NGN ADULT MEDICAL SURGICAL ATI
PROCTORED EXAM RATED A+(UPDATED 2024)
Questions With 100% Verified Answers
A nurse is providing teaching to a client who is perimenopausal and has a
prescription for hormone replacement therapy. For which of the following adverse
effects should the nurse instruct the client to notify the provider? - ANSWER Calf
pain
Numbness in the arms
Intense headache
A nurse is planning care for a client who is postoperative following a laparotomy and
has a closed-suction drain. Which of the following actions should the nurse take to
manage the drain? - ANSWER Compress the drain reservoir after emptying.
A nurse is caring for a client who has DKA. Which of the following findings should
indicate to the nurse that the client's condition is improving? - ANSWER Glucose
272 mg/dL
A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr
ago. The nurse should identify which of the following findings as an indication of a
myocardial infarction (MI)? - ANSWER Troponin I 8 ng/mL
A nurse is planning a health promotional presentation for a group of African
American clients at a community center. Which of the following disorders presents
the greatest risk to this group of clients? - ANSWER hypertension
A nurse is providing education to a client who is at risk for osteoporosis. Which of the
following instructions should the nurse include? - ANSWER Walk for 30 min four
times per week.
A nurse is caring for a client who has an arterial line. Which of the following actions
should the nurse take? - ANSWER Place a pressure bag around the flush solution.
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of
the following results should the nurse expect? - ANSWER PaCO2 56
A nurse is providing postoperative teaching for a client who had a total knee
arthroplasty. Which of the following instructions should the nurse include? -
ANSWER Flex the foot every hour when awake.
A nurse is planning care for a client who is postoperative following a
parathyroidectomy. Which of the following actions should the nurse identify as the
priority? - ANSWER Place a tracheostomy tray at the bedside.
,A nurse is evaluating the plan of care for four clients after 2 days of hospitalization.
The nurse should identify the need to revise the plan for which of the following
clients? - ANSWER A client who is postoperative following abdominal surgery and
reports feeling that something "popped" when they coughed
A nurse is checking the ECG rhythm strip for a client who has a temporary
pacemaker. The nurse notes a pacemaker artifact followed by a QRS complex.
Which of the following actions should the nurse take? - ANSWER Document that
depolarization has occurred.
A nurse is providing discharge instructions to a client who has active tuberculosis
(TB). Which of the following information should the nurse include in the instructions?
- ANSWER Sputum specimens are necessary every 2 to 4 weeks until there are
three negative cultures.
A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless, dyspneic, and has crackles noted to the lung bases. Which of the
following actions should the nurse anticipate taking? - ANSWER Slow the infusion
rate
A nurse is assessing a client who is postoperative following a thyroidectomy. Which
of the following findings is the nurse's priority? - ANSWER Temperature 38.9° C
(102° F)
A nurse is caring for a client who has homonymous hemianopsia as a result of a
stroke. To reduce the risk of falls when ambulating, the nurse should provide which
of the following instructions to the client? - ANSWER Scan the environment by
turning your head from side to side.
A PACU nurse is assessing a client who is postoperative following a right
nephrectomy. The client's initial vital signs were heart rate 80/min, blood pressure
130/70 mm Hg, respiratory rate 16/min, and temperature 36° C (96.80 F). Which of
the following vital sign changes should alert the nurse that the client might be
hemorrhaging? - ANSWER Heart rate 110/min
A nurse is caring for a client who is 8 hr postoperative following a total hip
arthroplasty. The client is unable to void on the bedpan. Which of the following
actions should the nurse take first? - ANSWER Scan the bladder with a portable
ultrasound.
A nurse is assessing a client who has advanced lung cancer and is receiving
palliative care. The client has just undergone thoracentesis. The nurse should expect
a reduction in which of the following common manifestations of advanced cancer? -
ANSWER Dyspnea
A nurse is caring for a client who is postoperative. - ANSWER Nurses' Notes
Client admitted to medical-surgical unit from PACU. Client reports incisional pain as
2 on a scale of 0 to 10. Client appears restless and frequently asks for water.
