2023 ATI Medical Surgical Practice Exam With Answers (184 Solved Questions)

Name: 2023 ATI Medical Surgical Practice Exam With Answers (184 Solved Questions)
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ATI MED SURG TEST BANK 2023
VERIFIED
1. A nurse is preparing to administer a blood transfusion to a client who has anemia. Which
of the following actions should the nurse take first?
check for the type and number of units of blood to administer
2. a nurse is providing teaching to an older adult female client who has stress incontinence
and a BMI of 32. Which of the following statements by the client indicates an
understanding of the teaching?
I am dieting to lose weight
3. A nurse is providing instructions to a client who has type 2 diabetes and a new
prescription of metformin. Which of the following statements by the client indicates an
understanding of the teaching?
I should take this medication with a meal
4. a nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. Which of the following statements by the client indicates
an understanding if the teaching?
i am taking this medication to increase my energy level
5. a nurse is caring for a client who has a prescription for enalapril. The nurse should
identify which of the following findings as an adverse effect of the medication?
orthostatic hypotension
6. a nurse is caring for a client who has hypothyroidism. which of the following
manifestations should the nurse expect?
constipation
7. a charge nurse is instructing a newly licensed nurse about caring for a client who has
MRSA. which of the following statements by the new nurse indicates an understanding of
the teaching?
i will leave assessment equipment in the room to use on this patient
8. a nurse is providing teaching to a client who has irritable bowel syndrome (IBS). which
of the following instructions should the nurse include in the teaching?
increase fiber intake to at least 30 g/day
9. a nurse is caring for a client who has a positive culture for c. diff. which of the following
actions should the nurse take?
implement contact precautions for the client
10. a nurse is caring for a client who has a new diagnosis of hyperthyroidism. which of the
following is the priority assessment finding that the nurse should report to the provider?
BP 170/80
11. a nurse is planning care for a client who is scheduled for a throacentesis. which of the
following interventions should the nurse include in the plan?
encourage the client to take deep breaths after the procedure
12. a nurse is assessing a client who has had a suspected cerebrovascular accident. the nurse
should place the priority on which of the following findings?
dysphagia

13. a nurse is reviewing the ABG results of a client who has advanced COPD. which of the
following results should the nurse expect?
PaCO2 56
14. a nurse is providing discharge instructions to a client who has laryngeal cancer and is
receiving radiation treatment. which of the following statements by the client indicates an
understanding of the teaching?
i will avoid direct exposure to the sun
15. a nurse is assessing for compartment syndrome in a client who has a short leg cast. which
of the following findings should the nurse identify as a manifestation of this condition?
pain that increases with passive movement
16. a nurse is providing teaching to a client who has a gastric ulcer a d a new prescription for
omeprazole. the nurse should instruct the client that the medication provides relief by
which of the following actions.
suppressing gastric acid production
17. a nurse is assessing a client who has peripheral arterial disease. which of the following
findings should the nurse expect?
hair loss on the lower legs
18. a nurse is assessing a client following the completion of hemodialysis. which of the
following findings is the nurse's priority to report to the provider?
restlessness
19. a nurse is reviewing the medical record of a client who has osteomyelitis and a
prescription of gentamicin. which of the following findings from the client's medical
record should indicate to the nurse the need to withhold the med?
serum creatinine
20. a nurse is reviewing the medical record of a client who has SLE. which of the following
findings should the nurse expect?
facial butterfly rash
21. a nurse is providing teaching to a client who has a new prescription for psyllium. which
of the following information should the nurse include in the teaching?
drink 240 mL of water after administration
22. a nurse in a provider's office is assessing a client who has migraine headaches and is
taking feverfew to prevent her headaches. the nurse should identify that which of the
following client meds interacts with feverfew?
naproxen
23. a nurse in a provider's office is caring for a client who requests sildenafil to treat erectile
dysfunction. which of the following statements should the nurse make?
you will not be able to use sildenfil if you are taking nitroglycerin
24. a nurse is caring for a client who is receiving TPN. a new bag is not available when the
current infusion is nearly completed. which of the following actions should the nurse
take?
administer dextrose 10% in water until the new bag arrives
25. a nurse is providing discharge teaching to a client who has HF and a new prescription for
a potassium-sparing diuretic. which of the following information should the nurse include
in the teaching?
try to walk at least 3 times per week for exercise

