ATI RN Adult Medical-Surgical Proctored Exam Questions and Correct
Answers with NGN, 2025 Latest! | RN Med-Surg (BEST FOR EXAM
PRACTICE)
1. A client who is deaf and communicates using sign language is being admitted by a nurse
who does not know sign language. Which of the following actions should the nurse take?
Request an interpreter during the initial assessment.
2. A nurse is caring for a client who has left-sided heart failure. Which of the following
manifestations should the nurse expect? Daytime oliguria (LOW URINE)
3. A nurse enters a client's room and observes the client having a tonic-clonic seizure. Which
of the following actions should the nurse take first? Turn the client on their side.
4. A nurse is caring for a client who has acute heart failure and received morphine IV 30 min
ago. Which of the following findings should the nurse identify as an indication that the
medication was effective? Decreased anxiety.
5. A nurse is assessing a client who has anorexia. Which of the following findings should
the nurse identify as a manifestation of malnutrition? Alopecia
6. A nurse is caring for a client who is 2 days postoperative following a below-the- knee
amputation and asks about the purpose of maintaining an elastic bandage around the residual
limb of the extremity. Which of the following is an appropriate response by the nurse?
"The elastic bandage will prevent excessive edema."
7. A nurse in the emergency department is managing the care of a client who has an
electrical shock injury. Which of the following actions should the nurse take first? Obtain an
ECG
8. A nurse is caring for a client who has a new onset of hyperglycemic hyperosmolar state
(HHS). Which of the following interventions by the nurse is the highest priority? Initiate IV
fluid replacement.
9. A nurse is reviewing the health history of a client who is scheduled for exploratory
surgery. Which of the following food allergies indicates a risk for an allergic reaction to
latex? (Strawberries) or avocado, kiwi, passion fruit, banana, chestnut, plum,
tomato
1|Page
, 10. A nurse is assessing a client who received a purified protein derivative (PPD) skin test 48 hr ago
and notes erythema with induration of 12 mm at the injection site. Which of the following instructions
should the nurse provide to the client? "You will need to return in 48 hours for re-
evaluation."
11. A nurse is planning to withdraw medication from an ampule to prepare for an injection.
Which of the following actions should the nurse plan to take? Place a paper towel
around the ampule's neck to break off the top with both hands.
12. A nurse is caring for a client who has moderate Alzheimer's disease. During weekly
home visits, the nurse notices that the client's caregiver is tired, irritable, and impatient with
the client. Which of the following actions should the nurse recommend to the caregiver?
Consider respite the care services.
13. A nurse is assessing a client who is postoperative following an open reduction and internal
fixation (ORIF) of the femur. Which of the following assessments should be the nurse's
priority? Pain assessment.
14. A nurse is caring for a client who is 3 hr postoperative following a total knee
arthroplasty. Which of the following actions should the nurse take to prevent venous
thromboembolism? Encourage the client to perform circumduction of the feet.
15. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several
times daily for 3 years. Which of the following tests should the nurse monitor? Stool for
occult blood.
16. A nurse is caring for a client who is 16 hr postoperative and is experiencing abdominal
gas pains. Which of the following actions should the nurse take? Assist the client with
ambulation.
17. A nurse is administering packed RBCs to a client. The client reports chills, lower back
pain, and nausea 10 min. after the infusion begins. Which of the following actions should the
nurse take first? Stop the infusion. (due to a possible hemolytic shock syndrome)
2|Page
Answers with NGN, 2025 Latest! | RN Med-Surg (BEST FOR EXAM
PRACTICE)
1. A client who is deaf and communicates using sign language is being admitted by a nurse
who does not know sign language. Which of the following actions should the nurse take?
Request an interpreter during the initial assessment.
2. A nurse is caring for a client who has left-sided heart failure. Which of the following
manifestations should the nurse expect? Daytime oliguria (LOW URINE)
3. A nurse enters a client's room and observes the client having a tonic-clonic seizure. Which
of the following actions should the nurse take first? Turn the client on their side.
4. A nurse is caring for a client who has acute heart failure and received morphine IV 30 min
ago. Which of the following findings should the nurse identify as an indication that the
medication was effective? Decreased anxiety.
5. A nurse is assessing a client who has anorexia. Which of the following findings should
the nurse identify as a manifestation of malnutrition? Alopecia
6. A nurse is caring for a client who is 2 days postoperative following a below-the- knee
amputation and asks about the purpose of maintaining an elastic bandage around the residual
limb of the extremity. Which of the following is an appropriate response by the nurse?
"The elastic bandage will prevent excessive edema."
7. A nurse in the emergency department is managing the care of a client who has an
electrical shock injury. Which of the following actions should the nurse take first? Obtain an
ECG
8. A nurse is caring for a client who has a new onset of hyperglycemic hyperosmolar state
(HHS). Which of the following interventions by the nurse is the highest priority? Initiate IV
fluid replacement.
9. A nurse is reviewing the health history of a client who is scheduled for exploratory
surgery. Which of the following food allergies indicates a risk for an allergic reaction to
latex? (Strawberries) or avocado, kiwi, passion fruit, banana, chestnut, plum,
tomato
1|Page
, 10. A nurse is assessing a client who received a purified protein derivative (PPD) skin test 48 hr ago
and notes erythema with induration of 12 mm at the injection site. Which of the following instructions
should the nurse provide to the client? "You will need to return in 48 hours for re-
evaluation."
11. A nurse is planning to withdraw medication from an ampule to prepare for an injection.
Which of the following actions should the nurse plan to take? Place a paper towel
around the ampule's neck to break off the top with both hands.
12. A nurse is caring for a client who has moderate Alzheimer's disease. During weekly
home visits, the nurse notices that the client's caregiver is tired, irritable, and impatient with
the client. Which of the following actions should the nurse recommend to the caregiver?
Consider respite the care services.
13. A nurse is assessing a client who is postoperative following an open reduction and internal
fixation (ORIF) of the femur. Which of the following assessments should be the nurse's
priority? Pain assessment.
14. A nurse is caring for a client who is 3 hr postoperative following a total knee
arthroplasty. Which of the following actions should the nurse take to prevent venous
thromboembolism? Encourage the client to perform circumduction of the feet.
15. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several
times daily for 3 years. Which of the following tests should the nurse monitor? Stool for
occult blood.
16. A nurse is caring for a client who is 16 hr postoperative and is experiencing abdominal
gas pains. Which of the following actions should the nurse take? Assist the client with
ambulation.
17. A nurse is administering packed RBCs to a client. The client reports chills, lower back
pain, and nausea 10 min. after the infusion begins. Which of the following actions should the
nurse take first? Stop the infusion. (due to a possible hemolytic shock syndrome)
2|Page