Bilateral lower extremities cool with +1 pedal pulses. Urine output is 40 mL for the
, past 2 hr. Moderate amount of bright red drainage noted on surgical incision
dressing.
Vital Signs
Temperature 37.6° C (99.7° F)
Heart rate 114/min
Respiratory rate 22/min
Blood pressure 88/54 mm Hg
Oxygen saturation 93% on room air
Diagnostic Results
Hgb 18 g/dL (12 to 16 g/dL)
Hct 54% (37% to 47 %)
Total WBC count 11,000/mm3 (5,000 to 10,000/mm3)
Troponin T 0.04 ng/mL (less than 0.1 ng/mL)
Medical History.
History of hypertension. Acute myocardial infarction 1 year ago.
Complete the diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, two actions the nurse should take to address
that condition, and two parameters the nurse should monitor to assess the client's
progress. - ANSWER The nurse should insert a large-gauge IV and initiate a fluid
challenge because the client is most likely experiencing hypovolemia as evidenced
by the client's restlessness, tachycardia, hypotension, decreased pulses, cool
extremities, and decreased urine output. The nurse should monitor the client's urine
output and blood pressure to evaluate the effectiveness of treatment.
A home health nurse is providing teaching to a client who has a stage 1 pressure
injury on the greater trochanter of his left hip. Which of the following instructions
should the nurse include in the teaching? - ANSWER Change position every hour
A nurse is performing a preoperative assessment for a client. The nurse should
identify that an allergy to which of the following foods can indicate a latex allergy? -
ANSWER avocados
- ANSWER Vital Signs
Blood pressure 155/98 mm Hg
Heart rate 98/min
Respiratory rate 14/min
Temperature 38.4° C (101.1 ° F)
Medication Administration Record
Gentamicin 60 mg intermittent IV bolus Q8H
Ceftriaxone 1 g intermittent IV bolus BID
Morphine 2.5 mg IV bolus Q3H PRN for pain
Acetaminophen 650 mg PO Q6H PRN for fever greater than 38°C (100.4° F)
Laboratory Results
WBC count 13,700/mm3
PROCTORED EXAM RATED A+(UPDATED 2024)
Questions With 100% Verified Answers
A nurse is providing teaching to a client who is perimenopausal and has a
prescription for hormone replacement therapy. For which of the following adverse
effects should the nurse instruct the client to notify the provider? - ANSWER Calf
pain
Numbness in the arms
Intense headache
A nurse is planning care for a client who is postoperative following a laparotomy and
has a closed-suction drain. Which of the following actions should the nurse take to
manage the drain? - ANSWER Compress the drain reservoir after emptying.
A nurse is caring for a client who has DKA. Which of the following findings should
indicate to the nurse that the client's condition is improving? - ANSWER Glucose
272 mg/dL
A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr
ago. The nurse should identify which of the following findings as an indication of a
myocardial infarction (MI)? - ANSWER Troponin I 8 ng/mL
A nurse is planning a health promotional presentation for a group of African
American clients at a community center. Which of the following disorders presents
the greatest risk to this group of clients? - ANSWER hypertension
A nurse is providing education to a client who is at risk for osteoporosis. Which of the
following instructions should the nurse include? - ANSWER Walk for 30 min four
times per week.
A nurse is caring for a client who has an arterial line. Which of the following actions
should the nurse take? - ANSWER Place a pressure bag around the flush solution.
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of
the following results should the nurse expect? - ANSWER PaCO2 56
A nurse is providing postoperative teaching for a client who had a total knee
arthroplasty. Which of the following instructions should the nurse include? -
ANSWER Flex the foot every hour when awake.
A nurse is planning care for a client who is postoperative following a
parathyroidectomy. Which of the following actions should the nurse identify as the
priority? - ANSWER Place a tracheostomy tray at the bedside.
,A nurse is evaluating the plan of care for four clients after 2 days of hospitalization.
The nurse should identify the need to revise the plan for which of the following
clients? - ANSWER A client who is postoperative following abdominal surgery and
reports feeling that something "popped" when they coughed
A nurse is checking the ECG rhythm strip for a client who has a temporary
pacemaker. The nurse notes a pacemaker artifact followed by a QRS complex.
