1|Page
ATI RN MEDICAL SURGICAL NGN BRAND NEW
VERSION PROCTORED NEWEST 2025/2026
COMPLETE ALL 150 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is providing Information for a client who has a new prescription for
simvastatin.For which of the following should the nurse Instruct the client to
monitor and report to the provider?
A. Edema
B. Weight loss
C. Muscle weakness
D. Fever .....answer.....The correct answer is C. Muscle weakness.
Explanation:
Simvastatin is a medication used to lower cholesterol levels, and like
other statins, it can cause muscle-related side effects, such as
myopathy (muscle weakness or pain) or rhabdomyolysis (a severe
breakdown of muscle tissue). These conditions can lead to kidney
damage, so it's important for the client to monitor for muscle
weakness, pain, or tenderness and report these symptoms to the
provider.
Why C is correct:
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C. Muscle weakness: Muscle weakness is a common side effect of
statins, including simvastatin. If a client experiences unexplained
muscle weakness, pain, or tenderness, it could indicate a serious
condition such as rhabdomyolysis, which requires immediate medical
attention.
Why the other options are incorrect:
A. Edema: While edema (swelling) is a possible side effect of many
medications, it's not a typical or common side effect of simvastatin.
Therefore, it is not as urgent to monitor compared to muscle
weakness.
B. Weight loss: Weight loss is not typically associated with
simvastatin. If the client is experiencing unintended weight loss,
other causes should be investigated, but it is not directly related to
the use of simvastatin.
D. Fever: Fever is also not a common side effect of simvastatin. A fever
could be a sign of infection or another condition unrelated to the
medication, but it is not something specifically to monitor for with
simvastatin use.
Best Practice:
The most important side effect of simvastatin to monitor for is muscle
weakness, and clients should immediately report this to their
provider for further evaluation and potential adjustment of
treatment.
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A nurse is caring for an adolescent who has hyperthermia. Which of the
following actions should the nurse take?
A. Administer oral acetaminophen.
B. Initiate seizure precautions.
C. Submerge the adolescent's feet in ice water.
D. Cover the adolescent with a thermal blanket. .....answer.....The correct
answer is B. Initiate seizure precautions.
Explanation:
Hyperthermia (elevated body temperature) can cause various complications,
including seizures if the temperature rises high enough. It's important to
monitor for signs of heat stroke or severe hyperthermia, which can affect the
brain and lead to neurological complications, including seizures. Therefore,
initiate seizure precautions is the most appropriate action.
Why B is correct:
B. Initiate seizure precautions: Hyperthermia, especially when it reaches
dangerous levels (e.g., >104°F or 40°C), can result in seizures. In cases of heat
stroke or severe hyperthermia, the risk of seizures increases. Initiating
seizure precautions ensures the safety of the adolescent if seizures occur, and
it prepares the nurse to act quickly if needed.
Why the other options are incorrect:
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A. Administer oral acetaminophen: While acetaminophen can be used to
treat fever, it is not effective in treating hyperthermia caused by extreme
heat. Hyperthermia requires cooling measures, not just fever reduction, and
acetaminophen won't help lower the body temperature in this case.
C. Submerge the adolescent's feet in ice water: Submerging the feet in ice
water is not an appropriate cooling method for hyperthermia. Extreme
cooling methods like ice baths can lead to shivering, which actually raises
the body's core temperature. Cooling should be done gradually and with
controlled measures.
D. Cover the adolescent with a thermal blanket: A thermal blanket is
typically used to keep a person warm, not to treat hyperthermia. In
hyperthermia, the goal is to cool the body, and a thermal blanket would
counteract that by increasing body temperature.
A nurse is reviewing laboratory data from a client who has chronic kidney
disease. Which of the following findings should the nurse expect?
A. Increased bicarbonate
B. Increased calcium
C. Increased term-151hemoglobin
D. Increased creatinine .....answer.....The correct answer is D. Increased
creatinine.
