ATI PN Adult Medical Surgical (Med-Surg)
Proctored Exam with NGN 100 Questions and
Answers verified
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?
a. Heart rate 90/min
b. Absent bowel sounds
c. Hgb 8.2 g/dl
d. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
haemorrhaging.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer
Desmopressin/Vasopressin increase ADH and to stop patient on urinating.
,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?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
Rationale: ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody,
tarry stools, abdominal pain).
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.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansetron.
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?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone
Rationale: ATI pg. 27 Morphine sulfate and fentanyl are opioid agents used to treat
moderate to severe pain. A short-acting pain medication is administered for
breakthrough pain.
, 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?
a. PR interval
b. QRS duration
c. T wave
d. ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
7. A nurse is teaching a client who has ovarian cancer about skin care following
radiation treatment. Which of the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around the radiation site
Rationale: pg. 584. Dry the area thoroughly using patting motions.
8. A nurse is caring for a client who is receiving a blood 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. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide
Rationale: S/S may indicate fluid retention or heart failure. It is important to
administer diuretics to prevent cardiovascular/respiratory distress.
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?
Proctored Exam with NGN 100 Questions and
Answers verified
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?
a. Heart rate 90/min
b. Absent bowel sounds
c. Hgb 8.2 g/dl
d. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
haemorrhaging.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer
Desmopressin/Vasopressin increase ADH and to stop patient on urinating.
,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?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
Rationale: ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody,
tarry stools, abdominal pain).
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.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansetron.
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?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone
Rationale: ATI pg. 27 Morphine sulfate and fentanyl are opioid agents used to treat
moderate to severe pain. A short-acting pain medication is administered for
breakthrough pain.
, 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?
a. PR interval
b. QRS duration
c. T wave
d. ST segment
Rationale: ST elevation indicates MI. ST depression indicates ischemia
7. A nurse is teaching a client who has ovarian cancer about skin care following
radiation treatment. Which of the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around the radiation site
Rationale: pg. 584. Dry the area thoroughly using patting motions.
8. A nurse is caring for a client who is receiving a blood 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. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide
Rationale: S/S may indicate fluid retention or heart failure. It is important to
administer diuretics to prevent cardiovascular/respiratory distress.
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?
