ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM QUE
TIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS
Study online at https://quizlet.com/_flvsky
1. A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of the following findings should the nurse report to the
surgeon?: Hgb 8.2 g/dl
2. A nurse is caring for a client who has diabetes insipidus. Which of the
following medications should the nurse plan to administer?: Desmopressin
3. A nurse is admitting a client who has arthritic pain and reports taking
ibuprofen several times daily for 3 years. Which of the following test should
the nurse monitor?: Stool for occult blood - GI bleed
4. A nurse in the emergency department is assessing a client. Which of the
following actions should the nurse take first (Click on the "Exhibit" button
for additional information about the client. There are three tabs that contain
separate categories of data.): Initiate airborne precautions
5. A nurse is contacting the provider for a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions should
the nurse anticipate?: Transmucosal fentanyl
6. A nurse is admitting a client who reports chest pain and has been placed
on a telemetry monitor. Which of the following should the nurse analyze to
determine whether the client is experiencing a myocardial infarction?: ST
segment
7. A nurse is teaching a client who has ovarian cancer about skin care follow-
ing radiation treatment. Which of the following instructions should the nurse
include?: Pat the skin on the radiation site to dry it
8. A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and
distended jugular veins. The nurse should anticipate administering which of
the following prescribed medications?: Furosemide
9. A nurse is assessing a client who is receiving magnesium sulfate IV for
the treatment of hypomagnesemia. Which of the following findings indicates
effectiveness of the medication?: Apical pulse 82/min
10. A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and
HCO3 21 mEq/L. The nurse should recognize these findings as indication of
which of the following conditions?: Compensated respiratory alkalosis
11. A nurse is caring for a client who has a deep partial thickness burns over
15% of her body which of the following labs should the nurse expect during
the first 24 hours: Hypoalbuminemia (Low due to fluid loss)
12. A nurse is caring for a client who has dumping syndrome following a
gastrectomy, which of the following actions should the nurse takes?: Have
, ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM QUE
TIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS
Study online at https://quizlet.com/_flvsky
the client lie down for 30 minutes after meals (Lying down after a meal slows the
movement of food within the intestines)
13. A nurse is preparing to administer fresh frozen plasma to a client. Which of
the following actions should the nurse take?: Administer the plasma immediately
after thawing
14. A nurse is assessing a client who reports numbness and tingling of his
toes and exhibits a positive TROUSSEAU. Which of the following electrolyte
imbalance should the nurse suspect?: Hypocalcemia
15. A home health nurse is teaching a client how to care for a peripherally
central catheter in his right arm. Which of the following statements should
the nurse include in the teaching?: Use a 10-milliliter syringe when flushing the
catheter
16. A nurse is caring for a client who has a central venous access device.
Which of the following assessment findings should the nurse report to the
provider?: WBC count of 16,000/ mm
17. A nurse is providing dietary teaching to a client who has chronic kidney
disease and a decreased glomerular filtration rate. Which of the following
statements by the client indicates an understanding of the teaching?: I will
spread my protein allowances over the entire day
18. A nurse is caring for a client who has a peripherally inserted central
catheter. The client is receiving an antibiotic via intermittent IV bolus. Which of
the following actions should the nurse take?: Verify the placement with an x-ray
prior to the initial dose
19. A nurse is teaching a client using a metered dose rescue inhaler. Which
of the following statements should the nurse include in the teaching?: Exhale
fully before bringing the inhaler to your lips
20. A nurse is assessing the pain status of a group of clients. Which of the
following findings indicate a client is experiencing referred pain?: A client who
has pancreatitis reports pain in the left shoulder
21. A nurse is caring for a client who has just returned from surgery with an
external fixator to the left tibia. Which of the following assessments findings
requires immediate intervention by the nurse?: The client's capillary refill in the
left toe is 6 seconds (signs and symptoms of compartment syndrome)
22. A nurse is assessing a client who has acute pancreatitis and has been
receiving total parenteral nutrition for the past 72 hours. Which of the following
findings requires the nurse to intervene?: Crackle in bilateral lower lobes
, ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM QUE
TIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS
Study online at https://quizlet.com/_flvsky
23. A nurse is caring for a client who has hypotension, cool and clammy skin,
tachycardia, and tachypnea. In which of the following positions should the
nurse place the client?: Feet elevated
24. A nurse is caring for a client who has tuberculosis and is taking rifampin.
The client reports that her saliva has turned red-orange in color. Which of
the following responses should the nurse make?: "This is an expected adverse
effect of this medication."
