RN ATI ADULT MEDSURG PROCTORED EXAM 2025/2026 WITH NGN, Exams of Nursing

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RN ATI ADULT MEDSURG PROCTORED EXAM 2025/202 6 WITH NGN

QUESTION 1

QUESTION 2

QUESTION 6

MY ANSWER

****A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect? Osteoporosis MY ANSWER ****A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should identify which of the following lesion characteristics on the client's skin? A pearly, waxy nodule MY ANSWER ****A nurse is assessing a client who has hypocalcemia. In which of the following areas should the nurse tap on the client's face to detect the presence of Chvostek's sign? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

A is correct. The nurse should tap the client's cheek just in front of the ear and below the zygomatic

arch. The client who has hypocalcemia will display a Chvostek's sign, which is a twitching of the facial muscle.

B is incorrect. The nurse should apply upward pressure at the supraorbital ridge, below the

eyebrow, to assess for tenderness and inflammation of the frontal sinuses.

C is incorrect. The nurse should palpate the jaw and mastoid muscle of a client who has

temporomandibular joint dysfunction. This can be caused by misaligned teeth, arthritis, or grinding of the teeth. With palpation, the nurse might feel a click, pop, or grating sensation when the client opens or closes the jaw. Bottom of Form ****A nurse in an emergency department is assessing a client who is overusing prescribed diuretics and has a sodium level of 127 mEq/L. Which of the following laboratory findings should the nurse expect? Low urine specific gravity MY ANSWER ***A home health nurse is assisting a client with planning care for a family member who has Alzheimer's disease. Which of the following instructions should the nurse include? Review the daily schedule with the client every morning. ***A nurse is caring for a client who has developed acute respiratory distress syndrome (ARDS). Which of the following findings should the nurse identify as a manifestation of this syndrome? Refractory hypoxemia MY ANSWER ***An emergency room nurse is assessing a client who has asthma and difficulty breathing. Which of the following findings should indicate to the nurse that the client is experiencing status asthmaticus? Use of accessory muscles MY ANSWER ******** A nurse is teaching a client who has a new prescription for phenytoin to treat a seizure disorder. Which of the following adverse effects should the nurse instruct the client to report immediately to the provider? Skin rash MY ANSWE

****A nurse is providing teaching about health promotion activities for a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? "I will check my blood sugar level before exercising." MY ANSWER ****A nurse is providing teaching to a client who has a new prescription for warfarin. Which of the following medications should the nurse instruct the client to avoid? (Select all that apply.) MY ANSWER Ferrous sulfate is incorrect. Ferrous sulfate is an iron supplement and has no known interaction with warfarin. Echinacea is incorrect. Echinacea is a supplement that a client might take to improve the immune system and has no known interaction with warfarin. Aspirin is correct. Aspirin is an antiplatelet medication. It can increase the risk of bleeding when taken with warfarin. Dextromethorphan is incorrect. Dextromethorphan is a cough suppressant and has no known interaction with warfarin. Naproxen is correct. Naproxen is an NSAID that relieves mild to moderate pain. It can increase the risk of bleeding if taken with warfarin. Bottom of Form Place the client leaning forward over the bedside table for the procedure. MY ANSWER ***A nurse is providing discharge teaching about infection control at home for a client who has tuberculosis. Which of the following statements by the client indicates an understanding of the teaching? "I will place my used tissues in a plastic bag." MY ANSWER ***A nurse is teaching a client who is scheduled to receive radioactive iodine therapy for treatment of hyperthyroidism. Which of the following instructions should the nurse include in the teaching? Use disposable utensils for meals.

