NGN ATI PN ADULT MEDICAL SURGICAL PRACTICE EXAM 2024 ACTUAL EXAM 2 VERSIONS COMPLETE
220 QUESTIONS WITH DETAILED VERIFIED ANSWERS & GRADED A+
TEST
A nurse is reviewing the laboratory data of a client who is scheduled for a liver biopsy. Which of the
following values should the nurse report to the provider?
a) Ammonia 55 mcg/dL
b) Bilirubin 1.0 mg/dL
c) Platelets 60,000/mm3
d) Aspartate aminotransferase 34 units/L
C. Platelets 60,000/mm3
Rationale:
The platelets provide blood clog to stop the bleeding in human body. Low PT count indicating the patient
will be susceptible to bleeding.
A nurse is assisting with the plan of care for a client who requires contact precautions. Which of the
following interventions should the nurse include in the plan?
a) Keep a stethoscope at the client's bedside for
the duration of her hospital stay.
b) Wear an N95 mask when entering the room.
c) Use an alcohol swab to clean the
temperature probe before removing it from
the room.
d) Remove personal protective equipment
immediately after leaving the client's room.
A. Keep a stethoscope at the client's bedside for
the duration of her hospital stay.
,Rationale:
contact precaution!
TEST
A nurse is caring for a client who has a prescription for propranolol for the treatment of atrial
fibrillation. Which of the following actions should the nurse take?
a) Request a dosage increase of the apical
heart rate is less than 60/min.
b) Administer the medication with an antacid.
c) Instruct the client to expect increased hair
growth.
d) Withhold the medication if the systolic blood
pressure is less than 90 mm Hg.
D. Withhold the medication if the systolic blood pressure is less than 90 mm Hg.
Rationale:
propranolol is a beta block. It is usually prescribed for high blood pressure and other heart problems.
Depend on your facility, you will need to withhold the medication when the patient BP or P is at a certain
low threshold.
Antacids, although are considered harmless, can affect negatively with Propranolol. They, just like
Omeprazole, can interfere with the usual absorption of Propranolol in your body. Magnesium antacids
may not affect the absorption that much, much aluminium containing antacids should be avoided while
you're being treated with Propranolol.
A nurse is reinforcing teaching about dietary modifications to help control blood pressure with a client
who has hypertension. Which of the following food choices by the client indicates an understanding of
the teaching?
a) A ham sandwich on rye bread
,b) Broiled cod with broccoli
c) Beef bouillon with crackers
d) Pork sausage with sauteed peppers
B. Broiled cod with broccoli
Rationale:
What can I say? It is fish and vegetable
A nurse is reinforcing teaching with a client about heart disease prevention, which of the following
client statements indicates an understanding of the teaching?
a) "I will increase my dairy intake by drinking
whole milk every meal."
b) "I will exercise by walking twice a week for 25
minutes."
c) "I will try to maintain my blood pressure
around 116/72."
d) "I will improve my LDL cholesterol by raising it
from 100 to 130."
C. "I will try to maintain my blood pressure around
116/72."
TEST
A nurse is reinforcing teaching about a transcutaneous electrical nerve stimulation (TENS) unit for a
client who has a herniated intervertebral disk. Which of the following statements by the client
indicates an understanding of the teaching?
a) "I will need to charge the TENS unit for 2
hours each day."
b) "The TENS unit administers a continuous
dose of pain medication."
, c) "I should adjust the TENS unit until I feel a
tingling sensation."
d) "The TENS unit should be applied at least 6
inched from the actual site of my pain."
C. "I should adjust the TENS unit until I feel a tingling sensation.
Rationale:
A TENS unit is a device that delivers mild electrical current to the affected area of the back using small
transcutaneous electrode pads. It can be used to relieve lower back pain and improve posture in those
with herniated discs and lower back conditions. It can also help to reduce swelling and stiffness in the
lower back. This can help to improve your mobility and overall range of motion.
TEST
The nurse is reinforcing teaching about a Transcutaneous Electrical Nerve Stimulation (TENS). Which of
the following statements by the nurse is accurate?
a) "This form of pain management involves tiny needles inserted into the skin and subcutaneous
tissues."
b) "This form of pain management focused on a pleasant thought to divert focus."
c) "This form of pain management involves meditation, yoga, and progressive muscle relaxation."
d) "This form of pain management involves mild electrical stimulus applied to the area of pain."
D. This form of pain management involves mild electrical stimulus applied to the area of pain.
Rationale:
This nonpharmacological technique is known as TENS.
Option A this nonpharmacological technique is known as acupuncture.