25. A nurse is preparing to administer a unit of packed RBCs for a client who
is receiving a continuous IV infusion of 5% dextrose in water. Which of the
following actions should the nurse take?: Begin an IV infusion of 0.9% sodium
chloride
26. A nurse is planning care for a client who is 12 hr. postoperative following
a kidney transplant. Which of the following actions should the nurse include
in the plan of care?: Assess urine output hourly ---à prevent shock and mods
27. 2. A nurse is caring for a client who has diabetes insipidus. Which of the
following medications should the nurse plan to administer?: a. Desmopressin
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vaso-
pressin increase ADH and to stop patient on urinating.
28. A nurse is obtaining a medication history from a client who is to start thera-
py with naproxen for rheumatoid arthritis. Which of the following medications
places the client at risk for bleeding?: Ibuprofen --NSAIDs
29. 1. A nurse is assessing a client who is 12hr postoperative following a
colon resection. Which of the following findings should the nurse report to
the surgeon?: c. Hgb 8.2 g/dl
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
30. A nurse is assessing the extremities of a client who has Raynaud's disease.
Which of the following findings should the nurse expect?: Blanching of the
hands REYNAUD PHENOMENON
31. A nurse is caring for a group of clients. The nurse should obtain a blood
pressure reading using only the left extremity from which of the following
clients?: A client who has a right upper extremity arteriovenous fistula
32. A nurse is providing teaching to a client who has DVT. Which of the follow-
ing findings should the nurse identify as a risk factor for the development of
DVTs?: Oral Contraceptive Use
, ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM QUE
TIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS
Study online at https://quizlet.com/_flvsky
33. A nurse is caring for client who has Cushing's disease. Which of the fol-
lowing actions should the nurse take first? (Click Exhibit button for additional
information): Auscultate the client's lung sound - due to fluid retention; action first
varies on the exhibit
34. A nurse is assessing a client who has nephrotic syndrome. Which of the
findings should the nurse expect?: Proteinuria
35. A nurse is assessing a client who has right-sided heart failure. Which of the
following assessment findings should the nurse expect to find?: Pitting edema
36. A nurse is caring for a client who has newly inserted chest tube. The nurse
should clarify which of the following prescriptions with the provider?: Vigor-
ously strip the chest tube twice daily.
37. A nurse is teaching a client who is taking an ACE inhibitor for heart
failure. Which of the following instructions should the nurse include for home
management of heart failure?: Monitor Intake and Output
38. A nurse is providing discharge teaching to a client who has a permanent
pacemaker. Which of the following statements by the client indicates an un-
derstanding of the teaching?: I need to check my pulse rate every day for a full
minute.
39. A nurse in a clinic is providing preventive teaching to an older adult
client during well visit. The nurse should instruct the client that which of the
following immunization are recommended for healthy adults after age 60?
