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Ace Your Test with ATI PN Medical Surgical Actual Questions and Solutions - Full Set

Free ATI PN Medical Surgical Questions

1.

A nurse is reinforcing teaching with a client who is 24 hr postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?

  • A. Perform range of motion by adducting the hip.
  • B. Sit in a straight-backed chair.
  • C. Cleanse the surgical incision with hydrogen peroxide.
  • D. Apply moist heat to the incision while in bed.

Explanation

Explanation
After a total hip arthroplasty, proper positioning is essential to prevent hip dislocation and support healing. Sitting in a straight-backed chair helps maintain correct hip alignment and prevents excessive hip flexion, which could jeopardize the new joint. This position also promotes stability and reduces strain on the surgical site while allowing the client to sit safely during the early postoperative period.
Correct Answer Is:
B. Sit in a straight-backed chair.
2.

A nurse is caring for a client who is expecting a generalized tonic–clonic seizure. Which of the following actions should the nurse take?

  • a) Apply restraints to the client.
  • b) Insert a tongue blade into the client's mouth.
  • c) Administer an IV bolus of lorazepam.
  • d) Place the client in the prone position.

Explanation

Explanation
c) Administer an IV bolus of lorazepam.
When a generalized tonic-clonic seizure is anticipated, the priority action is to administer a benzodiazepine such as lorazepam, which is the first-line medication for stopping or preventing seizures. Lorazepam rapidly depresses abnormal neuronal activity, helping to prevent the onset or progression of the seizure. This intervention improves client safety and reduces the risk of complications such as hypoxia or status epilepticus. Restraints and tongue blades are unsafe, and placing the client prone increases airway obstruction risk.
Correct Answer Is:
c) Administer an IV bolus of lorazepam.
3.

A nurse is caring for a client who is 8 hr postoperative following a left hip arthroplasty. Which of the following laboratory values indicates the nurse should notify the provider?

  • a) BUN 18 mg/dL
  • b) Potassium 2.6 mEq/L
  • c) Blood glucose 98 mg/dL
  • d) Hemoglobin 8.6 g/dL

Explanation

Explanation
b) Potassium 2.6 mEq/L
A potassium level of 2.6 mEq/L indicates severe hypokalemia, which can lead to life-threatening cardiac dysrhythmias, muscle weakness, and respiratory compromise. This value requires immediate provider notification and urgent correction, especially in a postoperative client who may already be vulnerable due to fluid shifts, blood loss, and medication effects. Electrolyte stabilization is critical to prevent cardiac complications and maintain safe recovery.
Correct Answer Is:
b) Potassium 2.6 mEq/L
4.

A nurse is caring for a client who has a prescription for a sequential compression device (SCD). Which of the following actions should the nurse take when applying the SCD?

  • a) Ensure two fingers fit between the leg and the sleeve.
  • b) Wrap excess tubing to the side of each leg.
  • c) Ensure pressure of the device is at 25 mmHg.
  • d) Place each sleeve under each leg with the opening at the calf.

Explanation

Explanation
When applying an SCD, the sleeve must be snug enough to provide effective compression but not tight enough to impair circulation. Ensuring that two fingers fit between the client’s leg and the sleeve confirms proper fit and prevents skin breakdown or circulatory compromise. Tubing should not be wrapped tightly, pressure settings are regulated by the machine (not preset at 25 mmHg), and the sleeve should wrap evenly around the leg—not with the opening at the calf.
Correct Answer Is:
a) Ensure two fingers fit between the leg and the sleeve.
5.

A nurse is reinforcing teaching about home safety measures with a client who is visually impaired. Which of the following instructions should the nurse include?

  • A. Mark the edges of steps.
  • B. Use low-wattage light bulbs.
  • C. Place throw rugs over electrical cords.
  • D. Leave doors slightly ajar.

Explanation

Explanation
Clients with visual impairments rely heavily on high-contrast visual cues to navigate safely. Marking the edges of steps—using brightly colored or reflective tape—helps the client distinguish depth changes, reducing the risk of falls. This intervention enhances environmental visibility and supports independent mobility. Low-wattage bulbs decrease visibility and increase fall risk, while throw rugs are a major tripping hazard even when used to cover cords. Leaving doors ajar creates unpredictable obstacles. Only marking the edges of steps provides a clear, effective safety adaptation for visual impairment.
Correct Answer Is:
A. Mark the edges of steps.
6.

