Actual ATI RN Medical Surgical
(Med-Surg) 2025 CBC Final Exam
with NGN All Questions and Answers
# RN ATI Medical Surgical (Med-
Surg) CBC Final Exam with NGN
Actual 2025 Exam
written by
psg
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Uploaded by: psg on DocMerit. Distribution of this document is illegal
, lOMoARcPSD| 57675454
A
AAT
ATI CBC FINAL EXAM FOR RN MEDICAL SURGICAL (MEDSURG) 2025
A nurse is teaching a client who has peptic ulcer disease and is scheduled for an
esophagogastroduodenoscopy the next morning. Which of the following information
should the nurse include in the teaching? 00.00 00.. 0°... 0° 0 0° 0 .0 O .0 0 0° 0 0° 0 O Q
'You should not take any of your routine medications until after the procedure is
complete." 0 'You can have a clear liquid diet for breakfast prior to me procedure“ 0
'You will be allowed to drive yourself home within 6 hours following the procedure." 0
'You might experience a hoarse voice for several days following the procedure"
Answer
An esophagogastroduodenoscopy (EGD) is a procedure that involves using an
endoscope to visualize the esophagus, stomach, and upper part of the small intestine
(duodenum). Here is the relevant information the nurse should provide to the client
regarding the procedure:
1. Medications: Some medications might need to be held or taken with a small sip of
water before the procedure. It's essential to inform the healthcare provider about all
medications the client is taking. However, it's not accurate to say the client shouldn't
take any of their routine medications until after the procedure without knowing the
specifics.
2. Diet: The client should be NPO (nothing by mouth) for several hours before the
procedure to ensure the stomach is empty. This prevents the risk of aspiration. Saying
that the client can have a clear liquid diet for breakfast prior to the procedure is
misleading without specifying the time frame.
3. Driving: The client will likely receive sedation for the procedure and thus should not
drive afterward. It's recommended that someone else drive the client home.
4. Post-procedure symptoms: While a sore throat might be a common complaint after an
EGD, having a hoarse voice for several days isn't a typical outcome.
So, out of the options provided:
• The first statement is not entirely correct without further clarification.
• The second statement is misleading without a specified time frame.
• The third statement is not advisable due to the sedation during the procedure.
• The fourth statement is a possible symptom but phrased in a way that might be too
absolute.
, lOMoARcPSD| 57675454
Based on the options provided, the closest correct information might be the fourth one
about the possibility of a hoarse voice or sore throat. Still, it's important to clarify that
it's not guaranteed for several days and might just be temporary discomfort.
A nurse is providing teaching about aibuterol to a parent of a school~age child who has
asthma. The nurse should instruct the parent to monitor for which of the following
findings as adverse effects of albuteroi? (Select all that apply.) .0000 00.. 0°00. 0° 0 0° 0
0° 0 0° 0 .0 0 0° 0 0 [:1 Decreased pulse rate [3 Hyperactivity [:1 Hypotension E]
Headache E] Tremors
Answer
Albuterol is a short-acting beta2-adrenergic agonist used to treat asthma symptoms.
When instructing a parent about possible adverse effects of albuterol in their child, it's
essential to be aware of the following:
1. Decreased pulse rate: This is not a typical side effect of albuterol. Albuterol can actually
cause tachycardia (increased pulse rate) in some patients.
2. Hyperactivity: This can be a side effect in children taking albuterol.
3. Hypotension: This is not a typical side effect of albuterol. Albuterol can sometimes
cause a slight increase in blood pressure due to its stimulatory effects, but this is not
common.
4. Headache: This can be an adverse effect of albuterol.
5. Tremors: Tremors, particularly of the hands, are a well-known side effect of albuterol
due to its stimulatory effects on the nervous system.
So, based on the options provided:
• Decreased pulse rate
• Hyperactivity
• Hypotension
• Headache
• Tremors
The parent should monitor for hyperactivity, headache, and tremors as adverse effects of
albuterol.
A nurse is planning discharge teaching for an adolescent who has a new diagnosis of
type 1 diabetes meilitus. Which of the following information should the nurse include in
the plan? 00.00 0°00 0°... .0 0 0° 0 0° 0 0° 0 0° 0 0° 0 0 0 Keep unopened insulin
, lOMoARcPSD| 57675454
refrigerated at 444° C (40° F). O Rotate the insulin injection site to a different area of the
body with every other injection. 0 Initiate a 1,400 calorie diet daily. 0 Drink 8 oz of milk
when hypoglycemia develops.