Select all the Apply.: Herpes Zoster
Influenza
Pneumococcal Polysaccharide
40. A nurse is assessing a client who is 4hr postoperative following arterial
revascularization of the left femoral artery. Which of the following findings
should the nurse report immediately?: Pallor in the affected extremity
41. A nurse is caring for an older adult client who has not been eating. Which
of the following findings indicates dehydration?: Diminished peripheral pulses
42. A nurse is preparing to discharge a client who has a halo device and is
reviewing new prescriptions from the provider. The nurse should clarify which
of the following prescriptions with the provider?: May operate a motor vehicle
when no longer taking analgesics
43. A nurse is assessing for elderly signs of compartment syndrome for a
client who has a short leg fiberglass cast. Which of the following findings
should the nurse expect?: Intense pain with movement
TIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS
Study online at https://quizlet.com/_flvsky
1. A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of the following findings should the nurse report to the
surgeon?: Hgb 8.2 g/dl
2. A nurse is caring for a client who has diabetes insipidus. Which of the
following medications should the nurse plan to administer?: Desmopressin
3. A nurse is admitting a client who has arthritic pain and reports taking
ibuprofen several times daily for 3 years. Which of the following test should
the nurse monitor?: Stool for occult blood - GI bleed
4. A nurse in the emergency department is assessing a client. Which of the
following actions should the nurse take first (Click on the "Exhibit" button
for additional information about the client. There are three tabs that contain
separate categories of data.): Initiate airborne precautions
5. A nurse is contacting the provider for a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions should
the nurse anticipate?: Transmucosal fentanyl
6. A nurse is admitting a client who reports chest pain and has been placed
on a telemetry monitor. Which of the following should the nurse analyze to
determine whether the client is experiencing a myocardial infarction?: ST
segment
7. A nurse is teaching a client who has ovarian cancer about skin care follow-
ing radiation treatment. Which of the following instructions should the nurse
include?: Pat the skin on the radiation site to dry it
8. A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and
distended jugular veins. The nurse should anticipate administering which of
the following prescribed medications?: Furosemide
9. A nurse is assessing a client who is receiving magnesium sulfate IV for
the treatment of hypomagnesemia. Which of the following findings indicates
effectiveness of the medication?: Apical pulse 82/min
10. A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and
HCO3 21 mEq/L. The nurse should recognize these findings as indication of
which of the following conditions?: Compensated respiratory alkalosis
11. A nurse is caring for a client who has a deep partial thickness burns over
15% of her body which of the following labs should the nurse expect during
the first 24 hours: Hypoalbuminemia (Low due to fluid loss)
12. A nurse is caring for a client who has dumping syndrome following a
gastrectomy, which of the following actions should the nurse takes?: Have
, ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM QUE
TIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS
Study online at https://quizlet.com/_flvsky
the client lie down for 30 minutes after meals (Lying down after a meal slows the
movement of food within the intestines)
13. A nurse is preparing to administer fresh frozen plasma to a client. Which of
the following actions should the nurse take?: Administer the plasma immediately
after thawing
14. A nurse is assessing a client who reports numbness and tingling of his
toes and exhibits a positive TROUSSEAU. Which of the following electrolyte
imbalance should the nurse suspect?: Hypocalcemia
15. A home health nurse is teaching a client how to care for a peripherally
central catheter in his right arm. Which of the following statements should
the nurse include in the teaching?: Use a 10-milliliter syringe when flushing the
catheter
16. A nurse is caring for a client who has a central venous access device.
Which of the following assessment findings should the nurse report to the
provider?: WBC count of 16,000/ mm
17. A nurse is providing dietary teaching to a client who has chronic kidney
disease and a decreased glomerular filtration rate. Which of the following
statements by the client indicates an understanding of the teaching?: I will
spread my protein allowances over the entire day
18. A nurse is caring for a client who has a peripherally inserted central
catheter. The client is receiving an antibiotic via intermittent IV bolus. Which of
the following actions should the nurse take?: Verify the placement with an x-ray
prior to the initial dose
19. A nurse is teaching a client using a metered dose rescue inhaler. Which
of the following statements should the nurse include in the teaching?: Exhale
fully before bringing the inhaler to your lips
20. A nurse is assessing the pain status of a group of clients. Which of the
following findings indicate a client is experiencing referred pain?: A client who
has pancreatitis reports pain in the left shoulder
21. A nurse is caring for a client who has just returned from surgery with an
external fixator to the left tibia. Which of the following assessments findings
requires immediate intervention by the nurse?: The client's capillary refill in the
left toe is 6 seconds (signs and symptoms of compartment syndrome)
22. A nurse is assessing a client who has acute pancreatitis and has been
receiving total parenteral nutrition for the past 72 hours. Which of the following
findings requires the nurse to intervene?: Crackle in bilateral lower lobes
, ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM QUE
TIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS
Study online at https://quizlet.com/_flvsky
23. A nurse is caring for a client who has hypotension, cool and clammy skin,
tachycardia, and tachypnea. In which of the following positions should the
nurse place the client?: Feet elevated
24. A nurse is caring for a client who has tuberculosis and is taking rifampin.
The client reports that her saliva has turned red-orange in color. Which of
the following responses should the nurse make?: "This is an expected adverse
effect of this medication."
