ATI MED SURG PROCTORED NGN RETAKE 2024-2025
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS
A nurse is assessing a client who is 12hr postoperative Hgb 8.2 g/dl
following a colon resection. Which of the following
findings should the nurse report to the surgeon?
A nurse is caring for a client who has diabetes insipidus. Desmopressin
Which of the following medications should the nurse plan
to administer?
A nurse is admitting a client who has arthritic pain and Stool for occult blood - GI bleed
reports taking ibuprofen several times daily for 3 years.
Which of the following test should the nurse monitor?
A nurse in the emergency department is assessing a Initiate airborne precautions
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.)
A nurse is contacting the provider for a client who has Transmucosal fentanyl
cancer and is experiencing breakthrough pain. Which of
the following prescriptions should the nurse anticipate?
,A nurse is admitting a client who reports chest pain and ST segment
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?
A nurse is teaching a client who has ovarian cancer about Pat the skin on the radiation site to dry it
skin care following radiation treatment. Which of the
following instructions should the nurse include?
A nurse is caring for a client who is receiving a blood Furosemide
transfusion. The nurse observes that the client has
bounding peripheral pulses, hypertension, and distended
jugular veins. The nurse should anticipate administering
which of the following prescribed medications?
A nurse is assessing a client who is receiving magnesium Apical pulse 82/min
sulfate IV for the treatment of hypomagnesemia. Which of
the following findings indicates effectiveness of the
medication?
A nurse is reviewing a client's ABG results pH 7.42, PaC02 Compensated respiratory alkalosis
30 mm Hg, and HCO3 21 mEq/L. The nurse should
recognize these findings as indication of which of the
following conditions?
A nurse is caring for a client who has a deep partial Hypoalbuminemia (Low due to fluid loss)
thickness burns over 15% of her body which of the
following labs should the nurse expect during the first 24
hours
A nurse is caring for a client who has dumping syndrome Have the client lie down for 30 minutes after meals (Lying down after a meal slows
following a gastrectomy, which of the following actions the movement of food within the intestines)
should the nurse takes?
A nurse is preparing to administer fresh frozen plasma to Administer the plasma immediately after thawing
a client. Which of the following actions should the nurse
take?
A nurse is assessing a client who reports numbness and Hypocalcemia
tingling of his toes and exhibits a positive TROUSSEAU.
Which of the following electrolyte imbalance should the
nurse suspect?
A home health nurse is teaching a client how to care for a Use a 10-milliliter syringe when flushing the catheter
peripherally central catheter in his right arm. Which of the
following statements should the nurse include in the
teaching?
A nurse is caring for a client who has a central venous WBC count of 16,000/ mm
access device. Which of the following assessment
findings should the nurse report to the provider?
,A nurse is providing dietary teaching to a client who has I will spread my protein allowances over the entire day
chronic kidney disease and a decreased glomerular
filtration rate. Which of the following statements by the
client indicates an understanding of the teaching?
A nurse is caring for a client who has a peripherally Verify the placement with an x-ray prior to the initial dose
inserted central catheter. The client is receiving an
antibiotic via intermittent IV bolus. Which of the following
actions should the nurse take?
A nurse is teaching a client using a metered dose rescue Exhale fully before bringing the inhaler to your lips
inhaler. Which of the following statements should the
nurse include in the teaching?
A nurse is assessing the pain status of a group of clients. A client who has pancreatitis reports pain in the left shoulder
Which of the following findings indicate a client is
experiencing referred pain?
A nurse is caring for a client who has just returned from The client's capillary refill in the left toe is 6 seconds (signs and symptoms of
surgery with an external fixator to the left tibia. Which of compartment syndrome)
the following assessments findings requires immediate
intervention by the nurse?
A nurse is assessing a client who has acute pancreatitis Crackle in bilateral lower lobes
and has been receiving total parenteral nutrition for the
past 72 hours. Which of the following findings requires
the nurse to intervene?
A nurse is caring for a client who has hypotension, cool Feet elevated
and clammy skin, tachycardia, and tachypnea. In which of
the following positions should the nurse place the client?
A nurse is caring for a client who has tuberculosis and is "This is an expected adverse effect of this medication."
taking rifampin. The client reports that her saliva has
turned red-orange in color. Which of the following
responses should the nurse make?
A nurse is preparing to administer a unit of packed RBCs Begin an IV infusion of 0.9% sodium chloride
for a client who is receiving a continuous IV infusion of
5% dextrose in water. Which of the following actions
should the nurse take?