Answer
Let's break down each of the options: 1. Keep
unopened insulin refrigerated at 44° C (40° F):
• This statement is incorrect. Insulin should be kept refrigerated, but the temperature
44° C is way too hot (it's actually above body temperature). The recommended
temperature for storing unopened insulin is between 2° C and 8° C (36° F to 46° F).
2. Rotate the insulin injection site to a different area of the body with every other
injection:
• It's crucial to rotate insulin injection sites to prevent lipodystrophy (abnormal fat
tissue changes) and ensure consistent insulin absorption. However, it's not
necessary to change to a different area of the body with every other injection;
instead, rotating within the same general area but using a different specific spot
each time is often advised.
3. Initiate a 1,400 calorie diet daily:
• Caloric requirements vary depending on a person's age, gender, activity level, and
other factors. A 1,400 calorie diet may not be appropriate for every adolescent
with type 1 diabetes. Nutritional needs should be personalized based on the
individual's needs.
4. Drink 8 oz of milk when hypoglycemia develops:
• When hypoglycemia (low blood sugar) occurs, it's essential to consume a fastacting
source of carbohydrates. While milk contains carbohydrates, it also contains protein
and fat, which can slow down the absorption of sugar. In an acute hypoglycemic
episode, a better choice would be glucose tablets, fruit juice, or regular soda. After
the initial treatment, it may be appropriate to have a longer-acting carbohydrate like
milk or a sandwich.
Given the options provided, the most accurate information to include in the discharge
teaching plan for an adolescent with type 1 diabetes mellitus is:
• Rotate the insulin injection site to a different spot (not necessarily a different area)
with each injection.
A nurse is caring for a client who has the communicable disease influenza. Which of the
following isolation precautions should the nurse take? ooooo 00.. oo... .o . oo . .o . oo .
oo . .o . . 0 Place the client in a negative air pressure room with 6 to 12 air exchanges per
hour. 0 Wear a surgical mask when within 1 m (3 ft) of the client. 0 Double-bag the
(Med-Surg) 2025 CBC Final Exam
with NGN All Questions and Answers
# RN ATI Medical Surgical (Med-
Surg) CBC Final Exam with NGN
Actual 2025 Exam
written by
psg
Did you know a seller earn
an average of $450 per month
selling their study notes
on DocMerit
Scan the QR-code and learn how you can also turn your class
notes, study guides into real cash today.
DocMerit.com - The Best Study Notes
Uploaded by: psg on DocMerit. Distribution of this document is illegal
, lOMoARcPSD| 57675454
A
AAT
ATI CBC FINAL EXAM FOR RN MEDICAL SURGICAL (MEDSURG) 2025
A nurse is teaching a client who has peptic ulcer disease and is scheduled for an
esophagogastroduodenoscopy the next morning. Which of the following information
should the nurse include in the teaching? 00.00 00.. 0°... 0° 0 0° 0 .0 O .0 0 0° 0 0° 0 O Q
'You should not take any of your routine medications until after the procedure is
complete." 0 'You can have a clear liquid diet for breakfast prior to me procedure“ 0
'You will be allowed to drive yourself home within 6 hours following the procedure." 0
'You might experience a hoarse voice for several days following the procedure"
Answer
An esophagogastroduodenoscopy (EGD) is a procedure that involves using an
endoscope to visualize the esophagus, stomach, and upper part of the small intestine
(duodenum). Here is the relevant information the nurse should provide to the client
regarding the procedure:
1. Medications: Some medications might need to be held or taken with a small sip of
water before the procedure. It's essential to inform the healthcare provider about all
medications the client is taking. However, it's not accurate to say the client shouldn't
take any of their routine medications until after the procedure without knowing the
specifics.
2. Diet: The client should be NPO (nothing by mouth) for several hours before the
procedure to ensure the stomach is empty. This prevents the risk of aspiration. Saying
that the client can have a clear liquid diet for breakfast prior to the procedure is
misleading without specifying the time frame.
3. Driving: The client will likely receive sedation for the procedure and thus should not
drive afterward. It's recommended that someone else drive the client home.
4. Post-procedure symptoms: While a sore throat might be a common complaint after an
EGD, having a hoarse voice for several days isn't a typical outcome.
So, out of the options provided:
• The first statement is not entirely correct without further clarification.