****A nurse is providing preoperative teaching to a client who is scheduled for a radical prostatectomy. Which of the following information should the nurse include in the teaching? A PCA pump will be used for postoperative pain control. MY ANSWER A nurse is assessing a client's ECG strip and notes an irregular heart rate of 98/min with no clear P waves. Which of the following cardiac dysrhythmias should the nurse document? ***A nurse is caring for a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take? Report cloudy dialysate drainage to the provider. ***A nurse is assessing a client who has suspected appendicitis. Which of the following manifestations should the nurse expect? (Select all that apply.) MY ANSWER Elevated WBC count is correct. A client who has acute appendicitis will show a moderate elevation of the WBC count from 10,000 to 18,000/mm^3. If the WBC count is greater than 20,000/mm^3 , it can indicate a perforated appendix. Elevated amylase level is incorrect. Amylase levels increase with pancreatitis but not with acute appendicitis. Rebound tenderness is correct. A client who has appendicitis develops localized pain over the right lower quadrant of the abdomen. When the area is palpated, pain occurs during release of pressure on the client's abdomen. Ascites is incorrect. Ascites can be a manifestation of cirrhosis; however, it is not associated with appendicitis. Anorexia is correct. A client who has acute appendicitis experiences nausea, vomiting, and reduced appetite. Bottom of Form ******* A nurse is planning preventative strategies for a client who is at risk for pressure injuries. Which of the following actions should the nurse include in the plan? Apply moisturizer to damp skin after bathing. MY ANSWER

Question 56 loaded rationals provided ***A nurse is caring for a client who had abdominal surgery. The client tells the nurse that "something gave way." The nurse removes the dressing and sees the wound has eviscerated. Identify the correct sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) Top of Form

• Place the client in a low Fowler's position with the knees bent.
• Cover the client's wound with a sterile saline-soaked dressing.
• Notify the surgeon about the finding.
• Prepare the client for transfer to surgery. Based on evidence-based practice, the nurse should immediately contact the surgeon and notify them of the wound evisceration. The nurse should then cover the client’s wound with a sterile saline soaked dressing to protect it from infection. The nurse should then place the client in a low Fowler's position with their knees bent and then prepare the client to be transferred to surgery. Bottom of Form ******** A nurse is caring for a client who is hemorrhaging and hypotensive from esophageal variceal bleeding. Which of the following actions should the nurse take first? Verify that the client has adequate IV access. MY ANSWER ******** A nurse is assessing a client who has a new diagnosis of diabetes mellitus. The nurse should identify that which of the following findings is a manifestation of hyperglycemia? Increased thirst ******* A nurse is reviewing the health histories of a group of clients. Which of the following findings should the nurse identify as an indication that a client is at an increased risk for urinary tract infections (UTIs)? Diabetes mellitus MY ANSWER

******* A nurse is preparing to discharge a client who is postoperative following a total hip arthroplasty. Which of the following equipment should the nurse ensure that the client has available at home prior to discharge? Elevated toilet seat MY ANSWER ***A nurse is assessing a client who has a history of type 2 diabetes mellitus. The nurse should identify which of the following findings as an indication of a microvascular complication? Retinopathy MY ANSWER Monitor the client for any adverse reactions. MY ANSWER ******* A nurse is planning care for a client who had a lumbar laminectomy. Which of the following interventions should the nurse include in the plan of care? Turn the client by log rolling with a turning sheet. MY ANSWER ******* A nurse is teaching a client how to obtain a specimen at home for a fecal occult blood test. Which of the following actions should the nurse instruct the client to take for 3 days prior to collecting the specimen? Avoid eating red meat. MY ANSWER ***A nurse is caring for a client immediately following intubation with an endotracheal (ET) tube. Which of the following methods should the nurse identify as the most reliable for verifying placement of the ET tube? verifying ET tube replacement

