Surgical 2026
ATI RN Adult Medical Surgical 2026 Proctored
Exam 1 Actual and Retake Versions
100 NGN Questions and Answers| 2026/2027
Latest Update | Complete Chapter Questions
& Answers with Rationales | Verified Questions
& Answers | Graded A+
A nurse is assessing a client who has an exacerbation of herpes zoster. Which of the following manifestations of
the client's skin should the nurse expect?
a. Confluent, honey-colored, crusted lesions
b. A large, tender nodule located on a hair follicle
c. Unilateral, localized, nodular skin lesions
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d. A fluid-filled vesicular rash in the genital region –
Correct Answer :C. Unilateral, localized, nodular skin lesions--- Herpes zoster, or shingles, results from the
reactivation of a dormant varicella virus. It is the acute, unilateral inflammation of the dorsal root ganglion. The
infection typically develops in adults and produces localized vesicular lesions confined to a dermatome. It
produces localized, nodular skin lesions.
A nurse is conducting a home visit for an older adult client who has diabetes mellitus and takes regular insulin
subcutaneously before each meal. The client appears disoriented and weak and has slurred speech. Which of the
following conditions should the nurse consider first when responding to these manifestations?
a. Dementia
b. Hypoglycemia
c. Infection
d. Transient ischemic attack –
Correct Answer :B. Hypoglycemia---Evidence-based practice indicates the nurse should first check the client for
hypoglycemia by drawing a blood glucose level. A client who has hypoglycemia can have slurred speech,
disorientation, weakness, and confusion near meal time each day because regular insulin peaks in 2 to 4 hours,
causing a drop in the client's blood glucose. Other manifestations of hypoglycemia include irritability, mental
confusion, double vision, hunger, tachycardia, diaphoresis, and palpitations.
A nurse is teaching a client who has diabetes mellitus about hypoglycemia. Which of the following
manifestations should the nurse include? (Select all that apply.)
a. Bradycardia
b. Diaphoresis
c. Deep, rapid respirations
d. Palpitations
e. Shakiness –
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Correct Answer :B. Diaphoresis
D. Palpitations
E. Shakiness---Diaphoresis, palpitations, and shakiness are sympathetic nervous system responses to
hypoglycemia.
A nurse is monitoring the electrocardiogram of a client who has hypocalcemia. Which of the following findings
should the nurse expect?
a. Flattened T waves
b. Prolonged QT intervals
c. Shortened QT intervals
d. Widened QRS complexes –
Correct Answer :B. Prolonged QT intervals--- Manifestations of hypocalcemia include tingling, numbness,
tetany, seizures, prolonged QT intervals, and laryngospasm. Causes include hypoparathyroidism, chronic kidney
disease, and diarrhea.
A nurse is providing teaching to a client who has a new diagnosis of type 2 DM. The nurse should recognize that
the clients understands the teaching when he identifies which of the following as manifestations of
hypoglycemia. (Select all that apply)
a. Polyuria
b. Blurred vision
c. Polydipsia
d. Tachycardia
e. Moist, clammy skin –
Correct Answer :B) blurred vision
D) tachycardia
E) moist, clammy skin
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A nurse is caring for an adolescent client who has a long hx of DM & is being admitted to the emergency
department confused, flushed, & with an acetone odor on the breath. DKA is suspected. The nurse should
anticipate using which of the following types of insulin to treat this client?
a. NPH insulin
b. Insulin glargine
c. Insulin detemir
d. Regular insulin –
Correct Answer :D) Regular insulin--- regular insulin is classified as a short-acting insulin. It can be given
intravenously with an onset of action of less than 30 min. This is the insulin that is most appropriate in
emergency situations of severe hyperglycemia or DKA
A nurse is teaching a client who has diabetes about which dietary source should provide the greatest percentage
of calories. Which of the following statements indicates the client understands the teaching?
a. "Most of my calories each day should be from fats"
b. "I should eat more calories from complex carbohydrates than anything else"
c. "Simple sugars are needed more than other calorie sources"
d. "Protein should be my main source of calories" - Correct Answer :B) "I should eat more calories from
complex carbohydrates than anything else"--- The client who has diabetes should consume the majority of
calories from complex carbs, such as whole grains, fruits, and veggies
A nurse is caring for a client who reports recurrent flank pain, nausea, & vomiting for 24 hr. Which of the
following actions is the nurse's priority?
a. Monitor I&O
b. Strain the urine
c. Administer pain med
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