ATI RN MEDICAL SURGICAL
WITH NGN 2025-2026
COMPLETE 180 QUESTIONS
AND CORRECT DETAILED
ANSWERS WITH RATIONALES
A nurse is caring for a client who has a leg cast and is returning to
demonstrate on the proper use of crutches while climbing stairs. Identify
the sequence the client should follow when demonstrating crutch use.
- Brings the crutches and the affected leg up to the stair
- Places body weight on the crutches
,- Shifts weight from the crutches to the unaffected leg
- Advances the unaffected leg onto the stair - ANSWER ✔✔- Places
body weight on the crutches
- Advances the unaffected leg onto the stair
- Shifts weight from the crutches to the unaffected leg
- Brings the crutches and the affected leg up to the stair
A nurse is caring for a client who has hypothyroidism. Which of the
following manifestations should the nurse expect?
- Constipation
- Insomnia
- Tachycardia
- Diaphoresis - ANSWER ✔✔- Constipation
RATIONALE: A client who has hypothyroidism can experience
constipation due to the decrease in the client's metabolism, resulting in
slow motility of the GI tract. The nurse should instruct the client to
increase fiber and fluid intake to reduce the risk for constipation.
,A nurse is assessing a client who has a diagnosis of rheumatoid arthritis.
Which of the following nonpharmacological interventions should the
nurse suggest to the client to reduce pain?
- Increase intake of foods containing calcium
- Alternate application of heat and cold to the affected joints
- Keep the affected extremities elevated
- Limit movement of the affected joints - ANSWER ✔✔- Alternate
application of heat and cold to the affected joints
RATIONALE: The nurse should instruct the client to alternate heat and
cold applications to decrease joint inflammation and pain. The
application of cold can relieve joint swelling and the application of heat
can decrease joint stiffness and pain.
A nurse is caring for a client who is receiving a blood transfusion. The
client becomes restless, dyspneic, and has crackles noted to the lung
bases. Which of the following actions should the nurse anticipate taking?
- Administer an antihistamine
- Slow the infusion rate
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, - Give the client a corticosteroid
- Elevate the client's lower extremities - ANSWER ✔✔- Slow the
infusion rate
RATIONALE: Dyspnea, restlessness, and the onset of crackles during a
blood transfusion are manifestations of circulatory overload. The nurse
should slow or stop the infusion to improve the client's ability to breath,
place the client in an upright position, and notify the provider. The
provider might prescribe a diuretic to alleviate the fluid overload.
A nurse in the emergency department is assessing a client who has a
detached retina. Which of the following should the nurse expect the
client to report?
- "It's like a curtain closed over my eye."
- "This sharp pain in my eye started 2 hours ago."
- "I've been having more and more difficulty seeing over the last few
weeks."
- "I seem to have more problems seeing different colors." - ANSWER
✔✔- "It's like a curtain closed over my eye."
WITH NGN 2025-2026
COMPLETE 180 QUESTIONS
AND CORRECT DETAILED
ANSWERS WITH RATIONALES
A nurse is caring for a client who has a leg cast and is returning to
demonstrate on the proper use of crutches while climbing stairs. Identify
the sequence the client should follow when demonstrating crutch use.
- Brings the crutches and the affected leg up to the stair
- Places body weight on the crutches
,- Shifts weight from the crutches to the unaffected leg
- Advances the unaffected leg onto the stair - ANSWER ✔✔- Places
body weight on the crutches
- Advances the unaffected leg onto the stair
- Shifts weight from the crutches to the unaffected leg
- Brings the crutches and the affected leg up to the stair
A nurse is caring for a client who has hypothyroidism. Which of the
following manifestations should the nurse expect?
- Constipation
- Insomnia
- Tachycardia
- Diaphoresis - ANSWER ✔✔- Constipation
RATIONALE: A client who has hypothyroidism can experience
constipation due to the decrease in the client's metabolism, resulting in
slow motility of the GI tract. The nurse should instruct the client to
increase fiber and fluid intake to reduce the risk for constipation.
,A nurse is assessing a client who has a diagnosis of rheumatoid arthritis.
Which of the following nonpharmacological interventions should the
nurse suggest to the client to reduce pain?
- Increase intake of foods containing calcium
- Alternate application of heat and cold to the affected joints
- Keep the affected extremities elevated
- Limit movement of the affected joints - ANSWER ✔✔- Alternate
application of heat and cold to the affected joints
RATIONALE: The nurse should instruct the client to alternate heat and
cold applications to decrease joint inflammation and pain. The
application of cold can relieve joint swelling and the application of heat
can decrease joint stiffness and pain.
A nurse is caring for a client who is receiving a blood transfusion. The
client becomes restless, dyspneic, and has crackles noted to the lung
bases. Which of the following actions should the nurse anticipate taking?
- Administer an antihistamine
- Slow the infusion rate
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, - Give the client a corticosteroid
- Elevate the client's lower extremities - ANSWER ✔✔- Slow the
infusion rate
RATIONALE: Dyspnea, restlessness, and the onset of crackles during a
blood transfusion are manifestations of circulatory overload. The nurse
should slow or stop the infusion to improve the client's ability to breath,
place the client in an upright position, and notify the provider. The
provider might prescribe a diuretic to alleviate the fluid overload.
A nurse in the emergency department is assessing a client who has a
detached retina. Which of the following should the nurse expect the
client to report?
- "It's like a curtain closed over my eye."
- "This sharp pain in my eye started 2 hours ago."
- "I've been having more and more difficulty seeing over the last few
weeks."
- "I seem to have more problems seeing different colors." - ANSWER
✔✔- "It's like a curtain closed over my eye."
