RN NGN ATI ADULT MEDICAL SURGICAL
PRACTICE B 2024- 2026 EXAM 90 NGN
QUESTIONS WITH CORRECT DETAILED
ANSWERS GRADED A+
A nurse is preparing an in-service presentation about assessing
clients who are having an acute myocardial infarction (MI). What
is the most common assessment finding with acute MI?
dyspnea
pain in the shoulder and left arm
substernal chest pain
palpitations - CORRECT ANSWER>>substernal chest pain
A nurse is caring for a client who has hemophilia. The client
reports pain and swelling in a joint following an injury. Which of
the following actions should the nurse take?
Obtain blood samples to test platelet function
Prepare for replacement of missing clotting factor
Administer aspirin for the client's pain
,Place the bleeding joint in the dependent position - CORRECT
ANSWER>>Prepare for replacement of missing clotting factor
A nurse is caring for a client who has emphysema and chronic
respiratory acidosis. The nurse should monitor the client for which
of the following electrolyte imbalances?
Hyperkalemia
Hyponatremia
Hypercalcemia
Hypomagnesemia - CORRECT ANSWER>>Hyperkalemia
chronic respiratory acidosis can result in high potassium
A nurse is assessing a client who has isotonic dehydration. Which
of the following findings should the nurse expect?
increased hematocrit level
bradycardia
distended neck veins
decreased urine specific gravity - CORRECT
ANSWER>>increased hematocrit level
,A nurse is caring for a client who has an abdominal aortic
aneurysm and is scheduled for surgery. The client's vital signs are
blood pressure 160/98 mmHg, heart rate 102/min, respirations
22/min, and SpO2 95%. Which of the following actions should the
nurse take?
Administer antihypertensive medication for blood pressure
Monitor to ensure the client's urinary output is 20 mL/hr
Withhold pain medication to prepare the client for surgery
Take the client's vital signs every 2 hr - CORRECT
ANSWER>>Administer antihypertensive medication for blood
pressure
A nurse is reviewing the laboratory findings of a client who has
protein-calorie malnutrition. Which of the following findings should
the nurse expect?
Decreased albumin
Elevated hemoglobin
Elevated lymphocytes
Decreased cortisol - CORRECT ANSWER>>Decreased albumin
A nurse is assessing a client for manifestations of aplastic
anemia. Which of the following findings should the nurse expect?
, Plethoric appearance of facial skin
Glossitis and weight loss
Jaundice with an enlarged liver
Petechiae and ecchymosis - CORRECT ANSWER>>Petechiae
and ecchymosis
A nurse is providing discharge teaching for a client who had a
bone marrow transplant and has thrombocytopenia. Which of the
following statements indicates that the client understands the
precautions he must take at home?
"I'll stick with soft foods for now."
"My family will be bringing me fresh flowers today."
"I'll use a new disposable razor each day."
"I'll blow my nose more often to avoid nosebleeds." - CORRECT
ANSWER>>"I'll stick with soft foods for now."
A nurse is teaching a client who has iron-deficiency anemia. The
nurse should encourage the client to increase her consumption of
which of the following foods?
Lentils
PRACTICE B 2024- 2026 EXAM 90 NGN
QUESTIONS WITH CORRECT DETAILED
ANSWERS GRADED A+
A nurse is preparing an in-service presentation about assessing
clients who are having an acute myocardial infarction (MI). What
is the most common assessment finding with acute MI?
dyspnea
pain in the shoulder and left arm
substernal chest pain
palpitations - CORRECT ANSWER>>substernal chest pain
A nurse is caring for a client who has hemophilia. The client
reports pain and swelling in a joint following an injury. Which of
the following actions should the nurse take?
Obtain blood samples to test platelet function
Prepare for replacement of missing clotting factor
Administer aspirin for the client's pain
,Place the bleeding joint in the dependent position - CORRECT
ANSWER>>Prepare for replacement of missing clotting factor
A nurse is caring for a client who has emphysema and chronic
respiratory acidosis. The nurse should monitor the client for which
of the following electrolyte imbalances?
Hyperkalemia
Hyponatremia
Hypercalcemia
Hypomagnesemia - CORRECT ANSWER>>Hyperkalemia
chronic respiratory acidosis can result in high potassium
A nurse is assessing a client who has isotonic dehydration. Which
of the following findings should the nurse expect?
increased hematocrit level
bradycardia
distended neck veins
decreased urine specific gravity - CORRECT
ANSWER>>increased hematocrit level
,A nurse is caring for a client who has an abdominal aortic
aneurysm and is scheduled for surgery. The client's vital signs are
blood pressure 160/98 mmHg, heart rate 102/min, respirations
22/min, and SpO2 95%. Which of the following actions should the
nurse take?
Administer antihypertensive medication for blood pressure
Monitor to ensure the client's urinary output is 20 mL/hr
Withhold pain medication to prepare the client for surgery
Take the client's vital signs every 2 hr - CORRECT
ANSWER>>Administer antihypertensive medication for blood
pressure
A nurse is reviewing the laboratory findings of a client who has
protein-calorie malnutrition. Which of the following findings should
the nurse expect?
Decreased albumin
Elevated hemoglobin
Elevated lymphocytes
Decreased cortisol - CORRECT ANSWER>>Decreased albumin
A nurse is assessing a client for manifestations of aplastic
anemia. Which of the following findings should the nurse expect?
, Plethoric appearance of facial skin
Glossitis and weight loss
Jaundice with an enlarged liver
Petechiae and ecchymosis - CORRECT ANSWER>>Petechiae
and ecchymosis
A nurse is providing discharge teaching for a client who had a
bone marrow transplant and has thrombocytopenia. Which of the
following statements indicates that the client understands the
precautions he must take at home?
"I'll stick with soft foods for now."
"My family will be bringing me fresh flowers today."
"I'll use a new disposable razor each day."
"I'll blow my nose more often to avoid nosebleeds." - CORRECT
ANSWER>>"I'll stick with soft foods for now."
A nurse is teaching a client who has iron-deficiency anemia. The
nurse should encourage the client to increase her consumption of
which of the following foods?
Lentils