26. a nurse is planning care for a client who is postop following a laparotomy and has a
closed-suction drain. which of the following actions should the nurse take to manage the
drain?
compress the drain reservoir after emptying
27. a nurse in an emergency department is admitting a client who reports dyspnea and SOB.
which of the following actions is the priority for the nurse to perform prior to
administering oxygen?
determine if the client has a history of COPD
28. a nurse is obtaining a med history from a client who is scheduled to undergo cataract
surgery. the nurse should recognize that which of the following client meds is a
contraindication for the surgery and notify the provider?
warfarin
29. a nurse is caring for a client following extubation of her endotracheal tube 10 min ago.
which of the following findings should the nurse report to the provider immediately
stridor
30. a nurse is providing dietary teaching to a client who is postop following a thyroidectomy
with removal of the parathyroid glands. the nurse should instruct the client to include
which of the following foods to increase calcium in the diet?
12 almonds
31. a nurse is preparing to assist with the insertion of a nontunneled percutaneous central
venous catheter into a subclavian vein. the nurse should plan to place the client in which
of the following positions?
trendelenburg
32. teaching to client with HTN and new med verapamil. what juice should client avoid?
grapefruit
33. client experiencing anaphylactic reaction, after patent airway, which is priority nursing
intervention?
apply oxygen vi face mask
34. client had nephrostomy tube inserted 12hrs ago. what should the nurse report to the
provider?
client reports back pain
35. teaching to perimenopausal and has hormone replacement therapy. adverse effects to
notify provider?
calf pain, numbness in arms, and intense headache
36. older adult with cancer and a new prescription of opioid analgesic. which info should the
nurse include in teaching?
you should increase your fiber intake to prevent constipation
37. a nurse is providing med teaching to a group with seizure disorders. instruction about
phenytoin?
phenytoin decreases the effectiveness of oral contraceptives
38. a nurse is caring for client with supraventricular tachycardia. which action should nurse
take next?
perform synchronized cardioversion
39. change of shift report with four clients. client with greatest risk of developing infection?
COPD and receiving steroid therapy
40. teach with self administration of heparin?

use electric razor
41. client having seizure, nurse priority?
turn client on the side
42. Female client with hx of UTI, nurse include in teaching
?
clean perineum front to back
43. cardiac assessment with MI 2 days ago. action after hearing this sound?
listen with client on left side
44. client on bed rest and enoxaparin subcut, actions nurse take?
administer med at the same time each day
45. postop following parathyroidectomy. priority action?
place a trach tray at bedside
46. pt with arterial line, following actions should nurse taking?
place a pressure bag around the flush solution
47. teaching client about a fib and purpose of wearing a holter monitor. info should nurse
include in the teaching?
this device can detect when you have an irregular HR
48. client with DKA, client condition improving?
glucose 272
49. stroke on right hemisphere. nurse expect?
impulsive behavior
50. client who has external fixation device for fracture. instruction for nurse plan of care?
use crutches with rubber tips
51. receiving mechanical ventilation via trach tube. nurse recognizes complications with long
term mechanical ventilation?
stress ulcers
52. teaching about asthma use of metered-dose inhaler. understand teaching?
holding breath for 10 secs after inhaling
53. graves disease, picture with exophthalmos?
big eyes, last picture
54. leg cast and demonstration w/crutches on climbing stairs. identify steps
body weight on crutches, advance unaffected leg onto stair, shift weight from crutch to
unaffected, bring crutches and affected leg up to the stair
55. older adult with fractured wrist following fall. last week i crashed my car bc my vision
suddenly blurry.
check for neuro status
56. peforming dressing change recovering from hemicolectomy. large part of bowel is
protruding, action take first?
call for help
57. older adult about osteoporosis prevention. meds increase risk for developing
osteoporosis?
fludrocortisone
58. client having modified radical mastectomy of right breast. intervention for plan of care?
instruct the client that the drain is removed when there is 25mL of output or less over a 24hr
period

