NGN ATI MED SURG EXAM TEST BANK 2025-2026
QUESTIONS WITH ALL CORRECT ANSWERS
A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following
adverse effects should the nurse instruct the client to monitor for and report to the provider? Chest
pressure
A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify
which of the following findings as a contraindication to receiving propranolol?
asthma
A nurse is providing teaching to client who has a prescription for a MAOI inhibitor. Which of the
following foods should the nurse instruct the client to avoid while taking this medication?
smoked sausage
A nurse is providing discharge teaching about handling medication to a client who is to continue taking
oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of the following information
should the nurse include in the teaching?
Store unused medication sticks in a storage container
A nurse is caring for a client who is receiving end-of-life care and has a prescription for fentanyl patches.
Which of the following information regarding the adverse effects of fentanyl should the nurse plan to
give to the client and family? Take a stool softener on a daily basis
A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for
methylprednisone. Which of the following instructions should the nurse include (SATA)? Blood glucose
levels will be monitored during therapy // Avoid contact with people who have known infections //
Grapefruit juice can increase the effects of the medication
A nurse is providing teaching for a patient who has a new prescription for ferrous sulfate. The nurse
should instruct the client to take the medication with which of the following to promote absorption?
orange juice
caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should
,instruct the client that taking to docusate sodium on a daily basis can minimize which of the following
adverse effects of morphine?
constipation
A nurse is teaching about self-administration of transdermal medication with a male client who has a
new prescription for nitroglycerin. The nurse should identify that which of the following statements by
the client indicates understanding of the teachings? "I will remove the patch after 14 hours."
A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and
albuterol inhalers. Which of the following instructions should the nurse include in the teaching? Rinse
you mouth after inhaling the beclomethasone
A nurse is reviewing the prescriptions of a client who has tuberculosis. The nurse should identify that
which of the following medications are used to treat tuberculosis (SATA)? Rifampin // Isoniazid
A nurse is providing teaching about adverse effects of clindamycin to a client. Which of the following
findings should the nurse instruct the client to report to the provider?
watery diarrhea
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions
should the nurse plan to take?
Administer the medication outside the 5-cm (2 in) radius of the umbilicus
A nurse is caring for a client who has pneumonia. The client tells the nurse that she is pregnant and that
she has not told her provider yet. The nurse should identify that pregnancy is a contraindication to
receiving which of the following medications?
Doxycycline
A nurse is caring for a client who is recovering from a deep vein thrombosis and is to start taking
warfarin. For which of the following findings should the nurse monitor as an adverse effect of warfarin?
Bleeding gums
,A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following
findings should the nurse report to the provider (SATA)?
Hemoglobin 7.0 g/dl - Platelets 70,000/mm3 -- Potassium 5.2 meq/l
A nurse is planning care for a client who has hypertension and is to start taking metoprolol. which of the
following interventions should the nurse include in the plan of care? Determine apical pulse prior to
administering
A nurse is assessing a client who is taking amitriptyline for depression. Which of the following findings
should the nurse identify as an adverse effect of the medication?
Dry Mouth
teaching about neural tube defects to a client who is planning a pregnancy. Which of the following
vitamins should the nurse instruct the client to start taking before becoming pregnant? folic acid
A nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed
malignant hyperthermia during therapy. Which of the following actions should the nurse take?
Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent.
A nurse is caring for a client who has heart failure and is prescribed enalapril. The nurse should monitor
the client for which of the following findings as an adverse effect of the medication?
hyperkalemia
A nurse is providing care for a client who is postoperative following an open cholecystectomy with the
placement of a closed suction drain and is receiving morphine via patient controlled analgesia for pain.
Which of the following assessments is the nurse's priority? respiratory rate
A nurse is teaching a client about warfarin. The client asks if she can take aspirin while taking the
warfarin. Which of the following responses should the nurse make? aspirin will increase the risk of
bleeding
A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a
pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of
the medication and report to the provider?
blood in the urine
, A nurse is teaching a client who has tuberculosis about the adverse effects of isoniazid. The nurse should
instruct the client to report to the provider which of the following finding as an adverse effect of the
medication?
yellowish skin tones
A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. which of the
following finding should the nurse identify as an adverse effect of the medication?
insomnia
A nurse is teaching about a new prescription for ciprofloxacin to an older adult client who has a urinary
tract infection. The nurse should identify which of the following statements as an indication that the
client understands the teaching? "I will report any signs of tendon pain or swelling"
A nurse is preparing to administer a new prescription of amoxicillin/clavulanic to a client. The client tells
the nurse that he is allergic to penicillin. Which of the following actions should the nurse take first?
Withhold the medication
A nurse is precepting a newly licensed nurse who is caring for four clients. The nurse should complete an
incident report for which of the following actions by the newly licensed nurse? administers isosorbide
mononitrate to a client who has a BP 82/60 mm Hg
A nurse is reviewing the health history of a client who has diabetes mellitus and will begin taking insulin.
