ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANS, Exams of Surgical Pathology

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ATI MED SURG PROCTORED

NGN RETAKE 2024- 2025

ACTUAL EXAM QUESTIONS

AND CORRECT DETAILED

ANSWERS

[Document subtitle]

[DATE]

[COMPANY NAME] [Company address]

1. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? o Hgb 8.2 g/dl
2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer? o Desmopressin
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Which of the following test should the nurse monitor? o Stool for occult blood - GI bleed
4. 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 for additional information about the client. There are three tabs that contain separate categories of data.) o Initiate airborne precautions
5. A nurse is contacting the provider for a client who has cancer and is experiencing breakthrough pain. Which of the following prescriptions should the nurse anticipate? o Transmucosal fentanyl
6. A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor. Which of the following should the nurse analyze to determine whether the client is experiencing a myocardial infarction? o ST segment
7. A nurse is teaching a client who has ovarian cancer about skin care following radiation treatment. Which of the following instructions should the nurse include? o Pat the skin on the radiation site to dry it
8. A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate administering which of the following prescribed medications? o Furosemide

17. A nurse is providing dietary teaching to a client who has chronic kidney disease and a decreased glomerular filtration rate. Which of the following statements by the client indicates an understanding of the teaching?

• I will spread my protein allowances over the entire day

18. A nurse is caring for a client who has a peripherally inserted central catheter. The client is receiving an antibiotic via intermittent IV bolus. Which of the following actions should the nurse take?

• Verify the placement with an x-ray prior to the initial dose

19. A nurse is teaching a client using a metered dose rescue inhaler. Which of the following statements should the nurse include in the teaching?

• Exhale fully before bringing the inhaler to your lips

20. A nurse is assessing the pain status of a group of clients. Which of the following findings indicate a client is experiencing referred pain?

• A client who has pancreatitis reports pain in the left shoulder

21. A nurse is caring for a client who has just returned from surgery with an external fixator to the left tibia. Which of the following assessments findings requires immediate intervention by the nurse?

• The client's capillary refill in the left toe is 6 seconds (signs and symptoms of compartment syndrome)

22. A nurse is assessing a client who has acute pancreatitis and has been receiving total parenteral nutrition for the past 72 hours. Which of the following findings requires the nurse to intervene?

• Crackle in bilateral lower lobes

23. A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and tachypnea. In which of the following positions should the nurse place the client?

• Feet elevated

24. A nurse is caring for a client who has tuberculosis and is taking rifampin. The client reports that her saliva has turned red-orange in color. Which of the following responses should the nurse make?

• "This is an expected adverse effect of this medication."

25. A nurse is preparing to administer a unit of packed RBCs for a client who is receiving a continuous IV infusion of 5% dextrose in water. Which of the following actions should the nurse take?

• Begin an IV infusion of 0.9% sodium chloride

26. A nurse is planning care for a client who is 12 hr. postoperative following a kidney transplant. Which of the following actions should the nurse include in the plan of care?

• Assess urine output hourly

27. A nurse is obtaining a medication history from a client who is to start therapy with naproxen for rheumatoid arthritis. Which of the following medications places the client at risk for bleeding?

• Ibuprofen --NSAIDs

28. A nurse is assessing the extremities of a client who has Raynaud's disease. Which of the following findings should the nurse expect?

• Blanching of the hands (Raynaud's phenomenon)

29. A nurse is caring for a group of clients. The nurse should obtain a blood pressure reading using only the left extremity from which of the following clients?

• A client who has a right upper extremity arteriovenous fistula

30. A nurse is providing teaching to a client who has DVT. Which of the following findings should the nurse identify as a risk factor for the development of DVTs?

• Oral Contraceptive Use

31. A nurse is caring for client who has Cushing's disease. Which of the following actions should the nurse take first? (Click Exhibit button for additional information)

• Auscultate the client's lung sound - due to fluid retention; action first varies on the exhibit

32. A nurse is assessing a client who has nephrotic syndrome. Which of the findings should the nurse expect?

• Proteinuria

33. A nurse is assessing a client who has right-sided heart failure. Which of the following assessment findings should the nurse expect to find?

• Intense pain with movement

42. A nurse is caring for a client who is postoperative following coronary artery bypass surgery and reports shortness of breath. The nurse administers oxygen at 3L/min and obtains arterial blood gases 60 min later. Which of the following lab findings indicates a positive response to the oxygen therapy?

