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NGN ATI MEDSURG PROCTORED ACTUAL EXAM NEWSET
VERSION - 2025/2026- WITH 100+ QUESTIONS AND VERIFIED
ANSWERS (100% SUCCEESS)
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 b. These crutches will make it impossible to care for my child c. I feel bad that I have to ask my partner to keep the house clean d. Its going to be difficult to tell my parents I cant take them to their appointments anymore a. I will need to have my partner take over shopping for groceries and cooking the meals for us 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 d. Install a raised toilet seat in your bathroom 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 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
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 ml over the past 24 hour. The nurse should anticipate a prescription for which of the following IV medication? a. Desmopressin b. Epinephrine c. Furosemide d. Nitroprusside a. Desmopressin A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor and reports a nagging dry cough. Which of the following responses by the nurse is appropriate? a. "your cough may require that you stop or change your medication" b. "Increasing your daily fluid intake may eliminate your cough" c. "sucking on lozenge may reduce the frequency of your cough" d. You cough should go away in time" a. your cough may require that you stop or change your medication
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 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 d. Clamp the catheter
b. Administer ondansetron c. Initiate airborne precautions d. Prepare the client for a chest x-ray 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 a. History of Crohn's disease 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 D. Perform the irrigation with sterile water for irrigation
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" 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. Obtain the unit of packed RBCs from blood bank c. Verify blood compatibility with another nurse d. Initiate transfusion of the unit of packed RBCs e. Remain with the client for the first 15 to 30 min of the infusion a. Obtain venous access using 19-gauge needle b. Obtain the unit of packed RBCs from blood bank c. Verify blood compatibility with another nurse d. Initiate transfusion of the unit of packed RBCs
A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit sodium intake to 2 g per day. Which of the following statements by the client indicates an understanding of the teaching? a. "I can season my foods with garlic and onion salts" 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" 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 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 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 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 b. Urine specific gravity 1.001 (<1.005)
c. Administer IV therapy d. Monitor urine output 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 d. Palpable thrill A nurse is assessing a client who has heart failure and is receiving a loop diuretic. Which of the following findings indicates hypokalemia? a. Oliguria b. Hypertension c. Muscle weakness d. Positive chvostek's sign (CHEEK) c. Muscle weakness
A nurse is caring for a client who has a full-thickness burn injury covering 15% of their body. Which of the following actions should the nurse take? a. Weigh the client once per week b. Provide the client with a protein intake of 1g/kg/day c. Maintain a daily count of the client's calorie intake d. Place the client on a low-carb diet c. Maintain a daily count of the client's calorie intake A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching? a. "I will expect my stools to be loose" b. "I will eat a high fiber diet' c. "I will take a laxative when I'm constipated" d. "I will empty my bag when it is full" a. I will expect my stools to be loose A nurse is caring for a client who is receiving total parental nutrition through a central line. The current bag is nearly empty, and a new bag is unavailable from the pharmacy. Which of the following actions should the nurse take?
c. "I've lost 15 pounds in the past 2 months" d. "I need to get my blood pressure medicine refilled" d. I need to get my blood pressure medicine refilled. A nurse is reviewing medications taken at home with a client who has angina. Which of the following statements by the client indicates an understanding of the teaching? a. "I should withhold my metoprolol if my heart rate is above 100 bpm" b. "I should take my daily aspirin on an empty stomach" c. "I should lie down before taking dose of isosorbide dinitrate" d. "I should place a nitroglycerin tablet under my tongue every 10 minutes for up to four doses" c. I should lie down before taking dose isosorbide dinitrate A nurse in the post-anesthesia care unit is assessing a client following an appendectomy and finds a 2-cm (3/4in) area of blood on the postoperative dressing. Which of the following actions should the nurse take? a. Apply pressure b. Loosen the dressing c. Circle the drainage d. Apply a new dressing
c. Circle the drainage A nurse is caring for a client who is receiving mechanical ventilation. Which of following interventions should the nurse implement? a. Empty water from the ventilator tubing daily b. Suction the client's airway every 4 hour c. Maintain the client in supine position d. Perform oral care every 2 hour a. Empty water from the ventilator tubing daily A nurse is a planning care for a client who has full-thickness burns on the lower extremities. Which of the following interventions should the nurse include? a. Apply new gloves when alternating between wound care sites b. Provide a diet of fresh fruits and vegetables for the client c. Limit visitation time for the client's children to 40 min per day d. Clean the equipment in the client's room once per week a. Apply new gloves when alternating between wound cares sites A nurse is providing teaching for a client who has tuberculosis and a new prescription
c. Tilt the client's head 45 degrees d. Point the tip of the syringe toward the top of the ear canal d. Point the tip of the syringe toward the top of the ear canal A nurse is caring for a client who has a history of chemotherapy-induced nausea and vomiting. Which of the following medications should the nurse administer prior to chemotherapy? a. Ondansetron b. Sertraline c. Methylprednisolone d. Diphenhydramine a. Ondansetron (ZOFRAN) A nurse is preparing to discharge a client who has halo device and is reviewing new prescriptions from the provider. The nurse should clarify which of the following prescriptions with the provider? a. Increase intake of fiber-rich foods b. May place a small pillow under head when sleeping c. May operate a motor vehicle when no longer taking analgesics d. Take a tub bath instead of showers c. May operate a motor vehicle when no longer taking analgesics
A nurse is providing discharge teaching to a client who has tuberculosis. Which of the following information should the nurse include in the teaching? a. "You should wear an N95 respirator mask when you are at home" b. "you will need to return in 2 weeks to provide a sputum specimen" c. "You can drink alcohol after the first 6 weeks of treatment" d. "Your provider will discontinue your medications after 3 months of therapy b. You will need to return in 2 weeks to provide a sputum specimen A nurse is caring for a client who is 2 days postoperative following a below-the- knee amputation and asks about the purpose of maintaining an elastic bandage around the residual limb of the extremity. Which of the following is an appropriate response by the nurse? a. "the elastic bandage will prevent a post-op wound infection" b. "the elastic bandage will prevent excessive edema" c. "the elastic bandage will keep the sutures from loosening" d. "the elastic bandage will keep you from seeing the surgical site" b. the elastic bandage will prevent excessive edema
