New ATI RN Adult Medical Surgical
(Med-Surg) 2023 Proctored Exam
with NGN 100 Verified Questions and
Correct Answers — 2025 Exam
Ready, Pass with Confidence Now
EXAM
1. A nurse is assessing a client who is 12 hr postoperative
following a colon resection. Which of the following
findings should the nurse report to the surgeon?
o a. Heart rate 90/min
o b. Hgb 8.2 g/dL
o c. Gastric pH of 3.0
o d. Absent bowel sounds
o Correct Answer: b. Hgb 8.2 g/dL
o Rationale: A hemoglobin level of 8.2 g/dL is significantly low
(normal levels are approximately 13-18 g/dL for males and
12-16 g/dL for females) and is a classic indicator of potential
postoperative hemorrhage. This finding requires immediate
notification of the surgeon to prevent further complications.
Absent bowel sounds are expected postoperatively, and a
heart rate of 90 bpm is within normal limits.
2. A nurse is caring for a client who has diabetes insipidus.
Which of the following medications should the nurse
plan to administer?
o a. Regular insulin
o b. Furosemide
,o c. Desmopressin
o d. Lithium carbonate
o Correct Answer: c. Desmopressin
o Rationale: Diabetes insipidus is characterized by a deficiency
of antidiuretic hormone (ADH), leading to excessive urination
and thirst. Desmopressin is a synthetic form of ADH used to
replace the deficient hormone and control symptoms.
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 tests should the nurse monitor?
o a. Stool for occult blood
o b. Urine for white blood cells
o c. Fasting blood glucose
o d. Serum calcium
o Correct Answer: a. Stool for occult blood
o Rationale: Ibuprofen is a nonsteroidal anti-inflammatory
drug (NSAID). Long-term use can cause gastrointestinal
bleeding. The nurse should monitor the client's stool for
occult blood to detect this adverse effect.
4. A nurse is reviewing the laboratory results of a female
client who asks about acupuncture as treatment for
chemotherapy-induced nausea and vomiting. Which of
the following laboratory results should the nurse identify
as a contraindication to receiving acupuncture?
o a. Hemoglobin 12 g/dL
o b. C-reactive protein 0.7 mg/dL
o c. Platelets 160,000/mm³
o d. Absolute neutrophil count 500/mm³
o Correct Answer: d. Absolute neutrophil count 500/mm³
,o Rationale: Acupuncture involves inserting needles into the
skin. An absolute neutrophil count of 500/mm³ indicates
severe neutropenia, placing the client at high risk for
infection. Acupuncture is contraindicated in this situation due
to the risk of introducing infection.
5. A nurse is caring for a client who requires protective
isolation following a hematopoietic stem cell transplant.
Which of the following interventions should the nurse
implement to protect the client from infection?
o a. Make sure the client’s room has positive-pressure airflow.
o b. Make sure dietary plates and utensils are disposable.
o c. Wear an N95 respirator when providing direct client care.
o d. Monitor the client’s temperature once every 6 hr.
o Correct Answer: a. Make sure the client’s room has
positive-pressure airflow.
o Rationale: A client undergoing a hematopoietic stem cell
transplant is severely immunocompromised (neutropenic)
and is at the highest risk for opportunistic infections.
Positive-pressure airflow rooms (or laminar airflow) are
designed to push air out of the room, preventing airborne
pathogens from entering. This is the standard for protective
(neutropenic) isolation.
6. A nurse is assessing a client who is 4 hours postoperative
following an open reduction internal fixation (ORIF) of
the right ankle. Which of the following assessment
findings should the nurse report to the provider?
o a. Extremity cool upon palpation.
o b. Serosanguineous drainage on the dressing.
o c. Capillary refill of 2 seconds.
, o d. Client report of discomfort when moving toes.
o Correct Answer: a. Extremity cool upon palpation.
o Rationale: A cool extremity post-operatively can indicate
compromised circulation, possibly due to a tightening cast,
hematoma, or vascular injury. This is a critical finding that
requires immediate provider notification to prevent
permanent damage.
7. A nurse is caring for a client who has HIV. Which of the
following laboratory values is the nurse's priority?
o a. Positive Western blot test
o b. CD4-T-cell count 180 cells/mm³
o c. Platelets 150,000/mm³
o d. WBC 5,000/mm³
o Correct Answer: b. CD4-T-cell count 180 cells/mm³
o Rationale: A CD4-T-cell count of less than 180 cells/mm³
indicates that the client is severely immune-compromised
and at high risk for infection. This value is the priority for the
nurse to report to the provider. The client is already identified
as HIV positive, so the positive Western blot is not the
priority. The other values are within expected ranges.
