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Actual ATI RN Adult Medical-Surgical (Med-Surg) Proctored Exam 2023-2025 with NGN – 100, Exams of Nursing

Champlain CollegeNursing

Actual ATI RN Adult Medical-Surgical (Med-Surg) Proctored Exam 2023-2025 with NGN – 100 Screenshot Questions & 100% Verified Answers # Ace Your 2025 RN ATI Med-Surg Proctored Exam A nurse in an emergency department is planning care for a client who has a flail chest on the right side following a motor vehicle crash which of the following actions should the nurse plan to take - --ANSWER---Prepare the client for positive pressure ventilation to promote lung expansion and stabilize the pressure within the client's chest then there should also administe

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Actual ATI RN Adult Medical-Surgical
(Med-Surg) Proctored Exam 2023-2025
with NGN – 100 Screenshot Questions &
100% Verified Answers # Ace Your 2025
RN ATI Med-Surg Proctored Exam
A nurse in an emergency department is planning care for a client who has a flail chest on the right side
following a motor vehicle crash which of the following actions should the nurse plan to take - --ANSWER-
--Prepare the client for positive pressure ventilation to promote lung expansion and stabilize the
pressure within the client's chest then there should also administer analgesics to alleviate pain while
breathing to achieve optimal lung reexpansion
A nurse is preparing to assist with the insertion of a non tunneled percutaneous central venous catheter
into a client's subclavian vein the nurse should plan to place the client in which of the following positions
- --ANSWER---Trendelenburg disposition facilitates the insertion of the catheter by dilating the blood
vessels of the clients neck and
A nurse is teaching an older adult client about osteoporosis prevention the nurse should instruct the
client that which of the following medications can increase her risk for developing osteoporosis - --
ANSWER---Fludrocortisone due to an increase in bone resorption by osteoclasts it can also reduce
intestinal absorption of calcium
A nurse is teaching a client who has end-stage kidney disease about organ donation which of the
following information should the nurse include in the teaching - --ANSWER---The client who receives a
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Partial preview of the text

Download Actual ATI RN Adult Medical-Surgical (Med-Surg) Proctored Exam 2023-2025 with NGN – 100 and more Exams Nursing in PDF only on Docsity!

Actual ATI RN Adult Medical-Surgical

(Med-Surg) Proctored Exam 2023- 2025

with NGN – 100 Screenshot Questions &

100% Verified Answers # Ace Your 2025

RN ATI Med-Surg Proctored Exam

A nurse in an emergency department is planning care for a client who has a flail chest on the right side following a motor vehicle crash which of the following actions should the nurse plan to take - --ANSWER- --Prepare the client for positive pressure ventilation to promote lung expansion and stabilize the pressure within the client's chest then there should also administer analgesics to alleviate pain while breathing to achieve optimal lung reexpansion A nurse is preparing to assist with the insertion of a non tunneled percutaneous central venous catheter into a client's subclavian vein the nurse should plan to place the client in which of the following positions

  • --ANSWER---Trendelenburg disposition facilitates the insertion of the catheter by dilating the blood vessels of the clients neck and A nurse is teaching an older adult client about osteoporosis prevention the nurse should instruct the client that which of the following medications can increase her risk for developing osteoporosis - -- ANSWER---Fludrocortisone due to an increase in bone resorption by osteoclasts it can also reduce intestinal absorption of calcium A nurse is teaching a client who has end-stage kidney disease about organ donation which of the following information should the nurse include in the teaching - --ANSWER---The client who receives a

kidney from a live donor has a lower rate of transplant rejection because the donor is often more medically compatible than a donor who is deceased A client is admitted to the ER with anxiety loss of muscle coordination and skin is hot and dry the client had been working on the yard prior to coming to the hospital which of the following actions should the nurse anticipate taking first - --ANSWER---Place the client on a cooling blanket because these findings indicate the client is at greatest risk for hyperthermia A nurse is caring for a client who has an arteriovenous fistula for dialysis which of the following requires intervention by the nurse - --ANSWER---Numb fingers distal to the fistula it indicates impaired circulation and requires intervention a nurse is caring for a client who had an open thoracotomy with chest tube insertion which of the following actions should the nurse take - --ANSWER---Keep the chest tube collection chamber below the level of the lungs A nurse is providing instruction about traveling for a client who has a new diagnosis of type 1 diabetes mellitus and is planning a trip by airplane which of the following should the nurse include in the teaching

