ACTUAL NGN ATI MEDICAL –SURGICAL- PROCTORED- EXAM
2025 NEWEST FULL TESTBANK QUESTIONS WITH DETAILED
VERIFIED ANSWERS GUARANTEE PASS/ALREADY GRADED A+
A nurse is preparing a teaching plan for a client who is starting to receive hemodialysis for chronic kidney disease. Which of the following
instructions should the nurse include in the teaching?
A. "Use salt substitutes to reduce your sodium intake."
B. "Increase your fluid intake to 1,000 mL a day."
C. "Include phosphorus-rich foods in your diet."
D. "Increase your intake of protein to 1 to 1.5 grams per kilogram per day."
D. "Increase your intake of protein to 1 to 1.5 grams per kilogram per day."
A client who receives hemodialysis for chronic kidney disease needs protein to prevent a
negative nitrogen balance and muscle wasting. A client who is receiving hemodialysis is
allowed 1 g to 1.5 g of protein/kg/day.
A nurse is caring for a client who has deep-vein thrombosis and is receiving heparin via continuous IV infusion. The client's weight is 80 kg (176.4
lb). Using the client information provided, which of the following actions should the nurse take? (Click on the "Exhibit" button below for
additional information about the client. There are three tabs that contain separate categories of data.)
A. Stop the heparin infusion for 1 hr.
B. Increase the rate of the infusion by 160 units/hr.
C.Administer heparin 2,400 unit IV bolus.
D. Continue the infusion without change.
A. Stop the heparin infusion for 1 hr.
According to the titration table, when the aPTT is greater than 95, the nurse should stop the
infusion for 1 hr, then restart the infusion with a decrease of 3 units/kg/hr, which is a
decrease of 240 units/hr for a client who weighs 80 kg (176.4 lb).
A nurse is caring for a client who is intubated and receiving mechanical ventilation for heroin toxicity. Which of the following assessments is the
nurse's priority?
A. WBC count
,B. Intake and output
C. ABGs
D. Blood glucose level
C. ABGs
When using the airway, breathing, and circulation (ABC) approach to client care, the nurse's priority assessment is to monitor the client's ABGs,
including respiratory status.
A nurse is assessing a client who has a new diagnosis of pericarditis. Which of the following findings should the nurse identify as a manifestation
of cardiac tamponade?
A. Fever
B. Atrial fibrillation
C. Paradoxical pulse
D. Pericardial friction rub
C. Paradoxical pulse
Cardiac tamponade results from an excess of fluid in the pericardial cavity and causes a sudden drop in cardiac output. Paradoxical pulse is a
systolic blood pressure of 10 mm Hg or more on expiration and is a manifestation of cardiac tamponade. The nurse should report manifestations
of cardiac tamponade to the provider immediately.
A nurse is assessing a client who is undergoing radiation therapy for breast cancer. Which of the following findings is an indication to the nurse
that the client is experiencing an adverse effect of the therapy?
A. Stomatitis
B. Vomiting
C. Skin changes
D. Hematuria
C. Skin changes
A client who is receiving radiation therapy to the breast will have localized adverse effects
of the treatment, such as skin changes, esophagitis, and lymphedema.
A nurse is preparing to administer enoxaparin 0.75 mg/kg subcutaneously to a client who weighs 154 lb. The amount available is enoxaparin 60
mg/0.6 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do
,not use a trailing zero.)
0.5 mL
.
A nurse is caring for a group of clients. In which of the following scenarios is the nurse acting as a client advocate?
A. The nurse refers a client who has chronic obstructive pulmonary disease for palliative care services.
B. The nurse provides wound care to a client at the time promised to the client.
C. The nurse declines to inform a client's neighbor about the client's prognosis.
D. The nurse files an incident report regarding a medication error.
A. The nurse refers a client who has chronic obstructive pulmonary disease for palliative care services.
Palliative care is an interdisciplinary approach to client care that works toward optimizing
the quality of life for a client who has a chronic illness. Nurses advocate for their clients
when they promote the health, safety, and rights of the client, such as providing a referral
for needed services to relieve suffering and promote a client's quality of life.
