ATI RN MEDICAL SURGICAL NURSING
EXAMINATION 2023
1. The nurse is caring for a client with a diagnosis of diverticulitis. Which dietary recommendations should
the nurse provide to the client?
Answer: The nurse should recommend a low-fiber diet to the client with diverticulitis to rest the bowel
and reduce bowel movements. Foods to avoid include whole grains, nuts, seeds, and raw fruits and
vegetables.
2. The nurse is caring for a client with a diagnosis of pancreatitis. Which laboratory test should the nurse
expect to be elevated in this client?
Answer: The nurse should expect the client with pancreatitis to have elevated serum amylase and lipase
levels.
3. The nurse is caring for a client with a diagnosis of congestive heart failure. Which medication should
the nurse administer to improve the client's cardiac output?
Answer: The nurse should administer a positive inotrope medication, such as digoxin or milrinone, to
improve the client's cardiac output.
4. The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). Which
medication should the nurse administer to promote bronchodilation?
Answer: The nurse should administer a bronchodilator medication, such as albuterol or ipratropium,
to promote bronchodilation in a client with COPD.
5. The nurse is caring for a client with a diagnosis of diabetic ketoacidosis (DKA). Which laboratory test
should the nurse expect to be elevated in this client?
Answer: The nurse should expect the client with DKA to have elevated serum glucose and ketone levels.
6. The nurse is caring for a client with a diagnosis of pneumonia. Which position should the nurse place
the client in to promote lung expansion?
Answer: The nurse should place the client in a semi-Fowler's position or elevate the head of the bed
to promote lung expansion in a client with pneumonia.
7. The nurse is caring for a client with a history of deep vein thrombosis (DVT). Which medication should
the nurse administer to prevent the formation of blood clots?
Answer: The nurse should administer an anticoagulant medication, such as heparin or enoxaparin, to
prevent the formation of blood clots in a client with DVT.
, ATI RN MEDICAL SURGICAL NURSING
EXAMINATION 2023
8. The nurse is caring for a client with a diagnosis of gastroesophageal reflux disease (GERD). Which
lifestyle modifications should the nurse recommend to the client?
Answer: The nurse should recommend lifestyle modifications such as avoiding foods that trigger reflux,
eating smaller meals, avoiding lying down after eating, and losing weight to manage GERD.
9. The nurse is caring for a client with a diagnosis of acute myocardial infarction (AMI). Which medication
should the nurse administer to reduce myocardial oxygen demand?
Answer: The nurse should administer a beta-blocker medication, such as metoprolol or carvedilol, to
reduce myocardial oxygen demand in a client with AMI.
10. The nurse is caring for a client with a diagnosis of sepsis. Which assessment finding should the nurse
expect in this client?
Answer: The nurse should expect the client with sepsis to have a fever, tachycardia, and hypotension
due to the systemic inflammatory response to infection.
11. The nurse is caring for a client with a diagnosis of multiple sclerosis (MS). Which medication should
the nurse administer to reduce inflammation in the central nervous system?
Answer: The nurse should administer an immunomodulator medication, such as interferon beta or
glatiramer acetate, to reduce inflammation in the central nervous system in a client with MS.
12. The nurse is caring for a client with a diagnosis of acute renal failure. Which laboratory test should the
nurse expect to be elevated in this client?
Answer: The nurse should expect the client with acute renal failure to have elevated serum creatinine
and blood urea nitrogen (BUN) levels.
13. The nurse is caring for a client with a diagnosis of peptic ulcer disease. Which medication should the
nurse administer to decrease gastric acid secretion?
Answer: The nurse should administer a proton pump inhibitor medication, such as omeprazole or
pantoprazole, to decrease gastric acid secretion in a client with peptic ulcer disease.
14. The nurse is caring for a client with a history of stroke. Which nursing intervention should the nurse
prioritize to prevent aspiration?
Answer: The nurse should prioritize the client's safety by assessing the client's swallowing ability and
providing thickened liquids or a pureed diet to prevent aspiration in a client with a history of stroke.