  • --ANSWER---Take an additional pair of shoes A nurse is providing teaching to a client who has hypothyroidism and is receiving Levothyroxine the nurse should instruct the client that which of the following could interfere with the absorption of the medication - --ANSWER---Calcium supplements A nurse is reviewing the medical record of a client who has systemic lupus erythematosus. Which of the following findings should the nurse expect? - --ANSWER---Facial butterfly rash. R: A butterfly rash is a manifestation of SLE. It appears as a dry red rash on the clients cheeks and nose and can disappear during times of remission.

A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? - --ANSWER---I am taking this medication to increase my energy level. The goal of erythropoietin therapy is to increase the level of hematocrit and clients who have anemia. When the medication is effective the client should have a decreasing fatigue and an improvement and activity tolerance. A nurse is teaching a client who has venous insufficiency about self-care. Which of the following statements should the nurse identify as an indication that the client understands teaching? - --ANSWER- --I will wear clean graduated compression stockings everyday. The client should apply a clean pair of graduated compression stockings each day and clean soiled stockings with mild detergent and warm water by hand. A nurse is preparing to present a program about atherosclerosis at a health fair. Which of the following recommendations should the nurse plan to include? Select all that apply. - --ANSWER---Follow a smoking cessation program maintain an appropriate weight eat a low-fat diet and increase fluid intake. Smoking cessation is an important lifestyle modification to prevent Arthur sclerosis and preventing obesity through diet and exercise can help prevent atherosclerosis. Eating a low fat diet decreases LDL cholesterol and can prevent atherosclerosis. A nurse is caring for a client who is 12 hours post-operative following a total hip arthroplasty. Which of the following actions should the nurse take? - --ANSWER---Place a pillow between the clients legs. The nurse should place a pillow between the clients legs to prevent hip dislocation. A nurse is reviewing the medication history of a client who is to undergo allergy testing. The nurse should instruct the client to discontinue which of the following medications before the testing? - -- ANSWER---... A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the following actions should the nurse take first? - --ANSWER---Check for the type and number of units of blood to administer. According to evidence based practice the nurse should first confirm that the type and number of units of blood to administer matches what is indicated in the clients medication administration record. A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. Which of the following statements by the client indicates an understanding of the teaching? - --ANSWER---I will eat more high-fiber foods. The client should eat high-fiber foods to help prevent constipation which is a common adverse effect of oral iron supplements.

A nurse is caring for a client who is post-operative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider? - --ANSWER---HGB of 8. The nursery report and HGB level of 8 which is below the expected reference range and as an indicator of postoperative hemorrhage or anemia. A nurse is caring for a client who has a leg cast and is returning demonstration on the proper use of crutches while climbing stairs. Identify the sequence the client should follow when demonstrating crutch use. - --ANSWER---Place body weight on the crutches Advance the unaffected leg onto the stair shift weight from the crutches to the unaffected leg and then bring the crutches and the affected leg up to the stair A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous. Which of the following actions should the nurse take? - --ANSWER---Administer the medication at the same time each day. The nurse administer the medication to the client at the same time each day to maintain consistent serum levels A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the following findings indicates a potential complication? - --ANSWER---White blood cell count of 2000. This white blood cell count is below the expected reference range and indicates a risk for severe immunosuppression. A nurse in an emergency department is admitting a client who reports dyspnea and shortness of breath. Which of the following actions is the priority for the nurse to perform prior to administering oxygen? - -- ANSWER---Determine if the client has a history of COPD. According to evidence based practice the nurse should first assess if the client has COPD. Administering oxygen can worsen chronic hypercarbia in a client who has COPD A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? - --ANSWER---You will not be able to use sildenafil if you are taking nitroglycerin. The client should not use sildenafil when taking nitroglycerin because both medications can cause vasodilation and lead to significant hypotension A nurse is in a provider's office is providing teaching to a client who has a urinary tract infection and a new prescription for ciprofloxacin. Which of the following instructions should the nurse include - -- ANSWER---Avoid taking magnesium containing antacids with this medication. The nurse should instruct the client to take Ciprofloxacin either two hours before or 6 hours after taking an antacid but not to take

