NGN ATI R MED SURG PROCTORED EXAM 2026
VERSION QUESTIONS WITH VERIFIED
DETAILED ANSWERS (100% CORRECT
ANSWERS)/A+ GRADE
1. A nurse is teaching a client about the use of an incentive spirometer. Which of
the following instructions should the nurse include in the teaching?
A. Place hands on the upper abdomen during inhalation
B. Exhale slowly through pursed lips
C. Hold breaths about 3 to 5 seconds before exhaling
D. Position the mouthpiece 2.5 cm (1 in) from the mouth-ANSWER-C. Hold
breaths about 3 to 5 seconds before exhaling
2. A nurse is assessing a client who is 12 hr postoperative following a colon
resection. Which of the following findings should the nurse report to the surgeon?
a. Heart rate 90/min
b. Hgb 8.2 g/dL
c. Gastric pH of 3.0
d. Absent bowel sounds-ANSWER-b. Hgb 8.2 g/dL
3. A nurse is preparing to receive a client from surgery following a transverse
colon resection with colostomy placement. The nurse should expect to assess the
stoma at which of the following locations? - pic with male chest B on top-
ANSWER-a. Upper left abdomen
4. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications
should the nurse plan to administer?
a. Regular insulin
, NGN ATI R MED SURG PROCTORED EXAM 2026
VERSION QUESTIONS WITH VERIFIED
DETAILED ANSWERS (100% CORRECT
ANSWERS)/A+ GRADE
b. Furosemide
c. Desmopressin
d. Lithium carbonate-ANSWER-c. Desmopressin
5. A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the
following is the priority intervention by the nurse?
a. Begin bicarbonate continuous IV infusion
b. Administer 0.9% sodium chloride
c. Check potassium levels
d. Initiate a continuous IV insulin infusion-ANSWER-b. Administer 0.9% sodium
chloride
6. A nurse is reviewing the medical record of a client who has diabetes insipidus.
Which of the following findings should the nurse expect?
a. Elevated blood pressure
b. Hypothermia
c. Urine specific gravity 1.001
d. BUN 15 mg/dL-ANSWER-c. Urine specific gravity 1.001
A nurse is admitting a client who has arthritic pain and reports taking ibuprofen
several times daily for 3 years. Which of the following tests should the nurse
monitor?
a. Stool for occult blood
, NGN ATI R MED SURG PROCTORED EXAM 2026
VERSION QUESTIONS WITH VERIFIED
DETAILED ANSWERS (100% CORRECT
ANSWERS)/A+ GRADE
b. Urine for white blood cells
c. Fasting blood glucose
d. Serum calcium-ANSWER-a. Stool for occult blood
8. 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)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansetron-ANSWER-c. Initiate airborne precautions
9. A nurse is reviewing the laboratory results of a female client who asks about
acupuncture as treatment for chemotherapy-induced nausea and vomiting.
Which of the following laboratory results should the nurse identify as a
contraindication to receiving acupuncture?
a. Hemoglobin 12 g/dL
b. C-reactive protein 0.7 mg/dL
c. Platelets 160,000/mm^3
d. Absolute neutrophil count 500/mm^3-ANSWER-d. Absolute neutrophil count
500/mm^3
10. A nurse is contacting the provider of a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions should the
nurse anticipate?
, NGN ATI R MED SURG PROCTORED EXAM 2026
VERSION QUESTIONS WITH VERIFIED
DETAILED ANSWERS (100% CORRECT
ANSWERS)/A+ GRADE
a. Intravenous dexamethasone ZI
b. Transmucosal fentanyl ZI
c. Oral acetaminophen ZI
d. Intramuscular meperidine-ANSWER-b. Transmucosal fentanyl ZI ZI ZI
11. A nurse is teaching a client who has ovarian cancer about skin care following ra
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diation treatment. Which of the following instructions should the nurse include?
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a. Apply over-the-counter moisturizer to the radiation site
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b. Cover the radiation site loosely with a gauze wrap before dressing
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c. Use a soft washcloth to clean the area around the radiation site
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d. Pat the skin on the radiation site to dry it-ANSWER-
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d. Pat the skin on the radiation site to dry it
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12. A nurse is caring for a client who has cervical cancer and a sealed radiation im
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plant.
Which of the following actions should the nurse take?
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a. Leave unused equipment in the client's room until discharge
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b. Place long-handled forceps at the client's bedside
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c. Attach a dosimeter badge to the client's gown
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d. Move the client's soiled lines to a designated container outside the room-
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ANSWER-a. Leave unused equipment in the client's room until discharge
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VERSION QUESTIONS WITH VERIFIED
DETAILED ANSWERS (100% CORRECT
ANSWERS)/A+ GRADE
1. A nurse is teaching a client about the use of an incentive spirometer. Which of
the following instructions should the nurse include in the teaching?
