ATI RN
MED SURG
PROCTORED RETAKE EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI Retake test contains:
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
,### 1. Post-Operative Hip Arthroplasty Instructions
A nurse is providing discharge teaching to an older adult client following a
left total hip arthroplasty.
Which of the following instructions should the nurse include in the teaching?
- A) "You should use an incentive spirometer every 8 hours."
- B) "You can cross your legs at the ankles when sitting down."
- C) "Clean the incision daily with hydrogen peroxide."
- D) "Install a raised toilet seat in your bathroom."
Answer: D) "Install a raised toilet seat in your bathroom."
Rationale: A raised toilet seat helps prevent hip flexion beyond 90 degrees,
reducing the risk of dislocation. Proper education on mobility aids post-surgery
promotes safety and independence.
---
### 2. Calculating IV Infusion Rate
A nurse is preparing to administer lactated Ringer's via continuous IV
infusion at 200 mL/hr. The IV tubing has a drip factor of 10 gtt/mL.
How many gtts/min should the nurse set the IV pump to administer? (Round
to the nearest whole number.)
- A) 20 gtt/min
- B) 33 gtt/min
- C) 50 gtt/min
- D) 100 gtt/min
,Answer: B) 33 gtt/min
Rationale: To calculate the drip rate: (200 mL/hr * 10 gtt/mL) / 60 min/hr =
33.33 gtt/min, which rounds to 33 gtt/min. Accurate calculation of drip rates is
essential to ensure proper medication administration.
---
### 3. Understanding Sublingual Nitroglycerin
A nurse is providing discharge teaching to a client who has a new prescription
for sublingual nitroglycerin.
Which of the following client statements indicates an understanding of the
teaching?
- A) "I should lie down when I take this medication."
- B) "I can keep my medication for 1 year before replacing it."
- C) "I should discontinue this medication if I develop a headache."
- D) "I can take up to five tablets in 15 minutes before seeking medical attention."
Answer: A) "I should lie down when I take this medication."
Rationale: Sublingual nitroglycerin can cause hypotension, so it is advisable for
the client to lie down to minimize the risk of falling. Understanding the correct
administration techniques is crucial for patient safety.
---
### 4. Contraindication for Acupuncture
, A nurse is caring for a client who is receiving chemotherapy and requests
information about acupuncture to relieve some of the side effects.
Which of the following findings should the nurse identify as a
contraindication to receiving this alternative therapy?
- A) Urticaria
- B) Lymphedema
- C) Headaches
- D) Mouth sores
Answer: B) Lymphedema
Rationale: Lymphedema can be exacerbated by acupuncture due to the risk of
increased swelling or infection. Precautions should be taken when considering
acupuncture for clients with this condition to avoid further complications.
---
### 5. Care Following Cardiac Catheterization
A nurse is planning care for a client following a cardiac catheterization.
Which of the following actions should the nurse take?
- A) Limit the client's fluid intake to 1 L per day.
- B) Change the client's dressing every 8 hr.
- C) Keep the client on bed rest for 24 hr.
- D) Maintain the client's affected extremity in extension.
Answer: D) Maintain the client's affected extremity in extension.
MED SURG
PROCTORED RETAKE EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI Retake test contains:
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
,### 1. Post-Operative Hip Arthroplasty Instructions
A nurse is providing discharge teaching to an older adult client following a
left total hip arthroplasty.
Which of the following instructions should the nurse include in the teaching?
- A) "You should use an incentive spirometer every 8 hours."
- B) "You can cross your legs at the ankles when sitting down."
- C) "Clean the incision daily with hydrogen peroxide."
- D) "Install a raised toilet seat in your bathroom."
Answer: D) "Install a raised toilet seat in your bathroom."
Rationale: A raised toilet seat helps prevent hip flexion beyond 90 degrees,
reducing the risk of dislocation. Proper education on mobility aids post-surgery
promotes safety and independence.
---
### 2. Calculating IV Infusion Rate
A nurse is preparing to administer lactated Ringer's via continuous IV
infusion at 200 mL/hr. The IV tubing has a drip factor of 10 gtt/mL.
How many gtts/min should the nurse set the IV pump to administer? (Round
to the nearest whole number.)
- A) 20 gtt/min
- B) 33 gtt/min
- C) 50 gtt/min
- D) 100 gtt/min
,Answer: B) 33 gtt/min
Rationale: To calculate the drip rate: (200 mL/hr * 10 gtt/mL) / 60 min/hr =
33.33 gtt/min, which rounds to 33 gtt/min. Accurate calculation of drip rates is
essential to ensure proper medication administration.
---
### 3. Understanding Sublingual Nitroglycerin
A nurse is providing discharge teaching to a client who has a new prescription
for sublingual nitroglycerin.
Which of the following client statements indicates an understanding of the
teaching?
- A) "I should lie down when I take this medication."
- B) "I can keep my medication for 1 year before replacing it."
- C) "I should discontinue this medication if I develop a headache."
- D) "I can take up to five tablets in 15 minutes before seeking medical attention."
Answer: A) "I should lie down when I take this medication."
Rationale: Sublingual nitroglycerin can cause hypotension, so it is advisable for
the client to lie down to minimize the risk of falling. Understanding the correct
administration techniques is crucial for patient safety.
---
### 4. Contraindication for Acupuncture
, A nurse is caring for a client who is receiving chemotherapy and requests
information about acupuncture to relieve some of the side effects.
Which of the following findings should the nurse identify as a
contraindication to receiving this alternative therapy?
- A) Urticaria
- B) Lymphedema
- C) Headaches
- D) Mouth sores
Answer: B) Lymphedema
Rationale: Lymphedema can be exacerbated by acupuncture due to the risk of
increased swelling or infection. Precautions should be taken when considering
acupuncture for clients with this condition to avoid further complications.
---
### 5. Care Following Cardiac Catheterization
A nurse is planning care for a client following a cardiac catheterization.
Which of the following actions should the nurse take?
- A) Limit the client's fluid intake to 1 L per day.
- B) Change the client's dressing every 8 hr.
- C) Keep the client on bed rest for 24 hr.
- D) Maintain the client's affected extremity in extension.
Answer: D) Maintain the client's affected extremity in extension.