Explanation:
ATI RN MEDICAL SURGICAL NGN BRAND NEW
VERSION PROCTORED NEWEST 2025/2026
COMPLETE ALL 150 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is providing Information for a client who has a new prescription for
simvastatin.For which of the following should the nurse Instruct the client to
monitor and report to the provider?
A. Edema
B. Weight loss
C. Muscle weakness
D. Fever .....answer.....The correct answer is C. Muscle weakness.
Explanation:
Simvastatin is a medication used to lower cholesterol levels, and like
other statins, it can cause muscle-related side effects, such as
myopathy (muscle weakness or pain) or rhabdomyolysis (a severe
breakdown of muscle tissue). These conditions can lead to kidney
damage, so it's important for the client to monitor for muscle
weakness, pain, or tenderness and report these symptoms to the
provider.
Why C is correct:
,2|Page
C. Muscle weakness: Muscle weakness is a common side effect of
statins, including simvastatin. If a client experiences unexplained
muscle weakness, pain, or tenderness, it could indicate a serious
condition such as rhabdomyolysis, which requires immediate medical
attention.
Why the other options are incorrect:
A. Edema: While edema (swelling) is a possible side effect of many
medications, it's not a typical or common side effect of simvastatin.
Therefore, it is not as urgent to monitor compared to muscle
weakness.
B. Weight loss: Weight loss is not typically associated with
simvastatin. If the client is experiencing unintended weight loss,
other causes should be investigated, but it is not directly related to
the use of simvastatin.
D. Fever: Fever is also not a common side effect of simvastatin. A fever
could be a sign of infection or another condition unrelated to the
medication, but it is not something specifically to monitor for with
simvastatin use.
Best Practice:
The most important side effect of simvastatin to monitor for is muscle
weakness, and clients should immediately report this to their
provider for further evaluation and potential adjustment of
treatment.
,3|Page
A nurse is caring for an adolescent who has hyperthermia. Which of the
following actions should the nurse take?
A. Administer oral acetaminophen.
B. Initiate seizure precautions.
C. Submerge the adolescent's feet in ice water.
D. Cover the adolescent with a thermal blanket. .....answer.....The correct
answer is B. Initiate seizure precautions.
Explanation:
Hyperthermia (elevated body temperature) can cause various complications,
including seizures if the temperature rises high enough. It's important to
monitor for signs of heat stroke or severe hyperthermia, which can affect the
brain and lead to neurological complications, including seizures. Therefore,
initiate seizure precautions is the most appropriate action.
Why B is correct:
B. Initiate seizure precautions: Hyperthermia, especially when it reaches
dangerous levels (e.g., >104°F or 40°C), can result in seizures. In cases of heat
stroke or severe hyperthermia, the risk of seizures increases. Initiating
seizure precautions ensures the safety of the adolescent if seizures occur, and
it prepares the nurse to act quickly if needed.
Why the other options are incorrect:
, 4|Page
A. Administer oral acetaminophen: While acetaminophen can be used to
treat fever, it is not effective in treating hyperthermia caused by extreme
heat. Hyperthermia requires cooling measures, not just fever reduction, and
acetaminophen won't help lower the body temperature in this case.
C. Submerge the adolescent's feet in ice water: Submerging the feet in ice
water is not an appropriate cooling method for hyperthermia. Extreme
cooling methods like ice baths can lead to shivering, which actually raises
the body's core temperature. Cooling should be done gradually and with
controlled measures.
D. Cover the adolescent with a thermal blanket: A thermal blanket is
typically used to keep a person warm, not to treat hyperthermia. In
hyperthermia, the goal is to cool the body, and a thermal blanket would
counteract that by increasing body temperature.
A nurse is reviewing laboratory data from a client who has chronic kidney
disease. Which of the following findings should the nurse expect?
A. Increased bicarbonate
B. Increased calcium
C. Increased term-151hemoglobin
D. Increased creatinine .....answer.....The correct answer is D. Increased
creatinine.
Explanation:
