ATI RN Adult Medical Surgical
Online Practice 2019 A for NGN
/90 Questions and Complete
Correct Answers/Updated
A nurse is assessing a client who has acute cholecystitis. Which of the
following findings is the nurse's priority?
Anorexia
Abdominal pain radiating to the right shoulder
Tachycardia
Rebound abdominal tenderness - -Tachycardia
-A nurse is caring for a client who is undergoing hemodialysis to treat
end-stage kidney disease (ESKD). The client reports muscle cramps and
tingling sensation in their hands. Which of the following medications
should the nurse plan to administer?
Epoetin alfa
Furosemide
Captopril
Calcium carbonate - -Calcium carbonate
-A nurse is providing teaching to a client who is receiving
chemotherapy and has a new prescription for epoetin alfa. Which of the
following client statements indicates an understanding of the teaching?
"I will monitor my blood pressure while taking this medication"
"I should take a vitamin D supplement to increase the effectiveness of
the medication."
"I should inform the provider if I experience an increased appetite while
taking this medication"
"I will decrease the amount of protein in my diet while taking this
medication." - -"I will monitor my blood pressure while taking this
medication"
, -The nurse is caring for a group of clients. The nurse should plan to
make a referral to physical therapy for which of the following clients?
A client who is receiving preoperative teaching for a right knee
arthroplasty.
A client who states they will have difficulty obtaining a walker for home
use.
A client who reports an increase in pain following a left hip arthroplasty.
A client who is having emotional difficulty accepting that they have a
prosthetic leg. - -A client who is receiving preoperative teaching for a
right knee arthroplasty.
-A nurse is providing teaching to a female client who has a history of
urinary tract infections (UTIs). Which of the following information should
the nurse include in the teaching?
Avoid foods that are high in ascorbic acid.
Add oatmeal to the water when taking a tub bath.
Urinate every 6 hr.
Take daily cranberry supplements. - -Take daily cranberry supplements.
-A nurse is providing instructions to a client who has type 2 diabetes
mellitus and a new prescription for metformin. Which of the following
statements by the client indicates an understanding of the teaching?
"I will monitor my blood sugar carefully because the medication
increases the secretion of insulin."
"I should take this medication with a meal."
"I can expect to gain weight while taking this medication."
"While taking this medication, I will experience flushing of my skin." - -"I
should take this medication with a meal."
-A nurse is caring for a client who is receiving total parenteral nutrition
(TPN). A new bag is not available when the current infusion is nearly
completed. Which of the following actions should the nurse take?
Keep the line open with 0.9% sodium chloride until the new bag arrives.
Administer dextrose 10% in water until the new bag arrives.
Flush the line and cap the port until the new bag arrives.
, Decrease the infusion rate until the new bag arrives. - -Administer
dextrose 10% in water until the new bag arrives.
-A nurse in a community clinic is caring for a client who reports an
increase in the frequency of migraine headaches. To help reduce the
risk for migraine headaches, which of the following foods should the
nurse recommend the client avoid?
Shellfish
Aged cheese
Peppermint candy
Enriched pasta - -Aged cheese
-A nurse is preparing a client who has supraventricular tachycardia for
elective cardioversion. Which of the following prescribed medications
should the nurse instruct the client to withhold for 48 hr prior to
cardioversion?
Enoxaparin
Metformin
Diazepam
Digoxin - -Digoxin
-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?
Obtain a sputum sample.
Administer antipyretics.
Provide hand hygiene education.
Initiate airborne precautions. - -Initiate airborne precautions.
-A nurse is caring for a client who has a stage 111 pressure injury.
Which of the following findings contributes to delayed wound healing?
WBC count 6,000/mm3
BMI 24
Urine output 25 mL/hr
Online Practice 2019 A for NGN
/90 Questions and Complete
Correct Answers/Updated
A nurse is assessing a client who has acute cholecystitis. Which of the
following findings is the nurse's priority?
Anorexia
Abdominal pain radiating to the right shoulder
Tachycardia
Rebound abdominal tenderness - -Tachycardia
-A nurse is caring for a client who is undergoing hemodialysis to treat
end-stage kidney disease (ESKD). The client reports muscle cramps and
tingling sensation in their hands. Which of the following medications
should the nurse plan to administer?
Epoetin alfa
Furosemide
Captopril
Calcium carbonate - -Calcium carbonate
-A nurse is providing teaching to a client who is receiving
chemotherapy and has a new prescription for epoetin alfa. Which of the
following client statements indicates an understanding of the teaching?
"I will monitor my blood pressure while taking this medication"
"I should take a vitamin D supplement to increase the effectiveness of
the medication."
"I should inform the provider if I experience an increased appetite while
taking this medication"
"I will decrease the amount of protein in my diet while taking this
medication." - -"I will monitor my blood pressure while taking this
medication"
, -The nurse is caring for a group of clients. The nurse should plan to
make a referral to physical therapy for which of the following clients?
A client who is receiving preoperative teaching for a right knee
arthroplasty.
A client who states they will have difficulty obtaining a walker for home
use.
A client who reports an increase in pain following a left hip arthroplasty.
A client who is having emotional difficulty accepting that they have a
prosthetic leg. - -A client who is receiving preoperative teaching for a
right knee arthroplasty.
-A nurse is providing teaching to a female client who has a history of
urinary tract infections (UTIs). Which of the following information should
the nurse include in the teaching?
Avoid foods that are high in ascorbic acid.
Add oatmeal to the water when taking a tub bath.
Urinate every 6 hr.
Take daily cranberry supplements. - -Take daily cranberry supplements.
-A nurse is providing instructions to a client who has type 2 diabetes
mellitus and a new prescription for metformin. Which of the following
statements by the client indicates an understanding of the teaching?
"I will monitor my blood sugar carefully because the medication
increases the secretion of insulin."
"I should take this medication with a meal."
"I can expect to gain weight while taking this medication."
"While taking this medication, I will experience flushing of my skin." - -"I
should take this medication with a meal."
-A nurse is caring for a client who is receiving total parenteral nutrition
(TPN). A new bag is not available when the current infusion is nearly
completed. Which of the following actions should the nurse take?
Keep the line open with 0.9% sodium chloride until the new bag arrives.
Administer dextrose 10% in water until the new bag arrives.
Flush the line and cap the port until the new bag arrives.
, Decrease the infusion rate until the new bag arrives. - -Administer
dextrose 10% in water until the new bag arrives.
-A nurse in a community clinic is caring for a client who reports an
increase in the frequency of migraine headaches. To help reduce the
risk for migraine headaches, which of the following foods should the
nurse recommend the client avoid?
Shellfish
Aged cheese
Peppermint candy
Enriched pasta - -Aged cheese
-A nurse is preparing a client who has supraventricular tachycardia for
elective cardioversion. Which of the following prescribed medications
should the nurse instruct the client to withhold for 48 hr prior to
cardioversion?
Enoxaparin
Metformin
Diazepam
Digoxin - -Digoxin
-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?
Obtain a sputum sample.
Administer antipyretics.
Provide hand hygiene education.
Initiate airborne precautions. - -Initiate airborne precautions.
-A nurse is caring for a client who has a stage 111 pressure injury.
Which of the following findings contributes to delayed wound healing?
WBC count 6,000/mm3
BMI 24
Urine output 25 mL/hr
