not open her
eyes, displays decerebrate posturing, and makes incomprehensible sounds. Whichof the following Glasgow coma scalescores should
the nurseassign the client?
a. 2
b. 5
c. 10
d. 13
11. A nurse is teaching a client who has heart failure about self-management techniques. Which of the followingstatements bytheclient
indicates an understanding of the teaching?
a. I will keepanexercisediary
b. I will take ibuprofenfor mildpain
c. I willexpect swellingin myfeet andankle
d. I will weigh myselfeveryother day [Show Less]