ATI - ADULT MEDICAL SURGICAL NGN B
QUESTIONS AND ANSWERS 2026
|GUARANTEE A+
A nurse is providing teaching to a client who is perimenopausal and has a prescription for
hormone replacement therapy. For which of the following adverse effects should the nurse
instruct the client to notify the provider? - ANS - Calf pain
Numbness in the arms
Intense headache
A nurse is planning care for a client who is postoperative following a laparotomy and has a
closed-suction drain. Which of the following actions should the nurse take to manage the
drain? - ANS - Compress the drain
reservoir after emptying.
A nurse is caring for a client who has DKA. Which of the following findings should indicate to
the nurse that the client's condition is improving? - ANS
- Glucose 272 mg/dL
A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago.
The nurse should identify which of the following findings as an indication of a myocardial
infarction (MI)? - ANS - Troponin I 8 ng/mL
A nurse is planning a health promotional presentation for a group of African American
clients at a community center. Which of the following disorders presents the greatest risk to
this group of clients? - ANS - hypertension
A nurse is providing education to a client who is at risk for osteoporosis. Which of the
following instructions should the nurse include? - ANS - Walk for 30 min four times per
week.
A nurse is caring for a client who has an arterial line. Which of the following actions should
the nurse take? - ANS - Place a pressure bag around the flush solution.
,A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the
following results should the nurse expect? - ANS - PaCO2 56
A nurse is providing postoperative teaching for a client who had a total knee
arthroplasty. Which of the following instructions should the nurse include? - ANS -
Flex the foot every hour when awake.
A nurse is planning care for a client who is postoperative following a parathyroidectomy.
Which of the following actions should the nurse identify as the priority? - ANS - Place
a tracheostomy tray at the bedside.
A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. The
nurse should identify the need to revise the plan for which of the following clients? - ANS
- A client who is postoperative following
abdominal surgery and reports feeling that something "popped" when they coughed
A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. The
nurse notes a pacemaker artifact followed by a QRS complex. Which of the following
actions should the nurse take? - ANS - Document that depolarization has occurred.
A nurse is providing discharge instructions to a client who has active tuberculosis (TB).
Which of the following information should the nurse include in the instructions? - ANS -
Sputum specimens are necessary every
2 to 4 weeks until there are three negative cultures.
A nurse is caring for a client who is receiving a blood transfusion. The client becomes
restless, dyspneic, and has crackles noted to the lung bases.
Which of the following actions should the nurse anticipate taking? - ANS - Slow the
infusion rate
A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the
following findings is the nurse's priority? - ANS
- Temperature 38.9° C (102° F)
A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke.
To reduce the risk of falls when ambulating, the nurse
, should provide which of the following instructions to the client? - ANS - Scan the
environment by turning your head from side to side.
A PACU nurse is assessing a client who is postoperative following a right nephrectomy.
The client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg,
respiratory rate 16/min, and temperature 36° C (96.80 F). Which of the following vital sign
changes should alert the nurse that the client might be hemorrhaging? - ANS -
Heart rate 110/min
A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty.
The client is unable to void on the bedpan. Which of the following actions should the
nurse take first? - ANS - Scan the bladder with
a portable ultrasound.
A nurse is assessing a client who has advanced lung cancer and is receiving palliative
care. The client has just undergone thoracentesis. The nurse should expect a reduction in
which of the following common manifestations of advanced cancer? - ANS - Dyspnea
A nurse is caring for a client who is postoperative. - ANS - Nurses' Notes
Client admitted to medical-surgical unit from PACU. Client reports incisional pain as 2 on a
scale of 0 to 10. Client appears restless and frequently asks for water. Bilateral lower
extremities cool with +1 pedal pulses. Urine output is 40 mL for the past 2 hr. Moderate
amount of bright red drainage noted on surgical incision dressing.
Vital Signs
Temperature 37.6° C (99.7° F) Heart
rate 114/min Respiratory rate 22/min
Blood pressure 88/54 mm Hg Oxygen
saturation 93% on room air
Diagnostic Results
Hgb 18 g/dL (12 to 16 g/dL)
Hct 54% (37% to 47 %)
Total WBC count 11,000/mm3 (5,000 to 10,000/mm3) Troponin T 0.04
ng/mL (less than 0.1 ng/mL)
Medical History.
