NGN ATI R MED SURG
PROCTORED EXAM 2023
VERSION 100 QUESTIONS
WITH VERIFIED
DETAILED ANSWERS
(100% CORRECT
ANSWERS)/A+ GRADE
1. A nurse is teaching a client about the use of an incentive spirometer.
Which of the following instructions should the nurse include in the
teaching?
a. Place hands on the upper abdomen during inhalation
b. Exhale slowly through pursed lips
c. Hold breaths about 3 to 5 seconds before exhaling
d. Position the mouthpiece 2.5 cm (1 in) from the mouth
2. 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?
a. Heart rate 90/min
b. Hgb 8.2 g/dL
c. Gastric pH of 3.0
d. Absent bowel sounds
, 3. A nurse is preparing to receive a client from surgery following a
transverse colon resection with colostomy placement. The nurse should
expect to assess the stoma at which of the following locations? - pic
with male chest B on top
a. Upper left abdomen
4. A nurse is caring for a client who has diabetes insipidus. Which of the
following medications should the nurse plan to administer?
a. Regular insulin
b. Furosemide
c. Desmopressin
d. Lithium carbonate
5. A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of
the following is the priority intervention by the nurse?
a. Begin bicarbonate continuous IV infusion
b. Administer 0.9% sodium chloride
c. Check potassium levels
d. Initiate a continuous IV insulin infusion
6. A nurse is reviewing the medical record of a client who has diabetes
insipidus. Which of the following findings should the nurse expect?
a. Elevated blood pressure
b. Hypothermia
c. Urine specific gravity 1.001
d. BUN 15 mg/dL
7. 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?
a. Stool for occult blood
b. Urine for white blood cells
c. Fasting blood glucose
d. Serum calcium
, 8. 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)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansetron
9. 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?
a. Hemoglobin 12 g/dL
b. C-reactive protein 0.7 mg/dL
c. Platelets 160,000/mm^3
d. Absolute neutrophil count 500/mm^3
10. A nurse is contacting the provider of a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions
should the nurse anticipate?
a. Intravenous dexamethasone
b. Transmucosal fentanyl
c. Oral acetaminophen
d. Intramuscular meperidine
11. 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. Apply over-the-counter moisturizer to the radiation site
b. Cover the radiation site loosely with a gauze wrap before dressing
c. Use a soft washcloth to clean the area around the radiation site
d. Pat the skin on the radiation site to dry it
12. A nurse is caring for a client who has cervical cancer and a sealed
radiation implant. Which of the following actions should the nurse take?
a. Leave unused equipment in the client’s room until discharge
PROCTORED EXAM 2023
VERSION 100 QUESTIONS
WITH VERIFIED
DETAILED ANSWERS
(100% CORRECT
ANSWERS)/A+ GRADE
1. A nurse is teaching a client about the use of an incentive spirometer.
Which of the following instructions should the nurse include in the
teaching?
a. Place hands on the upper abdomen during inhalation
b. Exhale slowly through pursed lips
c. Hold breaths about 3 to 5 seconds before exhaling
d. Position the mouthpiece 2.5 cm (1 in) from the mouth
2. 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?
a. Heart rate 90/min
b. Hgb 8.2 g/dL
c. Gastric pH of 3.0
d. Absent bowel sounds
, 3. A nurse is preparing to receive a client from surgery following a
transverse colon resection with colostomy placement. The nurse should
expect to assess the stoma at which of the following locations? - pic
with male chest B on top
a. Upper left abdomen
4. A nurse is caring for a client who has diabetes insipidus. Which of the
following medications should the nurse plan to administer?
a. Regular insulin
b. Furosemide
c. Desmopressin
d. Lithium carbonate
5. A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of
the following is the priority intervention by the nurse?
a. Begin bicarbonate continuous IV infusion
b. Administer 0.9% sodium chloride
c. Check potassium levels
d. Initiate a continuous IV insulin infusion
6. A nurse is reviewing the medical record of a client who has diabetes
insipidus. Which of the following findings should the nurse expect?
a. Elevated blood pressure
b. Hypothermia
c. Urine specific gravity 1.001
d. BUN 15 mg/dL
7. 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?
a. Stool for occult blood
b. Urine for white blood cells
c. Fasting blood glucose
d. Serum calcium
, 8. 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)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansetron
9. 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?
a. Hemoglobin 12 g/dL
b. C-reactive protein 0.7 mg/dL
c. Platelets 160,000/mm^3
d. Absolute neutrophil count 500/mm^3
10. A nurse is contacting the provider of a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions
should the nurse anticipate?
a. Intravenous dexamethasone
b. Transmucosal fentanyl
c. Oral acetaminophen
d. Intramuscular meperidine
11. 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. Apply over-the-counter moisturizer to the radiation site
b. Cover the radiation site loosely with a gauze wrap before dressing
c. Use a soft washcloth to clean the area around the radiation site
d. Pat the skin on the radiation site to dry it
12. A nurse is caring for a client who has cervical cancer and a sealed
radiation implant. Which of the following actions should the nurse take?
a. Leave unused equipment in the client’s room until discharge
