RN ATI ADULT MEDICAL SURGICAL PREDICTOR
EXAM NEWEST VERSION 2025 NGN QUESTION
BANK QUESTION AND CORRECT ANSWERS
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.
Rationale: The nurse should instruct the client to flex the foot every hour to
reduce the risk for thromboembolism and promote venous return.
A nurse is caring for a client who has a pneumothorax and a closed-chest
drainage system. Which of the following findings is an indication of lung re-
expansion? - answer-Bubbling in the water seal chamber has ceased.
Rationale: Bubbling in the water seal chamber ceases when the lung re-
expands.
A nurse is reviewing the medical record of a client who is taking warfarin for
chronic atrial fibrillation. Which of the following values should the nurse
identify as a desired outcome for this therapy? - answer-INR 2.5
Rationale: Clients receive warfarin therapy to decrease the risk of stroke,
myocardial infarction (MI), or pulmonary emboli (PE) from blood clots. Since
warfarin is an anticoagulant, the medication must be monitored to ensure the
anticoagulation is within the therapeutic range and prevent hemorrhage (high
levels of anticoagulation) or stroke, MI, or PE (low levels of anticoagulation).
An INR of 2.5 is within the targeted therapeutic range of 2 to 3 for a client who
has atrial fibrillation.
,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.
Rationale: Weight-bearing exercises promote bone mass. Therefore, walking
can help the client prevent osteoporosis.
A nurse is providing teaching to a client who is perimenopausal and has a
prescription for hormone replacement therapy. For which of the following? -
answer-Calf pain
Numbness in the arm
Intense headache
Rationale: Calf pain is correct. Calf pain is an indication of deep-vein
thrombosis. The client should report this finding to the provider immediately.
Numbness in the arms is correct. Numbness in the arms can indicate a
cerebrovascular accident, which is an adverse effect of hormone replacement
therapy. The client should report this finding to the provider immediately.
Intense headache is correct. An intense headache can indicate a
cerebrovascular accident, which is an adverse effect of hormone replacement
therapy. The client should report this finding to the provider immediately.
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
Rationale: A feeling of something popping or loosening with coughing might
indicate a wound dehiscence. This client will need to have revisions to the plan
, of care, which can include management of the dehiscence, prevention of
evisceration, or possible surgical repair of an evisceration if one occurs.
A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect? - answer-Constipation
Rationale: A client who has hypothyroidism can experience constipation due to
the decrease in the client's metabolism, resulting in slow motility of the
gastrointestinal tract. The nurse should instruct the client to increase fiber and
fluid intake to reduce the risk for constipation.
A nurse is caring for a client who is 4 hr postoperative following an open
reduction internal fixation of the right ankle. Which of the following
assessment findings should the nurse report to the provider? - answer-
Extremely cool upon palpation
Rationale: The nurse should report indicators of reduced circulation, such as
pallor, cool temperature, or paresthesia of the client's extremity. These
findings can indicate that the client is at risk for developing acute compartment
syndrome.
A nurse is teaching a client about the use of transcutaneous electrical nerve
stimulation (TENS for the management of bone cancer pain. The nurse should
explain that applying a TENS unit to the painful area has which of the following
effects? - answer-A tingling sensation replacing the pain
Rationale: A TENS unit applies small electric currents to the painful area, with
the client increasing the current until the "pins and needles" sensation
overrides the pain.
EXAM NEWEST VERSION 2025 NGN QUESTION
BANK QUESTION AND CORRECT ANSWERS
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.
Rationale: The nurse should instruct the client to flex the foot every hour to
reduce the risk for thromboembolism and promote venous return.
A nurse is caring for a client who has a pneumothorax and a closed-chest
drainage system. Which of the following findings is an indication of lung re-
expansion? - answer-Bubbling in the water seal chamber has ceased.
Rationale: Bubbling in the water seal chamber ceases when the lung re-
expands.
A nurse is reviewing the medical record of a client who is taking warfarin for
chronic atrial fibrillation. Which of the following values should the nurse
identify as a desired outcome for this therapy? - answer-INR 2.5
Rationale: Clients receive warfarin therapy to decrease the risk of stroke,
myocardial infarction (MI), or pulmonary emboli (PE) from blood clots. Since
warfarin is an anticoagulant, the medication must be monitored to ensure the
anticoagulation is within the therapeutic range and prevent hemorrhage (high
levels of anticoagulation) or stroke, MI, or PE (low levels of anticoagulation).
An INR of 2.5 is within the targeted therapeutic range of 2 to 3 for a client who
has atrial fibrillation.
,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.
Rationale: Weight-bearing exercises promote bone mass. Therefore, walking
can help the client prevent osteoporosis.
A nurse is providing teaching to a client who is perimenopausal and has a
prescription for hormone replacement therapy. For which of the following? -
answer-Calf pain
Numbness in the arm
Intense headache
Rationale: Calf pain is correct. Calf pain is an indication of deep-vein
thrombosis. The client should report this finding to the provider immediately.
Numbness in the arms is correct. Numbness in the arms can indicate a
cerebrovascular accident, which is an adverse effect of hormone replacement
therapy. The client should report this finding to the provider immediately.
Intense headache is correct. An intense headache can indicate a
cerebrovascular accident, which is an adverse effect of hormone replacement
therapy. The client should report this finding to the provider immediately.
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
Rationale: A feeling of something popping or loosening with coughing might
indicate a wound dehiscence. This client will need to have revisions to the plan
, of care, which can include management of the dehiscence, prevention of
evisceration, or possible surgical repair of an evisceration if one occurs.
A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect? - answer-Constipation
Rationale: A client who has hypothyroidism can experience constipation due to
the decrease in the client's metabolism, resulting in slow motility of the
gastrointestinal tract. The nurse should instruct the client to increase fiber and
fluid intake to reduce the risk for constipation.
A nurse is caring for a client who is 4 hr postoperative following an open
reduction internal fixation of the right ankle. Which of the following
assessment findings should the nurse report to the provider? - answer-
Extremely cool upon palpation
Rationale: The nurse should report indicators of reduced circulation, such as
pallor, cool temperature, or paresthesia of the client's extremity. These
findings can indicate that the client is at risk for developing acute compartment
syndrome.
A nurse is teaching a client about the use of transcutaneous electrical nerve
stimulation (TENS for the management of bone cancer pain. The nurse should
explain that applying a TENS unit to the painful area has which of the following
effects? - answer-A tingling sensation replacing the pain
Rationale: A TENS unit applies small electric currents to the painful area, with
the client increasing the current until the "pins and needles" sensation
overrides the pain.
