1|Page
ATI RN ADULT MEDICAL SURGICAL WITH NGN
NEWEST 2024 ACTUAL EXAM TEST BANK COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is caring for a client who is postoperative following abdominal
surgery.
1100:
Client received from PACU
1200:
Client reports nausea and pain as 8 on a scale of 0 to 10. Abdominal
dressing intact, no further drainage noted. Urine output 15 mL since
arrival from PACU. Analgesic and antiemetic administered as
prescribed.
1230:
Client reports relief from nausea and pain as 4 on a scale of 0 to 10.
SaO2 96%. Repositioned for comfort. Encouraged to turn, cough, and
deep breathe.
1300:
No additional urine output since 1200
Which of the following actions should the nurse take? (Select all that
apply)
,2|Page
Plan to ambulate the client as soon as possible
Instruct the client to splint the abdomen with a pillow for coughing
Report urinary output to the provider
Ask the client to rate their pain on a 0 to 10 scale.
Apply oxygen via a face mask. - ANSWER- Instruct the client to splint
the abdomen with a pillow for coughing is correct. It is important for
the client to turn, cough, and deep breathe to reduce the risk for
respiratory complications. The nurse should instruct the client to splint
the incision while performing these actions to reduce the risk of
complications to the surgical incision.
Plan to ambulate the client as soon as possible is correct. The nurse
should plan to ambulate the client as soon as possible to promote
ventilation and decrease the risk of thrombosis.
Report urinary output to the provider is correct. The client should
produce at least 30 mL of urine per hour. Therefore, the nurse should
report this finding to the provider.
Ask the client to rate their pain on a 0 to 10 pain scale is correct. The
nurse should have the client rate their pain prior to and following the
administration of pain medication to evaluate its effectiveness.
,3|Page
A nurse is providing teaching to a client who has chronic kidney disease
and a new prescription for erythropoietin. Which of the following
statements buy the client indicates and understanding of the teaching?
" I should take calcium supplements so the medication will work better
in my system"
"I am taking this medication to increase my energy level"
"This medication can cause my blood pressure to drop"
"I will not need to restrict protein in my diet while taking this
medication" - ANSWER- "I am taking this medication to increase my
energy level"
- goal of erythropoietin therapy is to increase the level of hematocrit in
clients who have anemia. When the medication is effective, the client
should have a decrease in fatigue and an improvement in activity
tolerance.
Rationale
-need adequate iron stores for erythropoietin therapy to be effective.
Clients are encouraged to consume foods high in iron such as beef,
liver, pork, and veal.
-erythropoietin increases RBC production, which can result in
hypertension, not hypotension.
, 4|Page
-Erythropoietin does not affect the client's protein requirements, but
the client should continue to restrict protein as prescribed by the
provider to manage kidney disease.
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
Insert an indwelling urinary catheter for the client.
Request the client's bathroom to be cleaned three times each week.
Place a box of latex gloves just outside the client's room. - ANSWER-
Monitor the client's temperature every 4 hr
Rationale; -monitor the temperature of a client who has neutropenia
every 4 hr because the client's reduced amount of leukocytes greatly
increases the client's risk for infection.
A nurse is evaluating a client who has a new diagnosis of type 1 diabetes
mellitus. Which of the following client statements indicates the client is
successfully coping with the change?
"It is just easier to let my partner administer my insulin"
ATI RN ADULT MEDICAL SURGICAL WITH NGN
NEWEST 2024 ACTUAL EXAM TEST BANK COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is caring for a client who is postoperative following abdominal
surgery.
1100:
Client received from PACU
1200:
Client reports nausea and pain as 8 on a scale of 0 to 10. Abdominal
dressing intact, no further drainage noted. Urine output 15 mL since
arrival from PACU. Analgesic and antiemetic administered as
prescribed.
1230:
Client reports relief from nausea and pain as 4 on a scale of 0 to 10.
SaO2 96%. Repositioned for comfort. Encouraged to turn, cough, and
deep breathe.
1300:
No additional urine output since 1200
Which of the following actions should the nurse take? (Select all that
apply)
,2|Page
Plan to ambulate the client as soon as possible
Instruct the client to splint the abdomen with a pillow for coughing
Report urinary output to the provider
Ask the client to rate their pain on a 0 to 10 scale.
Apply oxygen via a face mask. - ANSWER- Instruct the client to splint
the abdomen with a pillow for coughing is correct. It is important for
the client to turn, cough, and deep breathe to reduce the risk for
respiratory complications. The nurse should instruct the client to splint
the incision while performing these actions to reduce the risk of
complications to the surgical incision.
Plan to ambulate the client as soon as possible is correct. The nurse
should plan to ambulate the client as soon as possible to promote
ventilation and decrease the risk of thrombosis.
Report urinary output to the provider is correct. The client should
produce at least 30 mL of urine per hour. Therefore, the nurse should
report this finding to the provider.
Ask the client to rate their pain on a 0 to 10 pain scale is correct. The
nurse should have the client rate their pain prior to and following the
administration of pain medication to evaluate its effectiveness.
,3|Page
A nurse is providing teaching to a client who has chronic kidney disease
and a new prescription for erythropoietin. Which of the following
statements buy the client indicates and understanding of the teaching?
" I should take calcium supplements so the medication will work better
in my system"
"I am taking this medication to increase my energy level"
"This medication can cause my blood pressure to drop"
"I will not need to restrict protein in my diet while taking this
medication" - ANSWER- "I am taking this medication to increase my
energy level"
- goal of erythropoietin therapy is to increase the level of hematocrit in
clients who have anemia. When the medication is effective, the client
should have a decrease in fatigue and an improvement in activity
tolerance.
Rationale
-need adequate iron stores for erythropoietin therapy to be effective.
Clients are encouraged to consume foods high in iron such as beef,
liver, pork, and veal.
-erythropoietin increases RBC production, which can result in
hypertension, not hypotension.
, 4|Page
-Erythropoietin does not affect the client's protein requirements, but
the client should continue to restrict protein as prescribed by the
provider to manage kidney disease.
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
Insert an indwelling urinary catheter for the client.
Request the client's bathroom to be cleaned three times each week.
Place a box of latex gloves just outside the client's room. - ANSWER-
Monitor the client's temperature every 4 hr
Rationale; -monitor the temperature of a client who has neutropenia
every 4 hr because the client's reduced amount of leukocytes greatly
increases the client's risk for infection.
A nurse is evaluating a client who has a new diagnosis of type 1 diabetes
mellitus. Which of the following client statements indicates the client is
successfully coping with the change?
"It is just easier to let my partner administer my insulin"
