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NGN ATI MEDSURG PROCTORED EXAM 2025
NEWEST TESTBANK Exam 2025–2026 Accurate
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A nurse is caring for a client who has hypervolemia. Which of the following is an expected assessment finding? a. Bradycardia b. Hypotension c. Loss of skin turgor d. Weight gain - answer>>>d. Weight gain
A nurse is providing instructions to a client who has primary syphilis. Which of the following instructions should the nurse include in the discharge plan? a. "you will need cryotherapy for 1 to 2 weeks" b. "you will need to take an antiviral medication for 6 months" c. "you will need 3 follow-up blood tests within 24 month period" d. "you will need to be monitored for 15 minutes after receiving each medication dose" - answer>>>c. you will need 4 follow-up blood tests within 24 month period.
A nurse is caring for a client who has hypotension, cool clammy skin, tachycardia, and tachypnea. In which of the following positions should the nurse place the client? a. Reverse Trendelenburg b. Feet elevated c. High fowlers' d. Side lying - answer>>>c. high fowlers
A nurse is teaching a client how to use a quad cane for ambulation following a right- hemispheric stroke. Which of the following client actions indicates an understanding of the teaching?
a. Client takes a step before advancing the cane b. Client holds the cane with the left hand c. Client moves the cane 2 feet ahead d. Client advances the weaker leg forward first - answer>>>d. Client advances the weaker leg forward first
A nurse is providing discharge teaching for a client who has new tracheostomy. Which of the following statements by the client indicates an understanding of the teaching? a. "ill remove the soiled tracheostomy ties prior to cleansing my stoma" b. "ill cut a slit in a clean gauze pad to use as a stoma dressing" c. "ill insert the obturator after cleaning my stoma" d. "ill cleanse the cannula with half-strength hydrogen peroxide" - answer>>>c. I'll insert the obturator after cleaning my stoma
A nurse is preparing to administer furosemide to a client who has acute heart failure. Which of the following laboratory results should the nurse identify as contraindications for receiving the medications? a. BUN 18 mg/dl b. Creatinine 0.8 mg/dl c. Potassium 3.2 mEq/l d. Sodium 136 meEq/l - answer>>>c. Potassium 3.2 mEq/l
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? a. Bilateral pupil diameter changes from 4 to 2 mm b. WBC count changes from 9,000 to 16,000/mm c. Pulse pressure changes from 30 to 20 mm Hg d. Glasgow Coma Scale score changes from 14 to 9 - answer>>>d. GCS score changes from 14 to 9
A nurse is assessing a client who has myasthenia gravis. Which of the following client statements should indicate to the nurse that the client needs a referral for occupational
A nurse is planning care for a client who has unrepaired intertrochanteric fracture and has Buck's traction placed to the affected leg. Which of the following interventions should the nurse include? a. Situate the client's heel in the heel of the traction boot b. Apply weights of the traction to total 9.1 kg (20lb) c. Place the footplate against the foot of the bed d. Remove the boot for skin inspection every 12 hours. - answer>>>a. Situate the client's heel in the heel of the traction boot
A nurse is caring for a client who sustained a spinal cord injury in a diving accident. Which of the following actions should the nurse take? a. Assess the client's neurological status every 8 hour b. Monitor urine output hourly c. Provide the client with a low-fiber diet d. Log roll the client every 4 hour - answer>>>b. Monitor urine output hourly
A nurse is planning care for a client who has a central venous access device for intermittent infusions. Which of the following actions should the nurse include in the plan of care? a. Flush the catheter using a 10ml syringe b. Change the dressing every 24 hour c. Use clean technique when changing the dressing d. Cleanse the site with povidone-iodine - answer>>>a. Flush the catheter using a 10ml syringe
A nurse in the emergency department is caring for a client who has a gunshot wound to the abdomen. Which of the following actions should the nurse take first? a. Check the color of the client's skin b. Remove all of the client's clothing c. Administer an opioid analgesic
d. Prepare the client for periorbital lavage - answer>>>a. Check the color of the client's skin
A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse take first? a. Check the client's gag reflex b. Inform the client they might experience a low-grade fever c. Instruct the client to report bleeding d. Provide the client with sips of water - answer>>>a. Check the patient's gag reflex
A nurse is developing a plan of care for a client who is returning from the PACU following a left below-the-knee amputation. Which of the following interventions should the nurse include in the plan? a. Provide the client with a firm mattress b. Wrap the client's residual limb with elastic bandage in a distal to proximal direction c. Place the client's residual limb in a dependent position when possible d. Keep the client in a supine position for 48 hours - answer>>>a. Provide the client with a firm mattress
A nurse is instructing a client who has a new diagnosis of type 1 diabetes mellitus about the sick-day rules. Which of the following statements by the client indicates an understanding of the teaching? a. "I will monitor my blood glucose every 8 hours" b. "I will consume 250 grams of carbs daily while I'm sick" c. "I will not take my diabetes medications while I am sick" d. "I will check urine for ketones if my blood glucose is greater than 240 mg/dl - answer>>>d. I will check urine for ketones if my blood glucose is greater than 240 mg/dl
A nurse is reviewing ABG results for a client who has COPD. Which of the following findings should the nurse expect? a. pH 7.
