NEW VERSION ATI - Adult Medical
Surgical NGN B/ ATI Med-Surg B with
NGN Updated 2023/ 2024 ATI med surg
A nurse is providing teaching to a client who is perimenopausal and has a prescription
for hormone replacement therapy. For which of the following adverse effects should the
nurse instruct the client to notify the provider? ---------- Correct Answer -------- Calf pain
Numbness in the arms
Intense headache
A nurse is planning care for a client who is postoperative following a laparotomy and
has a closed-suction drain. Which of the following actions should the nurse take to
manage the drain? ---------- Correct Answer -------- Compress the drain reservoir after
emptying.
A nurse is caring for a client who has DKA. Which of the following findings should
indicate to the nurse that the client's condition is improving? ---------- Correct Answer ----
---- Glucose 272 mg/dL
A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr
ago. The nurse should identify which of the following findings as an indication of a
myocardial infarction (MI)? ---------- Correct Answer -------- Troponin I 8 ng/mL
A nurse is planning a health promotional presentation for a group of African American
clients at a community center. Which of the following disorders presents the greatest
risk to this group of clients? ---------- Correct Answer -------- hypertension
A nurse is providing education to a client who is at risk for osteoporosis. Which of the
following instructions should the nurse include? ---------- Correct Answer -------- Walk for
30 min four times per week.
A nurse is caring for a client who has an arterial line. Which of the following actions
should the nurse take? ---------- Correct Answer -------- Place a pressure bag around the
flush solution.
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the
following results should the nurse expect? ---------- Correct Answer -------- PaCO2 56
A nurse is providing postoperative teaching for a client who had a total knee
arthroplasty. Which of the following instructions should the nurse include? ----------
Correct Answer -------- Flex the foot every hour when awake.
,A nurse is planning care for a client who is postoperative following a parathyroidectomy.
Which of the following actions should the nurse identify as the priority? ---------- Correct
Answer -------- Place a tracheostomy tray at the bedside.
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? -------
--- Correct Answer -------- A client who is postoperative following abdominal surgery and
reports feeling that something "popped" when they coughed
A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker.
The nurse notes a pacemaker artifact followed by a QRS complex. Which of the
following actions should the nurse take? ---------- Correct Answer -------- Document that
depolarization has occurred.
A nurse is providing discharge instructions to a client who has active tuberculosis (TB).
Which of the following information should the nurse include in the instructions? ----------
Correct Answer -------- Sputum specimens are necessary every 2 to 4 weeks until there
are three negative cultures.
A nurse is caring for a client who is receiving a blood transfusion. The client becomes
restless, dyspneic, and has crackles noted to the lung bases. Which of the following
actions should the nurse anticipate taking? ---------- Correct Answer -------- Slow the
infusion rate
A nurse is assessing a client who is postoperative following a thyroidectomy. Which of
the following findings is the nurse's priority? ---------- Correct Answer -------- Temperature
38.9° C (102° F)
A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke.
To reduce the risk of falls when ambulating, the nurse should provide which of the
following instructions to the client? ---------- Correct Answer -------- Scan the environment
by turning your head from side to side.
A PACU nurse is assessing a client who is postoperative following a right nephrectomy.
The client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg,
respiratory rate 16/min, and temperature 36° C (96.80 F). Which of the following vital
sign changes should alert the nurse that the client might be hemorrhaging? ----------
Correct Answer -------- Heart rate 110/min
A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty.
The client is unable to void on the bedpan. Which of the following actions should the
nurse take first? ---------- Correct Answer -------- Scan the bladder with a portable
ultrasound.
A nurse is assessing a client who has advanced lung cancer and is receiving palliative
care. The client has just undergone thoracentesis. The nurse should expect a reduction
, in which of the following common manifestations of advanced cancer? ---------- Correct
Answer -------- Dyspnea
A nurse is caring for a client who is postoperative. ---------- Correct Answer --------
Nurses' Notes
Client admitted to medical-surgical unit from PACU. Client reports incisional pain as 2
on a scale of 0 to 10. Client appears restless and frequently asks for water. Bilateral
lower extremities cool with +1 pedal pulses. Urine output is 40 mL for the past 2 hr.
Moderate amount of bright red drainage noted on surgical incision dressing.
Vital Signs
Temperature 37.6° C (99.7° F)
Heart rate 114/min
Respiratory rate 22/min
Blood pressure 88/54 mm Hg
Oxygen saturation 93% on room air
Diagnostic Results
Hgb 18 g/dL (12 to 16 g/dL)
Hct 54% (37% to 47 %)
Total WBC count 11,000/mm3 (5,000 to 10,000/mm3)
Troponin T 0.04 ng/mL (less than 0.1 ng/mL)
Medical History.
History of hypertension. Acute myocardial infarction 1 year ago.
Complete the diagram by dragging from the choices below to specify what condition the
client is most likely experiencing, two actions the nurse should take to address that
condition, and two parameters the nurse should monitor to assess the client's progress.
---------- Correct Answer -------- The nurse should insert a large-gauge IV and initiate a
fluid challenge because the client is most likely experiencing hypovolemia as evidenced
by the client's restlessness, tachycardia, hypotension, decreased pulses, cool
extremities, and decreased urine output. The nurse should monitor the client's urine
output and blood pressure to evaluate the effectiveness of treatment.