8. A nurse is assessing a client who is admitted for elective
surgery and has a history of Addison's disease. Which of
the following findings should the nurse expect?
o a. Hyperpigmentation
o b. Intention tremors
o c. Hirsutism
o d. Purple striations
o Correct Answer: a. Hyperpigmentation
(Med-Surg) 2023 Proctored Exam
with NGN 100 Verified Questions and
Correct Answers — 2025 Exam
Ready, Pass with Confidence Now
EXAM
1. A nurse is assessing a client who is 12 hr postoperative
following a colon resection. Which of the following
findings should the nurse report to the surgeon?
o a. Heart rate 90/min
o b. Hgb 8.2 g/dL
o c. Gastric pH of 3.0
o d. Absent bowel sounds
o Correct Answer: b. Hgb 8.2 g/dL
o Rationale: A hemoglobin level of 8.2 g/dL is significantly low
(normal levels are approximately 13-18 g/dL for males and
12-16 g/dL for females) and is a classic indicator of potential
postoperative hemorrhage. This finding requires immediate
notification of the surgeon to prevent further complications.
Absent bowel sounds are expected postoperatively, and a
heart rate of 90 bpm is within normal limits.
2. A nurse is caring for a client who has diabetes insipidus.
Which of the following medications should the nurse
plan to administer?
o a. Regular insulin
o b. Furosemide
,o c. Desmopressin
o d. Lithium carbonate
o Correct Answer: c. Desmopressin
o Rationale: Diabetes insipidus is characterized by a deficiency
of antidiuretic hormone (ADH), leading to excessive urination
and thirst. Desmopressin is a synthetic form of ADH used to
replace the deficient hormone and control symptoms.
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 tests should the nurse monitor?
o a. Stool for occult blood
o b. Urine for white blood cells
o c. Fasting blood glucose
o d. Serum calcium
o Correct Answer: a. Stool for occult blood
o Rationale: Ibuprofen is a nonsteroidal anti-inflammatory
drug (NSAID). Long-term use can cause gastrointestinal
bleeding. The nurse should monitor the client's stool for
occult blood to detect this adverse effect.
4. A nurse is reviewing the laboratory results of a female
client who asks about acupuncture as treatment for
chemotherapy-induced nausea and vomiting. Which of
the following laboratory results should the nurse identify
as a contraindication to receiving acupuncture?
o a. Hemoglobin 12 g/dL
o b. C-reactive protein 0.7 mg/dL
o c. Platelets 160,000/mm³
o d. Absolute neutrophil count 500/mm³
o Correct Answer: d. Absolute neutrophil count 500/mm³
,o Rationale: Acupuncture involves inserting needles into the
skin. An absolute neutrophil count of 500/mm³ indicates
severe neutropenia, placing the client at high risk for
infection. Acupuncture is contraindicated in this situation due
to the risk of introducing infection.
5. A nurse is caring for a client who requires protective
isolation following a hematopoietic stem cell transplant.
Which of the following interventions should the nurse
implement to protect the client from infection?
o a. Make sure the client’s room has positive-pressure airflow.
o b. Make sure dietary plates and utensils are disposable.
o c. Wear an N95 respirator when providing direct client care.
o d. Monitor the client’s temperature once every 6 hr.
o Correct Answer: a. Make sure the client’s room has
positive-pressure airflow.
o Rationale: A client undergoing a hematopoietic stem cell
transplant is severely immunocompromised (neutropenic)
and is at the highest risk for opportunistic infections.
Positive-pressure airflow rooms (or laminar airflow) are
designed to push air out of the room, preventing airborne
pathogens from entering. This is the standard for protective
(neutropenic) isolation.
6. A nurse is assessing a client who is 4 hours postoperative
following an open reduction internal fixation (ORIF) of
the right ankle. Which of the following assessment
findings should the nurse report to the provider?
o a. Extremity cool upon palpation.
o b. Serosanguineous drainage on the dressing.
o c. Capillary refill of 2 seconds.
, o d. Client report of discomfort when moving toes.
o Correct Answer: a. Extremity cool upon palpation.
o Rationale: A cool extremity post-operatively can indicate
compromised circulation, possibly due to a tightening cast,
hematoma, or vascular injury. This is a critical finding that
requires immediate provider notification to prevent
permanent damage.
7. A nurse is caring for a client who has HIV. Which of the
following laboratory values is the nurse's priority?
o a. Positive Western blot test
o b. CD4-T-cell count 180 cells/mm³
o c. Platelets 150,000/mm³
o d. WBC 5,000/mm³
o Correct Answer: b. CD4-T-cell count 180 cells/mm³
o Rationale: A CD4-T-cell count of less than 180 cells/mm³
indicates that the client is severely immune-compromised
and at high risk for infection. This value is the priority for the
nurse to report to the provider. The client is already identified
as HIV positive, so the positive Western blot is not the
priority. The other values are within expected ranges.
8. A nurse is assessing a client who is admitted for elective
surgery and has a history of Addison's disease. Which of
the following findings should the nurse expect?
o a. Hyperpigmentation
o b. Intention tremors
o c. Hirsutism
o d. Purple striations
o Correct Answer: a. Hyperpigmentation
