ATI PN Adult Medical-Surgical
Practice 2024 A & B (NGN) |
100% Verified Questions &
Answers | Graded A+ |
Guaranteed Pass
A nurse is preparing to perform intermittent urinary catheterization for a female client who has
been unable to void following surgery 6 hr ago. Which of the following catheters should the
nurse use to perform this procedure?
B- clear plastic with blue cap
A nurse is contributing to the plan of care for a client who was admitted to the neurological unit
following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the
priority?
Keep the cleint in a side-lying position.
Rationale:
The greatest risk to the client following a stroke is aspiration. The nurse should position the
A nurse is assisting with the care of a client who has prostate cancer. The client asks the nurse
why they are having difficulty with urination. Which of the following responses should the nurse
make?
"The tumor causes obstruction of urine from the urethra."
A nurse is assisting with the care for a client following a gastrectomy. Which of the following
actions should the nurse take to decrease episodes of dumping syndrome.
Place the client in the supine position after meals.
,A nurse on a medical-surgical unit is assign with the care of a newly admitted client. Select the 3
findings that require follow-up by the nurse.
Oxygen Saturation Pain level
Wound dressing
The nurse is assisting with the care of the client following the placement of a chest tube for a
hemothorax. Which of the following actions should the nurse take? Select all that apply
Place the client in high-Fowler's position
Place two rubber-tipped hemostats in the client's room
Palpate the chest tube insertion site for subcutaneous emphysema Ensure that all chest tube
connections are securely attached
The nurse is assisting with the care of the client 1 hr following chest tube insertion. Click to
highlight the findings that indicate the client's condition is improving. To deselect a finding, click
on the finding again.
Client reports pain as a 3 on a scale of 0 to 10. Client reports shortness of breath has decreased.
Wound dressing is dry and intact.
Respiratory rate 24/min. Blood pressure 108/74 mm Hg
Oxygen saturation 95% on oxygen 2 L/min via nasal cannula.
A nurse is collecting data from an older adult client who has several concerns. Which of the
following concerns should the nurse recognize as an expected change associated with aging?
"My food tastes bland even after I add seasoning."
A nurse is reinforcing teaching with a client who has a new diagnosis of tuberculosis (TB) and a
prescription for isoniazid and rifampin. Which of the following information should the nurse
include in the teaching?
Household family members should be tested for TB
A nurse is reinforcing discharge teaching about wound care with the caregiver of a client who is
postoperative. Which of the following instructions should the nurse include in the teaching?
,Report purulent drainage to the provider.
A nurse is reinforcing teaching with a client about preventing osteoporosis. Which of the
following client statements indicates an understanding of the teaching?
"I will limit my coffee intake."
A home health nurse is reinforcing teaching with a client about preventing complications of
peripheral vascular disease. Which of the following statements indicates that the client is
adhering to the nurse's instructions?
"I don't cross my legs anymore."
A nurse is assisting with the discharge planning for a client who is postoperative following a total
hip arthroplasty. Which of the following instructions should the nurse include in the discharge
plan?
Obtain a raised toilet seat.
A nurse is assisting with the care for a client who is undergoing testing for multiple sclerosis.
Which of the following findings should the nurse expect?
Muscle Spasticity
A nurse is assisting with the care for a client who is postoperative and has a portable wound
bulb suction device. Which of the following actions should the nurse take?
Compress the bulbs reservoir and then close the drainage valve.
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has
skin cancer. Which of the following information should the nurse include in the teaching?
Mohs surgery is horizontal shaving of thin layers of the tumor.
A nurse is reinforcing teaching with a client who has coronary artery disease. Which of the
following instructions should the nurse include in the teaching?
"Add oily fish to your diet twice weekly."
, A nurse is reviewing the medical record of a client who is postoperative. Which of the following
findings should the nurse identify as a complication of the surgery?
WBC count of 15,000/mm3
A nurse is planning care for a group of clients after receiving change-of-shift report. Which of
the following clients should the nurse plan to see first?
A client who is dehydrated, has mental confusion, and has tried to get out of bed several times
during the night.
A nurse is assisting with the care for a client who has dementia due to Alzheimer's disease.
Which of the following actions should the nurse take to reduce the client's confusion?
Encourage reminiscence of past experiences.
A nurse is assisting with the care of a client. Select the 3 findings that require follow-up by the
nurse.
Visual disturbances Headache
Nausea
For each finding below, click to specify if the finding is consistent with migraine, stroke, or
meningitis. Each finding may support more than 1 disease process.
Migraine- Nausea, Visual Changes, Pain, Family History Stroke- Visual Changes, Pain, Family
History Meningitis- Nausea, Visual Changes, Pain
Complete the following sentence by using the lists of options.
The nurse should identify that the client is most likely experiencing a migraine, and the nurse
should address the client's pain.
A nurse is assisting with the care of a client who has a migraine. Which of the following
interventions should the nurse anticipate? Select all that apply.
Administer sumatriptan.
