RN ATI ADULT MEDICAL SURGICAL PROCTORED
EXAM NGN QUESTIONS WITH HIGHLIGHTED
CORRECT ANSWERS
2025
A nurse is assessing for compartment syndrome in a client who has a short leg
cast. Which of thefollowing findings should the nurse identify as a manifestation
of this condition?
• Bounding pedal pulse
• Capillary refill less than 2 seconds
• Pain that increases with passive movement
• Areas of warmth on the cast
A nurse is caring for an older adult client who has dementia and requires
acute care for a respiratory infection. The client is agitated and is
attempting to remove their IV catheter. Which of the following actions
should nurse take to avoid restraining the client?
• Check on the client every 2 hr
• Provide a quiet environment with no distractions
• Turn on the television in the client's room
• Keep the client occupied with a manual activity
A nurse is caring for a client who has terminal cancer. The client tells the
nurse, "I wish I couldstop these treatments. I am ready to die." Which of
the following statements should the nurse make?
• "Discontinuing the treatments is your choice if it is your wish to do so."
• "Your daughter is named as your health care surrogate. I will ask her if you can
stop them"
• "I will call your spiritual advisor to come in, so you can discuss this with them"
• "Next time you have an oncology appointment, you should as the oncologist"
A nurse is planning care for an older adult client who has
dementia. Which of the followinginterventions should the nurse
include in the plan of care?
• Explain procedures as they occur to the client
• Place personal items, such as pictures, at the client's bedside
,• Orient the client to their location once a shift
• Encourage the family members to remain home until the client has adjusted
A nurse is providing teaching to a client who has asthma about the use of a
metered-dose inhaler. The nurse should identify that which of the following
client actions indicates an understanding ofthe teaching?
• Breathing in rapidly while administering the medication
• Washing the plastic case and cap of the inhaler in the dishwasher
• Holding breath for 10 seconds after inhaling
• Waiting 15 seconds between puffs, if two puffs are required
A nurse is administering packed RBCs to a client. Which of the following
assessment findingsindicates a hemolytic transfusion reaction?
• Anorexia and jaundice
• Bronchospasm and urticaria
• Hypertension and bounding pulse
• Low back pain and apprehension
A nurse is caring for a client who is having a tonic-clonic seizure while in bed and
has becomecyanotic. Which of the following actions should the nurse take?
(Select all that apply.)
• Restrain the client
• Prepare to suction the client's airway
• Insert a tongue blade in the client's mouth
• Raise the head of the client's bed to a semi-Fowler's position
• Loosen restrictive clothing on the client
A nurse is caring for a client who has increased intracranial pressure (ICP) and
is receiving mannitol via continuous IV infusion. Which of the following
findings should the nurse report to the provider as an adverse effect of this
medication?
• Decreased heart rate
• Crackles heard on auscultation
• Increased urinary output
• Decreased deep tendon reflexes
, A nurse is providing teaching to a client who has anemia and a new
prescription for an oral ironsupplement. Which of the following statements
by the client indicates an understanding of the teaching?
• "I will take my iron with a glass of milk"
• "I will take an antacid with my iron"
• "I will limit my intake of red meat"
• "I will eat more high-fiber foods"
A nurse is providing discharge teaching about infection prevention to a
client who has AIDS.Which of the following statements by the client
indicates understanding of the teaching?
• "I will eat a salad at least once each day to increase my intake of vitamin K"
• "I can work in my flower garden as long as I wear gardening gloves to cover my
skin"
• "I will no longer floss my teeth after brushing my teeth"
• "I can sip on a glass of juice for at least 2 hours before I should discard it"
A nurse is assessing a client who is postoperative following a transurethral
resection of the prostate (TURP) and notes clots in the client's indwelling
urinary catheter and a decrease in urinary output. Which of the following
actions should the nurse take?
• Remove the client's indwelling urinary catheter
• Irrigate the indwelling urinary catheter
• Clamp the indwelling urinary catheter
• Apply traction to the indwelling urinary catheter
A nurse is providing teaching to a client who has hypertension and a new
prescription for verapamil. Which of the following information should the nurse
include in the teaching?
• "Take this medication on an empty stomach"
• "Eczema is an immediate expected adverse effect of this medication"
• "Increase fiber intake to avoid constipation"
• "Monitor your blood pressure monthly"
A nurse is checking the ECG rhythm strip for a client who has a temporary
pacemaker. The nursenotes a pacemaker artifact followed by a QRS complex.
Which of the following actions should the nurse take?