dextrose 10% in water until the new bag arrives. Tpn Solutions have a high concentration of dextrose therefore if a t-pn solution is temporarily unavailable the nurse administer dextrose 10% or 20% and water to avoid a precipitous drop in the client's blood glucose level A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for Omeprazole. The nurse should instruct the client that the medication provides Relief by which of the following actions

  • --ANSWER---Suppressing gastric acid production. I love her soul is a proton pump inhibitor it relieves manifestations of gastric ulcers by suppressing gastric acid production A nurse is providing discharge teaching to a client who is to self administer heparin subcutaneously. Which of the following responses by the client indicates an understanding of the teaching - --ANSWER---I will use an electric razor to shave. Heparin is an anticoagulant that places the client at risk for bleeding therefore the nurse should instruct the client to use an electric razor when shaving to reduce the risk of cuts to the skin a nurse is caring for a client following excavation of her endotracheal tube 10 minutes ago. Which of the following findings should the nurse report to the provider immediately - --ANSWER---Strider. Using the Urgent vs. Non-urgent approach to client care the nurse should determine that the priority finding a Strider. Strider can indicate and narrowing Airway or possible obstruction caused by edema or laryngeal spasms the nurse should report the finding immediately Implement an intervention a nurse is caring for a client who had a nephrostomy tube inserted 12 hours ago. Which of the following findings should the nurse report to the provider - --ANSWER---The client reports back pain the nurse should notify the provider if the client reports back pain which can indicate that the nephrostomy tube is dislodged or clogged A nurse is assessing a client while suctioning the clients tracheostomy tube which of the following findings should indicate to the nurse that the client is experiencing hypoxia - --ANSWER---The clients heart rate increases because hypoxia related to suctioning can cause the clients heart rate to increase if this occurs the nurse should discontinue the sectioning and immediately oxygenate the client with 100% oxygen the nurse should instruct the client to take three or four deep breaths prior to suctioning to reduce the risk for hypoxia A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish and ureterostomy. Which of the following statements should the nurse include in the teaching - --ANSWER---Cut the opening of The Skin Barrier one eighth of an inch wider than the stoma. The client should cut the opening of The Skin Barrier 1/8 inch wider than the stoma to minimize irritation of the skin from exposure to urine

A nurse is teaching a client who has atrial fibrillation about the purpose of wearing a Holter monitor. Which of the following information should the nurse include in the teaching - --ANSWER---This device can detect when you have an irregular heart rate because it reports and transmits electrical impulses of the heart and alerts the nurse to dysrhythmias myocardial injury or conduction defects a Holter monitor allows the client freedom of movement while cardiac activity is recorded A nurse is providing discharge teaching to a client who has heart failure and a new prescription for potassium sparing diuretic which of the following information should the nurse include in the teaching - --ANSWER---Try to walk at least 3 times per week for exercise because the development of a regular exercise routine can improve outcomes in clients who have heart failure A nurse is caring for a client who has chronic glomerulonephritis with oliguria which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis - --ANSWER--- Hyperkalemia as a result of kidney failure because kidney failure results in decreased excretion of potassium A nurses in an acute care facility is caring for a client who is at risk for seizures which of the following precautions should the nurse implement - --ANSWER---Ensure that the client has a patent IV in the event that the client requires medication to stop seizure activity A nurse is caring for a client who has bilateral pneumonia and an spo2 of 88% the client is dyspneic and productive cough and is using accessory muscles to breathe which of the following actions should the nurse take first - --ANSWER---Place the client in a high Fowler's position A nurse is caring for a client who has a new diagnosis of hyperthyroidism which of the following is the priority assessment finding that the nurse should report to the provider - --ANSWER---Blood pressure of 170 over 80 because using the Urgent vs. Non-urgent approach to client care the nurse determines that the priority funding is a systolic blood pressure of 170 which indicates that the client is at risk for thyroid storm A nurse is reviewing the medication history of a client who is to undergo allergy testing the nurse should instruct the client to discontinue which of the following medications before testing - --ANSWER--- Prednisone because it is a glucocorticoid that can cause the client to have false negative test results they should discontinue antihistamine medications several weeks prior to testing