Which of the following actions should the nurse take? - ANSWER Document that
depolarization has occurred.
A nurse is providing discharge instructions to a client who has active tuberculosis
(TB). Which of the following information should the nurse include in the instructions?
- ANSWER Sputum specimens are necessary every 2 to 4 weeks until there are
three negative cultures.
A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless, dyspneic, and has crackles noted to the lung bases. Which of the
following actions should the nurse anticipate taking? - ANSWER Slow the infusion
rate
A nurse is assessing a client who is postoperative following a thyroidectomy. Which
of the following findings is the nurse's priority? - ANSWER Temperature 38.9° C
(102° F)
A nurse is caring for a client who has homonymous hemianopsia as a result of a
stroke. To reduce the risk of falls when ambulating, the nurse should provide which
of the following instructions to the client? - ANSWER Scan the environment by
turning your head from side to side.
A PACU nurse is assessing a client who is postoperative following a right
nephrectomy. The client's initial vital signs were heart rate 80/min, blood pressure
130/70 mm Hg, respiratory rate 16/min, and temperature 36° C (96.80 F). Which of
the following vital sign changes should alert the nurse that the client might be
hemorrhaging? - ANSWER Heart rate 110/min
A nurse is caring for a client who is 8 hr postoperative following a total hip
arthroplasty. The client is unable to void on the bedpan. Which of the following
actions should the nurse take first? - ANSWER Scan the bladder with a portable
ultrasound.
A nurse is assessing a client who has advanced lung cancer and is receiving
palliative care. The client has just undergone thoracentesis. The nurse should expect
a reduction in which of the following common manifestations of advanced cancer? -
ANSWER Dyspnea
A nurse is caring for a client who is postoperative. - ANSWER Nurses' Notes
Client admitted to medical-surgical unit from PACU. Client reports incisional pain as
2 on a scale of 0 to 10. Client appears restless and frequently asks for water.
Bilateral lower extremities cool with +1 pedal pulses. Urine output is 40 mL for the
, past 2 hr. Moderate amount of bright red drainage noted on surgical incision
dressing.
Vital Signs
Temperature 37.6° C (99.7° F)
Heart rate 114/min
Respiratory rate 22/min
Blood pressure 88/54 mm Hg
Oxygen saturation 93% on room air
Diagnostic Results
Hgb 18 g/dL (12 to 16 g/dL)
Hct 54% (37% to 47 %)
Total WBC count 11,000/mm3 (5,000 to 10,000/mm3)
Troponin T 0.04 ng/mL (less than 0.1 ng/mL)
Medical History.
History of hypertension. Acute myocardial infarction 1 year ago.
Complete the diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, two actions the nurse should take to address
that condition, and two parameters the nurse should monitor to assess the client's
progress. - ANSWER The nurse should insert a large-gauge IV and initiate a fluid
challenge because the client is most likely experiencing hypovolemia as evidenced
by the client's restlessness, tachycardia, hypotension, decreased pulses, cool
extremities, and decreased urine output. The nurse should monitor the client's urine
output and blood pressure to evaluate the effectiveness of treatment.
A home health nurse is providing teaching to a client who has a stage 1 pressure
injury on the greater trochanter of his left hip. Which of the following instructions
should the nurse include in the teaching? - ANSWER Change position every hour
A nurse is performing a preoperative assessment for a client. The nurse should
identify that an allergy to which of the following foods can indicate a latex allergy? -
ANSWER avocados
- ANSWER Vital Signs
Blood pressure 155/98 mm Hg
Heart rate 98/min
Respiratory rate 14/min
Temperature 38.4° C (101.1 ° F)
Medication Administration Record
Gentamicin 60 mg intermittent IV bolus Q8H
Ceftriaxone 1 g intermittent IV bolus BID
Morphine 2.5 mg IV bolus Q3H PRN for pain
Acetaminophen 650 mg PO Q6H PRN for fever greater than 38°C (100.4° F)
Laboratory Results
WBC count 13,700/mm3