QUESTIONS AND ANSWERS 2026
|GUARANTEE A+
A nurse is providing teaching to a client who is perimenopausal and has a prescription for
hormone replacement therapy. For which of the following adverse effects should the nurse
instruct the client to notify the provider? - ANS - Calf pain
Numbness in the arms
Intense headache
A nurse is planning care for a client who is postoperative following a laparotomy and has a
closed-suction drain. Which of the following actions should the nurse take to manage the
drain? - ANS - Compress the drain
reservoir after emptying.
A nurse is caring for a client who has DKA. Which of the following findings should indicate to
the nurse that the client's condition is improving? - ANS
- Glucose 272 mg/dL
A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago.
The nurse should identify which of the following findings as an indication of a myocardial
infarction (MI)? - ANS - Troponin I 8 ng/mL
A nurse is planning a health promotional presentation for a group of African American
clients at a community center. Which of the following disorders presents the greatest risk to
this group of clients? - ANS - hypertension
A nurse is providing education to a client who is at risk for osteoporosis. Which of the
following instructions should the nurse include? - ANS - Walk for 30 min four times per
week.
A nurse is caring for a client who has an arterial line. Which of the following actions should
the nurse take? - ANS - Place a pressure bag around the flush solution.
,A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the
following results should the nurse expect? - ANS - PaCO2 56
A nurse is providing postoperative teaching for a client who had a total knee
arthroplasty. Which of the following instructions should the nurse include? - ANS -
Flex the foot every hour when awake.
A nurse is planning care for a client who is postoperative following a parathyroidectomy.
Which of the following actions should the nurse identify as the priority? - ANS - Place
a tracheostomy tray at the bedside.
A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. The
nurse should identify the need to revise the plan for which of the following clients? - ANS
- A client who is postoperative following
abdominal surgery and reports feeling that something "popped" when they coughed
A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. The
nurse notes a pacemaker artifact followed by a QRS complex. Which of the following
actions should the nurse take? - ANS - Document that depolarization has occurred.
A nurse is providing discharge instructions to a client who has active tuberculosis (TB).
Which of the following information should the nurse include in the instructions? - ANS -
Sputum specimens are necessary every
2 to 4 weeks until there are three negative cultures.
A nurse is caring for a client who is receiving a blood transfusion. The client becomes
restless, dyspneic, and has crackles noted to the lung bases.
Which of the following actions should the nurse anticipate taking? - ANS - Slow the
infusion rate
A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the
following findings is the nurse's priority? - ANS
- Temperature 38.9° C (102° F)
A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke.
To reduce the risk of falls when ambulating, the nurse
, should provide which of the following instructions to the client? - ANS - Scan the
environment by turning your head from side to side.
A PACU nurse is assessing a client who is postoperative following a right nephrectomy.
The client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg,
respiratory rate 16/min, and temperature 36° C (96.80 F). Which of the following vital sign
changes should alert the nurse that the client might be hemorrhaging? - ANS -
Heart rate 110/min
A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty.
The client is unable to void on the bedpan. Which of the following actions should the
nurse take first? - ANS - Scan the bladder with
a portable ultrasound.
A nurse is assessing a client who has advanced lung cancer and is receiving palliative
care. The client has just undergone thoracentesis. The nurse should expect a reduction in
which of the following common manifestations of advanced cancer? - ANS - Dyspnea
A nurse is caring for a client who is postoperative. - ANS - Nurses' Notes
Client admitted to medical-surgical unit from PACU. Client reports incisional pain as 2 on a
scale of 0 to 10. Client appears restless and frequently asks for water. Bilateral lower
extremities cool with +1 pedal pulses. Urine output is 40 mL for the past 2 hr. Moderate
amount of bright red drainage noted on surgical incision dressing.
Vital Signs
Temperature 37.6° C (99.7° F) Heart
rate 114/min Respiratory rate 22/min
Blood pressure 88/54 mm Hg Oxygen
saturation 93% on room air
Diagnostic Results
Hgb 18 g/dL (12 to 16 g/dL)
Hct 54% (37% to 47 %)
Total WBC count 11,000/mm3 (5,000 to 10,000/mm3) Troponin T 0.04
ng/mL (less than 0.1 ng/mL)
Medical History.
