NGN ATI PN ADULT MEDICAL SURGICAL PROCTORED EXAM
PN ADULT MEDICAL SURGICAL 2023 WITH NGN AND PN ADULT MEDICA
DIFFERENT VERSIONS WITH DETAILED VERIFIED SOLUTIONS /A+
SURGICAL 2023 EXAM PLUS PRACTICE EXAM
GRADEStudyASSURED MOST RECENT 2024/2025 UPDATE.
online at https://quizlet.com/_h8fx6e
1. TEST D. Sodium 132 mEq/L
A nurse is caring for a
client who is taking lithi- Rationale:
um and reports persistent
The nurse should identify that a sodium level of 132 mEq/L is
nausea and vomiting for
not within the expected reference range of 136 to 145 mEq/L.
2 days. Which of the fol-
This finding indicates hyponatremia, which can lead to lithium
lowing laboratory values
accumulation and places the client at risk for lithium toxicity. The
should the nurse report to
nurse should report this finding to the provider.
the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
2. A nurse is caring for a client A. Cleanse the client's toothbrush with hydrogen peroxide.
who has cancer and has a
WBC count of 4,000/mm3. Rationale:
Which of the following
A WBC count of 4,000/mm3 is considered low and is known
actions should the nurse
as leukopenia. A low WBC count can be caused by cancer or
take?
cancer treatment. The nurse should instruct the client to cleanse
a) Cleanse the client's their toothbrush with hydrogen peroxide. People with leukemia
toothbrush with hydrogen or leukopenia should avoid using disposable razors, which can
peroxide. cause cuts and bleeding that can lead to infections. Instead, they
b) Instruct the client to recommend using an electric razor to reduce the risk of injury.
use a disposable razor to Encouraging the client to eat unpasteurized dairy products is not
shave. recommended as they can contain harmful bacteria that can cause
c) Decrease the client's pro- infections. Decreasing the client's protein intake is not recom-
tein intake. mended as protein is important for wound healing and immune
d) Encourage the client function
, PN ADULT MEDICAL SURGICAL 2023 WITH NGN AND PN ADULT MEDICA
SURGICAL 2023 EXAM PLUS PRACTICE EXAM
Study online at https://quizlet.com/_h8fx6e
to eat unpasteurized dairy
products.
3. TEST C. Assist the client to a nearby common area.
A nurse enters a client's
room and sees smoke com- Rationale:
ing from the bathroom.
use
Which of the following ac-
Rescue
tions should the nurse take
Alarm
first?
Contain
a) Activate the fire alarm Extinguish
system.
b) Use a fire extinguisher at
the source of the
smoke.
c) Assist the client to a near-
by common area.
d) Close the doors to the
room and to the
bathroom.
4. TEST A. Apply foam handles to the client's eating utensils.
A nurse is contributing to
the plan of care for a client Rationale:
who reports difficulty eat-
To help a client with chronic arthritis who experiences difficulty
ing due to chronic arthri-
eating, applying foam handles to the eating utensils can provide
tis. Which of the following
a larger, more comfortable grip and reduce strain on the joints.
interventions should the
Asking for a puree diet may not be necessary unless swallowing
nurse include in the plan?
difficulties are present. Having an assistive personnel feed the
a) Apply foam handles to client may not promote independence. While obtaining a referral
, PN ADULT MEDICAL SURGICAL 2023 WITH NGN AND PN ADULT MEDICA
SURGICAL 2023 EXAM PLUS PRACTICE EXAM
Study online at https://quizlet.com/_h8fx6e
the client's eating utensils. for physical therapy may be beneficial for overall mobility, it does
b) Obtain a referral for not directly address the client's difficulty with eating.
physical therapy.
c) Have an assistive person-
nel feed the client.
d) Ask the provider for a
prescription for a pureed
diet.
5. A nurse is providing direc- C. "Face in the direction of the client's movement."
tions to an assistive person-
nel about moving a client Rational:
up in bed.
When moving a client up in bed, it is important for the nurse to
a. "Place a pillow under the face in the direction of the client's movement to maintain proper
client's head prior to repo- body mechanics and ensure safe transfer.
sitioning."