A nurse is caring for a client who recently had a stroke of the right hemisphere which of the following manifestations should the nurse expect - --ANSWER---Impulsive behavior A nurse is caring for a client who is exhibiting manifestations of a febrile reaction while receiving a blood transfusion which of the following medications should the nurse administer - --ANSWER--- Acetaminophen to reduce fever and decreased the manifestation of the febrile reaction manifestations of a febrile reaction include tachycardia fever hypotension and chills the nurse should discontinue the transfusion and return the blood bag and tubing to the blood bank A nurse is assessing a client who has hypokalemia which of the following manifestations should the nurse expect - --ANSWER---Decreased peristalsis due to a decrease in gastrointestinal smooth muscle contraction a nurse is caring for a client who is experiencing supraventricular tachycardia upon assessing the client the nurse observes the following findings heart rate 200 per minute blood pressure 78 over 40 and respiratory rate 30 per minute which of the following actions should the nurse take - --ANSWER--- Perform synchronized cardioversion A nurse is providing dietary teaching to a client who is post-operative following a thyroidectomy with removal of the parathyroid glands the nurse should instruct the client to include which of the following foods that has the greatest amount of calcium in her diet - --ANSWER---12 almonds because they are the best source of calcium to recommend because they contain 36 milligrams of calcium removal of the parathyroid glands which regulate calcium in the body can result in hypocalcemia A nurse is caring for a client who has dka which of the following findings should indicate to the nurse at the client's condition is improving - --ANSWER---Glucose of 272 because a glucose reading less than 300 indicates Improvement in the client's status A nurse is performing a dressing change for a client who is recovering from a hemicolectomy when removing the dressing with the nurse notes that a large part of the bowel is protruding through the abdomen which of the following actions should the nurse take first - --ANSWER---Call for help because evidence based practice indicates that the nurse should first stay with the client and call for assistance the client will require emergency surgery and is at risk for shock therefore the nurse should attain immediate assistance

A nurse is caring for a client who presents to a clinic for a one-week follow-up visit after hospitalization for heart failure based on the information in the clients chart which of the following findings should the nurse report to the provider - --ANSWER---Heart rate of 55 per minute is a significant drop from the clients Baseline of 74 permanent and it can indicate the development of digoxin toxicity A nurse is assessing for compartment syndrome in a client who has a short leg cast which of the following findings should the nurse identify as a manifestation of this condition - --ANSWER---Pain that increases with passive movement because compartment syndrome results from a decrease in blood flow in the extremities because of a decrease in the muscle compartment size due to a cast that is too tight A nurse is planning care for a client who is post-operative following a laparotomy and has a closed suction drain which of the following actions should the nurse take to manage the drain - --ANSWER--- Compress the drain Reservoir after emptying because it creates a vacuum that draws fluid out of the room through the drain and into the reservoir A pacu nurse is assessing a client who is post-operative following a right nephrectomy the client's initial vital signs for heart rate 80 permanent blood pressure 130 over 70 respiratory rate 16 and temperature 96.8 which of the following Vital sign changes should alert the nurse the client might be hemorrhaging - --ANSWER---heart rate of 110 per minute because one of the first signs of hemorrhage is an increase in the heart rate from the clients Baseline which occurs to compensate for blood A nurse is assessing a client following the completion of hemodialysis which of the following findings is the nurses priority to report to the provider - --ANSWER---Restlessness because using the Urgent vs. Non-virgin approach to client care the nurse to determine that the priority funding to report to the provider is restlessness which can be an indication of the client is experiencing disequilibrium syndrome which is caused by the rapid removal of electrolytes for the clients blood and can lead to dysrhythmias or seizures other manifestations include nausea vomiting fatigue and headache A nurse is caring for a client who is having a seizure which of the following interventions is the nurses priority - --ANSWER---Turn the client to the side because the greatest risk to this client is hypoxia from an impaired Airway A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery the nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider - --ANSWER---Warfarin because it is an anticoagulant which increases the client's risk for bleeding and is contraindicated for a client scheduled for I or Central Nervous System since surgery