should the nurse take? Exhibit a. Restrict the client's fluid intake to 1,000 ml/day b. Infuse packed RBCs c. Administer the client's naproxen prescription d. Offer a snack before bedtime - answer>>>b. Infuse packed RBC's
A nurse is assessing an older adult client at a health fair. Which of the following statements by the client is the nurse's priority? a. "I can't seem to get reading materials far enough away to see the words" b. "I'm having more difficulty telling the difference between blues and greens" c. "I've noticed that there is a gray ring around the colored part of my eye" d. "In the last day, I have had a severe headache and pain around my right eye" - answer>>>d. In the last day, I have had a severe headache and pain around my right eye
A nurse is caring for an adolescent client who has an acute kidney injury. Which of the following laboratory findings should the nurse anticipate? a. BUN 8 mg/dl b. Hgb 20 g/dl c. Potassium 6.8 mEq/l d. Creatinine 0.4 mg/dl - answer>>>c. Potassium 6.8 mEq/l
A nurse is planning care for an older adult client who has Meniere's disease. Which of the following interventions should the nurse include in the plan? a. Perform range-of-motion exercises to the client's neck every 4 hour b. Limit the client's fluid intake to 1,500 ml/day d. Administer aspirin if the client reports a headache c. Encourage the client to change positions slowly - answer>>>c. Encourage the client to change positions slowly
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? HOTZONE a. Upper left abdomen (THIS ONE IS A DIAGRAM CHOOSE THE POINT ON THE TOP LEFT OF ABDOMEN) - answer>>>Upper left abdomen
A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure? a. Initiate beta blocker therapy b. Insert a urinary catheter c. Prepare the client for an intravenous pyelogram d. Administer IV fluids to the client - answer>>>d. Administer IV fluids to the client
A nurse is preparing to administer 1 unit of packed RBCs to an adult client. Which of the following actions should the nurse plan to take? a. Administer through a 22-gauge IV catheter b. Prime the IV tubing with 0.45% sodium chloride c. Complete the transfusion within 2 hour d. Slow the transfusion rate if the client reports itching - answer>>>c. Complete the transfusion within 2 hours
A nurse is planning care for a client who has developed nephrotic syndrome. Which of the following dietary recommendations should the nurse include? a. Increase phosphorus intake c. Increase potassium intake d. Decrease carbohydrate intake b. Decrease protein intake - answer>>>b. Decrease protein intake
A nurse is caring for an older adult client who has dementia. Which of the following questions should the nurse ask to assess the client's abstract thinking?
c. Hypotension d. Lethargy - answer>>>a. Increased temperature
A nurse is caring for a client who is postoperative following a complete thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider? a. Serosanguineous drainage b. Muscle twitching c. Client report of nausea d. Client report incisional pain - answer>>>b. Muscle twitching
A nurse is reviewing ECG rhythm strips for a group of clients. The nurse should identify that which of the following rhythms indicates bradycardia? - answer>>>the ****ing bradycardic one maybe
A nurse is caring for a client who is receiving epidural analgesics. Which of the following assessment findings in the nurse's priority? a. Bladder distention b. Hypoactive bowel sounds c. Hypotension d. Weakness to lower extremities - answer>>>c. Hypotension
A nurse is planning care for a client who has status epilepticus. Which of the following interventions is the nurse's priority to include? a. Turn the client to the lateral position during seizure activity b. Provide the client oxygen at 6 l/min using a nasal cannula c. Administer phenytoin IV bolus to the client d. Administer diazepam intravenously to the client - answer>>>a. Turn the client to the lateral position during seizure activity
A nurse is caring for a client following a below-the knee amputation. The client states. "my life is over." Which of the following responses should the nurse make? a. "you are upset. We can talk about this later?"
