ATI RN Adult Medical Surgical Online Practice 2019 A for NGN
Exam questions and correct detailed answers (verified answers)
Already Graded A+
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 - ✔Correct answer - 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 - ✔Correct answer - 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." - ✔Correct
answer - "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.
, ATI RN Adult Medical Surgical Online Practice 2019 A for NGN
Exam questions and correct detailed answers (verified answers)
Already Graded A+
A client who is having emotional difficulty accepting that they have a prosthetic leg. - ✔Correct
answer - 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. - ✔Correct answer - 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." - ✔Correct answer - "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. - ✔Correct answer - Administer dextrose
10% in water until the new bag arrives.
, ATI RN Adult Medical Surgical Online Practice 2019 A for NGN
Exam questions and correct detailed answers (verified answers)
Already Graded A+
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 - ✔Correct answer - 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 - ✔Correct answer - 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. - ✔Correct answer - 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
, ATI RN Adult Medical Surgical Online Practice 2019 A for NGN
Exam questions and correct detailed answers (verified answers)
Already Graded A+
Albumin 4 g/dL - ✔Correct answer - Urine output 25 mL/hr
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client appears anxious and restless, and the high-pressure alarm is sounding. Which of the
following actions should the nurse take first?
Obtain ABGs
Administer Propofol to the client.
Instruct the client to allow the machine to breathe for them.
Disconnect the machine and manually ventilate the client. - ✔Correct answer - Instruct the client
to allow the machine to breathe for them.
A nurse is caring for a client who has hepatic encephalopathy that is being treated withy
lactulose. The client is experiencing excessive stools. Which of the following findings is an
adverse effect of this medication?
Hypokalemia
Hypercalcemia
Gastrointestinal bleeding
Confusion - ✔Correct answer - Hypokalemia
A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for
the past 3 days. Which of the following findings should indicate to the nurse that the client is
experiencing fluid volume deficit?
Heart rate 110/min
Blood pressure 138/90 mm Hg
Urine specific gravity 1.020
BUN 15 mg/dL - ✔Correct answer - Heart rate 110/min
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?
Amylase
Exam questions and correct detailed answers (verified answers)
Already Graded A+
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 - ✔Correct answer - 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 - ✔Correct answer - 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." - ✔Correct
answer - "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.
, ATI RN Adult Medical Surgical Online Practice 2019 A for NGN
Exam questions and correct detailed answers (verified answers)
Already Graded A+
A client who is having emotional difficulty accepting that they have a prosthetic leg. - ✔Correct
answer - 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. - ✔Correct answer - 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." - ✔Correct answer - "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. - ✔Correct answer - Administer dextrose
10% in water until the new bag arrives.
, ATI RN Adult Medical Surgical Online Practice 2019 A for NGN
Exam questions and correct detailed answers (verified answers)
Already Graded A+
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 - ✔Correct answer - 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 - ✔Correct answer - 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. - ✔Correct answer - 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
, ATI RN Adult Medical Surgical Online Practice 2019 A for NGN
Exam questions and correct detailed answers (verified answers)
Already Graded A+
Albumin 4 g/dL - ✔Correct answer - Urine output 25 mL/hr
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client appears anxious and restless, and the high-pressure alarm is sounding. Which of the
following actions should the nurse take first?
Obtain ABGs
Administer Propofol to the client.
Instruct the client to allow the machine to breathe for them.
Disconnect the machine and manually ventilate the client. - ✔Correct answer - Instruct the client
to allow the machine to breathe for them.
A nurse is caring for a client who has hepatic encephalopathy that is being treated withy
lactulose. The client is experiencing excessive stools. Which of the following findings is an
adverse effect of this medication?
Hypokalemia
Hypercalcemia
Gastrointestinal bleeding
Confusion - ✔Correct answer - Hypokalemia
A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for
the past 3 days. Which of the following findings should indicate to the nurse that the client is
experiencing fluid volume deficit?
Heart rate 110/min
Blood pressure 138/90 mm Hg
Urine specific gravity 1.020
BUN 15 mg/dL - ✔Correct answer - Heart rate 110/min
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?
Amylase
