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ATI RN ADULT MEDICAL SURGICAL 2025 FOR NGN FORM A, B & C ACTUAL EXAM EACH FORM CONTAINS 100 QUESTIONS

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ATI RN ADULT MEDICAL SURGICAL 2025 FOR NGN FORM A, B & C ACTUAL EXAM EACH FORM CONTAINS 100 QUESTIONS

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ATIVRNVADULTVMEDICALVSURGICALV2025VFORVNGNV
FORMVA,VBV&VCVACTUALVEXAMVEACHVFORMVCONT
AINSV100VQUESTIONSVANDVCORRECTVANSWERSVWIT
HV RATIONALES
|ALREADYV GRADEDV A+


FORMV A
AVnurseVinVanVacuteVcareVfacilityVisVcaringVforVaVclientVwhoVisVat
VriskVforVseizures.V WhichVofVtheVfollowingVprecautionsVshouldVtheVn
urseVimplement?V-VANSWER-V EnsureVtheVclientVhasVaVpatientVIV.

RATIONALE:V TheVnurseVshouldVensureVtheVclientVhasVIVVaccessVin
VtheVeventV thatVtheVclientVrequiresVmedicationVtoVstopVseizureVactivit
y.

AVnurseVisVcaringVforVaVclientVwhoVisVpostoperativeVfollowingVaVtot
alVhipV arthroplasty.VWhichVofVtheVfollowingVlaboratoryVvaluesVshould
VtheVnurseVreportVtoV theVprovider?V-VANSWER-VHgbV8Vg/dL

RATIONALE:V TheVnurseVshouldVreportVanVHgbVlevelVofV8Vg/
dL,VwhichVisVbelowV theVexpectedVreferenceVrangeVandVisVanVindicat
orVofVpostoperativeVhemorrhageVorV anemia.

AVnurseVisVassessingVaVclientVwhoVhadVextracorporealVshockVwave
VlithotripsyV (ESWL)V6VhrVago.VWhichVofVtheVfollowingVfindingsV
shouldVtheVnurseVexpect?V-V ANSWER-
VStoneVfragmentsVinVtheVurine

RATIONALE:V ESWLVisVanVeffortVtoVbreakVtheVcalculiVsoVthatVtheVfr
agmentsVpassV downVtheVureter,VintoVtheVbladder,VandVthroughVtheVuret
hraVduringVvoiding.
FollowingVtheVprocedure,VtheVnurseVshouldVstrainVtheVclient'sVurineVto
VconfirmVtheV passageVofVstones.

AVnurseVisVcaringVforVaVclientVwhoVhasVanorexia,Vlow-
gradeVfever,VnightVsweats,V andVaVproductiveVcough.VWhichVofVthe
VfollowingVactionsVshouldVtheVnurseVtakeV first?V-VANSWER-
VInitiateVairborneVprecautions.

RATIONALE:V ThisVclientVisVexhibitingVmanifestationsVofVtuberculosis.V
TheV greatestVriskVinVthisVclientVsituationVisVforVotherVpeopleVinVtheVf
acilityVtoVacquireVanV airborneVdiseaseVfromVthisVclient.VTherefore,VtheV
firstVactionVtheVnurseVshouldVtakeVisV toVinitiateVairborneVprecautions.

,AVnurseVisVcaringVforVaVclientVwhoVisVreceivingVtotalVparenteralVnutriti
onV(TPN).VAV newVbagVisVnotVavailableVwhenVtheVcurrentVinfusionVis
VnearlyVcompleted.VWhichVofV theVfollowingVactionsVshouldVtheVnurseVt
ake?V-VANSWER-
VAdministerVdextroseV 10%VinVwaterVuntilVtheVnewVbagVarrives.

RATIONALE:V TPNVsolutionsVhaveVaVhighVconcentrationVofVdextrose.V
Therefore,V ifVaVTPNVsolutionVisVtemporarilyVunavailable,VtheVnurseVsho
uldVadministerVdextroseV 10%VorV20%VinVwaterVtoVavoidVaVprecipitous
VdropVinVtheVclient'sVbloodVglucoseVlevel.

AVnurseVisVprovidingVteachingVtoVaVclientVwhoVhasVhypothyroidismVan
dVisVreceivingV levothyroxine.VTheVnurseVshouldVinstructVtheVclientVthat
VwhichVofVtheVfollowingV supplementsVcanVinterfereVwithVtheVeffectiven
essVofVtheVmedication?V-VANSWER-V Calcium

RATIONALE:V CalciumVlimitsVtheVdevelopmentVofVosteoporosisVinVclient
sVwhoVareV postmenopausalVandVworksVasVanVantacid.VCalciumVsuppleme
ntsVcanVinterfereVwithV theVmetabolismVofVaVnumberVofVmedications,Vinc
ludingVlevothyroxine.VTheVnurseV shouldVinstructVtheVclientVtoVavoidVtaki
ngVcalciumVwithinV4VhrVofVlevothyroxineV administration.