b. "would you like to meet with another client who is an amputee?" c. "why do you think your life is over?" d. "most people can adjust following this surgery" - answer>>>b. would you like to meet another client who is an amputee?
A nurse in a clinic is providing preventive teaching to an older adult client during a well visit. The nurse should instruct the client that which of the following immunizations are recommended for healthy adults after the age of 60? Select All That Apply a. Herpes zoster b. Influenza c. Meningococcal d. Human papillomavirus e. Pneumococcal polysaccharide - answer>>>a. Herpes zoster b. Influenza E. Pneumococcal polysaccharide
A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse plan to include? a. Turn off all lights in the client's room at night b. Place the client's bed at the lowest height c. Request a prescription for a nightly sedative d. Assist the client with toileting at least once every 4 hour - answer>>>b. Place the client's bed at the lowest height
A nurse is assessing a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following findings indicates that the client is experiencing hypoglycemia? a. Abdominal cramping b. Increased perspiration c. Dehydration d. Fruity odor to breath - answer>>>b. Increased perspiration
a. Discontinue opioids before trying nonpharmacological methods of pain relief b. Use imagery with clients who have difficulty with focus and concentration c. Distraction changes the client's perception of pain, but does not affect the cause d. Pain relief from the use of heat and cold continues for several hours after removal of the stimulus - answer>>>c. Distraction changes the client's perception of pain, but does not affect the cause.
A nurse is caring for a female client who is receiving total parental nutrition without fat emulsion. Which of the following findings should the nurse report? a. Crackles in the bilateral lung bases b. Weight gain of 1.3 kg (3lb) over the past 7 days c. Triglyceride 110 mg/dl d. Bowel sounds absent in lower quadrants - answer>>>a. Crackles in the bilateral lung bases
A nurse in an emergency department is preparing to perform an ocular irrigation for a client. Which of the following actions should the nurse plan to take? a. Assess the client's visual acuity prior to irrigation b. Have the client turn their head toward the unaffected eye c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye d. Perform the irrigation with sterile water for irrigation - answer>>>D. Perform the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the nurse set the IV pump to administer? Round to near whole number. A. 10 B. 22 C. 33 D. 4 - answer>>>C. 33 gtt/min
A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following client statements indicates an understanding of the teaching? a. I can keep my medications for 1 year before replacing it b. I should lie down when I take this medication c. I should discontinue this medication if I develop a headache d. I can take up to five tablets in 15 minutes before seeking medical attention - answer>>>b. I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following a left total hip arthroplasty. Which of the following instructions should the nurse include in the teaching? a. Clean the incision daily with hydrogen peroxide b. You can cross your legs the ankles when sitting down c. You should use an incentive spirometer every 8 hours d. Install a raised toilet seat in your bathroom - answer>>>d. Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. Which of the following actions should the nurse take? a. Keep the client on bed rest for 24 hours b. Limit the client's fluid intake to 1 l per day c. Maintain the client's affected extremity in extension d. Change the client's dressing every 8 hour - answer>>>c. maintain the clients affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. Which of the following client statements indicates that the client is adapting to their role change? a. I will need to have my partner take over shopping for groceries and cooking the meals for us
A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following assessment findings should the nurse identify as a potential trigger for exacerbations of Raynaud's? a. Eating a strict vegetarian diet b. A history of herpes zoster c. Taking amiodipine for hypertension d. Using a nicotine transdermal patch - answer>>>d. Using a nicotine transdermal patch
A nurse is caring for a client who has a central venous access device and notes the tubing has become disconnected. The client develops dyspnea and tachycardia. Which of the following actions should the nurse take first? a. Perform an ECG b. Obtain ABG values c. Turn the client to his left side d. Clamp the catheter - answer>>>d. Clamp the catheter
A nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the plan of care? a. Turn and reposition the client every 4 hr b. Apply an occlusive dressing c. Support bony prominences with pillows d. Massage the reddened areas three times a day - answer>>>c. Support bony prominences with pillows
A home health nurse is making an initial visit to a client who has multiple sclerosis. Which of the following actions is the priority for the nurse to take? a. Discuss recommendations for eating and swallowing techniques b. List strategies for family coping when dealing with possible role changes
c. Review the use of adaptive grooming devices to promote client independence d. Give the client information about the local national multiple sclerosis society - answer>>>a. Discuss recommendations for eating and swallowing techniques
A nurse in the emergency department is assessing a client. Which of the following actions should the nurse take first? Exhibit a. Obtain a sputum sample for culture b. Administer ondansetron c. Initiate airborne precautions d. Prepare the client for a chest x-ray - answer>>>c. Initiate airborne precautions
A nurse is reviewing the medical record of a client to identify risk factors for colorectal cancer. The nurse should identify which of the following findings as increasing the client's risk? a. History of Crohn's disease b. BMI of 24 c. Diet high in fiber d. Age 46 years - answer>>>a. History of Crohn's disease
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse, "I'm not sure I want to have a mastectomy." Which of the following statements should the nurse make? a. "I can give you a list of other people who had the same procedure" b. "You will be cancer-free if you have the procedure" c. "I can give you additional information about the procedure" d. "You should should get a second opinion regarding the procedure" - answer>>>c. I can give you additional information about the procedure
A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identify the sequence of steps the nurse should follow. a. Obtain venous access using 19-gauge needle
b. "I can have mayonnaise on my sandwiches" c. "I can have a frozen fruit juice bar for dessert" d. "I can drink vegetable juice with a meal" - answer>>>c. I can have a frozen fruit juice bar for dessert
A nurse is preparing to perform ocular irrigation for a client following chemical splash to the eye. Which of the following actions should the nurse plan to take first? a. Instill 0.9% sodium chloride solution into the affected eye b. Administer proparacaine eyedrops into the affected eye c. Collect information about the irritant that caused the injury - answer>>>c. Collect information about the irritant that caused the injury
A nurse is assessing a client following extubation from a ventilator. For which of the following findings should the nurse intervene immediately? a. Rhonchi b. SaO2 92% c. Sore throat d. Stridor - answer>>>d. Stridor
A nurse is reviewing the laboratory reports of a client who has acute pancreatitis. Which of the following findings should the nurse expect? a. Elevated serum calcium b. Elevated blood glucose c. Decreased serum amylase d. Decreased erythrocyte sedimentation rate - answer>>>b. Elevated blood glucose
A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the following findings should the nurse expect? a. Hypothermia b. Urine specific gravity 1.001 (<1.005) c. Elevated blood pressure
d. BUN 15 mg/dl - answer>>>b. Urine specific gravity 1.001 (<1.005)
A nurse is planning care for a client who has pulmonary embolism. Which of the following interventions should the nurse include? a. Initiate a continuous IV heparin infusion b. Instruct the client to massage the lower extremities c. Position the client on the left side d. Measure vital signs every 4 hour - answer>>>a. Initiate a continuous IV heparin infusion
A nurse is providing discharge teaching to a client who is recovering from a sickle cell crisis. Which of the following instructions should the nurse include? a. Avoid extremely hot or cold temperatures b. Limit fluids to 1.5 L per day c. Limit alcohol intake to one drink per day d. Avoid getting a flu vaccination - answer>>>a. Avoid extremely hot or cold temperatures
A nurse in the emergency department is caring for a client who is in hypovolemic shock. Which of the following actions should the nurse take first? a. Obtain a blood specimen for type and crossmatch b. Insert a large-bore IV catheter c. Administer IV therapy d. Monitor urine output - answer>>>b. Insert a large-bore IV catheter
A nurse is caring for a client who has an arteriovenous graft. Which of the following findings indicates adequate circulation of the graft? a. Dilated appearance of the graft b. Absence of a bruit c. Normotensive blood pressure d. Palpable thrill - answer>>>d. Palpable thrill