A home health nurse is providing teaching to a client who has a stage 1 pressure injury
on the greater trochanter of his left hip. Which of the following instructions should the
nurse include in the teaching? ---------- Correct Answer -------- Change position every
hour
A nurse is performing a preoperative assessment for a client. The nurse should identify
that an allergy to which of the following foods can indicate a latex allergy? ----------
Correct Answer -------- avocados
---------- Correct Answer -------- Vital Signs
Blood pressure 155/98 mm Hg
Surgical NGN B/ ATI Med-Surg B with
NGN Updated 2023/ 2024 ATI med surg
A nurse is providing teaching to a client who is perimenopausal and has a prescription
for hormone replacement therapy. For which of the following adverse effects should the
nurse instruct the client to notify the provider? ---------- Correct Answer -------- Calf pain
Numbness in the arms
Intense headache
A nurse is planning care for a client who is postoperative following a laparotomy and
has a closed-suction drain. Which of the following actions should the nurse take to
manage the drain? ---------- Correct Answer -------- Compress the drain reservoir after
emptying.
A nurse is caring for a client who has DKA. Which of the following findings should
indicate to the nurse that the client's condition is improving? ---------- Correct Answer ----
---- Glucose 272 mg/dL
A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr
ago. The nurse should identify which of the following findings as an indication of a
myocardial infarction (MI)? ---------- Correct Answer -------- Troponin I 8 ng/mL
A nurse is planning a health promotional presentation for a group of African American
clients at a community center. Which of the following disorders presents the greatest
risk to this group of clients? ---------- Correct Answer -------- hypertension
A nurse is providing education to a client who is at risk for osteoporosis. Which of the
following instructions should the nurse include? ---------- Correct Answer -------- Walk for
30 min four times per week.
A nurse is caring for a client who has an arterial line. Which of the following actions
should the nurse take? ---------- Correct Answer -------- Place a pressure bag around the
flush solution.
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the
following results should the nurse expect? ---------- Correct Answer -------- PaCO2 56
A nurse is providing postoperative teaching for a client who had a total knee
arthroplasty. Which of the following instructions should the nurse include? ----------
Correct Answer -------- Flex the foot every hour when awake.
,A nurse is planning care for a client who is postoperative following a parathyroidectomy.
Which of the following actions should the nurse identify as the priority? ---------- Correct
Answer -------- Place a tracheostomy tray at the bedside.
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? -------
--- Correct Answer -------- A client who is postoperative following abdominal surgery and
reports feeling that something "popped" when they coughed
A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker.
The nurse notes a pacemaker artifact followed by a QRS complex. Which of the
following actions should the nurse take? ---------- Correct Answer -------- Document that
depolarization has occurred.
A nurse is providing discharge instructions to a client who has active tuberculosis (TB).
Which of the following information should the nurse include in the instructions? ----------
Correct Answer -------- Sputum specimens are necessary every 2 to 4 weeks until there
are three negative cultures.
A nurse is caring for a client who is receiving a blood transfusion. The client becomes
restless, dyspneic, and has crackles noted to the lung bases. Which of the following
actions should the nurse anticipate taking? ---------- Correct Answer -------- Slow the
infusion rate
A nurse is assessing a client who is postoperative following a thyroidectomy. Which of
the following findings is the nurse's priority? ---------- Correct Answer -------- Temperature
38.9° C (102° F)
A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke.
To reduce the risk of falls when ambulating, the nurse should provide which of the
following instructions to the client? ---------- Correct Answer -------- Scan the environment
by turning your head from side to side.
A PACU nurse is assessing a client who is postoperative following a right nephrectomy.
The client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg,
respiratory rate 16/min, and temperature 36° C (96.80 F). Which of the following vital
sign changes should alert the nurse that the client might be hemorrhaging? ----------
Correct Answer -------- Heart rate 110/min
A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty.
The client is unable to void on the bedpan. Which of the following actions should the
nurse take first? ---------- Correct Answer -------- Scan the bladder with a portable
ultrasound.
A nurse is assessing a client who has advanced lung cancer and is receiving palliative
care. The client has just undergone thoracentesis. The nurse should expect a reduction
, in which of the following common manifestations of advanced cancer? ---------- Correct
Answer -------- Dyspnea
A nurse is caring for a client who is postoperative. ---------- Correct Answer --------
Nurses' Notes
Client admitted to medical-surgical unit from PACU. Client reports incisional pain as 2
on a scale of 0 to 10. Client appears restless and frequently asks for water. Bilateral
lower extremities cool with +1 pedal pulses. Urine output is 40 mL for the past 2 hr.
Moderate amount of bright red drainage noted on surgical incision dressing.
Vital Signs
Temperature 37.6° C (99.7° F)
Heart rate 114/min
Respiratory rate 22/min
Blood pressure 88/54 mm Hg
Oxygen saturation 93% on room air
Diagnostic Results
Hgb 18 g/dL (12 to 16 g/dL)
Hct 54% (37% to 47 %)
Total WBC count 11,000/mm3 (5,000 to 10,000/mm3)
Troponin T 0.04 ng/mL (less than 0.1 ng/mL)
Medical History.
History of hypertension. Acute myocardial infarction 1 year ago.
Complete the diagram by dragging from the choices below to specify what condition the
client is most likely experiencing, two actions the nurse should take to address that
condition, and two parameters the nurse should monitor to assess the client's progress.
---------- Correct Answer -------- The nurse should insert a large-gauge IV and initiate a
fluid challenge because the client is most likely experiencing hypovolemia as evidenced
by the client's restlessness, tachycardia, hypotension, decreased pulses, cool
extremities, and decreased urine output. The nurse should monitor the client's urine
output and blood pressure to evaluate the effectiveness of treatment.
A home health nurse is providing teaching to a client who has a stage 1 pressure injury
on the greater trochanter of his left hip. Which of the following instructions should the
nurse include in the teaching? ---------- Correct Answer -------- Change position every
hour
A nurse is performing a preoperative assessment for a client. The nurse should identify
that an allergy to which of the following foods can indicate a latex allergy? ----------
Correct Answer -------- avocados
---------- Correct Answer -------- Vital Signs
Blood pressure 155/98 mm Hg