59. client with anemia and a prescription for an oral iron supplement. which of the following
statements by teaching?
i will eat more high fiber foods
60. program about prevention of atherosclerosis at health fair. recommendations plan to
include?
follow smoking cessation, maintain appropriate weight, eat low fat diet
61. TPN 2000kcal per day. 500kcal/L; mL/hr
167
62. client with chronic glomerulonephritis with oliguria. manifestation?
hyperkalemia
63. reviewing lab results with aplastic anemia. potential complication?
WBC 2,000/mm3
64. ED with full thickness burns over 20% of total body surface. administer first after patent
airway and administer O2?
IV fluids
65. client with UTI and prescription ciprofloxacin. instructions?
avoid taking magnesium containing antacids with this med
66. teaching with AIDS. understanding of teaching?
i will take my temp once a day
67. compound fracture 3 weeks ago, unexpected finding lab value of manifestation of
osteomyelitis and report to provider?
sedimentation rate
68. bilateral pneumonia, client is dyspneic with productive cough. action nurse take first?
place the client in high-fowlers position
69. client who

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3. A nurse is assessing a client who has Graves disease. Which of the following images
should indicate to the nurse that the client has exophthalmos?
The nurse should identify an outward protrusion of the eyes is exophthalmos a common finding
of graves disease. An overproduction of the thyroid hormone causes edema of the extraocular
muscle and increases fatty tissue behind the eye which results in the eyes protruding outward.
Exophthalmos can cause the client to experience problems with vision including focusing on
objects as well as pressure on the optic nerve.
4. A nurse is performing a cardiac assessment for a client who had a myocardial infarction 2
days ago. Which of the following actions should the nurse take first after hearing the
following sound?
Listen with the client on his left side. When providing nursing care the nurse should first use the
least invasive intervention. Therefore after auscultating a murmur the first action the nurse
should take is to place the client on his left side and listen to his heart again.
5. A nurse is providing teaching to an older adult female client who has stress incontinence
and a BMI of 32. Which of the following statements by the client indicates an
understanding of the teaching question mark
I am dieting to lose weight. Excess weight cut creates increased abdominal pressure that can
result in stress incontinence.
6. A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the
following results should the nurse expect?
Paco2 of 56. A client who has COPD retains paco2 due to the weakening and the collapse of the
alveolar sacs which decreases the area and lungs for gas exchange and causes the paco2 to
increase above the expected reference range.
7. A nurse is providing teaching to a client who is perimenopausal and has a prescription for
hormone replacement therapy. For which of the following adverse effects should the
nurse instruct the client to notify the provider? Select all that apply.
Calf pain, numbness in the arms and intense headache. Calf pain is an indication of DVT and the
client should report this finding to the provider immediately. Numbness in the arms can indicate
cerebrovascular accident which is an adverse effect of hormone replacement therapy and an
intense headache can indicate a cerebrovascular accident.
8. A nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. Which of the following statements by the client indicates
an understanding of the teaching?
I am taking this medication to increase my energy level. The goal

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You will not be able to use sildenafil if you are taking nitroglycerin. The client should not use
sildenafil when taking nitroglycerin because both medications can cause vasodilation and lead to
significant hypotension
21. A nurse is in a provider's office is providing teaching to a client who has a urinary tract
infection and a new prescription for ciprofloxacin. Which of the following instructions
should the nurse include
Avoid taking magnesium containing antacids with this medication. The nurse should instruct the
client to take Ciprofloxacin either two hours before or 6 hours after taking an antacid but not to
take Ciprofloxacin with an antacid because magnesium containing antacids decrease the
absorption of Ciprofloxacin
22. A nurse is providing follow-up care for a client who sustained a compound fracture three
weeks ago. The nurse should recognize that an unexpected finding for which of the
following laboratory values is a manifestation of osteomyelitis and should be reported to
the provider
Sedimentation rate. And increased sedimentation rate occurs when a client has any type of
inflammatory process such as osteomyelitis
23. A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect
Constipation. A client who has hypothyroidism can experience constipation due to the decrease
in the client's metabolism resulting and slow motility of the gastrointestinal tract. The nurse
should instruct the client to increase fiber and fluid and take to reduce the risk of constipation
24. A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic
reaction. After ensuring a patent Airway which of the following interventions is the
priority
applying oxygen via face mask because the priority intervention is for the nurse to apply oxygen
using a high-flow non-rebreather mask to deliver oxygen at 90 to 100%
Where would you palpate to assess for an inguinal hernia
The nurse should palpate at the right groin area because an inguinal hernia forms of the
peritoneum which contains part of the intestine and can protrude into the scrotum in males
25. A nurse is checking the ECG Rhythm strip for a client who has a temporary pacemaker
the nurse notes a spike or a pacemaker artifact followed by a QRS complex. Which of the

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administer dextrose 10% or 20% and water to avoid a precipitous drop in the client's blood
glucose level
28. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription
for Omeprazole. The nurse should instruct the client that the medication provides Relief
by which of the following actions
Suppressing gastric acid production. I love her soul is a proton pump inhibitor it relieves
manifestations of gastric ulcers by suppressing gastric acid production
29. A nurse is providing discharge teaching to a client who is to self administer heparin
subcutaneously. Which of the following responses by the client indicates an
understanding of the teaching
I will use an electric razor to shave. Heparin is an anticoagulant that places the client at risk for
bleeding therefore the nurse should instruct the client to use an electric razor when shaving to
reduce the risk of cuts to the skin
30. a nurse is caring for a client following excavation of her endotracheal tube 10 minutes
ago. Which of the following findings should the nurse report to the provider immediately
Strider. Using the Urgent vs. Non-urgent approach to client care the nurse should determine that
the priority finding a Strider. Strider can indicate and narrowing Airway or possible obstruction
caused by edema or laryngeal spasms the nurse should report the finding immediately Implement
an intervention
31. a nurse is caring for a client who had a nephrostomy tube inserted 12 hours ago. Which of
the following findings should the nurse report to the provider
The client reports back pain the nurse should notify the provider if the client reports back pain
which can indicate that the nephrostomy tube is dislodged or clogged
32. A nurse is assessing a client while suctioning the clients tracheostomy tube which of the
following findings should indicate to the nurse that the client is experiencing hypoxia
The clients heart rate increases because hypoxia related to suctioning can cause the clients heart
rate to increase if this occurs the nurse should discontinue the sectioning and immediately
oxygenate the client with 100% oxygen the nurse should instruct the client to take three or four
deep breaths prior to suctioning to reduce the risk for hypoxia
33. A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish and ureterostomy. Which of the following
statements should the nurse include in the teaching
Cut the opening of The Skin Barrier one eighth of an inch wider than the stoma. The client
should cut the opening of The Skin Barrier 1/8 inch wider than the stoma to minimize irritation
of the skin from exposure to urine
34. A nurse is teaching a client who has atrial fibrillation about the purpose of wearing a
Holter monitor. Which of the following information should the nurse include in the
teaching
This device can detect when you have an irregular heart rate because it reports and transmits
electrical impulses of the heart and alerts the nurse to dysrhythmias myocardial injury or
conduction defects a Holter monitor allows the client freedom of movement while cardiac
activity is recorded
35. A nurse is providing discharge teaching to a client who has heart failure and a new
prescription for potassium sparing diuretic which of the following information should the
nurse include in the teaching