A nurse is teaching to a client who has hypertension and a new prescription for Verapamil. Which of the following juices should the nurse instruct the client to avoid - --ANSWER---Grapefruit because it inhibits the hepatic metabolism of the medication and then place the current client at risk for toxicity A nurse is providing teaching to a client who has asthma about the use of a metered dose inhaler the nurse should identify that which of the following client actions indicates an understanding of the teaching - --ANSWER---Holding breath for 10 seconds after inhaling so that the medication can move deep into the Airways A nurse is providing instructions to a client who has Type 2 diabetes mellitus and a new prescription for metformin which of the following statements by the client indicates an understanding of the teaching - -

  • ANSWER---I should take this medication with a meal to improve absorption and to minimize gastrointestinal distress A nurse is providing teaching to a client who has irritable bowel syndrome which of the following instructions should the nurse include in teaching - --ANSWER---Increase fiber intake to at least 30 grams per day to produce bulky soft stools and establish regular bowel patterns A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall during the assessment the client states last week I crashed my car because my vision suddenly became blurry which of the following actions is the nurses priority - --ANSWER---Check the clients neurologic status because the first action you should take is to assess the client A nurse is providing teaching to a client who has a new prescription for psyllium which of the following information should the nurse include in the teaching - --ANSWER---Drink 240 milliliters of water after Administration A nurse on a medical-surgical unit is receiving change of shift report on four clients which of the following clients should the nurse identify as having the greatest risk for developing an infection - -- ANSWER---A client who has COPD and is receiving steroid therapy because of decreased oxygenation and increased mucus production additionally taking a steroid medication increases the client's risk for infection by suppressing the immune system and masking the presence of an infection A nurse is planning discharge teaching for a client who has an external fixation device for a fracture of the lower extremity which of the following instructions should the nurse include in the plan of care - -- ANSWER---Used crutches with rubber tips to prevent the client from slipping and decrease the risk of Falls

A nurse in an emergency department is caring for a client who has full thickness Burns over 20% of his total body surface area after ensuring a patent Airway and administering oxygen which of the following items should the nurse prepared to administer first - --ANSWER---IV fluids to provide circulatory support A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for Gentamicin which of the following findings from the client's medical record should indicate to the nurse the need to withhold the medication and notify the provider - --ANSWER---Serum creatinine because a client who has an elevated serum creatinine level should not receive Gentamicin because the medication is nephrotoxic A nurse is reviewing the laboratory results of a client who has a new diagnosis of acute leukemia which of the following findings should the nurse identify as an expected finding - --ANSWER---Increased white blood cell count do to overproduction of white blood cells by the bone marrow A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit - --ANSWER---Heart rate of 110 per minute A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy which of the following actions should the nurse take - --ANSWER---Demonstrate ways to deep breathe and cough to prevent respiratory complications A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy to the nurse should recognize that which of the following complications is associated with long-term mechanical ventilation - --ANSWER---Stress ulcers because of elevated levels of hydrochloric acid in the stomach. They increase risk for systemic infection and require pharm treatment A nurse is providing discharge instructions to a client who has laryngeal cancer and received is receiving radiation treatment which of the following statements by the client indicates an understanding of the teaching - --ANSWER---I will avoid direct exposure to the Sun because the client should avoid exposure of irradiated skin areas to the Sun for at least one year after completing radiation therapy skin in the radiation path is especially sensitive to sun damage