• Document that depolarization has occurred
• Increase the pacemaker's voltage
• Decrease the pacemaker's sensitivity
EXAM NGN QUESTIONS WITH HIGHLIGHTED
CORRECT ANSWERS
2025
A nurse is assessing for compartment syndrome in a client who has a short leg
cast. Which of thefollowing findings should the nurse identify as a manifestation
of this condition?
• Bounding pedal pulse
• Capillary refill less than 2 seconds
• Pain that increases with passive movement
• Areas of warmth on the cast
A nurse is caring for an older adult client who has dementia and requires
acute care for a respiratory infection. The client is agitated and is
attempting to remove their IV catheter. Which of the following actions
should nurse take to avoid restraining the client?
• Check on the client every 2 hr
• Provide a quiet environment with no distractions
• Turn on the television in the client's room
• Keep the client occupied with a manual activity
A nurse is caring for a client who has terminal cancer. The client tells the
nurse, "I wish I couldstop these treatments. I am ready to die." Which of
the following statements should the nurse make?
• "Discontinuing the treatments is your choice if it is your wish to do so."
• "Your daughter is named as your health care surrogate. I will ask her if you can
stop them"
• "I will call your spiritual advisor to come in, so you can discuss this with them"
• "Next time you have an oncology appointment, you should as the oncologist"
A nurse is planning care for an older adult client who has
dementia. Which of the followinginterventions should the nurse
include in the plan of care?
• Explain procedures as they occur to the client
• Place personal items, such as pictures, at the client's bedside
,• Orient the client to their location once a shift
• Encourage the family members to remain home until the client has adjusted
A nurse is providing teaching to a client who has asthma about the use of a
metered-dose inhaler. The nurse should identify that which of the following
client actions indicates an understanding ofthe teaching?
• Breathing in rapidly while administering the medication
• Washing the plastic case and cap of the inhaler in the dishwasher
• Holding breath for 10 seconds after inhaling
• Waiting 15 seconds between puffs, if two puffs are required
A nurse is administering packed RBCs to a client. Which of the following
assessment findingsindicates a hemolytic transfusion reaction?
• Anorexia and jaundice
• Bronchospasm and urticaria
• Hypertension and bounding pulse
• Low back pain and apprehension
A nurse is caring for a client who is having a tonic-clonic seizure while in bed and
has becomecyanotic. Which of the following actions should the nurse take?
(Select all that apply.)
• Restrain the client
• Prepare to suction the client's airway
• Insert a tongue blade in the client's mouth
• Raise the head of the client's bed to a semi-Fowler's position
• Loosen restrictive clothing on the client
A nurse is caring for a client who has increased intracranial pressure (ICP) and
is receiving mannitol via continuous IV infusion. Which of the following
findings should the nurse report to the provider as an adverse effect of this
medication?
• Decreased heart rate
• Crackles heard on auscultation
• Increased urinary output
• Decreased deep tendon reflexes
, A nurse is providing teaching to a client who has anemia and a new
prescription for an oral ironsupplement. Which of the following statements
by the client indicates an understanding of the teaching?
• "I will take my iron with a glass of milk"
• "I will take an antacid with my iron"
• "I will limit my intake of red meat"
• "I will eat more high-fiber foods"
A nurse is providing discharge teaching about infection prevention to a
client who has AIDS.Which of the following statements by the client
indicates understanding of the teaching?
• "I will eat a salad at least once each day to increase my intake of vitamin K"
• "I can work in my flower garden as long as I wear gardening gloves to cover my
skin"
• "I will no longer floss my teeth after brushing my teeth"
• "I can sip on a glass of juice for at least 2 hours before I should discard it"
A nurse is assessing a client who is postoperative following a transurethral
resection of the prostate (TURP) and notes clots in the client's indwelling
urinary catheter and a decrease in urinary output. Which of the following
actions should the nurse take?
• Remove the client's indwelling urinary catheter
• Irrigate the indwelling urinary catheter
• Clamp the indwelling urinary catheter
• Apply traction to the indwelling urinary catheter
A nurse is providing teaching to a client who has hypertension and a new
prescription for verapamil. Which of the following information should the nurse
include in the teaching?
• "Take this medication on an empty stomach"
• "Eczema is an immediate expected adverse effect of this medication"
• "Increase fiber intake to avoid constipation"
• "Monitor your blood pressure monthly"
A nurse is checking the ECG rhythm strip for a client who has a temporary
pacemaker. The nursenotes a pacemaker artifact followed by a QRS complex.
Which of the following actions should the nurse take?
• Document that depolarization has occurred
• Increase the pacemaker's voltage
• Decrease the pacemaker's sensitivity