A nurse is planning care for a client who is 12 hr. Assess urine output hourly ---à prevent shock and mods
postoperative following a kidney transplant. Which of the
following actions should the nurse include in the plan of
care?
2. A nurse is caring for a client who has diabetes insipidus. a. Desmopressin
Which of the following medications should the nurse plan
to administer? Rationale: Diabetes Insipidus has decreased ADH. Administer
Desmopressin/Vasopressin increase ADH and to stop patient on urinating.
, A nurse is obtaining a medication history from a client Ibuprofen --NSAIDs
who is to start therapy with naproxen for rheumatoid
arthritis. Which of the following medications places the
client at risk for bleeding?
1. A nurse is assessing a client who is 12hr postoperative c. Hgb 8.2 g/dl
following a colon resection. Which of the following
findings should the nurse report to the surgeon? Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
A nurse is assessing the extremities of a client who has Blanching of the hands REYNAUD PHENOMENON
Raynaud's disease. Which of the following findings should
the nurse expect?
A nurse is caring for a group of clients. The nurse should A client who has a right upper extremity arteriovenous fistula
obtain a blood pressure reading using only the left
extremity from which of the following clients?
A nurse is providing teaching to a client who has DVT. Oral Contraceptive Use
Which of the following findings should the nurse identify
as a risk factor for the development of DVTs?
A nurse is caring for client who has Cushing's disease. Auscultate the client's lung sound - due to fluid retention; action first varies on the
Which of the following actions should the nurse take exhibit
first? (Click Exhibit button for additional information)
A nurse is assessing a client who has nephrotic syndrome. Proteinuria
Which of the findings should the nurse expect?
A nurse is assessing a client who has right-sided heart Pitting edema
failure. Which of the following assessment findings should
the nurse expect to find?
A nurse is caring for a client who has newly inserted chest Vigorously strip the chest tube twice daily.
tube. The nurse should clarify which of the following
prescriptions with the provider?
A nurse is teaching a client who is taking an ACE inhibitor Monitor Intake and Output
for heart failure. Which of the following instructions
should the nurse include for home management of heart
failure?
A nurse is providing discharge teaching to a client who I need to check my pulse rate every day for a full minute.
has a permanent pacemaker. Which of the following
statements by the client indicates an understanding of
the teaching?
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS
A nurse is assessing a client who is 12hr postoperative Hgb 8.2 g/dl
following a colon resection. Which of the following
findings should the nurse report to the surgeon?
A nurse is caring for a client who has diabetes insipidus. Desmopressin
Which of the following medications should the nurse plan
to administer?
A nurse is admitting a client who has arthritic pain and Stool for occult blood - GI bleed
reports taking ibuprofen several times daily for 3 years.
Which of the following test should the nurse monitor?
A nurse in the emergency department is assessing a Initiate airborne precautions
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.)
A nurse is contacting the provider for a client who has Transmucosal fentanyl
cancer and is experiencing breakthrough pain. Which of
the following prescriptions should the nurse anticipate?
,A nurse is admitting a client who reports chest pain and ST segment
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?
A nurse is teaching a client who has ovarian cancer about Pat the skin on the radiation site to dry it
skin care following radiation treatment. Which of the
following instructions should the nurse include?
A nurse is caring for a client who is receiving a blood Furosemide
transfusion. The nurse observes that the client has
bounding peripheral pulses, hypertension, and distended
jugular veins. The nurse should anticipate administering
which of the following prescribed medications?
A nurse is assessing a client who is receiving magnesium Apical pulse 82/min
sulfate IV for the treatment of hypomagnesemia. Which of
the following findings indicates effectiveness of the
medication?
A nurse is reviewing a client's ABG results pH 7.42, PaC02 Compensated respiratory alkalosis
30 mm Hg, and HCO3 21 mEq/L. The nurse should
recognize these findings as indication of which of the
following conditions?
A nurse is caring for a client who has a deep partial Hypoalbuminemia (Low due to fluid loss)
thickness burns over 15% of her body which of the
following labs should the nurse expect during the first 24
hours
A nurse is caring for a client who has dumping syndrome Have the client lie down for 30 minutes after meals (Lying down after a meal slows
following a gastrectomy, which of the following actions the movement of food within the intestines)
should the nurse takes?
A nurse is preparing to administer fresh frozen plasma to Administer the plasma immediately after thawing
a client. Which of the following actions should the nurse
take?
A nurse is assessing a client who reports numbness and Hypocalcemia
tingling of his toes and exhibits a positive TROUSSEAU.
