ACTUAL ATI PN ADULT MEDICAL
SURGICAL PROCTORED EXAM WITH
NGN NEWEST UPLOAD YEAR 2025; GET IT
ALL (100%) QUESTIONS AND ANSWERS
GRADED A+
A nurse is caring for a client in acute renal failure. Which of the following
manifestations should the nurse expect the client to exhibit?
Anuria
Polyphagia
Weight loss
Bradycardia - --<<CORRECT ANSWER IS>>---Anuria
Anuria (no urine output) occurs during acute renal failure.
A client with type 1 diabetes mellitus has a capillary blood glucose reading of 48
mg/dL. Which of the following should the nurse expect to find?
Kussmaul respirations
Diaphoresis
Decreased skin turgor
Ketonuria - --<<CORRECT ANSWER IS>>---Diaphoresis
Hypoglycemia is a complication that occurs in clients with insulin-dependent
diabetes mellitus. Hypoglycemia develops when the client's blood glucose level is
,below 70 mg/dL and can occur secondary to a precipitous decrease in blood
glucose that is still within the expected reference range. Common symptoms of
hypoglycemia include weakness, hunger, diaphoresis, nausea, shakiness, and
confusion.
A middle-adult assistive personnel (AP) is assigned to give a bath to a client with
herpes zoster (shingles). The AP asks if this disease is contagious because there is
an isolation sign on the client's door. Which response by the nurse would be
appropriate at this time?
"Adults have a natural immunity from casual exposure to children who have had
chickenpox."
"You should have immunity from the varicella vaccination you received as an
infant."
"You cannot get shingles if you have had chickenpox."
"If you have had chickenpox, then you can care for this client without concern." - -
-<<CORRECT ANSWER IS>>---"If you have had chickenpox, then you can care for
this client without concern."
Varicella zoster is the causative agent of both chickenpox and herpes zoster. The
virus that causes herpes zoster can only be passed on to others who have not had
chicken pox and then they will develop chicken pox not herpes zoster. Herpes
zoster is much less contagious than chicken pox. Clients with herpes zoster can
transmit the virus if blisters are broken, so contact precautions should be taken by
care providers who have not had chicken pox.
When reinforcing health teaching to a group of clients, it is important for the
nurse to emphasize that melanoma is characterized by lesions that have which of
the following appearances?
,Are predominantly one solid color
Are symmetrical in shape
Are less than 6 mm in diameter
Have an irregular border - --<<CORRECT ANSWER IS>>---Have an irregular border
Using the ABCD mnemonic, a melanotic skin lesion may exhibit one or more of the
following characteristics; asymmetry of the shape, border irregularity, color that
varies within the lesion, and a diameter that is 6 mm or greater.
Following a total gastrectomy, which medication should the nurse anticipate that
the client will need to take for the rest of the client's life?
Vitamin K
Ranitidine (Zantac)
Vitamin B12
Metoclopramide (Reglan) - --<<CORRECT ANSWER IS>>---Vitamin B12
A total gastrectomy blocks the absorption of vitamin B12 from the gastrointestinal
tract. Unless this vitamin is supplied by parenteral injection throughout life, the
client can develop pernicious anemia.
A client is diagnosed with active pulmonary tuberculosis and begins a treatment
regimen of rifampin (Rifadin) and ethambutol (Myambutol). The nurse should
reinforce with the client the need to report which of the following adverse effects
to the provider?
Red-orange discoloration of body fluids
, Anorexia
Headaches
Decreased visual acuity - --<<CORRECT ANSWER IS>>---Decreased visual acuity
The most commonly reported adverse reaction to therapeutic doses of
ethambutol is visual disturbance. This side effect will likely necessitate termination
of ethambutol therapy because irreversible blindness can result.
When a nurse brings a hospitalized client with AIDS (acquired immune deficiency
syndrome) the morning dose of zalcitabine (Hivid), the client states, "I have this
awful burning sensation in my fingers and toes. They are numb and tingling."
What response by the nurse is appropriate at this time?
"I'll just give you half of the prescribed dose this morning."
"Take the medication. It should begin to help the manifestations caused by AIDS
soon."
"I'll hold the medication and notify your provider immediately."
"Let me know when the feelings subside, and I'll bring the medication back." - --
<<CORRECT ANSWER IS>>---"I'll hold the medication and notify your provider
immediately."
Zalcitabine may cause peripheral neuropathy, characterized by numbness, tingling,
burning, or pain of the extremities. This is also a common problem with
didanosine (Videx), an antiviral agent used to treat clients with AIDS. If zalcitabine
is not discontinued promptly when the client begins to show manifestations of
peripheral neuropathy, it may become progressive and irreversible. Even if
zalcitabine is discontinued promptly, the peripheral neuropathy may not be
completely reversible. If, after discontinuing the medication, the manifestations
improve, then zalcitabine may be reintroduced at half the previously prescribed
dose.
