ATI MED SURG
PROCTORED EXAM 002
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
,This Document consists of the
following :
100 Qs & Ans
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case Scenario
Expert-Verified Explanations & Solutions
, ATI MED SURG COMPREHENSIVE EXAM 002
### 1. A nurse is caring for a client who is postoperative. Based on the client's signs of restlessness,
tachycardia, hypotension, decreased pulses, cool extremities, and decreased urine output, which condition
is the client most likely experiencing? What are appropriate nursing actions and parameters for monitoring
progress?
NGN-Style Question: Select the correct options to fill in the blanks:
Condition:
A. Hypervolemia
B. Hypovolemia
C. Orthostatic hypotension
D. Pulmonary embolism
Nursing Actions (Select Two):
A. Encourage oral fluid intake to offset deficit.
B. Insert a large-gauge IV and initiate a fluid challenge.
C. Administer blood products if hemoglobin is decreased.
D. Elevate the lower extremities above heart level.
Parameters to Monitor (Select Two):
A. Urine output
B. Heart sounds
C. Blood pressure
D. Skin integrity
Answer:
- Condition: B. Hypovolemia
- Nursing Actions: B. Insert a large-gauge IV and initiate a fluid challenge, D. Elevate the lower extremities
above heart level.
- Parameters to Monitor: A. Urine output, C. Blood pressure
, Explanation:
The client is most likely experiencing *hypovolemia* following surgery due to fluid loss or inadequate
replacement. Key symptoms include restlessness, tachycardia, hypotension, and cool extremities.
Management prioritizes fluid replacement (e.g., IV fluids or a fluid challenge) and continuously monitoring
urine output and blood pressure to assess hemodynamic status and treatment effectiveness.
---
### 2. A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for
brachytherapy. Which of the following instructions should the nurse include?
A. "You will experience nausea and vomiting during the treatment."
B. "You will need to stay still in bed during each treatment session."
C. "You can start walking immediately after the procedure."
D. "You will need to wear a lead apron during the session."
Answer:
B. "You will need to stay still in bed during each treatment session."
Explanation:
Brachytherapy involves the insertion of radioactive material directly into or near the tumor. Staying still
during treatment ensures accurate placement of the implants and minimizes displacement, reducing the
risk of harm to adjacent tissues. Mobility is often restricted during the implantation period to ensure
effectiveness and safety.
---
### 3. A nurse is caring for a client who is receiving dialysis. For each nursing intervention, determine if the
action is *indicated* or *not indicated*.
Potential Interventions:
A. Place the client in Trendelenburg position.
B. Notify the provider immediately.
PROCTORED EXAM 002
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
,This Document consists of the
following :
100 Qs & Ans
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case Scenario
Expert-Verified Explanations & Solutions
, ATI MED SURG COMPREHENSIVE EXAM 002
### 1. A nurse is caring for a client who is postoperative. Based on the client's signs of restlessness,
tachycardia, hypotension, decreased pulses, cool extremities, and decreased urine output, which condition
is the client most likely experiencing? What are appropriate nursing actions and parameters for monitoring
progress?
NGN-Style Question: Select the correct options to fill in the blanks:
Condition:
A. Hypervolemia
B. Hypovolemia
C. Orthostatic hypotension
D. Pulmonary embolism
Nursing Actions (Select Two):
A. Encourage oral fluid intake to offset deficit.
B. Insert a large-gauge IV and initiate a fluid challenge.
C. Administer blood products if hemoglobin is decreased.
D. Elevate the lower extremities above heart level.
Parameters to Monitor (Select Two):
A. Urine output
B. Heart sounds
C. Blood pressure
D. Skin integrity
Answer:
- Condition: B. Hypovolemia
- Nursing Actions: B. Insert a large-gauge IV and initiate a fluid challenge, D. Elevate the lower extremities
above heart level.
- Parameters to Monitor: A. Urine output, C. Blood pressure
, Explanation:
The client is most likely experiencing *hypovolemia* following surgery due to fluid loss or inadequate
replacement. Key symptoms include restlessness, tachycardia, hypotension, and cool extremities.
Management prioritizes fluid replacement (e.g., IV fluids or a fluid challenge) and continuously monitoring
urine output and blood pressure to assess hemodynamic status and treatment effectiveness.
---
### 2. A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for
brachytherapy. Which of the following instructions should the nurse include?
A. "You will experience nausea and vomiting during the treatment."
B. "You will need to stay still in bed during each treatment session."
C. "You can start walking immediately after the procedure."
D. "You will need to wear a lead apron during the session."
Answer:
B. "You will need to stay still in bed during each treatment session."
Explanation:
Brachytherapy involves the insertion of radioactive material directly into or near the tumor. Staying still
during treatment ensures accurate placement of the implants and minimizes displacement, reducing the
risk of harm to adjacent tissues. Mobility is often restricted during the implantation period to ensure
effectiveness and safety.
---
### 3. A nurse is caring for a client who is receiving dialysis. For each nursing intervention, determine if the
action is *indicated* or *not indicated*.
Potential Interventions:
A. Place the client in Trendelenburg position.
B. Notify the provider immediately.