A. Place hands on the upper abdomen during inhalation
B. Exhale slowly through pursed lips
C. Hold breaths about 3 to 5 seconds before exhaling
D. Position the mouthpiece 2.5 cm (1 in) from the mouth-ANSWER-C. Hold
breaths about 3 to 5 seconds before exhaling
2. A nurse is assessing a client who is 12 hr postoperative following a colon
resection. Which of the following findings should the nurse report to the surgeon?
a. Heart rate 90/min
b. Hgb 8.2 g/dL
c. Gastric pH of 3.0
d. Absent bowel sounds-ANSWER-b. Hgb 8.2 g/dL
3. A nurse is preparing to receive a client from surgery following a transverse
colon resection with colostomy placement. The nurse should expect to assess the
stoma at which of the following locations? - pic with male chest B on top-
ANSWER-a. Upper left abdomen
4. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications
should the nurse plan to administer?
a. Regular insulin
, NGN ATI R MED SURG PROCTORED EXAM 2026
VERSION QUESTIONS WITH VERIFIED
DETAILED ANSWERS (100% CORRECT
ANSWERS)/A+ GRADE
b. Furosemide
c. Desmopressin
d. Lithium carbonate-ANSWER-c. Desmopressin
5. A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the
following is the priority intervention by the nurse?
a. Begin bicarbonate continuous IV infusion
b. Administer 0.9% sodium chloride
c. Check potassium levels
d. Initiate a continuous IV insulin infusion-ANSWER-b. Administer 0.9% sodium
chloride
6. A nurse is reviewing the medical record of a client who has diabetes insipidus.
Which of the following findings should the nurse expect?
a. Elevated blood pressure
b. Hypothermia
c. Urine specific gravity 1.001
d. BUN 15 mg/dL-ANSWER-c. Urine specific gravity 1.001
A nurse is admitting a client who has arthritic pain and reports taking ibuprofen
several times daily for 3 years. Which of the following tests should the nurse
monitor?
a. Stool for occult blood
, NGN ATI R MED SURG PROCTORED EXAM 2026
VERSION QUESTIONS WITH VERIFIED
DETAILED ANSWERS (100% CORRECT
ANSWERS)/A+ GRADE
b. Urine for white blood cells
c. Fasting blood glucose
d. Serum calcium-ANSWER-a. Stool for occult blood
8. 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)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansetron-ANSWER-c. Initiate airborne precautions
9. A nurse is reviewing the laboratory results of a female client who asks about
acupuncture as treatment for chemotherapy-induced nausea and vomiting.
Which of the following laboratory results should the nurse identify as a
contraindication to receiving acupuncture?
a. Hemoglobin 12 g/dL
b. C-reactive protein 0.7 mg/dL
c. Platelets 160,000/mm^3
d. Absolute neutrophil count 500/mm^3-ANSWER-d. Absolute neutrophil count
500/mm^3
10. A nurse is contacting the provider of a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions should the
nurse anticipate?
, NGN ATI R MED SURG PROCTORED EXAM 2026
VERSION QUESTIONS WITH VERIFIED
DETAILED ANSWERS (100% CORRECT
ANSWERS)/A+ GRADE
a. Intravenous dexamethasone ZI
b. Transmucosal fentanyl ZI
c. Oral acetaminophen ZI
d. Intramuscular meperidine-ANSWER-b. Transmucosal fentanyl ZI ZI ZI
11. A nurse is teaching a client who has ovarian cancer about skin care following ra
ZI ZI ZI ZI ZI ZI ZI ZI ZI ZI ZI ZI ZI ZI
diation treatment. Which of the following instructions should the nurse include?
ZI ZI ZI ZI ZI ZI ZI ZI ZI ZI
a. Apply over-the-counter moisturizer to the radiation site
ZI ZI ZI ZI ZI ZI
b. Cover the radiation site loosely with a gauze wrap before dressing
ZI ZI ZI ZI ZI ZI ZI ZI ZI ZI
c. Use a soft washcloth to clean the area around the radiation site
ZI ZI ZI ZI ZI ZI ZI ZI ZI ZI ZI
d. Pat the skin on the radiation site to dry it-ANSWER-
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d. Pat the skin on the radiation site to dry it
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12. A nurse is caring for a client who has cervical cancer and a sealed radiation im
ZI ZI ZI ZI ZI ZI ZI ZI ZI ZI ZI ZI ZI ZI ZI
plant.
Which of the following actions should the nurse take?
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a. Leave unused equipment in the client's room until discharge
ZI ZI ZI ZI ZI ZI ZI ZI
b. Place long-handled forceps at the client's bedside
ZI ZI ZI ZI ZI ZI
c. Attach a dosimeter badge to the client's gown
ZI ZI ZI ZI ZI ZI ZI
d. Move the client's soiled lines to a designated container outside the room-
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ANSWER-a. Leave unused equipment in the client's room until discharge
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