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2024/2025|ATI RN Adult Medical
Surgical Practice B|2024-2025 Newest
update|Recently testing real exam
questions|COMPREHENSIVE
QUESTIONS AND VERIFIED
ANSWERS|already graded A+
Question: A nurse is assessing a client who has peripheral arterial disease.
Which of the following findings should the nurse expect?
Answer: Hair loss on the lower legs
Question:A nurse is providing teaching to a client who has esophageal cancer
and is to undergo radiation therapy. Which of the following statements should
the nurse identify as an indication that the client understands the teaching?
Answer: “I will use my hands rather than a washcloth to clean the radiation
area.
Question:A nurse at a provider’s office is caring for a client who is 2 weeks
postoperative following a gastrectomy.
A nurse is providing teaching for the client. Which of the following instructions
should the nurse include?
Select all that apply.
Answer: Avoid drinking fluids with meals
Eat several small meals
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Consume high-protein snacks
Avoid highly seasoned foods
Question:A nurse is caring for a client who is scheduled for a right knee
arthroplasty.
The nurse provided preoperative teaching to the client. Which of the following
statements by the client indicates an understanding of the teaching?
Select all that apply.
Answer: “I will need to do the breathing exercises every 1 to 2 hours after the
surgery”
“I will be sure to ask for pain medication before my knee starts to hurt too bad”
“I will probably be going home with a walker”
Question:A nurse is planning to provide discharge teaching for the family of
an older adult client who has hemianopsia and is at risk for falls. Which of the
following instructions should the nurse include?
Answer: Remind the client to scan their complete range of vision during
ambulation.
Question:An older adult client is brought to an emergency department by a
family member. Which of the following assessment findings should cause the
nurse to suspect that the client has hypertonic dehydration?
Answer: Urine specific gravity 1.045
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A urine specific gravity greater than 1.030 indicates a decrease in urine volume
and an increase in osmolarity, which is a manifestation of hypertonic
dehydration.
Question:A nurse is assessing a client who is at risk for the development of
pernicious anemia resulting from peptic ulcer disease. Which of the following
images depicts a condition caused by pernicious anemia?
Answer: glossitis, which can indicate pernicious anemia. Glossitis, a smooth
red tongue, is also a manifestation of deficiencies in vitamin B6, zinc, niacin, or
folic acid.
Question:A PACU nurse is assessing a client who is postoperative following a
right nephrectomy. The client’s initial vital signs were heart rate 80/min, blood
pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36° C (96.8°
F). Which of the following vital sign changes should alert the nurse
that the client might be hemorrhaging?
Answer: Heart rate 110/min.
One of the first signs of hemorrhage is an increase in the heart rate from the
client’s baseline, which occurs to compensate for blood loss.
Question:A nurse is caring for a client who is 4 hr postoperative following a
total
vaginal hysterectomy.
Click to highlight the findings the nurse should report to the provider
immediately.
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Answer: Perineal pad saturated with blood, large clots present
Change of blood pressure, heart rate of 102/min
Question:A nurse is caring for a client who has HIV. Which of the following
findings indicates a positive response to the prescribed HIV treatment?
Answer: Decreased viral load
Viral load testing measures the presence of HIV viral genetic material.
Therefore, a decreased viral load indicates a positive response to the
prescribed HIV treatment.
Question:A nurse is providing discharge teaching to a client who has heart
failure and a new prescription for a potassium-sparing diuretic. Which of the
following information should the nurse include in the teaching?
Answer: Try to walk at least three times per week for exercise.
Question:A nurse is conducting an admission history for a client who is to
undergo a CT scan with an IV contrast agent. The nurse should identify that
which
of the following findings requires further assessment?
Answer: History of asthma
A client who has a history of asthma has a greater risk of reacting to the
contrast dye used during the procedure. Other conditions that can result in a
reaction to contrast media include allergies to foods, such as shellfish, eggs,
milk, and chocolate.
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Question:A nurse is planning teaching for a client who has bladder cancer and
is to undergo a cutaneous diversion procedure to establish a ureterostomy.
Which of the following statements should the nurse include in the teaching?
Answer: “You should cut the opening of the skin barrier one-eighth inch wider
than the stoma.”
The client should cut the opening of the skin barrier 0.3 cm (1/8-in) wider than
the stoma to minimize irritation of the skin from exposure to urine.
Question:A nurse is providing discharge instructions to a client who has active
tuberculosis (TB). Which of the following information should the nurse
include in the instructions?
Answer: 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.
Question: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?
Answer: Pain that increases with passive movement
Compartment syndrome results from a decrease in blood flow in the extremity
caused by a decrease in the muscle compartment size due to a cast that is too
tight.
