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ATI Advanced Med Surg Exam IV

RN - Nursing Exam(s) 40 Questions ✓ Free Access

RN Medical Surgical Nursing

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Q1: A nurse is caring for an older adult client who has a WBC count of 2,000/mm3 after three rounds of chemotherapy. Which of the following actions should the nurse take?

Answer Choices:

A. Humidify the client's room.
B. Clean dentures in a denture cup.
C. Serve cooked fruit with meals.
D. Replace the water in flower vases with fresh water daily.
Correct Answer: Serve cooked fruit with meals.
Rationale:
Cooked fruit is safe (eliminates bacteria from raw produce). Other options: A: Humidifiers increase infection risk (mold/bacteria growth). B: Dentures should be cleaned with soap/water, not left in standing water. D: Fresh flowers are contraindicated (Pseudomonas risk).

Q2: A nurse is caring for a client who has had an open radical prostatectomy. Stimulus 1

Correct Answer: View the full explanation in Review Mode
Rationale:
1. Edema and bruising to the scrotum and penis are common after a radical prostatectomy. Applying ice helps reduce swelling and provides comfort. 2. Bladder spasms are common after prostate surgery, especially with a catheter and bladder irrigation in place. Antispasmodics like oxybutynin can relieve discomfort and spasms. 3. Sitting can increase pressure on the surgical site and cause tension on the catheter. A semi-Fowler’s or supine with slight elevation position is safer post-op. 4. Discharge planning includes teaching about catheter care. Leg bags are commonly used once the patient is mobile and discharged. Early teaching is important for continuity of care.

Q3: The nurse teaches patients about drug therapy after a kidney transplant. Which statement by the patient would indicate a need for further instructions?

Answer Choices:

A. "After a couple of years, I will be able to stop taking the Tacrolimus!"
B. "The drugs are combined to inhibit different ways the kidney can be rejected."
C. "If I develop acute rejection episode, I will need additional types of drugs. "
D. "l need to be monitored closely for development of cancer."
Correct Answer: "After a couple of years, I will be able to stop taking the Tacrolimus!"
Rationale:
Lifelong immunosuppressive therapy is required after a kidney transplant to prevent organ rejection. Tacrolimus is a critical drug in that regimen.

Q4: A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer Choices:

A. 0.5
Correct Answer: 0.5
Rationale:
Prescribed: 125 mcg Available: 0.25 mg = 250 mcg/tablet 125 ÷ 250 = 0.5 tablet Answer: 0.5 tablet

Q5: A nurse is preparing to administer 0.45% sodium chloride (NaCl) 1000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

Answer Choices:

A. 125
Correct Answer: 125
Rationale:
IV Rate Calculation: Volume: 1000 mL Time: 8 hr 1000 ÷ 8 = 125 mL/hr Answer: 125 mL/hr

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Exam Details
Total Questions: 40 practice questions
Category: RN - Nursing Exam(s)
Subcategory: ATI Exams
Domain: ATI MED-SURG
Last Updated: Nov 29, 2025
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