1)Adjust the head of the bed to a flat position.
b. "Keep your feet close
2)Remove all pillows from under the client.
together while moving the
3)Position the UAP on the side opposite the nurse.
client"
4)Place a friction-reducing sheet under the client.
c "Face in the direction of
5)Ask the client to bend the legs and place the chin on the chest.
the client's movement"
6)Grasp the sheet and move the client on the count of three.
d. "Move the client's arms
to his sides prior to reposi-
tioning."
6. A nurse is obtaining a med- C. Sildenafil
ication history from a client
who is to start taking nitro- Rationale:
glycerin for chest discom-
Sildenafil treats PAH (pulmonary arterial hypertension) by relaxing
fort with activity. Which of
the blood vessels in the lungs to allow blood to flow easily.
, PN ADULT MEDICAL SURGICAL 2023 WITH NGN AND PN ADULT MEDICA
SURGICAL 2023 EXAM PLUS PRACTICE EXAM
Study online at https://quizlet.com/_h8fx6e
the following medications
should the nurse instruct Same as, nitroglycerin is a vaso-dilator which is primarily to treat
the client to avoid taking anginal chest pain and thereby it reduces blood pressure.
within 24 hrs of using nitro- Remaining drugs like omeprazole and atorvastatin can be given
glycerin? for patients with in 24hrs of nitroglycerin administration.
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole
7. A nurse is caring for a client Flushing
who has a new prescription
for nitroglycerin. The nurse Rationale:
should monitor for which
nitroglycerin is a vaso-dilator. When vaso-dilators too well, fluid
of the following adverse ef-
start sipping out and causing flushing
fects of the medication?
Nocturia
Increased saliva produc-
tion
Flushing
Fever
8. A nurse is preparing to ob- D. Hold the client's finger in a dependent
tain a postprandial blood position.
glucose level from a client
who has diabetes melli- Rationale:
tus. Which of the following
The nurse should clean the client's finger with an alcohol swab
actions should the nurse
and prick the side of the finger, not the central tip, to obtain a
take?
postprandial blood glucose level.
PN ADULT MEDICAL SURGICAL 2023 WITH NGN AND PN ADULT MEDICA
DIFFERENT VERSIONS WITH DETAILED VERIFIED SOLUTIONS /A+
SURGICAL 2023 EXAM PLUS PRACTICE EXAM
GRADEStudyASSURED MOST RECENT 2024/2025 UPDATE.
online at https://quizlet.com/_h8fx6e
1. TEST D. Sodium 132 mEq/L
A nurse is caring for a
client who is taking lithi- Rationale:
um and reports persistent
The nurse should identify that a sodium level of 132 mEq/L is
nausea and vomiting for
not within the expected reference range of 136 to 145 mEq/L.
2 days. Which of the fol-
This finding indicates hyponatremia, which can lead to lithium
lowing laboratory values
accumulation and places the client at risk for lithium toxicity. The
should the nurse report to
nurse should report this finding to the provider.
the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
2. A nurse is caring for a client A. Cleanse the client's toothbrush with hydrogen peroxide.
who has cancer and has a
WBC count of 4,000/mm3. Rationale:
Which of the following
A WBC count of 4,000/mm3 is considered low and is known
actions should the nurse
as leukopenia. A low WBC count can be caused by cancer or
take?
cancer treatment. The nurse should instruct the client to cleanse
a) Cleanse the client's their toothbrush with hydrogen peroxide. People with leukemia
toothbrush with hydrogen or leukopenia should avoid using disposable razors, which can
peroxide. cause cuts and bleeding that can lead to infections. Instead, they
b) Instruct the client to recommend using an electric razor to reduce the risk of injury.
use a disposable razor to Encouraging the client to eat unpasteurized dairy products is not
shave. recommended as they can contain harmful bacteria that can cause
c) Decrease the client's pro- infections. Decreasing the client's protein intake is not recom-
tein intake. mended as protein is important for wound healing and immune
d) Encourage the client function
, PN ADULT MEDICAL SURGICAL 2023 WITH NGN AND PN ADULT MEDICA
SURGICAL 2023 EXAM PLUS PRACTICE EXAM
Study online at https://quizlet.com/_h8fx6e
to eat unpasteurized dairy
products.