• The second statement is misleading without a specified time frame.
• The third statement is not advisable due to the sedation during the procedure.
• The fourth statement is a possible symptom but phrased in a way that might be too
absolute.
, lOMoARcPSD| 57675454
Based on the options provided, the closest correct information might be the fourth one
about the possibility of a hoarse voice or sore throat. Still, it's important to clarify that
it's not guaranteed for several days and might just be temporary discomfort.
A nurse is providing teaching about aibuterol to a parent of a school~age child who has
asthma. The nurse should instruct the parent to monitor for which of the following
findings as adverse effects of albuteroi? (Select all that apply.) .0000 00.. 0°00. 0° 0 0° 0
0° 0 0° 0 .0 0 0° 0 0 [:1 Decreased pulse rate [3 Hyperactivity [:1 Hypotension E]
Headache E] Tremors
Answer
Albuterol is a short-acting beta2-adrenergic agonist used to treat asthma symptoms.
When instructing a parent about possible adverse effects of albuterol in their child, it's
essential to be aware of the following:
1. Decreased pulse rate: This is not a typical side effect of albuterol. Albuterol can actually
cause tachycardia (increased pulse rate) in some patients.
2. Hyperactivity: This can be a side effect in children taking albuterol.
3. Hypotension: This is not a typical side effect of albuterol. Albuterol can sometimes
cause a slight increase in blood pressure due to its stimulatory effects, but this is not
common.
4. Headache: This can be an adverse effect of albuterol.
5. Tremors: Tremors, particularly of the hands, are a well-known side effect of albuterol
due to its stimulatory effects on the nervous system.
So, based on the options provided:
• Decreased pulse rate
• Hyperactivity
• Hypotension
• Headache
• Tremors
The parent should monitor for hyperactivity, headache, and tremors as adverse effects of
albuterol.
A nurse is planning discharge teaching for an adolescent who has a new diagnosis of
type 1 diabetes meilitus. Which of the following information should the nurse include in
the plan? 00.00 0°00 0°... .0 0 0° 0 0° 0 0° 0 0° 0 0° 0 0 0 Keep unopened insulin
, lOMoARcPSD| 57675454
refrigerated at 444° C (40° F). O Rotate the insulin injection site to a different area of the
body with every other injection. 0 Initiate a 1,400 calorie diet daily. 0 Drink 8 oz of milk
when hypoglycemia develops.
Answer
Let's break down each of the options: 1. Keep
unopened insulin refrigerated at 44° C (40° F):
• This statement is incorrect. Insulin should be kept refrigerated, but the temperature
44° C is way too hot (it's actually above body temperature). The recommended
temperature for storing unopened insulin is between 2° C and 8° C (36° F to 46° F).
2. Rotate the insulin injection site to a different area of the body with every other
injection:
• It's crucial to rotate insulin injection sites to prevent lipodystrophy (abnormal fat
tissue changes) and ensure consistent insulin absorption. However, it's not
necessary to change to a different area of the body with every other injection;
instead, rotating within the same general area but using a different specific spot
each time is often advised.
3. Initiate a 1,400 calorie diet daily:
• Caloric requirements vary depending on a person's age, gender, activity level, and
other factors. A 1,400 calorie diet may not be appropriate for every adolescent
with type 1 diabetes. Nutritional needs should be personalized based on the
individual's needs.
4. Drink 8 oz of milk when hypoglycemia develops:
• When hypoglycemia (low blood sugar) occurs, it's essential to consume a fastacting
source of carbohydrates. While milk contains carbohydrates, it also contains protein
and fat, which can slow down the absorption of sugar. In an acute hypoglycemic
episode, a better choice would be glucose tablets, fruit juice, or regular soda. After
the initial treatment, it may be appropriate to have a longer-acting carbohydrate like
milk or a sandwich.
Given the options provided, the most accurate information to include in the discharge
teaching plan for an adolescent with type 1 diabetes mellitus is:
• Rotate the insulin injection site to a different spot (not necessarily a different area)
with each injection.
A nurse is caring for a client who has the communicable disease influenza. Which of the
following isolation precautions should the nurse take? ooooo 00.. oo... .o . oo . .o . oo .
oo . .o . . 0 Place the client in a negative air pressure room with 6 to 12 air exchanges per
hour. 0 Wear a surgical mask when within 1 m (3 ft) of the client. 0 Double-bag the