Which of the following dings should the nurse identify as a fact that might cause the client to have
difficulty safely self administering insulin?
macular degeneration
A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which
of the following adverse effects should the nurse include in the teaching? hot flashes
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine.
which of the following instructions should the nurse include?
report the yellowing of the skin
QUESTIONS WITH ALL CORRECT ANSWERS
A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following
adverse effects should the nurse instruct the client to monitor for and report to the provider? Chest
pressure
A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify
which of the following findings as a contraindication to receiving propranolol?
asthma
A nurse is providing teaching to client who has a prescription for a MAOI inhibitor. Which of the
following foods should the nurse instruct the client to avoid while taking this medication?
smoked sausage
A nurse is providing discharge teaching about handling medication to a client who is to continue taking
oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of the following information
should the nurse include in the teaching?
Store unused medication sticks in a storage container
A nurse is caring for a client who is receiving end-of-life care and has a prescription for fentanyl patches.
Which of the following information regarding the adverse effects of fentanyl should the nurse plan to
give to the client and family? Take a stool softener on a daily basis
A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for
methylprednisone. Which of the following instructions should the nurse include (SATA)? Blood glucose
levels will be monitored during therapy // Avoid contact with people who have known infections //
Grapefruit juice can increase the effects of the medication
A nurse is providing teaching for a patient who has a new prescription for ferrous sulfate. The nurse
should instruct the client to take the medication with which of the following to promote absorption?
orange juice
caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should
,instruct the client that taking to docusate sodium on a daily basis can minimize which of the following
adverse effects of morphine?
constipation
A nurse is teaching about self-administration of transdermal medication with a male client who has a
new prescription for nitroglycerin. The nurse should identify that which of the following statements by
the client indicates understanding of the teachings? "I will remove the patch after 14 hours."
A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and
albuterol inhalers. Which of the following instructions should the nurse include in the teaching? Rinse
you mouth after inhaling the beclomethasone
A nurse is reviewing the prescriptions of a client who has tuberculosis. The nurse should identify that
which of the following medications are used to treat tuberculosis (SATA)? Rifampin // Isoniazid
A nurse is providing teaching about adverse effects of clindamycin to a client. Which of the following
findings should the nurse instruct the client to report to the provider?
watery diarrhea
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions
should the nurse plan to take?
Administer the medication outside the 5-cm (2 in) radius of the umbilicus
A nurse is caring for a client who has pneumonia. The client tells the nurse that she is pregnant and that
she has not told her provider yet. The nurse should identify that pregnancy is a contraindication to
receiving which of the following medications?
Doxycycline
A nurse is caring for a client who is recovering from a deep vein thrombosis and is to start taking
warfarin. For which of the following findings should the nurse monitor as an adverse effect of warfarin?
Bleeding gums
,A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following
findings should the nurse report to the provider (SATA)?
Hemoglobin 7.0 g/dl - Platelets 70,000/mm3 -- Potassium 5.2 meq/l
A nurse is planning care for a client who has hypertension and is to start taking metoprolol. which of the
following interventions should the nurse include in the plan of care? Determine apical pulse prior to
administering
A nurse is assessing a client who is taking amitriptyline for depression. Which of the following findings
should the nurse identify as an adverse effect of the medication?
Dry Mouth
teaching about neural tube defects to a client who is planning a pregnancy. Which of the following
vitamins should the nurse instruct the client to start taking before becoming pregnant? folic acid
A nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed
malignant hyperthermia during therapy. Which of the following actions should the nurse take?
Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent.
A nurse is caring for a client who has heart failure and is prescribed enalapril. The nurse should monitor
the client for which of the following findings as an adverse effect of the medication?
hyperkalemia
A nurse is providing care for a client who is postoperative following an open cholecystectomy with the
placement of a closed suction drain and is receiving morphine via patient controlled analgesia for pain.
Which of the following assessments is the nurse's priority? respiratory rate
A nurse is teaching a client about warfarin. The client asks if she can take aspirin while taking the
warfarin. Which of the following responses should the nurse make? aspirin will increase the risk of
bleeding
A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a
pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of
the medication and report to the provider?
blood in the urine
, A nurse is teaching a client who has tuberculosis about the adverse effects of isoniazid. The nurse should
instruct the client to report to the provider which of the following finding as an adverse effect of the
medication?
yellowish skin tones
A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. which of the
following finding should the nurse identify as an adverse effect of the medication?
insomnia
A nurse is teaching about a new prescription for ciprofloxacin to an older adult client who has a urinary
tract infection. The nurse should identify which of the following statements as an indication that the
client understands the teaching? "I will report any signs of tendon pain or swelling"
A nurse is preparing to administer a new prescription of amoxicillin/clavulanic to a client. The client tells
the nurse that he is allergic to penicillin. Which of the following actions should the nurse take first?
Withhold the medication
A nurse is precepting a newly licensed nurse who is caring for four clients. The nurse should complete an
incident report for which of the following actions by the newly licensed nurse? administers isosorbide
mononitrate to a client who has a BP 82/60 mm Hg
A nurse is reviewing the health history of a client who has diabetes mellitus and will begin taking insulin.
Which of the following dings should the nurse identify as a fact that might cause the client to have
difficulty safely self administering insulin?
macular degeneration
A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which
of the following adverse effects should the nurse include in the teaching? hot flashes
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine.
which of the following instructions should the nurse include?
report the yellowing of the skin