25. A nurse is preparing to administer a unit of packed RBCs for a client who
is receiving a continuous IV infusion of 5% dextrose in water. Which of the
following actions should the nurse take?: Begin an IV infusion of 0.9% sodium
chloride
26. A nurse is planning care for a client who is 12 hr. postoperative following
a kidney transplant. Which of the following actions should the nurse include
in the plan of care?: Assess urine output hourly ---à prevent shock and mods
27. 2. A nurse is caring for a client who has diabetes insipidus. Which of the
following medications should the nurse plan to administer?: a. Desmopressin
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vaso-
pressin increase ADH and to stop patient on urinating.
28. A nurse is obtaining a medication history from a client who is to start thera-
py with naproxen for rheumatoid arthritis. Which of the following medications
places the client at risk for bleeding?: Ibuprofen --NSAIDs
29. 1. A nurse is assessing a client who is 12hr postoperative following a
colon resection. Which of the following findings should the nurse report to
the surgeon?: c. Hgb 8.2 g/dl
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
30. A nurse is assessing the extremities of a client who has Raynaud's disease.
Which of the following findings should the nurse expect?: Blanching of the
hands REYNAUD PHENOMENON
31. A nurse is caring for a group of clients. The nurse should obtain a blood
pressure reading using only the left extremity from which of the following
clients?: A client who has a right upper extremity arteriovenous fistula
32. A nurse is providing teaching to a client who has DVT. Which of the follow-
ing findings should the nurse identify as a risk factor for the development of
DVTs?: Oral Contraceptive Use
, ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM QUE
TIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS
Study online at https://quizlet.com/_flvsky
33. A nurse is caring for client who has Cushing's disease. Which of the fol-
lowing actions should the nurse take first? (Click Exhibit button for additional
information): Auscultate the client's lung sound - due to fluid retention; action first
varies on the exhibit
34. A nurse is assessing a client who has nephrotic syndrome. Which of the
findings should the nurse expect?: Proteinuria
35. A nurse is assessing a client who has right-sided heart failure. Which of the
following assessment findings should the nurse expect to find?: Pitting edema
36. A nurse is caring for a client who has newly inserted chest tube. The nurse
should clarify which of the following prescriptions with the provider?: Vigor-
ously strip the chest tube twice daily.
37. A nurse is teaching a client who is taking an ACE inhibitor for heart
failure. Which of the following instructions should the nurse include for home
management of heart failure?: Monitor Intake and Output
38. A nurse is providing discharge teaching to a client who has a permanent
pacemaker. Which of the following statements by the client indicates an un-
derstanding of the teaching?: I need to check my pulse rate every day for a full
minute.
39. A nurse in a clinic is providing preventive teaching to an older adult
client during well visit. The nurse should instruct the client that which of the
following immunization are recommended for healthy adults after age 60?
Select all the Apply.: Herpes Zoster
Influenza
Pneumococcal Polysaccharide
40. A nurse is assessing a client who is 4hr postoperative following arterial
revascularization of the left femoral artery. Which of the following findings
should the nurse report immediately?: Pallor in the affected extremity
41. A nurse is caring for an older adult client who has not been eating. Which
of the following findings indicates dehydration?: Diminished peripheral pulses
42. A nurse is preparing to discharge a client who has a halo device and is
reviewing new prescriptions from the provider. The nurse should clarify which
of the following prescriptions with the provider?: May operate a motor vehicle
when no longer taking analgesics
43. A nurse is assessing for elderly signs of compartment syndrome for a
client who has a short leg fiberglass cast. Which of the following findings
should the nurse expect?: Intense pain with movement