Dim the lights in the client's room.
Practice 2024 A & B (NGN) |
100% Verified Questions &
Answers | Graded A+ |
Guaranteed Pass
A nurse is preparing to perform intermittent urinary catheterization for a female client who has
been unable to void following surgery 6 hr ago. Which of the following catheters should the
nurse use to perform this procedure?
B- clear plastic with blue cap
A nurse is contributing to the plan of care for a client who was admitted to the neurological unit
following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the
priority?
Keep the cleint in a side-lying position.
Rationale:
The greatest risk to the client following a stroke is aspiration. The nurse should position the
A nurse is assisting with the care of a client who has prostate cancer. The client asks the nurse
why they are having difficulty with urination. Which of the following responses should the nurse
make?
"The tumor causes obstruction of urine from the urethra."
A nurse is assisting with the care for a client following a gastrectomy. Which of the following
actions should the nurse take to decrease episodes of dumping syndrome.
Place the client in the supine position after meals.
,A nurse on a medical-surgical unit is assign with the care of a newly admitted client. Select the 3
findings that require follow-up by the nurse.
Oxygen Saturation Pain level
Wound dressing
The nurse is assisting with the care of the client following the placement of a chest tube for a
hemothorax. Which of the following actions should the nurse take? Select all that apply
Place the client in high-Fowler's position
Place two rubber-tipped hemostats in the client's room
Palpate the chest tube insertion site for subcutaneous emphysema Ensure that all chest tube
connections are securely attached
The nurse is assisting with the care of the client 1 hr following chest tube insertion. Click to
highlight the findings that indicate the client's condition is improving. To deselect a finding, click
on the finding again.
Client reports pain as a 3 on a scale of 0 to 10. Client reports shortness of breath has decreased.
Wound dressing is dry and intact.
Respiratory rate 24/min. Blood pressure 108/74 mm Hg
Oxygen saturation 95% on oxygen 2 L/min via nasal cannula.
A nurse is collecting data from an older adult client who has several concerns. Which of the
following concerns should the nurse recognize as an expected change associated with aging?
"My food tastes bland even after I add seasoning."
A nurse is reinforcing teaching with a client who has a new diagnosis of tuberculosis (TB) and a
prescription for isoniazid and rifampin. Which of the following information should the nurse
include in the teaching?
Household family members should be tested for TB
A nurse is reinforcing discharge teaching about wound care with the caregiver of a client who is
postoperative. Which of the following instructions should the nurse include in the teaching?
,Report purulent drainage to the provider.
A nurse is reinforcing teaching with a client about preventing osteoporosis. Which of the
following client statements indicates an understanding of the teaching?
"I will limit my coffee intake."
A home health nurse is reinforcing teaching with a client about preventing complications of
peripheral vascular disease. Which of the following statements indicates that the client is
adhering to the nurse's instructions?
"I don't cross my legs anymore."
A nurse is assisting with the discharge planning for a client who is postoperative following a total
hip arthroplasty. Which of the following instructions should the nurse include in the discharge
plan?
Obtain a raised toilet seat.
A nurse is assisting with the care for a client who is undergoing testing for multiple sclerosis.
Which of the following findings should the nurse expect?
Muscle Spasticity
A nurse is assisting with the care for a client who is postoperative and has a portable wound
bulb suction device. Which of the following actions should the nurse take?
Compress the bulbs reservoir and then close the drainage valve.
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has
skin cancer. Which of the following information should the nurse include in the teaching?
Mohs surgery is horizontal shaving of thin layers of the tumor.
A nurse is reinforcing teaching with a client who has coronary artery disease. Which of the
following instructions should the nurse include in the teaching?
"Add oily fish to your diet twice weekly."
, A nurse is reviewing the medical record of a client who is postoperative. Which of the following
findings should the nurse identify as a complication of the surgery?
WBC count of 15,000/mm3
A nurse is planning care for a group of clients after receiving change-of-shift report. Which of
the following clients should the nurse plan to see first?
A client who is dehydrated, has mental confusion, and has tried to get out of bed several times
during the night.
A nurse is assisting with the care for a client who has dementia due to Alzheimer's disease.
Which of the following actions should the nurse take to reduce the client's confusion?
Encourage reminiscence of past experiences.
A nurse is assisting with the care of a client. Select the 3 findings that require follow-up by the
nurse.
Visual disturbances Headache
Nausea
For each finding below, click to specify if the finding is consistent with migraine, stroke, or
meningitis. Each finding may support more than 1 disease process.
Migraine- Nausea, Visual Changes, Pain, Family History Stroke- Visual Changes, Pain, Family
History Meningitis- Nausea, Visual Changes, Pain
Complete the following sentence by using the lists of options.
The nurse should identify that the client is most likely experiencing a migraine, and the nurse
should address the client's pain.
A nurse is assisting with the care of a client who has a migraine. Which of the following
interventions should the nurse anticipate? Select all that apply.
Administer sumatriptan.
Dim the lights in the client's room.