• PaO2 90 mmHg

43. A nurse is performing a cranial nerve assessment on a client following a head injury. Which of the following findings should the nurse expect if the client has impaired function of the vestibulocochlear (VIII)?

• Disequilibrium with movement

44. A nurse is caring for a client admitted with a skull fracture. Which of the following assessment findings should be of greatest concern to the nurse?

• Glasgow coma scale score changes from 14 to 9

45. A nurse is caring for a client who is taking furosemide. The client has a potassium level of 3.1 mEq/L. Which of the following should the nurse assess first?

• Cardiovascular status dysrhythmia due to potassium

46. A nurse is caring for a client who is scheduled for an abdominal paracentesis. The nurse should plan to take which of the following actions?

• Ask the client to empty his bladder prior to the procedure

47. A nurse is caring for a client who is 6 hours postoperatively following a thyroidectomy. The client reports tingling and numbness in the hands. The nurse should identify this as a sign of which of following electrolytes imbalances?

• Hypocalcemia

48. A nurse is assessing a client 15 min after the start of a transfusion of 1 unit of packed RBC's. Which of the following findings is an indication of a hemolytic transfusion reaction?

• Hypotension

49. A nurse in an emergency department is caring for a client who has sinus bradycardia. Which of the following actions should the nurse take first?

• Administer atropine to the client

50. A nurse is caring for a client who has a prescription to discontinue a peripherally inserted central catheter. Which of the following actions should the nurse take?

• Place a dry sterile dressing to the site after removal 51 - 100

51. A nurse is caring for a client who has a flail chest. Which of the following actions should the nurse take?

• Provide humidified oxygen

52. A nurse is teaching a group of newly licensed nurses about acute respiratory failure. Which of the following manifestations should the nurse include in the teaching?

• Hypoxemia

53. A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take?

• Lower the client to the floor (ATI video says this if standing)

54. A nurse is teaching a client who is receiving total parenteral nutrition at home through a central venous access device about transparent dressing changes. Which of the following instructions should the nurse include in the teaching?

• Wear a mask during dressing change

55. A nurse is caring for a client in the emergency department who experienced a full-thickness burn injury to the lower torso 1 hr. ago. Which of the following findings should the nurse expect?

• Hypotension

56. A nurse in an emergency department is assessing a client who has cirrhosis of the liver. Which of the following is a priority finding?

• Mental confusion

57. A nurse is providing instructions about foot care for a client who has a peripheral arterial disease. The nurse should identify which of the following statements by the client indicates an understanding of the teaching?

• I rest in my recliner with my feet elevated for about an hour every afternoon

66. A nurse is caring for a client who is receiving Total Parenteral Nutrition (TPN). Which of the following nursing actions are appropriate? (Select all that apply)

• Obtain the client's weight daily
• Monitor serum blood glucose during infusion

67. A nurse is caring for a client in diabetic ketoacidosis DKA. Which of the following is the priority intervention by the nurse?

• Administer 0.9% sodium chloride

68. A nurse is reviewing the laboratory results of a female client who asked about acupuncture treatment for chemotherapy-induced nausea and vomiting. Which of the following laboratory results contraindication to receiving acupuncture?

• Absolute neutrophil count 5000/mm

69. A nurse is caring for a client following a total knee arthroplasty. The client reports a pain level of 6 on a Pain Scale of 0 to 10. Which of the following should the nurse take?

• Apply and ice pack to the client's knee

70. A nurse is assessing a client who has heart failure and is receiving a loop diuretic. Which of the following findings indicates hypokalemia?

• Muscle weakness

71. A nurse at a long-term care facility is assessing an older adult client. Which of the following findings should the nurse identify as an indication that the client has recall memory impairment?

• Inability to state what he has for dinner last night

72. A nurse on an intensive care unit is planning care for a client who has increased intracranial pressure following a head injury. Which of the following IV medications should the nurse plan to administer?

• Mannitol

73. A nurse on a medical unit is planning care for a group of clients. Which of the following clients should the nurse attend to First?

• A client who has thrombocytopenia and reports a nosebleed

74. A home care nurse is planning to use non-pharmacological pain relief measures for an older client who has severe chronic back pain. Which of the following guidelines should the nurse use?

• Distraction changes the client's perception of pain but does not affect the cause

75. A nurse is caring for a client who has pneumothorax and a chest tube with closed water seal drainage system. Which of the following actions should the nurse take?

