ATI ADULT MEDICAL SURGICAL NGN TEST BANK 2023 / ATI MED SURG WITH NGN LATEST
UPDATE 2023/A+ GRADE ASSURED
ATI ADULT MEDICAL SURGICAL NGN TEST BANK 2023 / ATI MED
SURG WITH NGN LATEST UPDATE 2023/A+ GRADE ASSURED
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?
b. Place hands on the upper abdomen during inhalation
c. Exhale slowly through pursed lips
d. Hold breaths about 3 to 5 seconds before exhaling
e. 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
A+
, ATI ADULT MEDICAL SURGICAL NGN TEST BANK 2023 / ATI MED SURG WITH NGN LATEST
UPDATE 2023/A+ GRADE ASSURED
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+
, ATI ADULT MEDICAL SURGICAL NGN TEST BANK 2023 / ATI MED SURG WITH NGN LATEST
UPDATE 2023/A+ GRADE ASSURED
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+
, ATI ADULT MEDICAL SURGICAL NGN TEST BANK 2023 / ATI MED SURG WITH NGN LATEST
UPDATE 2023/A+ GRADE ASSURED
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
b. Place long-handled forceps at the client’s bedside
c. Attach a dosimeter badge to the client’s gown
d. Move the client’s soiled lines to a designated container outside the room
13. A nurse is caring for a client who is receiving radiation. The client reports nausea since the
therapy was initiated. Which of the following considerations should the nurse include when
planning the client’s meals?
A+
UPDATE 2023/A+ GRADE ASSURED
ATI ADULT MEDICAL SURGICAL NGN TEST BANK 2023 / ATI MED
SURG WITH NGN LATEST UPDATE 2023/A+ GRADE ASSURED
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?
b. Place hands on the upper abdomen during inhalation
c. Exhale slowly through pursed lips
d. Hold breaths about 3 to 5 seconds before exhaling
e. 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
A+
, ATI ADULT MEDICAL SURGICAL NGN TEST BANK 2023 / ATI MED SURG WITH NGN LATEST
UPDATE 2023/A+ GRADE ASSURED
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+
, ATI ADULT MEDICAL SURGICAL NGN TEST BANK 2023 / ATI MED SURG WITH NGN LATEST
UPDATE 2023/A+ GRADE ASSURED
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+
, ATI ADULT MEDICAL SURGICAL NGN TEST BANK 2023 / ATI MED SURG WITH NGN LATEST
UPDATE 2023/A+ GRADE ASSURED
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
b. Place long-handled forceps at the client’s bedside
c. Attach a dosimeter badge to the client’s gown
d. Move the client’s soiled lines to a designated container outside the room
13. A nurse is caring for a client who is receiving radiation. The client reports nausea since the
therapy was initiated. Which of the following considerations should the nurse include when
planning the client’s meals?
A+