AVnurseVisVcaringVforVaVclientVwhoVhasVemphysemaVandVisVreceivingV
mechanicalV ventilation.VTheVclientVappearsVanxiousVandVrestless,VandVth
eVhigh-
pressureValarmVisV sounding.VWhichVofVtheVfollowingVactionsVshouldVthe
VnurseVtakeVfirst?V-VANSWER-
V InstructVtheVclientVtoVallowVtheVmachineVtoVbreatheVforVthem.

RATIONALE:V WhenVprovidingVclientVcare,VtheVnurseVshouldVfirstVuse
VtheVleastV restrictiveVintervention.VTherefore,VtheVfirstVactionVtheVnurse
VshouldVtakeVisVtoV provideVverbalVinstructionsVandVemotionalVsupportVt
oVhelpVtheVclientVrelaxVandVallowV theVventilatorVtoVwork.VClientsVcan
VexhibitVanxietyVandVrestlessnessVwhenVtryingVtoV "fightVtheVventilator."

AVnurseVisVcaringVforVaVclientVwhoVhasVaVprescriptionVforVenalapril.
VTheVnurseV shouldVidentifyVwhichVofVtheVfollowingVfindingsVasVanV
adverseVeffectVofVtheV medication?V-VANSWER-
VOrthostaticVhypotension

RATIONALE:V TheVnurseVshouldVidentifyVthatVdilationVofVarteriesVandV
veinsVcausesV orthostaticVhypotension,VwhichVisVanVadverseVeffectVofVena
lapril.

,AVnurseVisVcaringVforVaVclientVwhoVhasVaVstageVIIIVpressureVinju
ry.VWhichVofV theVfollowingVfindingsVcontributesVtoVdelayedVwound
Vhealing?V-VANSWER-V UrineVoutputV25VmL/hr

RATIONALE:V UrinaryVoutputVreflectsVfluidVstatus.VInadequateVurineV
outputVcanV indicateVdehydration,VwhichVcanVdelayVwoundVhealing.

AVnurseVisVprovidingVteachingVtoVanVolderVadultVclientVwhoVhasVcance
rVandVaVnewV prescriptionVforVanVopioidVanalgesicVforVpainVmanagemen
t.VWhichVofVtheVfollowingV informationVshouldVtheVnurseVincludeVinVth
eVteaching?V-VANSWER-
V"YouVshouldV voidVeveryV4VhoursVtoVdecreaseVtheVriskVofVurinaryVret
ention."

RATIONALE:V TheVnurseVshouldVinstructVtheVclientVtoVvoidVatVleastVe
veryV4VhrVtoV decreaseVtheVriskVofVurinaryVretention,VwhichVisVanVadv
erseVeffectVofVopioidV analgesics.

AVnurseVisVcaringVforVaVclientVwhoVhasVportalVhypertension.VTheVcli
entVisVvomitingV bloodVmixedVwithVfoodVafterVaVmeal.VWhichVofVthe
VfollowingVactionsVshouldVtheV nurseVtakeVfirst?V-VANSWER-
VObtainVvitalVsigns.

RATIONALE:V TheVfirstVactionVtheVnurseVshouldVtakeVusingVtheVnursin
gVprocessVisV toVassessVtheVclient'sVvitalVsigns.VAVclientVwhoVhasVporta
lVhypertensionVcanVdevelopV esophagealVvarices,VwhichVareVfragileVandVc
anVrupture,VresultingVinVlargeVamountsVofV bloodVlossVandVshock.VObtai
ningVvitalVsignsVprovidesVinformationVaboutVtheVclient'sV conditionVthatVc
anVcontributeVtoVdecisionVmaking.

