ATI PN ADULT MEDICAL SURGICAL ONLINE
PRACTICE 2024 B COMPLETE QUESTIONS AND
ANSWERS….ALREADY PASSED
1. A nurse is caring for a client who is post-operative following a
cholecystectomy. Which of the following findings is the highest
priority?
o a. Heart rate of 110/min
o b. Abdominal distention
o c. Absent bowel sounds
o d. Oliguria
Rationale: Oliguria can indicate decreased renal perfusion and is a
critical finding that must be addressed promptly.
2. A nurse is assessing a client who has a history of myocardial
infarction (MI). Which of the following findings should the
nurse identify as an expected manifestation?
o a. Epigastric pain
o b. Chest pain
o c. Low-grade fever
o d. Hypertension
Rationale: Chest pain is a common symptom of an MI due to
ischemia.
3. A client is receiving morphine sulfate for pain management.
Which of the following assessments is the nurse’s priority?
o a. Nausea
o b. Drowsiness
o c. Respiratory rate
o d. Blood pressure
Rationale: Monitoring respiratory rate is crucial as morphine can
cause respiratory depression.
,4. A nurse is caring for a client with chronic kidney disease. The
client reports severe itching. Which of the following actions
should the nurse take?
o a. Apply an alcohol-based lotion
o b. Administer an antihistamine
o c. Encourage the client to take hot showers
o d. Increase the client's protein intake
Rationale: Antihistamines can help alleviate pruritus associated
with chronic kidney disease.
5. A nurse is planning care for a client who has a seizure
disorder. Which of the following interventions is the nurse’s
priority?
o a. Ensure suction equipment is at the bedside
o b. Pad the side rails of the bed
o c. Administer an anti-epileptic medication
o d. Provide oxygen via nasal cannula
Rationale: Ensuring suction equipment is available is critical to
clear the airway during or after a seizure.
6. A client is admitted with an acute exacerbation of chronic
obstructive pulmonary disease (COPD). Which of the following
findings should the nurse expect?
o a. Dyspnea on exertion
o b. Weight gain
o c. Bradycardia
o d. Peripheral edema
Rationale: Dyspnea on exertion is a common symptom in clients
with COPD exacerbations.
7. A nurse is providing discharge teaching to a client who has
heart failure. Which of the following instructions should the
nurse include?
, o a. "Weigh yourself daily."
o b. "Limit your potassium intake."
o c. "Exercise once a week."
o d. "Increase your fluid intake."
Rationale: Daily weight monitoring can help detect fluid retention
early in clients with heart failure.
8. A client with diabetes mellitus is scheduled for a fasting blood
glucose test in the morning. Which of the following instructions
should the nurse provide?
o a. "You can have coffee before the test."
o b. "Eat a light breakfast before the test."
o c. "Take your insulin as usual."
o d. "Do not eat or drink anything except water after
midnight."
Rationale: To ensure accurate results, the client should fast and
avoid anything except water.
9. A nurse is caring for a client who has cirrhosis and ascites.
Which of the following interventions should the nurse
implement to decrease ascites?
o a. Encourage a high-sodium diet
o b. Administer a diuretic
o c. Restrict protein intake
o d. Encourage fluid intake
Rationale: Diuretics help to reduce fluid accumulation in ascites.
10. A client is receiving a blood transfusion. The nurse
notices the client has developed urticaria and reports itching.
Which of the following actions should the nurse take first?
o a. Stop the transfusion
o b. Administer an antihistamine
o c. Notify the provider
, o d. Maintain IV access with normal saline
Rationale: Stopping the transfusion immediately is the priority to
prevent further allergic reaction.
11. A nurse is providing dietary teaching to a client with
chronic renal failure. Which of the following foods should the
nurse instruct the client to avoid?
o a. Apples
o b. Bananas
o c. Carrots
o d. Rice
Rationale: Bananas are high in potassium, which should be
limited in clients with chronic renal failure.
12. A nurse is caring for a client who is post-operative
following a total hip arthroplasty. Which of the following
interventions should the nurse include in the plan of care?
o a. Place a pillow between the client’s legs when turning
o b. Keep the client’s hip flexed at a 90-degree angle
o c. Maintain the client in a prone position
o d. Apply a heating pad to the surgical site
Rationale: Placing a pillow between the legs helps to prevent hip
dislocation post-operatively.
13. A nurse is caring for a client who has heart failure and is
receiving digoxin. Which of the following findings indicates
that the medication is effective?
o a. Improved respiratory status
o b. Increased urinary output
o c. Reduced peripheral edema
o d. Decreased heart rate
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