Which of the following electrolyte imbalance should the
nurse suspect?
A home health nurse is teaching a client how to care for a Use a 10-milliliter syringe when flushing the catheter
peripherally central catheter in his right arm. Which of the
following statements should the nurse include in the
teaching?
A nurse is caring for a client who has a central venous WBC count of 16,000/ mm
access device. Which of the following assessment
findings should the nurse report to the provider?
,A nurse is providing dietary teaching to a client who has I will spread my protein allowances over the entire day
chronic kidney disease and a decreased glomerular
filtration rate. Which of the following statements by the
client indicates an understanding of the teaching?
A nurse is caring for a client who has a peripherally Verify the placement with an x-ray prior to the initial dose
inserted central catheter. The client is receiving an
antibiotic via intermittent IV bolus. Which of the following
actions should the nurse take?
A nurse is teaching a client using a metered dose rescue Exhale fully before bringing the inhaler to your lips
inhaler. Which of the following statements should the
nurse include in the teaching?
A nurse is assessing the pain status of a group of clients. A client who has pancreatitis reports pain in the left shoulder
Which of the following findings indicate a client is
experiencing referred pain?
A nurse is caring for a client who has just returned from The client's capillary refill in the left toe is 6 seconds (signs and symptoms of
surgery with an external fixator to the left tibia. Which of compartment syndrome)
the following assessments findings requires immediate
intervention by the nurse?
A nurse is assessing a client who has acute pancreatitis Crackle in bilateral lower lobes
and has been receiving total parenteral nutrition for the
past 72 hours. Which of the following findings requires
the nurse to intervene?
A nurse is caring for a client who has hypotension, cool Feet elevated
and clammy skin, tachycardia, and tachypnea. In which of
the following positions should the nurse place the client?
A nurse is caring for a client who has tuberculosis and is "This is an expected adverse effect of this medication."
taking rifampin. The client reports that her saliva has
turned red-orange in color. Which of the following
responses should the nurse make?
A nurse is preparing to administer a unit of packed RBCs Begin an IV infusion of 0.9% sodium chloride
for a client who is receiving a continuous IV infusion of
5% dextrose in water. Which of the following actions
should the nurse take?
A nurse is planning care for a client who is 12 hr. Assess urine output hourly ---à prevent shock and mods
postoperative following a kidney transplant. Which of the
following actions should the nurse include in the plan of
care?
2. A nurse is caring for a client who has diabetes insipidus. a. Desmopressin
Which of the following medications should the nurse plan
to administer? Rationale: Diabetes Insipidus has decreased ADH. Administer
Desmopressin/Vasopressin increase ADH and to stop patient on urinating.
, A nurse is obtaining a medication history from a client Ibuprofen --NSAIDs
who is to start therapy with naproxen for rheumatoid
arthritis. Which of the following medications places the
client at risk for bleeding?
1. A nurse is assessing a client who is 12hr postoperative c. Hgb 8.2 g/dl
following a colon resection. Which of the following
findings should the nurse report to the surgeon? Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
A nurse is assessing the extremities of a client who has Blanching of the hands REYNAUD PHENOMENON
Raynaud's disease. Which of the following findings should
the nurse expect?
A nurse is caring for a group of clients. The nurse should A client who has a right upper extremity arteriovenous fistula
obtain a blood pressure reading using only the left
extremity from which of the following clients?
A nurse is providing teaching to a client who has DVT. Oral Contraceptive Use
Which of the following findings should the nurse identify
as a risk factor for the development of DVTs?
A nurse is caring for client who has Cushing's disease. Auscultate the client's lung sound - due to fluid retention; action first varies on the
Which of the following actions should the nurse take exhibit
first? (Click Exhibit button for additional information)
A nurse is assessing a client who has nephrotic syndrome. Proteinuria
Which of the findings should the nurse expect?
A nurse is assessing a client who has right-sided heart Pitting edema
failure. Which of the following assessment findings should
the nurse expect to find?
A nurse is caring for a client who has newly inserted chest Vigorously strip the chest tube twice daily.
tube. The nurse should clarify which of the following
prescriptions with the provider?
A nurse is teaching a client who is taking an ACE inhibitor Monitor Intake and Output
for heart failure. Which of the following instructions
should the nurse include for home management of heart
failure?
A nurse is providing discharge teaching to a client who I need to check my pulse rate every day for a full minute.
has a permanent pacemaker. Which of the following
statements by the client indicates an understanding of
the teaching?