• Refill the water chamber if the fluid is low

76. A nurse is in an emergency department is reviewing a client's ECG reading. Which of the following findings should the nurse identify as an indication that the client has first-degree heart block?

• Prolonged PR intervals

77. A nurse is preparing to administer a unit of packed RBC's to a client who is anemic. Identify the sequence of steps the nurse should follow.

• Obtain the unit of packed RBC's from Blood Bank
• Verify blood compatibility with another nurse
• Obtain venous access using a 19-gauge needle
• Initiate transfusion of the unit of packed RBC's
• Remain with the client for the first 15 to 30 minutes of the infusion

78. A nurse is teaching a client who is to begin chemotherapy about peripherally inserted central catheter. Which of the following statements should the nurse include in the teaching?

• We can draw blood samples from the PICC for diagnostic test

79. A nurse is assessing a client who has Pyelonephritis and reports flank pain. Which of the following actions should the nurse take?

• Assist the client to a sitting position

80. A nurse is assessing a client who has acute kidney failure. Which of the following findings should the nurse report to the provider?

• Weight gain 1.1 kilogram to 2.4 pound in 24-hour

81. A nurse is caring for an older adult client who is 72 hours postoperative following a total hip arthroplasty. The client requires a PRN medication prior

• I have a nagging, dry cough

90. A nurse is caring for a client who has an endotracheal tube. Which of the following actions should the nurse take to verify tube placement?

• Observe for symmetry of chest expansion

91. A nurse is providing discharge teaching to a client who has chronic urinary tract infections. The client has a prescription for ciprofloxacin 250 mg PO twice daily. Which of the following instructions should the nurse include in the teaching?

• Drink 2 to 3 L of fluid daily

92. A nurse is caring for a client who presents to the emergency department after experiencing a heat stroke. Which of the following actions should the nurse take?

• Apply a cooling blanket.

93. A nurse is presenting an in-service program about Parkinson's disease (PD). Which of the following statements should the nurse include in the teaching?

• PD results from a decreased amount of dopamine in the client's brain

94. A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?

• Thrombocytopenia

95. A nurse is assessing a client who has skeletal traction for a femoral fracture. The nurse notes that the weights are resting on the floor. Which of the following actions should the nurse take?

• Pull the client up in bed

96. A nurse is reviewing a medical record of a client who has acute gout. The nurse expects an increase in which of the following laboratory results?

• Uric acid

97. A nurse is providing teaching to a client who is to start furosemide therapy for heart failure. Which of the following statements indicates that the client understands a potential adverse effect of this medication?

• "I'm going to include more cantaloupe in my diet."

98. A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect?

• Cachexia

99. A nurse is assessing a client who has a gravity drain in place following an open cholecystectomy. Which of the following images should the nurse identify as a gravity drain?

• Jackson-Pratt drain

100. A nurse is caring for a client who has a severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock?

• Potassium 5.2 mEq/L

101. A home health nurse is assessing the home environment of a client who has cystic fibrosis. Which of the following equipment should the nurse plan to recommend?

• Chest physiotherapy vest

102. A nurse is assessing a client who has a serum sodium level of 120 mEq/L. Which of the following findings should the nurse expect?

• Confusion

103. A nurse is assessing a client who is receiving valsartan to treat heart failure. Which of the following findings should the nurse identify as an indication that the medication is effective?

• Decreased blood pressure

104. A nurse is caring for a client who has cervical cancer and a sealed radiation implant. Which of the following actions should the nurse take?

• Place long-handled forceps at the client's bedside

105. A nurse is caring for a client who is taking digoxin 0.125 mg PO daily and is at risk for developing digoxin toxicity. The nurse should monitor the client for an imbalance of which of the following electrolytes because it can increase the risk for digoxin toxicity?

• Potassium

106. A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor. Which of the following should the nurse

should the nurse take to show consideration for the client and the service animal?

• Consult the client before approaching the dog

115. A nurse is reviewing laboratory results for 4 clients who are scheduled for surgery. Which of the following laboratory values should the nurse report to the surgeon?

• Platelets 95,000/mm³

116. A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching?

• "Change the water in your drinking glass every 4 hours."

117. A home health nurse is providing care to an older adult client during the winter. During an in-home visit, the nurse notes that the thermostat is set to 12.8°C (55°F). The client tells the nurse, "I keep the heat set low because I cannot afford to pay the bill." Which of the following actions should the nurse take?

