NGN ATI PN ADULT MEDICAL SURGICAL EXAM
2024 ACTUAL EXAM 85 QUESTIONS WITH
DETAILED VERIFIED ANSWERS.
A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should
the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate - ANSWER...a. Desmopressin
A nurse is admitting a client who has arthritic pain and reports taking ibuprofen
several times daily for
3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b Stool for occult blood
c. Urine for white blood cells
d. Serum calcium - ANSWER...b Stool for occult blood
A nurse is contacting the provider for a client who has cancer and is experiencing
breakthrough
pain. Which of the following prescriptions should the nurse anticipate?
a. Transmucosal fentanyl
,b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone - ANSWER...a. Transmucosal fentanyl
A nurse is admitting a client who reports chest pain and has been placed on a
telemetry monitor. Which of
the following should the nurse analyze to determine whether the client is
experiencing a myocardial
infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment - ANSWER...d. ST segment
A nurse is teaching a client who has ovarian cancer about skin care following
radiation treatment. Which
of the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around the radiation - ANSWER...a. Pat
the skin on the radiation site to dry it
A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client
has bounding peripheral pulses, hypertension, and distended jugular veins. The
nurse should anticipate
,administering which of the following prescribed medications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide - ANSWER...d. Furosemide
A nurse is assessing a client who is receiving magnesium sulfate IV for the
treatment of
hypomagnesemia. Which of the following findings indicates effectiveness of the
medication?
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel sounds
d. Blood pressure 90/50 mm Hg - ANSWER...b. Apical pulse 82/min
A nurse is caring for a client who has dumping syndrome following a gastrectomy,
which of the following
actions should the nurse take ?
a. Offer the client high carbohydrate meal options meals a day
c. Encourage the client to to drink at least 360 ml of fluids with meals
d. Have the client lie down for 30 minutes after meals - ANSWER...d. Have the
client lie down for 30 minutes after meals
A nurse is assessing a client who is 12hr postoperative following a colon resection.
Which of the
following findings should the nurse report to the surgeon?
1. Heart rate 90/min
, 2. Absent bowel sounds → normal findings after major bowel surgery; takes
several days to return
to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0 - ANSWER...3. Hgb 8.2 g/dl
A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and HCO3
21 mEq/L. The nurse
should recognize these findings as indication of which of the following conditions?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Compensated respiratory alkalosis
d. Uncompensated respiratory acidosis - ANSWER...c. Compensated respiratory
alkalosis
11. A nurse is caring for a client who has a deep partial thickness burns over 15%
of her body which of
the following labs should the nurse expect during the first 24 hours
A. Decreased BUN ELEVATED DT fluid loss
B. Hypoglycemia
C. Hypoalbuminemia
D. Decreased Hematocrit - ANSWER...C. Hypoalbuminemia (Low due to fluid
loss)
A nurse is teaching a group of young adult clients about risk factors for hearing
loss. Which of the following
2024 ACTUAL EXAM 85 QUESTIONS WITH
DETAILED VERIFIED ANSWERS.
A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should
the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate - ANSWER...a. Desmopressin
A nurse is admitting a client who has arthritic pain and reports taking ibuprofen
several times daily for
3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b Stool for occult blood
c. Urine for white blood cells
d. Serum calcium - ANSWER...b Stool for occult blood
A nurse is contacting the provider for a client who has cancer and is experiencing
breakthrough
pain. Which of the following prescriptions should the nurse anticipate?
a. Transmucosal fentanyl
,b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone - ANSWER...a. Transmucosal fentanyl
A nurse is admitting a client who reports chest pain and has been placed on a
telemetry monitor. Which of
the following should the nurse analyze to determine whether the client is
experiencing a myocardial
infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment - ANSWER...d. ST segment
A nurse is teaching a client who has ovarian cancer about skin care following
radiation treatment. Which
of the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around the radiation - ANSWER...a. Pat
the skin on the radiation site to dry it
A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client
has bounding peripheral pulses, hypertension, and distended jugular veins. The
nurse should anticipate
,administering which of the following prescribed medications?
a. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide - ANSWER...d. Furosemide
A nurse is assessing a client who is receiving magnesium sulfate IV for the
treatment of
hypomagnesemia. Which of the following findings indicates effectiveness of the
medication?
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel sounds
d. Blood pressure 90/50 mm Hg - ANSWER...b. Apical pulse 82/min
A nurse is caring for a client who has dumping syndrome following a gastrectomy,
which of the following
actions should the nurse take ?
a. Offer the client high carbohydrate meal options meals a day
c. Encourage the client to to drink at least 360 ml of fluids with meals
d. Have the client lie down for 30 minutes after meals - ANSWER...d. Have the
client lie down for 30 minutes after meals
A nurse is assessing a client who is 12hr postoperative following a colon resection.
Which of the
following findings should the nurse report to the surgeon?
1. Heart rate 90/min
, 2. Absent bowel sounds → normal findings after major bowel surgery; takes
several days to return
to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0 - ANSWER...3. Hgb 8.2 g/dl
A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and HCO3
21 mEq/L. The nurse
should recognize these findings as indication of which of the following conditions?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Compensated respiratory alkalosis
d. Uncompensated respiratory acidosis - ANSWER...c. Compensated respiratory
alkalosis
11. A nurse is caring for a client who has a deep partial thickness burns over 15%
of her body which of
the following labs should the nurse expect during the first 24 hours
A. Decreased BUN ELEVATED DT fluid loss
B. Hypoglycemia
C. Hypoalbuminemia
D. Decreased Hematocrit - ANSWER...C. Hypoalbuminemia (Low due to fluid
loss)
A nurse is teaching a group of young adult clients about risk factors for hearing
loss. Which of the following
