NGN ATI MED-SURG 2024/MED-SURG ATI
PROCTORED EXAM 2024-2025 REAL EXAM
QUESTIONS AND CORRECT ANSWERS|AGRADE
A nurse in an emergency department is preparing to perform an
ocular irrigation for a client. Which of the following actions should
the nurse plan to take?
• Assess the client's visual acuity prior to irrigation
• Have the client turn their head toward the unaffected eye
• Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
• Perform the irrigation with sterile water for irrigation
(Ans- d. Perform the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via
continuous IV infusion at 200 ml/hr. The IV tubing has a drop
factor of 10 drops/ml. How many gtt/min should the nurse set
the IV pump to administer? Round to near whole number
(Ans- 33 gtt/min
A nurse is providing discharge teaching to a client who has a new
prescription for sublingual nitroglycerin. Which of the following
client statements indicates an understanding of the teaching?
• I can keep my medications for 1 year before replacing it
• I should lie down when I take this medication
• I should discontinue this medication if I develop a headache
• I can take up to five tablets in 15 minutes before
seeking medical attention
(Ans- b. I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client
following a left total hip arthroplasty. Which of the following
instructions should the nurse include in the teaching?
• Clean the incision daily with hydrogen peroxide
• You can cross your legs the ankles when sitting down
, • You should use an incentive spirometer every 8 hours
• Install a raised toilet seat in your bathroom
med surg ati proctored exam
(Ans- d. Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac
catheterization. Which of the following actions should the nurse
take?
• Keep the client on bed rest for 24 hours
• Limit the client's fluid intake to 1 l per day
• Maintain the client's affected extremity in extension
• Change the client's dressing every 8 hour
(Ans- c. Maintain the client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture
and a prescription for crutches. Which of the following client
statements indicates that the client is adapting to their role
change?
• I will need to have my partner take over shopping for
groceries and cooking the meals for us
• These crutches will make it impossible to care for my child
• I feel bad that I have to ask my partner to keep the house clean
• Its going to be difficult to tell my parents I cant take
them to their appointments anymore
(Ans- a. I will need to have my partner take over shopping for
groceries and cooking the meals for us
A nurse is caring for a client who has gastroenteritis. Which of the
following assessment findings should the nurse recognize as an
indication that the client is experiencing dehydration?
• Pitting, dependent edema
, • Distended jugular veins
• Increased BP
• Decreased BP
(Ans- d. Decreased BP
med surg ati proctored exam
A nurse is caring for a client who has a contusion of the
brainstem and reports thirst. The client's urinary output was
4,000 ml over the past 24 hour. The nurse should anticipate a
prescription for which of the following IV medication?
• Desmopressin
• Epinephrine
• Furosemide
• Nitroprusside
(Ans- a. Desmopressin
A nurse in a clinic receives a phone call from a client who
recently started therapy with an ACE inhibitor and reports a
nagging dry cough. Which of the following responses by the
nurse is appropriate?
• "your cough may require that you stop or change your
medication"
• "Increasing your daily fluid intake may eliminate your cough"
• "sucking on lozenge may reduce the frequency of your cough"
• You cough should go away in time"
(Ans- a. "your cough may require that you stop or change your
medication"
A nurse is taking an admission history from a client who reports
Raynaud's disease. Which of the following assessment
findings should the nurse identify as a potential trigger for
exacerbations
of Raynaud's?
PROCTORED EXAM 2024-2025 REAL EXAM
QUESTIONS AND CORRECT ANSWERS|AGRADE
A nurse in an emergency department is preparing to perform an
ocular irrigation for a client. Which of the following actions should
the nurse plan to take?
• Assess the client's visual acuity prior to irrigation
• Have the client turn their head toward the unaffected eye
• Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
• Perform the irrigation with sterile water for irrigation
(Ans- d. Perform the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via
continuous IV infusion at 200 ml/hr. The IV tubing has a drop
factor of 10 drops/ml. How many gtt/min should the nurse set
the IV pump to administer? Round to near whole number
(Ans- 33 gtt/min
A nurse is providing discharge teaching to a client who has a new
prescription for sublingual nitroglycerin. Which of the following
client statements indicates an understanding of the teaching?
• I can keep my medications for 1 year before replacing it
• I should lie down when I take this medication
• I should discontinue this medication if I develop a headache
• I can take up to five tablets in 15 minutes before
seeking medical attention
(Ans- b. I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client
following a left total hip arthroplasty. Which of the following
instructions should the nurse include in the teaching?
• Clean the incision daily with hydrogen peroxide
• You can cross your legs the ankles when sitting down
, • You should use an incentive spirometer every 8 hours
• Install a raised toilet seat in your bathroom
med surg ati proctored exam
(Ans- d. Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac
catheterization. Which of the following actions should the nurse
take?
• Keep the client on bed rest for 24 hours
• Limit the client's fluid intake to 1 l per day
• Maintain the client's affected extremity in extension
• Change the client's dressing every 8 hour
(Ans- c. Maintain the client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture
and a prescription for crutches. Which of the following client
statements indicates that the client is adapting to their role
change?
• I will need to have my partner take over shopping for
groceries and cooking the meals for us
• These crutches will make it impossible to care for my child
• I feel bad that I have to ask my partner to keep the house clean
• Its going to be difficult to tell my parents I cant take
them to their appointments anymore
(Ans- a. I will need to have my partner take over shopping for
groceries and cooking the meals for us
A nurse is caring for a client who has gastroenteritis. Which of the
following assessment findings should the nurse recognize as an
indication that the client is experiencing dehydration?
• Pitting, dependent edema
, • Distended jugular veins
• Increased BP
• Decreased BP
(Ans- d. Decreased BP
med surg ati proctored exam
A nurse is caring for a client who has a contusion of the
brainstem and reports thirst. The client's urinary output was
4,000 ml over the past 24 hour. The nurse should anticipate a
prescription for which of the following IV medication?
• Desmopressin
• Epinephrine
• Furosemide
• Nitroprusside
(Ans- a. Desmopressin
A nurse in a clinic receives a phone call from a client who
recently started therapy with an ACE inhibitor and reports a
nagging dry cough. Which of the following responses by the
nurse is appropriate?
• "your cough may require that you stop or change your
medication"
• "Increasing your daily fluid intake may eliminate your cough"
• "sucking on lozenge may reduce the frequency of your cough"
• You cough should go away in time"
(Ans- a. "your cough may require that you stop or change your
medication"
A nurse is taking an admission history from a client who reports
Raynaud's disease. Which of the following assessment
findings should the nurse identify as a potential trigger for
exacerbations
of Raynaud's?