EXAMINATION 2023
1. The nurse is caring for a client with a diagnosis of diverticulitis. Which dietary recommendations should
the nurse provide to the client?
Answer: The nurse should recommend a low-fiber diet to the client with diverticulitis to rest the bowel
and reduce bowel movements. Foods to avoid include whole grains, nuts, seeds, and raw fruits and
vegetables.
2. The nurse is caring for a client with a diagnosis of pancreatitis. Which laboratory test should the nurse
expect to be elevated in this client?
Answer: The nurse should expect the client with pancreatitis to have elevated serum amylase and lipase
levels.
3. The nurse is caring for a client with a diagnosis of congestive heart failure. Which medication should
the nurse administer to improve the client's cardiac output?
Answer: The nurse should administer a positive inotrope medication, such as digoxin or milrinone, to
improve the client's cardiac output.
4. The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). Which
medication should the nurse administer to promote bronchodilation?
Answer: The nurse should administer a bronchodilator medication, such as albuterol or ipratropium,
to promote bronchodilation in a client with COPD.
5. The nurse is caring for a client with a diagnosis of diabetic ketoacidosis (DKA). Which laboratory test
should the nurse expect to be elevated in this client?
Answer: The nurse should expect the client with DKA to have elevated serum glucose and ketone levels.
6. The nurse is caring for a client with a diagnosis of pneumonia. Which position should the nurse place
the client in to promote lung expansion?
Answer: The nurse should place the client in a semi-Fowler's position or elevate the head of the bed
to promote lung expansion in a client with pneumonia.
7. The nurse is caring for a client with a history of deep vein thrombosis (DVT). Which medication should
the nurse administer to prevent the formation of blood clots?
Answer: The nurse should administer an anticoagulant medication, such as heparin or enoxaparin, to
prevent the formation of blood clots in a client with DVT.
, ATI RN MEDICAL SURGICAL NURSING
EXAMINATION 2023
8. The nurse is caring for a client with a diagnosis of gastroesophageal reflux disease (GERD). Which
lifestyle modifications should the nurse recommend to the client?
Answer: The nurse should recommend lifestyle modifications such as avoiding foods that trigger reflux,
eating smaller meals, avoiding lying down after eating, and losing weight to manage GERD.
9. The nurse is caring for a client with a diagnosis of acute myocardial infarction (AMI). Which medication
should the nurse administer to reduce myocardial oxygen demand?
Answer: The nurse should administer a beta-blocker medication, such as metoprolol or carvedilol, to
reduce myocardial oxygen demand in a client with AMI.
10. The nurse is caring for a client with a diagnosis of sepsis. Which assessment finding should the nurse
expect in this client?
Answer: The nurse should expect the client with sepsis to have a fever, tachycardia, and hypotension
due to the systemic inflammatory response to infection.
11. The nurse is caring for a client with a diagnosis of multiple sclerosis (MS). Which medication should
the nurse administer to reduce inflammation in the central nervous system?
Answer: The nurse should administer an immunomodulator medication, such as interferon beta or
glatiramer acetate, to reduce inflammation in the central nervous system in a client with MS.
12. The nurse is caring for a client with a diagnosis of acute renal failure. Which laboratory test should the
nurse expect to be elevated in this client?
Answer: The nurse should expect the client with acute renal failure to have elevated serum creatinine
and blood urea nitrogen (BUN) levels.
13. The nurse is caring for a client with a diagnosis of peptic ulcer disease. Which medication should the
nurse administer to decrease gastric acid secretion?
Answer: The nurse should administer a proton pump inhibitor medication, such as omeprazole or
pantoprazole, to decrease gastric acid secretion in a client with peptic ulcer disease.
14. The nurse is caring for a client with a history of stroke. Which nursing intervention should the nurse
prioritize to prevent aspiration?
Answer: The nurse should prioritize the client's safety by assessing the client's swallowing ability and
providing thickened liquids or a pureed diet to prevent aspiration in a client with a history of stroke.