3. TEST C. Assist the client to a nearby common area.
A nurse enters a client's
room and sees smoke com- Rationale:
ing from the bathroom.
use
Which of the following ac-
Rescue
tions should the nurse take
Alarm
first?
Contain
a) Activate the fire alarm Extinguish
system.
b) Use a fire extinguisher at
the source of the
smoke.
c) Assist the client to a near-
by common area.
d) Close the doors to the
room and to the
bathroom.
4. TEST A. Apply foam handles to the client's eating utensils.
A nurse is contributing to
the plan of care for a client Rationale:
who reports difficulty eat-
To help a client with chronic arthritis who experiences difficulty
ing due to chronic arthri-
eating, applying foam handles to the eating utensils can provide
tis. Which of the following
a larger, more comfortable grip and reduce strain on the joints.
interventions should the
Asking for a puree diet may not be necessary unless swallowing
nurse include in the plan?
difficulties are present. Having an assistive personnel feed the
a) Apply foam handles to client may not promote independence. While obtaining a referral
, PN ADULT MEDICAL SURGICAL 2023 WITH NGN AND PN ADULT MEDICA
SURGICAL 2023 EXAM PLUS PRACTICE EXAM
Study online at https://quizlet.com/_h8fx6e
the client's eating utensils. for physical therapy may be beneficial for overall mobility, it does
b) Obtain a referral for not directly address the client's difficulty with eating.
physical therapy.
c) Have an assistive person-
nel feed the client.
d) Ask the provider for a
prescription for a pureed
diet.
5. A nurse is providing direc- C. "Face in the direction of the client's movement."
tions to an assistive person-
nel about moving a client Rational:
up in bed.
When moving a client up in bed, it is important for the nurse to
a. "Place a pillow under the face in the direction of the client's movement to maintain proper
client's head prior to repo- body mechanics and ensure safe transfer.
sitioning."
1)Adjust the head of the bed to a flat position.
b. "Keep your feet close
2)Remove all pillows from under the client.
together while moving the
3)Position the UAP on the side opposite the nurse.
client"
4)Place a friction-reducing sheet under the client.
c "Face in the direction of
5)Ask the client to bend the legs and place the chin on the chest.
the client's movement"
6)Grasp the sheet and move the client on the count of three.
d. "Move the client's arms
to his sides prior to reposi-
tioning."
6. A nurse is obtaining a med- C. Sildenafil
ication history from a client
who is to start taking nitro- Rationale:
glycerin for chest discom-
Sildenafil treats PAH (pulmonary arterial hypertension) by relaxing
fort with activity. Which of
the blood vessels in the lungs to allow blood to flow easily.
, PN ADULT MEDICAL SURGICAL 2023 WITH NGN AND PN ADULT MEDICA
SURGICAL 2023 EXAM PLUS PRACTICE EXAM
Study online at https://quizlet.com/_h8fx6e
the following medications
should the nurse instruct Same as, nitroglycerin is a vaso-dilator which is primarily to treat
the client to avoid taking anginal chest pain and thereby it reduces blood pressure.
within 24 hrs of using nitro- Remaining drugs like omeprazole and atorvastatin can be given
glycerin? for patients with in 24hrs of nitroglycerin administration.
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole
7. A nurse is caring for a client Flushing
who has a new prescription
for nitroglycerin. The nurse Rationale:
should monitor for which
nitroglycerin is a vaso-dilator. When vaso-dilators too well, fluid
of the following adverse ef-
start sipping out and causing flushing
fects of the medication?
Nocturia
Increased saliva produc-
tion
Flushing
Fever
8. A nurse is preparing to ob- D. Hold the client's finger in a dependent
tain a postprandial blood position.
glucose level from a client
who has diabetes melli- Rationale:
tus. Which of the following
The nurse should clean the client's finger with an alcohol swab
actions should the nurse
and prick the side of the finger, not the central tip, to obtain a
take?
postprandial blood glucose level.