******** A nurse is preparing to administer enoxaparin 0.75 mg/kg subcutaneously to a client who weighs 154 lb. The amount available is enoxaparin 60 mg/0.6 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) 0.5 ml ******* A nurse is caring for a group of clients. In which of the following scenarios is the nurse acting as a client advocate? The nurse refers a client who has chronic obstructive pulmonary disease for palliative care services. MY ANSWER A nurse is assessing a client who recently had a myocardial infarction. Which of the following findings indicates that the client might be developing pulmonary edema? (Select all that apply.) MY ANSWER Excessive somnolence is correct. Manifestations of pulmonary edema can include a change in orientation or mental status. A client who has excessive somnolence might be experiencing pulmonary edema. Epistaxis is incorrect. Epistaxis, or a nosebleed, can be an indication of a low platelet count; however, it is not a manifestation associated with pulmonary edema. Pink, frothy sputum is correct. A client who has pulmonary edema can develop pink, frothy sputum, wheezing, and tachypnea. Tachypnea is correct. A client who has pulmonary edema can develop pink, frothy sputum, wheezing, and tachypnea. Urinary frequency is incorrect. The client who is developing pulmonary edema is retaining fluid. Once treated with diuretics, the kidneys will begin excreting sodium and water. Bottom of Form

****** A nurse is teaching a client about preventing the transmission of HIV. Which of the following information should the nurse include? Medication is available that will reduce the risk for HIV transmission. ******** A nurse is caring for a client who has multiple leg fractures and is 24 hr postoperative following placement of skeletal traction. Which of the following actions should the nurse take? Inspect the pin sites at least every 8 hr. ***A nurse in a long-term care facility is caring for a client who has dementia. Which of the following actions should the nurse take? Provide finger food at mealtime.

MY ANSWER

******* A nurse is completing an admission assessment for a client who has bacterial meningitis. Which of the following personal protective equipment should the nurse use while caring for the client? Surgical mask MY ANSWER USE ***A nurse is assessing a client for fluid volume deficit following lumbar spinal surgery. The nurse should identify which of the following findings as an indication the client is at risk for fluid volume deficit? Surgical drain output 300 mL during an 8-hr shift MY ANSWER Bottom of Form ******* A nurse is assessing a client who has a central venous catheter (CVC) with intravenous (IV) fluids infusing. The client suddenly develops shortness of breath, and the nurse notes that the IV tubing and needleless connector device are disconnected. Which of the following actions should the nurse take first? Close the pinch clamp on the CVC. MY ANSWER ******* A nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse plan to take? Place monitoring cords and tubes in a stockinette. MY

Wear a protective gown when suctioning the client's airway is incorrect. The nurse should use standard precautions when exposure to bodily secretions is possible. However, a protective gown will not prevent VAP in the client. Monitor for oral secretions every 2 hr is correct. The nurse should monitor for oral secretions at least every 2 hr to decrease the likelihood of micro-organisms moving from the mouth into the respiratory tract. Provide oral care every 2 hr is correct. The nurse should provide oral care every 2 hr using chlorhexidine rinse or sodium chloride solution with swabbing or tooth brushing. Maintain the client in a supine position is incorrect. The nurse should position the client with the head of the bed elevated at least 30° to prevent aspiration of bacteria into the airway. Assess the client daily for readiness of extubation is correct. To lower the risk of the client acquiring VAP, the nurse should assess the client daily for neurological readiness for discontinuing mechanical ventilation. Bottom of Form ******* A nurse is planning care for a client who is receiving intermittent IV fluids via a peripherally inserted central catheter (PICC). Which of the following information should the nurse include in the client's plan of care? Assess the PICC infusion system systematically. MY ANSWER ******* A nurse is performing a risk assessment for a client. Which of the following factors should the nurse identify as increasing the client's risk for falls? The client had cataract surgery 1 day ago. MY ANSWER ******* A nurse is providing teaching to a group of clients about the prevention of coronary artery disease. Which of the following information should the nurse include in the teaching? Walk 30 min daily at a comfortable pace. MY ANSWER ********* A home health nurse is inspecting a client's residence for electrical hazards as part of the agency's quality improvement plan. Which of the following findings should the nurse identify as a safety hazard? An IV pump is plugged into an outlet near a sink. MY ANSWER ******* A nurse is teaching a client about self-management of their halo fixator device. Which of the following information should the nurse include in the teaching?