A nurse is caring for a client who has a tracheostomy. When providing tracheostomy care, which of the following actions should the nurse perform first?

  • A. Change the dressing on the tracheostomy site.
  • B. Suction the tracheostomy tube.
  • C. Auscultate the client's lungs.
  • D. Clean the inner cannula.

Explanation

Explanation
The first priority anytime tracheostomy care is performed is to ensure the airway is clear and patent. Suctioning the tracheostomy tube removes secretions that could obstruct airflow or compromise oxygenation during the remainder of the procedure. Providing suction before cleaning or dressing changes prevents potential respiratory distress and maintains adequate ventilation. Once the airway is secured and free of obstruction, the nurse can safely proceed with the rest of the tracheostomy care steps.
Correct Answer Is:
B. Suction the tracheostomy tube.
7.

A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus. Which of the following client statements indicates understanding of the teaching?

  • a) "I should put lotion between my toes every day to prevent dryness and cracking."
  • b) "I should apply a heating pad to my feet every night to help with circulation."
  • c) "I should use my wrist to test the temperature of the water before bathing."
  • d) "I should round the corners of my toenails with a nail file to prevent ingrown nails."

Explanation

Explanation
c) "I should use my wrist to test the temperature of the water before bathing."
Clients with diabetes often experience peripheral neuropathy, which decreases sensation in the hands and feet. Because of this, they are unable to reliably detect excessively hot water and are at higher risk for burns. Using the wrist, which has better temperature sensitivity, allows the client to accurately assess water temperature and avoid injury. This method is a key safety practice in diabetic foot and skin care and demonstrates correct understanding of how to prevent burns and skin breakdown.
Correct Answer Is:
c) "I should use my wrist to test the temperature of the water before bathing."
8.

A nurse is reinforcing teaching with a client who has angina. Which of the following statements by the client indicates an understanding of the teaching?

  • A. "I will take four nitroglycerin sublingual tablets if I have chest pain."
  • B. "I will have hot, dry, and flushed skin if I am having a heart attack."
  • C. "I will wait 30 minutes before taking action if I have heartburn."
  • D. "I will notify emergency response if I have sudden jaw pain."

Explanation

Explanation
Sudden jaw pain is a classic sign of myocardial ischemia, especially in clients with angina. Recognizing that pain radiating to the jaw, arm, back, or neck may indicate a heart attack—and requires immediate emergency response—shows correct understanding of angina education. Early recognition and rapid action are essential to prevent myocardial damage and improve outcomes.
Correct Answer Is:
D. "I will notify emergency response if I have sudden jaw pain."
9.

A nurse is reinforcing teaching about the use of an insulin pen with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

  • A. "I will shake the pen before injecting the insulin."
  • B. "I will apply a disposable needle on the cartridge."
  • C. "I will hold the pen upside-down to select the appropriate dose."
  • D. "I will aspirate before injecting the insulin."

Explanation

Explanation
Insulin pens require the client to attach a new disposable needle before each injection to maintain sterility and ensure proper insulin delivery. This is a correct and essential step in insulin pen use. Insulin pens should not be shaken, as this can damage the insulin formulation. They do not need to be held upside-down to dial the dose, and aspiration is not recommended when administering insulin subcutaneously.
Correct Answer Is:
B. "I will apply a disposable needle on the cartridge."
10.

A nurse is caring for a client in hospice care who is dying. The client's partner expresses concern that the client is sleeping more than in the previous week. Which of the following is an appropriate response by the nurse?

  • a) "Encourage your partner to wake up to interact with family members."
  • b) "Sitting quietly near the bedside can provide comfort and support."
  • c) "I will call the provider to discuss your concerns."
  • d) "I can ask the provider to prescribe a medication that will minimize drowsiness."

Explanation

Explanation
As clients approach the end of life, increased sleep and decreased responsiveness are expected physiological changes. The nurse’s role is to provide reassurance and guide the family in offering meaningful presence and comfort. Encouraging the partner to sit quietly maintains connection without causing distress or attempting to alter the natural dying process. This response is therapeutic, supportive, and aligned with hospice care principles.
Correct Answer Is:
b) "Sitting quietly near the bedside can provide comfort and support."

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