ATI MEDSURG PROCTORED FINAL EXAM
2023 NGN ACTUAL EXAMINATION 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⫸ What rhythms are shockable? (defibrillation) Answer: ventricular
fibrillation and pulseless ventricular tachycarida
⫸ What dysrhythmia are amiodarone and lidocaine indicated for?
Answer: ventricular arrhythmias
⫸ The nurse should initiate CPR for a client who what? Answer: is
pulseless or not breathing
⫸ A nurse is preparing a client who has supraventricular tachycardia for
elective cardioversion. Which of the following medications should the
nurse instruct the client to withhold for 48 hr prior to cardioversion?
A. Enoxaparin
B. Metformin
C. Diazepam
D. Digoxin Answer: D. digoxin
Cardiac glycosides, such as digoxin, are withheld prior to cardioversion.
These medications can increase ventricular irritability and put the client
at risk for ventricular fibrillation after the synchronized countershock of
cardioversion
,⫸ _______ are usually given prior to cardioversion to reduce anxiety
and minimize discomfort with the procedure. Answer: Sedatives like
diazepam
⫸ Metformin is held before what kind of procedures? Example? Why?
Answer: Ones that involve contrast dye like cardiac catheterization, in
order to prevent kidney damage.
⫸ __________ prevent blood clots that can be released into the
circulatory system after cardioversion. Answer: Anticoagulants like
enoxaparin
⫸ What kind of drugs are withheld prior to cardioversion? Answer:
cardiac glycosides like digoxin
⫸ exopthalmosis Answer: condition produced by hyperthyroidism in
which the eyeballs protrude beyond their normal protective orbit because
of swelling in the tissues behind them
⫸ entropion Answer: the inversion of the edge of an eyelid
⫸ ectropion Answer: the eversion of the edge of an eyelid
⫸ ptosis Answer: drooping
,⫸ A nurse is caring for a client who has emphysema and is receiving
mechanical ventilation. The client appears anxious and restless, and the
high-pressure alarm is sounding. Which of the following actions should
the nurse take first?
A. Obtain ABGs.
B. Administer propofol to the client.
C. Instruct the client to allow the machine to breathe for them.
D. Disconnect the machine and manually ventilate the client. Answer: C.
Instruct the client to allow the machine to breathe for them. When
providing client care, the nurse should first use the least restrictive
intervention. Therefore, the first action the nurse should take is to
provide verbal instructions and emotional support to help the client relax
and allow the ventilator to work. Clients can exhibit anxiety and
restlessness when trying to "fight the ventilator."
⫸ A nurse is caring for a client who has a potassium level of 3. Which
of the following assessment findings should the nurse expect?
A. Positive Trousseau's sign
B. 4+ deep tendon reflexes
C. Deep respirations
D. Hypoactive bowel sounds Answer: D. Hypoactive bowel sounds
⫸ Deep tendon reflexes are used to monitor what electrolyte level?
Answer: magnesium
, ⫸ What kind of respirations occur with hypokalemia and why? Answer:
shallow respirations due to respiratory muscle weakness
⫸ Trosseau's sign evaluates for what electrolyte imbalances? Answer:
hypocalcelmia and hypomagnesemia
⫸ What is hypokalemia's effect on the GI system? Answer: It decreases
smooth muscle contraction leading to decreased peristalsis and
hypoactive bowel sounds.
⫸ Deep tendon reflexes in hypomagnesemia Answer: increased e.g. 4+
⫸ Deep tendon reflexes in hypermagnesemia Answer: decreased e.g.
absent or 1+
⫸ What should be done if you are performing a cardiac assessment on a
client and you hear a murmur? Answer: Listen with the client on their
left side so it can be heard more clearly
⫸ A nurse is conducting an admission history for a client who is to
undergo a CT scan with an IV contrast agent. The nurse should identify
that which of the following findings requires further assessment?