• Contact the local Department of Health and Human Services for the client

118. A nurse is assessing a client who has acute kidney failure. Which of the following findings should the nurse report to the provider?

• Weight gain 1.1 kg (2.4 lb) in 24 hr

119. A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse take first?

• Check the client's gag reflex

120. A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the following is the first sign of deteriorating neurological status?

• Altered level of consciousness

121. A nurse is performing skin cancer screening on a group of clients. Which of the following findings should the nurse identify as an indication of melanoma?

• Flat lesion with irregular borders

122. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer?

• Desmopressin

123. A nurse is preparing to assist with the insertion of a non-tunneled central venous catheter for a client who is malnourished. Which of the following actions should the nurse plan to take?

• Confirm the correct position of the line by obtaining a blood sample

124. A nurse is caring for a client who had an arterial revascularization of the lower extremity. Which of the following is the priority action the nurse should plan to take after contacting the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

• Increase the heparin infusion rate per protocol

125. A nurse is providing discharge teaching to a client who has chronic urinary tract infections. The client has a prescription for ciprofloxacin 250 mg PO twice daily. Which of the following instructions should the nurse include in the teaching?

• Drink 2 to 3 L of fluids daily

126. A nurse is providing discharge teaching for a client who has HIV. Which of the following information is the priority for the nurse to review with the client?

• Describe your daily medication schedule

127. A nurse is administering packed RBCs to a client. The client reports chills, lower back pain, and nausea 10 min after the infusion begins. Which of the following actions should the nurse take first?

• Stop the infusion

128. A nurse is preparing to assist the provider with a thoracentesis for a client who has a left pleural effusion. Which of the following interventions is the priority for the nurse?

• Administer a sedative medication

129. A nurse is caring for a client who has bladder cancer and a WBC count of 900/mm³. Which of the following actions should the nurse take?

• Instruct the client to avoid eating raw fruit

130. A nurse is reviewing the medical record of a client who is 1 day postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?

138. A nurse is caring for a client who is postoperative following a partial thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider?

• High-pitched sound on inspiration

139. A nurse on a medical unit is planning care for a group of clients. Which of the following clients should the nurse attend to first?

• A client who has thrombocytopenia and reports a nosebleed

140. A nurse is caring for a client who has a newly inserted chest tube. The nurse should clarify which of the following prescriptions with the provider?

• Vigorously strip the chest tube twice daily

141. A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm. Which of the following actions should the nurse include in the plan of care?

• Palpate the site for a thrill

142. A nurse is providing discharge teaching for a client who has osteomyelitis in the left leg. Which of the following findings should the nurse identify as requiring a referral?

• The client has a prescription for long-term IV antibiotic therapy

143. A nurse is caring for a client who is 6 hr postoperative following application of an external fixator for a tibial fracture. Which of the following actions should the nurse take?

• Palpate the dorsalis pedis pulse

144. A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?

• Generalized abdominal pain

145. A nurse is caring for a client following a total knee arthroplasty. The client reports a pain level of 6 on a pain scale of 0 to 10. Which of the following interventions should the nurse take?

• Apply an ice pack to the client's knee

146. A nurse in an emergency department is caring for a client who is to receive tissue plasminogen activator (tPA) for the treatment of an ischemic stroke. In which order should the nurse complete the following actions?
147. Weigh the client
148. Check for contraindications
149. Administer the tPA
150. Transfer the client to the CCU
151. A nurse in the emergency department admitted a client who is having a myocardial infarction. The client has been placed on the heart monitor. Which of the following electrocardiogram strips is indicative of a myocardial infarction?

• ST elevation

148. A nurse is assessing a client who has acute pancreatitis and has been receiving total parenteral nutrition for the past 72 hr. Which of the following findings requires the nurse to intervene?

• Crackles in bilateral lower lobes

149. A nurse is caring for a group of clients. The nurse should obtain a blood pressure reading using only the left extremity from which of the following clients?

• A client who has a right upper extremity arteriovenous fistula

150. A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following is the priority intervention by the nurse?

• Administer 0.9% sodium chloride 151 - 200

151. A nurse is caring for a client who has been prescribed an antibiotic. The client tells the nurse, "I don't like taking medications because I don't think I need them." Which of the following responses should the nurse make?

• "I will tell your provider that you do not want to take this medication."

152. A nurse is teaching the family of a client who has Alzheimer's disease about caring for the client at home. Which of the following instructions should the nurse include?