A nurse is assessing a client who recently had a myocardial infarction. Which of the following findings indicates that the client might be
developing pulmonary edema? (Select all that apply.)
A. Excessive somnolence
B. Epistaxis
C. Pink, frothy sputum
D. Tachypnea
E. Urinary frequency
A. Excessive somnolence
Manifestations of pulmonary edema can include a
change in orientation or mental status. A client who has excessive somnolence might be experiencing pulmonary edema.
C. Pink, frothy sputum
A client who has pulmonary edema can develop pink,
frothy sputum, wheezing, and tachypnea
, D. Tachypnea
A client who has pulmonary edema can develop pink, frothy sputum, wheezing,
and tachypnea.
A nurse is teaching a client about preventing the transmission of HIV. Which of the following information should the nurse include?
A. Use a natural material condom during oral, genital, and anal intercourse.
B. Medication is available that will reduce the risk for HIV transmission.
C. Use skin lotion as a lubricant when using a condom.
D. A diaphragm will provide protection against HIV transmission.
B. Medication is available that will reduce the risk for HIV transmission.
Tenofovir/emtricitabine is an oral medication that can be used prophylactically by a client who does not have an HIV infection to reduce the risk
for HIV transmission. Pre-exposure prophylaxis is recommended for men who have sexual relationships with men, clients who
are heterosexual and sexually active, noninfected partners who have a sexual relationship with a partner who has HIV, and clients who use
intravenous drugs.
A nurse is caring for a client who has multiple leg fractures and is 24 hr postoperative following placement of skeletal traction. Which of the
following actions should the nurse take?
A. Apply petroleum jelly to the pin sites.
B. Apply a sterile hydrocolloid dressing every 24 hr.
C. Cleanse the pin sites with isopropyl alcohol.
D. Inspect the pin sites at least every 8 hr.
D. Inspect the pin sites at least every 8 hr.
The nurse should inspect the pin sites at least every 8 hr, noting any inflammation or
evidence of infection. Expected findings after the insertion of pins include redness, warmth,
and serosanguineous drainage, which should subside after 72 hr.
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?
2025 NEWEST FULL TESTBANK QUESTIONS WITH DETAILED
VERIFIED ANSWERS GUARANTEE PASS/ALREADY GRADED A+
A nurse is preparing a teaching plan for a client who is starting to receive hemodialysis for chronic kidney disease. Which of the following
instructions should the nurse include in the teaching?
A. "Use salt substitutes to reduce your sodium intake."
B. "Increase your fluid intake to 1,000 mL a day."
C. "Include phosphorus-rich foods in your diet."
D. "Increase your intake of protein to 1 to 1.5 grams per kilogram per day."
D. "Increase your intake of protein to 1 to 1.5 grams per kilogram per day."
A client who receives hemodialysis for chronic kidney disease needs protein to prevent a
negative nitrogen balance and muscle wasting. A client who is receiving hemodialysis is
allowed 1 g to 1.5 g of protein/kg/day.
A nurse is caring for a client who has deep-vein thrombosis and is receiving heparin via continuous IV infusion. The client's weight is 80 kg (176.4
lb). Using the client information provided, which of the following actions should the nurse take? (Click on the "Exhibit" button below for
additional information about the client. There are three tabs that contain separate categories of data.)
A. Stop the heparin infusion for 1 hr.
B. Increase the rate of the infusion by 160 units/hr.
C.Administer heparin 2,400 unit IV bolus.
D. Continue the infusion without change.
A. Stop the heparin infusion for 1 hr.
According to the titration table, when the aPTT is greater than 95, the nurse should stop the
infusion for 1 hr, then restart the infusion with a decrease of 3 units/kg/hr, which is a
decrease of 240 units/hr for a client who weighs 80 kg (176.4 lb).
A nurse is caring for a client who is intubated and receiving mechanical ventilation for heroin toxicity. Which of the following assessments is the
nurse's priority?
A. WBC count
,B. Intake and output
C. ABGs
D. Blood glucose level
C. ABGs
When using the airway, breathing, and circulation (ABC) approach to client care, the nurse's priority assessment is to monitor the client's ABGs,
including respiratory status.
