ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM QUES-
1. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the
following findings should the nurse report to the surgeon?: Hgb 8.2 g/dl
2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications
should the nurse plan to administer?: Desmopressin
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times
daily for 3 years. Which of the following test should the nurse monitor?: Stool for occult blood -
GI bleed
4. A nurse in the emergency department is assessing a client. Which of the following actions
should the nurse take first (Click on the "Exhibit" button for additional information about the client.
There are three tabs that contain separate categories of data.): Initiate airborne precautions
5. A nurse is contacting the provider for a client who has cancer and is experiencing breakthrough
pain. Which of the following prescriptions should the nurse anticipate?: Transmucosal fentanyl
6. A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor.
Which of the following should the nurse analyze to determine whether the client is experiencing a
myocardial infarction?: ST segment
7. A nurse is teaching a client who has ovarian cancer about skin care follow- ing radiation treatment.
Which of the following instructions should the nurse include?: Pat the skin on the radiation site to
dry it
8. A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the
,ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM QUES-
client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should
anticipate administering which of the following prescribed medications?: Furosemide
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of
hypomagnesemia. Which of the following findings indicates effectiveness of the medication?: Apical
pulse 82/min
10. A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L. The
nurse should recognize these findings as indication of which of the following conditions?:
Compensated respiratory alkalosis
11. A nurse is caring for a client who has a deep partial thickness burns over 15% of her body which
of the following labs should the nurse expect during the first 24 hours: Hypoalbuminemia (Low due
to fluid loss)
12. A nurse is caring for a client who has dumping syndrome following a gastrectomy, which of
the following actions should the nurse takes?: Have
,ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM QUES-
the client lie down for 30 minutes after meals (Lying down after a meal slows the movement of
food within the intestines)
13. A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions
should the nurse take?: Administer the plasma immediately after thawing
14. A nurse is assessing a client who reports numbness and tingling of his toes and exhibits a
positive TROUSSEAU. Which of the following electrolyte imbalance should the nurse suspect?:
Hypocalcemia
15. A home health nurse is teaching a client how to care for a peripherally central catheter in his
right arm. Which of the following statements should the nurse include in the teaching?: Use a 10-
milliliter syringe when flushing the catheter
16. A nurse is caring for a client who has a central venous access device. Which of the following
assessment findings should the nurse report to the provider?: WBC count of 16,000/ mm
17. A nurse is providing dietary teaching to a client who has chronic kidney disease and a
decreased glomerular filtration rate. Which of the following statements by the client indicates an
understanding of the teaching?: I will spread my protein allowances over the entire day
18. A nurse is caring for a client who has a peripherally inserted central catheter. The client is
receiving an antibiotic via intermittent IV bolus. Which of the following actions should the nurse
take?: Verify the placement with an x-ray prior to the initial dose
19. A nurse is teaching a client using a metered dose rescue inhaler. Which of the following
,ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM QUES-
statements should the nurse include in the teaching?: Exhale fully before bringing the inhaler to
your lips
20. A nurse is assessing the pain status of a group of clients. Which of the following findings
indicate a client is experiencing referred pain?: A client who has pancreatitis reports pain in the
left shoulder
21. A nurse is caring for a client who has just returned from surgery with an external fixator to the
left tibia. Which of the following assessments findings requires immediate intervention by the nurse?:
The client's capillary refill in the left toe is 6 seconds (signs and symptoms of compartment
syndrome)
22. A nurse is assessing a client who has acute pancreatitis and has been receiving total parenteral
nutrition for the past 72 hours. Which of the following findings requires the nurse to intervene?:
Crackle in bilateral lower lobes
1. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the
following findings should the nurse report to the surgeon?: Hgb 8.2 g/dl
2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications
should the nurse plan to administer?: Desmopressin
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times
daily for 3 years. Which of the following test should the nurse monitor?: Stool for occult blood -
GI bleed
4. A nurse in the emergency department is assessing a client. Which of the following actions
should the nurse take first (Click on the "Exhibit" button for additional information about the client.
There are three tabs that contain separate categories of data.): Initiate airborne precautions
5. A nurse is contacting the provider for a client who has cancer and is experiencing breakthrough
pain. Which of the following prescriptions should the nurse anticipate?: Transmucosal fentanyl
6. A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor.
Which of the following should the nurse analyze to determine whether the client is experiencing a
myocardial infarction?: ST segment
7. A nurse is teaching a client who has ovarian cancer about skin care follow- ing radiation treatment.
Which of the following instructions should the nurse include?: Pat the skin on the radiation site to
dry it
8. A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the
,ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM QUES-
client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should
anticipate administering which of the following prescribed medications?: Furosemide
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of
hypomagnesemia. Which of the following findings indicates effectiveness of the medication?: Apical
pulse 82/min
10. A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L. The
nurse should recognize these findings as indication of which of the following conditions?:
Compensated respiratory alkalosis
11. A nurse is caring for a client who has a deep partial thickness burns over 15% of her body which
of the following labs should the nurse expect during the first 24 hours: Hypoalbuminemia (Low due
to fluid loss)
12. A nurse is caring for a client who has dumping syndrome following a gastrectomy, which of
the following actions should the nurse takes?: Have
,ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM QUES-
the client lie down for 30 minutes after meals (Lying down after a meal slows the movement of
food within the intestines)
13. A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions
should the nurse take?: Administer the plasma immediately after thawing
14. A nurse is assessing a client who reports numbness and tingling of his toes and exhibits a
positive TROUSSEAU. Which of the following electrolyte imbalance should the nurse suspect?:
Hypocalcemia
15. A home health nurse is teaching a client how to care for a peripherally central catheter in his
right arm. Which of the following statements should the nurse include in the teaching?: Use a 10-
milliliter syringe when flushing the catheter
16. A nurse is caring for a client who has a central venous access device. Which of the following
assessment findings should the nurse report to the provider?: WBC count of 16,000/ mm
17. A nurse is providing dietary teaching to a client who has chronic kidney disease and a
decreased glomerular filtration rate. Which of the following statements by the client indicates an
understanding of the teaching?: I will spread my protein allowances over the entire day
18. A nurse is caring for a client who has a peripherally inserted central catheter. The client is
receiving an antibiotic via intermittent IV bolus. Which of the following actions should the nurse
take?: Verify the placement with an x-ray prior to the initial dose
19. A nurse is teaching a client using a metered dose rescue inhaler. Which of the following
,ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM QUES-
statements should the nurse include in the teaching?: Exhale fully before bringing the inhaler to
your lips
20. A nurse is assessing the pain status of a group of clients. Which of the following findings
indicate a client is experiencing referred pain?: A client who has pancreatitis reports pain in the
left shoulder
21. A nurse is caring for a client who has just returned from surgery with an external fixator to the
left tibia. Which of the following assessments findings requires immediate intervention by the nurse?:
The client's capillary refill in the left toe is 6 seconds (signs and symptoms of compartment
syndrome)
22. A nurse is assessing a client who has acute pancreatitis and has been receiving total parenteral
nutrition for the past 72 hours. Which of the following findings requires the nurse to intervene?:
Crackle in bilateral lower lobes