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Try to walk at least 3 times per week for exercise because the development of a regular exercise
routine can improve outcomes in clients who have heart failure
36. A nurse is caring for a client who has chronic glomerulonephritis with oliguria which of
the following findings should the nurse identify as a manifestation of chronic
glomerulonephritis
Hyperkalemia as a result of kidney failure because kidney failure results in decreased excretion
of potassium
37. A nurses in an acute care facility is caring for a client who is at risk for seizures which of
the following precautions should the nurse implement
Ensure that the client has a patent IV in the event that the client requires medication to stop
seizure activity
38. A nurse is caring for a client who has bilateral pneumonia and an spo2 of 88% the client
is dyspneic and productive cough and is using accessory muscles to breathe which of the
following actions should the nurse take first
Place the client in a high Fowler's position
39. A nurse is caring for a client who has a new diagnosis of hyperthyroidism which of the
following is the priority assessment finding that the nurse should report to the provider
Blood pressure of 170 over 80 because using the Urgent vs. Non-urgent approach to client care
the nurse determines that the priority funding is a systolic blood pressure of 170 which indicates
that the client is at risk for thyroid storm
40. A nurse is reviewing the medication history of a client who is to undergo allergy testing
the nurse should instruct the client to discontinue which of the following medications
before testing
Prednisone because it is a glucocorticoid that can cause the client to have false negative test
results they should discontinue antihistamine medications several weeks prior to testing
41. A nurse is caring for a client who has an arterial line. Which of the following actions
should the nurse take?
Place a pressure bag around the flush solution. The nurse should place a pressure bag around the

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You should increase your fiber intake to prevent constipation because opioids slow paracelsus in
the gastrointestinal tract which causes constipation
46. A nurse is planning care for a client who is scheduled for a thoracentesis which of the
following interventions should the nurse include in the plan
Encourage the client to take deep breaths after the procedure to read expand the lung
A nurse is caring for a client who has a prescription for Enalapril the nurse should identify which
of the following findings as an adverse effect of the medication
Orthostatic hypotension because dilation of arteries and veins causes orthostatic hypotension
which is an adverse effect of Enalapril
47. A charge nurse is instructing a newly licensed nurse about caring for a client who has
MRSA which of the following statements by the newly licensed nurse indicates an
understanding of the teaching
I will leave assessment equipment in the room to use on this client the nurse should follow
contact precautions and use dedicated equipment when assessing the client to prevent cross-
contamination with other clients
48. A nurse is caring for a client who recently had a stroke of the right hemisphere which of
the following manifestations should the nurse expect
Impulsive behavior
49. A nurse is caring for a client who is exhibiting manifestations of a febrile reaction while
receiving a blood transfusion which of the following medications should the nurse
administer
Acetaminophen to reduce fever and decreased the manifestation of the febrile reaction
manifestations of a febrile reaction include tachycardia fever hypotension and chills the nurse
should discontinue the transfusion and return the blood bag and tubing to the blood bank
50. A nurse is assessing a client who has hypokalemia which of the following manifestations
should the nurse expect
Decreased peristalsis due to a decrease in

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Dysphasia because it indicates that the client is at greatest risk for aspiration due to impaired
sensation and function within the oral cavity
63. A nurse is planning care for a client who is post-operative following a parathyroidectomy
which of the following actions should the nurse identify as the priority
Placed a tracheostomy tray at the bedside in case of Airway obstruction
64. A nurse is providing teaching to a client who has Type 1 diabetes mellitus and a new
prescription for insulin lispro which of the following statements by the client indicates an
understanding of the teaching
I will need to take this bro in addition to my other prescribed insulin because it is a rapid-acting
insulin that the client can use in conjunction with an intermediate or long-acting insulin
65. A nurse is providing medication teaching to a group of clients who have seizure disorders
which of the following information should the nurse include about phenytoin
Phenytoin decreases the effectiveness of oral contraceptives because it stimulates the synthesis of
hepatic enzymes which can decrease the activity of other medications including oral
contraceptives
66. A nurse is providing discharge instructions to a client who has active tuberculosis which
of the following information should the nurse include in the instructions
Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures after
three negative sputum cultures the client is no longer considered infectious
67. A nurse is planning care for a client who was having a modified radical mastectomy of
the right breast which of the following interventions should the nurse include in the plan
of care
Instruct the client that the drain is removed when there is 25 milliliters of output or less over a
24-hour period the drain will remain in place for one to three weeks after surgery and we've
removed when there is 25 milliliters of output or less in a 24-hour period
68. A nurse is teaching to a client who has hypertension and a new prescription for
Verapamil. Which of the following juices should the nurse

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2023 ATI Medical Surgical Practice Exam With Answers (184 Solved Questions)

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