AVnurseVatVaVprovider'sVofficeVisVcaringVforVaVclientVwhoVisV2Vweeks
VpostoperativeV followingVaVgastrectomyAVnurseVisVprovidingVteachingVf
orVtheVclient.VWhichVofVtheV followingVinstructionsVshouldVtheVnurseVin
clude?V-VANSWER-VAvoidVdrinkingV fluidsVwithVmeals
EatVseveralVsmallVmealsVperVd
ayV ConsumeVhigh-
proteinVsnacksV AvoidVhighlyVs
easonedVfoods

RATIONALE:V MaintainVaVhighVcarbohydrateVintakeVisVincorrect.VDu
mpingV syndromeVrequiresVaVlowVcarbohydrateVdietVbecauseVofVreactiv
eVhypoglycemia.
EatVfiveVservingsVofVfreshVfruitVperVdayVisVincorrect.VTheVclientVshoul
dVlimitVintakeVtoV threeVservingsVofVunsweetenedVcookedVorVcannedVfru
itVperVday.
AvoidVdrinkingVfluidsVwithVmealsVisVcorrect.VTheVnurseVshouldVinstruct
VtheVclientVtoV drinkVfluidsV30VminVbeforeVorVafterVmeals.

, EatVseveralVsmallVmealsVperVdayVisVcorrect.VTheVnurseVshouldVinstru
ctVtheVclientVtoV eatVseveralVsmall,VfrequentVmealsVinsteadVofVthreeVl
argeVmealsVperVday.
ConsumeVhigh-
proteinVsnacksVisVcorrect.VTheVclientVshouldVeatVsnacksVthatVareVhighV i
nVproteinVandVlowVinVcarbohydratesVtoVpreventVtheVgastricVfoodVboluses
VandVreactiveV hypoglycemiaVinVdumpingVsyndrome.
AvoidVhighlyVseasonedVfoodsVisVcorrect.VTheVnurseVshouldVinstructVth
eVclientVtoV avoidVexcessiveVamountsVofVspicesVandVsalt.

AVnurseVinVanVICUVisVassessingVaVclientVwhoVhasVaVtraumaticVbrainVi
njury.VWhichVofV theVfollowingVfindingsVshouldVtheVnurseVidentifyVasVa
VcomponentVofVCushing'sVtriad?
-VANSWER-VBradycardia

RATIONALE:V AVclientVwhoVhasVincreasedVintracranialVpressureVfromV
aVtraumaticV brainVinjuryVcanVdevelopVbradycardia,VwhichVisVoneVcompo
nentVofVCushing'sVtriad.V TheVotherVcomponentsVofVCushing'sVtriadVareV
severeVhypertensionVandVaVwidenedV pulseVpressure.

AVnurseVisVevaluatingVaVclientVwhoVhasVaVnewVdiagnosisVofVtypeV1V
diabetesVmellitus.V WhichVofVtheVfollowingVclientVstatementsVindicatesVth
eVclientVisVsuccessfullyVcopingV withVtheVchange?V-VANSWER-
V"IVusedVtoVneverVworryVaboutVmyVfeet.VNow,VIV inspectVmyVfeetVev
eryVdayVwithVaVmirror."

RATIONALE:V ThisVstatementVindicatesVthatVtheVclientVisVsuccessfullyVc
opingVwithV theVchangeVbecauseVtheVclientVisVperformingVpreventiveVfoot
VcareVtoVreduceVtheVriskV forVcomplications.

AVnurseVisVassessingVaVmaleVclientVforVanVinguinalVhernia.VWhichVofV
theVfollowingV areasVshouldVtheVnurseVpalpateVtoVverifyVthatVtheVclient
VhasVanVinguinalVhernia?
V(YouV willVfindVhotVspotsVtoVselectVinVtheVartworkVbelow.VSelectVonl
yVtheVhotVspotVthatV correspondsVtoVyourVanswer.)V-VANSWER-VC

AVisVincorrect.VTheVnurseVshouldVpalpateVthisVlocationVtoVassessVtheV
clientVforVaV femoralVhernia.VAVfemoralVherniaVisVcomposedVofVfatVa
ndVformsVinVtheVfemoralV canal,Vwhich,VasVaVresult,VenlargesVandVpul
lsVonVtheVperitoneumVandVsometimesVtheV bladder.BVisVincorrect.VThe
VnurseVshouldVpalpateVthisVlocationVtoVassessVtheVclientV forVanVumbil
icalVhernia.VThisVtypeVofVherniaVcanVbeVcongenitalVorVacquiredVasVaV
resultVofVpregnancyVorVobesityVandVplacesVincreasedVpressureVonVtheV
abdominalV wall.CVisVcorrect.VTheVnurseVshouldVpalpateVthisVlocationVt
oVassessVtheVclientVforVanV inguinalVhernia.VAnVinguinalVherniaVforms
VfromVtheVperitoneum,VwhichVcontainsV partVofVtheVintestine,VandVcan
VprotrudeVintoVtheVscrotumVinVmen.

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