A. History of asthma
B. Appendectomy 1 year ago
C. Penicillin allergy
D. Total knee arthroplasty 6 months ago Answer: A. History of asthma
2023 NGN ACTUAL EXAMINATION 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⫸ What rhythms are shockable? (defibrillation) Answer: ventricular
fibrillation and pulseless ventricular tachycarida
⫸ What dysrhythmia are amiodarone and lidocaine indicated for?
Answer: ventricular arrhythmias
⫸ The nurse should initiate CPR for a client who what? Answer: is
pulseless or not breathing
⫸ A nurse is preparing a client who has supraventricular tachycardia for
elective cardioversion. Which of the following medications should the
nurse instruct the client to withhold for 48 hr prior to cardioversion?
A. Enoxaparin
B. Metformin
C. Diazepam
D. Digoxin Answer: D. digoxin
Cardiac glycosides, such as digoxin, are withheld prior to cardioversion.
These medications can increase ventricular irritability and put the client
at risk for ventricular fibrillation after the synchronized countershock of
cardioversion
,⫸ _______ are usually given prior to cardioversion to reduce anxiety
and minimize discomfort with the procedure. Answer: Sedatives like
diazepam
⫸ Metformin is held before what kind of procedures? Example? Why?
Answer: Ones that involve contrast dye like cardiac catheterization, in
order to prevent kidney damage.
⫸ __________ prevent blood clots that can be released into the
circulatory system after cardioversion. Answer: Anticoagulants like
enoxaparin
⫸ What kind of drugs are withheld prior to cardioversion? Answer:
cardiac glycosides like digoxin
⫸ exopthalmosis Answer: condition produced by hyperthyroidism in
which the eyeballs protrude beyond their normal protective orbit because
of swelling in the tissues behind them
⫸ entropion Answer: the inversion of the edge of an eyelid
⫸ ectropion Answer: the eversion of the edge of an eyelid
⫸ ptosis Answer: drooping
,⫸ A nurse is caring for a client who has emphysema and is receiving
mechanical ventilation. The client appears anxious and restless, and the
high-pressure alarm is sounding. Which of the following actions should
the nurse take first?
A. Obtain ABGs.
B. Administer propofol to the client.
C. Instruct the client to allow the machine to breathe for them.
D. Disconnect the machine and manually ventilate the client. Answer: C.
Instruct the client to allow the machine to breathe for them. When
providing client care, the nurse should first use the least restrictive
intervention. Therefore, the first action the nurse should take is to
provide verbal instructions and emotional support to help the client relax
and allow the ventilator to work. Clients can exhibit anxiety and
restlessness when trying to "fight the ventilator."
⫸ A nurse is caring for a client who has a potassium level of 3. Which
of the following assessment findings should the nurse expect?
A. Positive Trousseau's sign
B. 4+ deep tendon reflexes
C. Deep respirations
D. Hypoactive bowel sounds Answer: D. Hypoactive bowel sounds
⫸ Deep tendon reflexes are used to monitor what electrolyte level?
Answer: magnesium
, ⫸ What kind of respirations occur with hypokalemia and why? Answer:
shallow respirations due to respiratory muscle weakness
⫸ Trosseau's sign evaluates for what electrolyte imbalances? Answer:
hypocalcelmia and hypomagnesemia
⫸ What is hypokalemia's effect on the GI system? Answer: It decreases
smooth muscle contraction leading to decreased peristalsis and
hypoactive bowel sounds.
⫸ Deep tendon reflexes in hypomagnesemia Answer: increased e.g. 4+
⫸ Deep tendon reflexes in hypermagnesemia Answer: decreased e.g.
absent or 1+
⫸ What should be done if you are performing a cardiac assessment on a
client and you hear a murmur? Answer: Listen with the client on their
left side so it can be heard more clearly
⫸ A nurse is conducting an admission history for a client who is to
undergo a CT scan with an IV contrast agent. The nurse should identify
that which of the following findings requires further assessment?
A. History of asthma
B. Appendectomy 1 year ago
C. Penicillin allergy
D. Total knee arthroplasty 6 months ago Answer: A. History of asthma