Option B this nonpharmacological technique is known as Imagery.
220 QUESTIONS WITH DETAILED VERIFIED ANSWERS & GRADED A+
TEST
A nurse is reviewing the laboratory data of a client who is scheduled for a liver biopsy. Which of the
following values should the nurse report to the provider?
a) Ammonia 55 mcg/dL
b) Bilirubin 1.0 mg/dL
c) Platelets 60,000/mm3
d) Aspartate aminotransferase 34 units/L
C. Platelets 60,000/mm3
Rationale:
The platelets provide blood clog to stop the bleeding in human body. Low PT count indicating the patient
will be susceptible to bleeding.
A nurse is assisting with the plan of care for a client who requires contact precautions. Which of the
following interventions should the nurse include in the plan?
a) Keep a stethoscope at the client's bedside for
the duration of her hospital stay.
b) Wear an N95 mask when entering the room.
c) Use an alcohol swab to clean the
temperature probe before removing it from
the room.
d) Remove personal protective equipment
immediately after leaving the client's room.
A. Keep a stethoscope at the client's bedside for
the duration of her hospital stay.
,Rationale:
contact precaution!
TEST
A nurse is caring for a client who has a prescription for propranolol for the treatment of atrial
fibrillation. Which of the following actions should the nurse take?
a) Request a dosage increase of the apical
heart rate is less than 60/min.
b) Administer the medication with an antacid.
c) Instruct the client to expect increased hair
growth.
d) Withhold the medication if the systolic blood
pressure is less than 90 mm Hg.
D. Withhold the medication if the systolic blood pressure is less than 90 mm Hg.
Rationale:
propranolol is a beta block. It is usually prescribed for high blood pressure and other heart problems.
Depend on your facility, you will need to withhold the medication when the patient BP or P is at a certain
low threshold.
Antacids, although are considered harmless, can affect negatively with Propranolol. They, just like
Omeprazole, can interfere with the usual absorption of Propranolol in your body. Magnesium antacids
may not affect the absorption that much, much aluminium containing antacids should be avoided while
you're being treated with Propranolol.
A nurse is reinforcing teaching about dietary modifications to help control blood pressure with a client
who has hypertension. Which of the following food choices by the client indicates an understanding of
the teaching?
a) A ham sandwich on rye bread
,b) Broiled cod with broccoli
c) Beef bouillon with crackers
d) Pork sausage with sauteed peppers
B. Broiled cod with broccoli
Rationale:
What can I say? It is fish and vegetable
A nurse is reinforcing teaching with a client about heart disease prevention, which of the following
client statements indicates an understanding of the teaching?
a) "I will increase my dairy intake by drinking
whole milk every meal."
b) "I will exercise by walking twice a week for 25
minutes."
c) "I will try to maintain my blood pressure
around 116/72."
d) "I will improve my LDL cholesterol by raising it
from 100 to 130."
C. "I will try to maintain my blood pressure around
116/72."
TEST
A nurse is reinforcing teaching about a transcutaneous electrical nerve stimulation (TENS) unit for a
client who has a herniated intervertebral disk. Which of the following statements by the client
indicates an understanding of the teaching?
a) "I will need to charge the TENS unit for 2
hours each day."
b) "The TENS unit administers a continuous
dose of pain medication."
, c) "I should adjust the TENS unit until I feel a
tingling sensation."
d) "The TENS unit should be applied at least 6
inched from the actual site of my pain."
C. "I should adjust the TENS unit until I feel a tingling sensation.
Rationale:
A TENS unit is a device that delivers mild electrical current to the affected area of the back using small
transcutaneous electrode pads. It can be used to relieve lower back pain and improve posture in those
with herniated discs and lower back conditions. It can also help to reduce swelling and stiffness in the
lower back. This can help to improve your mobility and overall range of motion.
TEST
The nurse is reinforcing teaching about a Transcutaneous Electrical Nerve Stimulation (TENS). Which of
the following statements by the nurse is accurate?
a) "This form of pain management involves tiny needles inserted into the skin and subcutaneous
tissues."
b) "This form of pain management focused on a pleasant thought to divert focus."
c) "This form of pain management involves meditation, yoga, and progressive muscle relaxation."
d) "This form of pain management involves mild electrical stimulus applied to the area of pain."
D. This form of pain management involves mild electrical stimulus applied to the area of pain.
Rationale:
This nonpharmacological technique is known as TENS.
Option A this nonpharmacological technique is known as acupuncture.
Option B this nonpharmacological technique is known as Imagery.