A nurse is assessing a client who has a new diagnosis of pericarditis. Which of the following findings should the nurse identify as a manifestation
of cardiac tamponade?
A. Fever
B. Atrial fibrillation
C. Paradoxical pulse
D. Pericardial friction rub
C. Paradoxical pulse
Cardiac tamponade results from an excess of fluid in the pericardial cavity and causes a sudden drop in cardiac output. Paradoxical pulse is a
systolic blood pressure of 10 mm Hg or more on expiration and is a manifestation of cardiac tamponade. The nurse should report manifestations
of cardiac tamponade to the provider immediately.
A nurse is assessing a client who is undergoing radiation therapy for breast cancer. Which of the following findings is an indication to the nurse
that the client is experiencing an adverse effect of the therapy?
A. Stomatitis
B. Vomiting
C. Skin changes
D. Hematuria
C. Skin changes
A client who is receiving radiation therapy to the breast will have localized adverse effects
of the treatment, such as skin changes, esophagitis, and lymphedema.
A nurse is preparing to administer enoxaparin 0.75 mg/kg subcutaneously to a client who weighs 154 lb. The amount available is enoxaparin 60
mg/0.6 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do
,not use a trailing zero.)
0.5 mL
.
A nurse is caring for a group of clients. In which of the following scenarios is the nurse acting as a client advocate?
A. The nurse refers a client who has chronic obstructive pulmonary disease for palliative care services.
B. The nurse provides wound care to a client at the time promised to the client.
C. The nurse declines to inform a client's neighbor about the client's prognosis.
D. The nurse files an incident report regarding a medication error.
A. The nurse refers a client who has chronic obstructive pulmonary disease for palliative care services.
Palliative care is an interdisciplinary approach to client care that works toward optimizing
the quality of life for a client who has a chronic illness. Nurses advocate for their clients
when they promote the health, safety, and rights of the client, such as providing a referral
for needed services to relieve suffering and promote a client's quality of life.
A nurse is assessing a client who recently had a myocardial infarction. Which of the following findings indicates that the client might be
developing pulmonary edema? (Select all that apply.)
A. Excessive somnolence
B. Epistaxis
C. Pink, frothy sputum
D. Tachypnea
E. Urinary frequency
A. Excessive somnolence
Manifestations of pulmonary edema can include a
change in orientation or mental status. A client who has excessive somnolence might be experiencing pulmonary edema.
C. Pink, frothy sputum
A client who has pulmonary edema can develop pink,
frothy sputum, wheezing, and tachypnea
, D. Tachypnea
A client who has pulmonary edema can develop pink, frothy sputum, wheezing,
and tachypnea.
A nurse is teaching a client about preventing the transmission of HIV. Which of the following information should the nurse include?
A. Use a natural material condom during oral, genital, and anal intercourse.
B. Medication is available that will reduce the risk for HIV transmission.
C. Use skin lotion as a lubricant when using a condom.
D. A diaphragm will provide protection against HIV transmission.
B. Medication is available that will reduce the risk for HIV transmission.
Tenofovir/emtricitabine is an oral medication that can be used prophylactically by a client who does not have an HIV infection to reduce the risk
for HIV transmission. Pre-exposure prophylaxis is recommended for men who have sexual relationships with men, clients who
are heterosexual and sexually active, noninfected partners who have a sexual relationship with a partner who has HIV, and clients who use
intravenous drugs.
A nurse is caring for a client who has multiple leg fractures and is 24 hr postoperative following placement of skeletal traction. Which of the
following actions should the nurse take?
A. Apply petroleum jelly to the pin sites.
B. Apply a sterile hydrocolloid dressing every 24 hr.
C. Cleanse the pin sites with isopropyl alcohol.
D. Inspect the pin sites at least every 8 hr.
D. Inspect the pin sites at least every 8 hr.
The nurse should inspect the pin sites at least every 8 hr, noting any inflammation or
evidence of infection. Expected findings after the insertion of pins include redness, warmth,
and serosanguineous drainage, which should subside after 72 hr.
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?