Place a small pillow under the head while lying supine. MY AN***A nurse is providing teaching to a client about strategies to manage menopausal symptoms. Which of the following instructions should the nurse include in the teaching? "Use water-based lubricant during intercourse to reduce discomfort." MY ANSWER ******** A nurse is caring for a client who has chronic venous insufficiency. Which of following areas should the nurse assess for the presence of a venous ulcer? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

A is correct. The nurse should assess the medial malleolus (ankle) of a client who has chronic

venous insufficiency for the presence of a venous ulcer. The ankle is the most common area for a venous ulcer. A client who has venous insufficiency can exhibit skin discoloration and edema as well as a large or superficial ulcer with irregular borders at the site of the medial or lateral malleolus that weeps exudate. A pulse is palpable in this area and the client typically experiences a moderate level of pain at the site. B is incorrect. The nurse should assess the tip of the toe and between the toes of a client who has arterial insufficiency for the presence of an arterial ulcer. A client who has an arterial ulcer can exhibit cyanosis in the extremity, cool temperature to the touch, and weak or absent pulses. C is incorrect. The nurse should assess the ball of the foot of a client who has diabetes mellitus. A client who has a diabetic ulcer can exhibit wounds or ulcers on the plantar or other pressure areas of the feet. These wounds are deep with pale, even edges, and little granulation in the wound bed. Bottom of Form ******* A nurse in an emergency department is caring for a client who is confused, has a temperature of 40° C (104° F), a BP of 74/52 mm Hg, and a diagnosis of exertional heat stroke. Which of the following actions should the nurse take first? Administer oxygen using a high-concentration mask. MY ANSWER

"I will change my cat's litter box twice weekly" is incorrect. The client who is immunocompromised should have someone else change the litter box to avoid infections. "I will take my temperature daily" is correct. The client who is immunocompromised should take daily temperature readings and report an elevated temperature to the provider. "I will eat plenty of fresh fruits and vegetables" is incorrect. The client who is immunocompromised should avoid food sources that contain bacteria, such as fresh fruits and vegetables, undercooked meat, fish, and eggs. Bottom of Form ******** A nurse is assessing a client who has a chest tube connected to a closed water-seal drainage system. Which of the following findings should the nurse report to the provider? Constant bubbling in the water seal chamber ****A nurse is caring for a client who has a small bowel obstruction and an NG tube in place. Which of the following actions should the nurse take? Maintain low intermittent suction. MY ANSWER ******** A nurse is teaching a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? "I am aware that my diabetes is caused by an autoimmune disorder." ******* A nurse is monitoring a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a manifestation of Cushing's triad? Increase in blood pressure from 130/ mm Hg to 180/100 mm Hg MY ANSWER ******* A nurse is preparing to administer potassium chloride 10 mEq IV over 1 hr to a client. Available is potassium chloride 10 mEq in 100 mL of 0.9% sodium chloride. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 100? CLOSE Question 5 loaded rationals provided Question: 5 of 90

INCORRECT

- Time Remaining: 00:28:31 • Pause Remaining: 00:05: PAUSE FLAG A nurse is providing teaching about dietary options for a client who has cholelithiasis. Which of the following statements should the nurse include in the teaching? cuts of meat ******** A nurse is providing discharge teaching to a client who has COPD. Which of the following instructions should the nurse include in the teaching? "Consume a diet that is high in calories." MY ANSWER ****A nurse is assessing a client's understanding of a surgical procedure prior to witnessing their signature on the informed consent form. The nurse determines that the client does not understand what the procedure will involve. Which of the following actions should the nurse take? Contact the provider who will be performing the procedure. MY ANSWER ****A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the following statements should the nurse include in the teaching? Top of Form "You will not be able to eat or drink after the procedure until you are able to cough." MY ANSWER ****** A nurse is caring for a client who is 24 hr postoperative following a total hip arthroplasty. Which of the following actions should the nurse take? Maintain abduction of the affected extremity.