NGN ATI MED SURG EXAM TEST BANK
2023/2024 WITH ALL CORRECT ANSWERS
GRADEDA+
A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the
nurse take?
Remain with the client for the first 15 min of the infusion
A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for
erythropoietin. Which of the following statements by the client indicates an understanding of the teaching?
I am taking this medication to increase my energy level
A nurse is caring for a client who has hepatic encephalopathy that is being treating with lactulose. The client is
experiencing excessive stools. Which of the following findings is an adverse effect of this medication?
Hypokalemia
A nurse is providing teaching to an older adult female client who has stress incontinence and a BMI of 32. Which
of the following statements by the client indicates an understanding of the teaching?
I am dieting to lose weight
A nurse is caring for a client who has type 1 diabetes mellitus and has acute bronchitis for the past 3 days. Which
of the following statements should the nurse include when instructing the client?
Take your insulin even if you are unable to eat your regular diet
A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subQ. Which of the
following action should the nurse take?
Inject the medication into the anterolateral abdominal wall.
A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease. The client
reports muscle cramps and a tingling sensation in their hands. Which of the following medications should the
nurse plan to administer? Calcium Carbonate
A nurse is assessing a client following the administration of magnesium sulfate 1g IV bolus. For which of the
following adverse effects should the nurse monitor?
Respiratory paralysis
,A nurse is caring for a client who has diabetic ketoacidosis. Which of the following lab findings should the nurse
expect?
BUN 32
,A nurse is providing teaching to a client who has irritable bowel syndrome. Which of the following instructions
should the nurse include in the teaching?
Increase fiber intake to at least 30g per day
A nurse is caring for a client who has pancreatitis. The nurse should expect which of the following laboratory
results to be below the expected reference range?
Calcium
A nurse is assessing a client who had extracorporeal shock wave lithotripsy 6 hr ago. Which of the following
findings should the nurse expect?
Stone fragments in the urine
A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the
following interventions should the nurse include in the plan?
Monitor the client’s temperature every 4 hr
A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of
the following clients is at risk for experiencing a role change?
A client who has MS and is experiencing progressive difficulty ambulating
A nurse in a provider’s office is assessing a client who has migraine headaches and is taking feverfew to prevent
headaches. The nurse should identify that which of the following client medications interacts with feverfew?
Naproxen
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent.
The nurse should identify that which of the following findings requires further assessment?
History of asthma
A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse
assess first?
A client who had a myocardial infarction 4 days ago and is asking for a PRN sublingual nitro tabs.
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough. Which of
the following actions should the nurse take first?
Initiate airborne precautions
A nurse is an emergency department is caring for a client who has full-thickness burns over 20% of their total
body surface area. After ensuring a patent airway and administering oxygen, which of the following items
should the nurse prepare to administer first?
IV fluids
A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury. Which
of the following actions should the nurse take?
Use a 30mL syringe
A nurse is providing teaching for a female client who has recurrent UTI. Which of the following info should the
nurse include in the teaching?
Void before and after intercourse
A nurse is caring for a client who is experiencing supraventricular tachycardia. Upon assessing the client, the
nurse observes the following findings: HR 200 B/P 78.40 RR 30. Which of the following actions should the nurse
take?
, Perform synchronized cardioversion
2023/2024 WITH ALL CORRECT ANSWERS
GRADEDA+
A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the
nurse take?
Remain with the client for the first 15 min of the infusion
A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for
erythropoietin. Which of the following statements by the client indicates an understanding of the teaching?
I am taking this medication to increase my energy level
A nurse is caring for a client who has hepatic encephalopathy that is being treating with lactulose. The client is
experiencing excessive stools. Which of the following findings is an adverse effect of this medication?
Hypokalemia
A nurse is providing teaching to an older adult female client who has stress incontinence and a BMI of 32. Which
of the following statements by the client indicates an understanding of the teaching?
I am dieting to lose weight
A nurse is caring for a client who has type 1 diabetes mellitus and has acute bronchitis for the past 3 days. Which
of the following statements should the nurse include when instructing the client?
Take your insulin even if you are unable to eat your regular diet
A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subQ. Which of the
following action should the nurse take?
Inject the medication into the anterolateral abdominal wall.
A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease. The client
reports muscle cramps and a tingling sensation in their hands. Which of the following medications should the
nurse plan to administer? Calcium Carbonate
A nurse is assessing a client following the administration of magnesium sulfate 1g IV bolus. For which of the
following adverse effects should the nurse monitor?
Respiratory paralysis
,A nurse is caring for a client who has diabetic ketoacidosis. Which of the following lab findings should the nurse
expect?
BUN 32
,A nurse is providing teaching to a client who has irritable bowel syndrome. Which of the following instructions
should the nurse include in the teaching?
Increase fiber intake to at least 30g per day
A nurse is caring for a client who has pancreatitis. The nurse should expect which of the following laboratory
results to be below the expected reference range?
Calcium
A nurse is assessing a client who had extracorporeal shock wave lithotripsy 6 hr ago. Which of the following
findings should the nurse expect?
Stone fragments in the urine
A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the
following interventions should the nurse include in the plan?
Monitor the client’s temperature every 4 hr
A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of
the following clients is at risk for experiencing a role change?
A client who has MS and is experiencing progressive difficulty ambulating
A nurse in a provider’s office is assessing a client who has migraine headaches and is taking feverfew to prevent
headaches. The nurse should identify that which of the following client medications interacts with feverfew?
Naproxen
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent.
The nurse should identify that which of the following findings requires further assessment?
History of asthma
A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse
assess first?
A client who had a myocardial infarction 4 days ago and is asking for a PRN sublingual nitro tabs.
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough. Which of
the following actions should the nurse take first?
Initiate airborne precautions
A nurse is an emergency department is caring for a client who has full-thickness burns over 20% of their total
body surface area. After ensuring a patent airway and administering oxygen, which of the following items
should the nurse prepare to administer first?
IV fluids
A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury. Which
of the following actions should the nurse take?
Use a 30mL syringe
A nurse is providing teaching for a female client who has recurrent UTI. Which of the following info should the
nurse include in the teaching?
Void before and after intercourse
A nurse is caring for a client who is experiencing supraventricular tachycardia. Upon assessing the client, the
nurse observes the following findings: HR 200 B/P 78.40 RR 30. Which of the following actions should the nurse
take?
, Perform synchronized cardioversion
