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ADULT_MEDICAL_SURGICAL_NGN_PROCTORED_EXAM_2024_ADULT_MEDICAL_SURGICAL

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ADULT_MEDICAL_SURGICAL_NGN_PROCTORED_EXAM_2024_ADULT_MEDICAL_SURGICAL

Institution
Med Surg
Course
Med surg

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1


ADULT MEDICAL SURGICAL NGN PROCTORED
EXAM ADULT MEDICAL SURGICAL ATI
PROCTORED EXAM UPDATE| MEDICAL
SURGICAL ATI PROCTORED ADULT EXAM
2025 LATEST UPDATE BRAND NEW!!
A nurse is providing dietary instructions to a client who has cardiovascular
disease. The nurse should identify that which of following statements by the
client indicates an understanding of the teaching?
"I will use canola oil when making salad dressing."
A nurse is caring for a client who has COPD. Findings that require an immediate
follow-up:
Neurological - Client is oriented to person, place, and time. Client is restless.
Pupils are reactive to light. Able to move all extremities.
Pulmonary - Client is tachypneic, cough is productive, and mucous is yellow in
color.Wheezes and crackles heard upon auscultation. Oxygen saturation 87% on
room air.
Cardiovascular - Pulse 110/min. +2 pulses in all extremities.
Client is restless Tachypneic
Cough is productive Mucous is yellow Pulse 110/min
+2 pulses in all extremities
A nurse is caring for a client who is experiencing an exacerbation of heart failure.
The nurse is assessing the client 24 hr later. How should the nurse interpret the
findings related to the diagnosis of heart failure?
Specify whether the finding is unrelated to the diagnosis, a sign of potential
improvement, or a sign of potential worsening condition.
Diagnostic results:
Hgb 8.4 g/dL (12 to 18g/dL)
Hct 42% (37% to 47%)
WBC count 9,800/mm3 (5,000 to 10,000/ mm3)

,2


Potassium 4.32 mEq/L (3.5 to 5 mEq/L)
Creatinine 0.9 mg/dL (0.5 to 1.2 mg/dL) Unrelated:
Creatinine
WBC
Temperature


Potential Improvement:
Lung Sounds


Potential worsening condition: Weight
Shortness of breath with exertion
A nurse is caring for a client who has heart failure.
The client is at risk for developing _________ and_________.
Dysrhythmias Acute Kidney Injury
A nurse is providing teaching for a client who has diabetes mellitus about the self
administration of insulin. The client has prescriptions for regular and NPH
insulins.
Which of the following statements by the client indicates an understanding of the
teaching?
"I will draw up the regular insulin into the syringe first."
A nurse on a medical-surgical unit is planning care for a client who has dementia
anda history of wandering. Which of the following actions should the nurse plan
to implement?
Use of a bed alarm.
A nurse is caring for a client receiving TPN. Which of the following actions should
the nurse take? Specify if the potential intervention is anticipated, nonessential,
or contraindicated for the client.
Anticipated:
Request prescription for insulin
Request an antibiotic to be administered Obtain client weight

, 3


Nonessential:
3 Nurses verify TPN


Contraindicated: Decrease client's oxygen to 1.5 L/min
Notify provider to increase TPN rate/hr
A nurse is caring for a client who is postoperative following a total knee
arthroplasty.
The client is at highest risk for ... as evidenced by the client's ....
Stroke
Wound infection
A nurse is caring for a client who has acute angina. Which of the following
actions should the nurse take first?
Administer nitroglycerin
A nurse in the emergency department is evaluating a young adult client for
bacterial meningitis. Which of the following actions should the nurse take as part
of the focused assessment?
Gently elevate the client's head and note any nuchal rigidity
A nurse is planning care for a client who is post-operative following insertion of
an arteriovenous graft in their left forearm. Which of the following actions should
the nurse include in the plan of care?
Check the pulse distal to the graft.
A nurse in a clinic is assessing a client who has type 1 diabetes mellitus. The
client is diaphoretic, has a heart rate of 92/min, and reports palpitations. The
client states, "I went for my morning run and feel exhausted." Which of the
following responses should the nurse make?
"Did you decrease your insulin intake before you exercised?"
A nurse is teaching about food choices to a client who has chronic kidney
disease and must limit potassium intake. Which of the following choices should
the nurse recommend as containing the least potassium?
1 cup white rice

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Institution
Med surg
Course
Med surg

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Uploaded on
May 15, 2026
Number of pages
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Written in
2025/2026
Type
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