SURGICAL PROCTORED EXAM WITH
NGN NEWEST UPLOAD YEAR 2025; GET IT
ALL (100%) QUESTIONS AND ANSWERS
GRADED A+
A nurse is caring for a client in acute renal failure. Which of the following
manifestations should the nurse expect the client to exhibit?
Anuria
Polyphagia
Weight loss
Bradycardia - --<<CORRECT ANSWER IS>>---Anuria
Anuria (no urine output) occurs during acute renal failure.
A client with type 1 diabetes mellitus has a capillary blood glucose reading of 48
mg/dL. Which of the following should the nurse expect to find?
Kussmaul respirations
Diaphoresis
Decreased skin turgor
Ketonuria - --<<CORRECT ANSWER IS>>---Diaphoresis
Hypoglycemia is a complication that occurs in clients with insulin-dependent
diabetes mellitus. Hypoglycemia develops when the client's blood glucose level is
,below 70 mg/dL and can occur secondary to a precipitous decrease in blood
glucose that is still within the expected reference range. Common symptoms of
hypoglycemia include weakness, hunger, diaphoresis, nausea, shakiness, and
confusion.
A middle-adult assistive personnel (AP) is assigned to give a bath to a client with
herpes zoster (shingles). The AP asks if this disease is contagious because there is
an isolation sign on the client's door. Which response by the nurse would be
appropriate at this time?
"Adults have a natural immunity from casual exposure to children who have had
chickenpox."
"You should have immunity from the varicella vaccination you received as an
infant."
"You cannot get shingles if you have had chickenpox."
"If you have had chickenpox, then you can care for this client without concern." - -
-<<CORRECT ANSWER IS>>---"If you have had chickenpox, then you can care for
this client without concern."
Varicella zoster is the causative agent of both chickenpox and herpes zoster. The
virus that causes herpes zoster can only be passed on to others who have not had
chicken pox and then they will develop chicken pox not herpes zoster. Herpes
zoster is much less contagious than chicken pox. Clients with herpes zoster can
transmit the virus if blisters are broken, so contact precautions should be taken by
care providers who have not had chicken pox.
When reinforcing health teaching to a group of clients, it is important for the
nurse to emphasize that melanoma is characterized by lesions that have which of
the following appearances?
,Are predominantly one solid color
Are symmetrical in shape
Are less than 6 mm in diameter
Have an irregular border - --<<CORRECT ANSWER IS>>---Have an irregular border
Using the ABCD mnemonic, a melanotic skin lesion may exhibit one or more of the
following characteristics; asymmetry of the shape, border irregularity, color that
varies within the lesion, and a diameter that is 6 mm or greater.
Following a total gastrectomy, which medication should the nurse anticipate that
the client will need to take for the rest of the client's life?
Vitamin K
Ranitidine (Zantac)
Vitamin B12
Metoclopramide (Reglan) - --<<CORRECT ANSWER IS>>---Vitamin B12
A total gastrectomy blocks the absorption of vitamin B12 from the gastrointestinal
tract. Unless this vitamin is supplied by parenteral injection throughout life, the
client can develop pernicious anemia.
A client is diagnosed with active pulmonary tuberculosis and begins a treatment
regimen of rifampin (Rifadin) and ethambutol (Myambutol). The nurse should
reinforce with the client the need to report which of the following adverse effects
to the provider?
Red-orange discoloration of body fluids
, Anorexia
Headaches
Decreased visual acuity - --<<CORRECT ANSWER IS>>---Decreased visual acuity
The most commonly reported adverse reaction to therapeutic doses of
ethambutol is visual disturbance. This side effect will likely necessitate termination
of ethambutol therapy because irreversible blindness can result.
When a nurse brings a hospitalized client with AIDS (acquired immune deficiency
syndrome) the morning dose of zalcitabine (Hivid), the client states, "I have this
awful burning sensation in my fingers and toes. They are numb and tingling."
What response by the nurse is appropriate at this time?
"I'll just give you half of the prescribed dose this morning."
"Take the medication. It should begin to help the manifestations caused by AIDS
soon."
"I'll hold the medication and notify your provider immediately."
"Let me know when the feelings subside, and I'll bring the medication back." - --
<<CORRECT ANSWER IS>>---"I'll hold the medication and notify your provider
immediately."
Zalcitabine may cause peripheral neuropathy, characterized by numbness, tingling,
burning, or pain of the extremities. This is also a common problem with
didanosine (Videx), an antiviral agent used to treat clients with AIDS. If zalcitabine
is not discontinued promptly when the client begins to show manifestations of
peripheral neuropathy, it may become progressive and irreversible. Even if
zalcitabine is discontinued promptly, the peripheral neuropathy may not be
completely reversible. If, after discontinuing the medication, the manifestations
improve, then zalcitabine may be reintroduced at half the previously prescribed
dose.
