Page 1 of 17
ADULT MEDICAL SURGICAL PROCTORED
EXAM 2025 WITH NGN ) Actual 100
Question And Answers All Screenshots |
NGN Edition | Latest 2025 Copyright ATI
Exam Update | In-Depth Study Guide &
Test Prep for Nursing Students
1. A nurse is caring for a client with heart failure who reports
sudden weight gain, dyspnea, and jugular vein distention.
Which of the following actions should the nurse take first?
A. Administer furosemide IV push
B. Place the client in high-Fowler’s position
C. Increase oxygen to 4 L/min via nasal cannula
D. Check serum potassium level
,Page 2 of 17
Answer: B
Rationale: High-Fowler’s position reduces preload and relieves
dyspnea immediately. Airway/breathing come first. Furosemide
(A) is important but not first. Oxygen (C) is appropriate but
positioning is faster and non-invasive. Potassium check (D) is
assessment but not priority.
2. A client with type 2 diabetes mellitus has a blood glucose
of 48 mg/dL and is conscious. What should the nurse
administer?
A. 15 g of fast-acting carbohydrate (e.g., 4 oz orange
juice)
B. 1 mg glucagon IM
C. 50 mL of 50% dextrose IV push
D. 8 oz skim milk
, Page 3 of 17
Answer: A
Rationale: Conscious hypoglycemia is treated with 15 g rapid-
acting oral carbs. Glucagon (B) and IV dextrose (C) are for
unconscious/uncooperative clients. Milk (D) is too slow.
3. A nurse is assessing a client 1 hour after a thoracentesis.
Which finding requires immediate intervention?
A. Serosanguinous drainage at puncture site
B. Oxygen saturation 94% on room air
C. Tracheal deviation toward the unaffected side
D. Respiratory rate 18/min
Answer: C
Rationale: Tracheal deviation toward unaffected side suggests
tension pneumothorax, a life-threatening complication of
ADULT MEDICAL SURGICAL PROCTORED
EXAM 2025 WITH NGN ) Actual 100
Question And Answers All Screenshots |
NGN Edition | Latest 2025 Copyright ATI
Exam Update | In-Depth Study Guide &
Test Prep for Nursing Students
1. A nurse is caring for a client with heart failure who reports
sudden weight gain, dyspnea, and jugular vein distention.
Which of the following actions should the nurse take first?
A. Administer furosemide IV push
B. Place the client in high-Fowler’s position
C. Increase oxygen to 4 L/min via nasal cannula
D. Check serum potassium level
,Page 2 of 17
Answer: B
Rationale: High-Fowler’s position reduces preload and relieves
dyspnea immediately. Airway/breathing come first. Furosemide
(A) is important but not first. Oxygen (C) is appropriate but
positioning is faster and non-invasive. Potassium check (D) is
assessment but not priority.
2. A client with type 2 diabetes mellitus has a blood glucose
of 48 mg/dL and is conscious. What should the nurse
administer?
A. 15 g of fast-acting carbohydrate (e.g., 4 oz orange
juice)
B. 1 mg glucagon IM
C. 50 mL of 50% dextrose IV push
D. 8 oz skim milk
, Page 3 of 17
Answer: A
Rationale: Conscious hypoglycemia is treated with 15 g rapid-
acting oral carbs. Glucagon (B) and IV dextrose (C) are for
unconscious/uncooperative clients. Milk (D) is too slow.
3. A nurse is assessing a client 1 hour after a thoracentesis.
Which finding requires immediate intervention?
A. Serosanguinous drainage at puncture site
B. Oxygen saturation 94% on room air
C. Tracheal deviation toward the unaffected side
D. Respiratory rate 18/min
Answer: C
Rationale: Tracheal deviation toward unaffected side suggests
tension pneumothorax, a life-threatening complication of
