ATI MED SURG PROCTORED NGN
RETAKE 2024-2025 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS
A nurse is assessing a client who is 12hr postoperative following a colon resection.
Which of the following findings should the nurse report to the surgeon? - Answer-
Hgb 8.2 g/dl
A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the nurse plan to administer? - Answer- Desmopressin
A nurse is admitting a client who has arthritic pain and reports taking ibuprofen
several times daily for 3 years. Which of the following test should the nurse monitor?
- Answer- Stool for occult blood - GI bleed
A nurse in the emergency department is assessing a client. Which of the following
actions should the nurse take first (Click on the "Exhibit" button for additional
information about the client. There are three tabs that contain separate categories of
data.) - Answer- Initiate airborne precautions
A nurse is contacting the provider for a client who has cancer and is experiencing
breakthrough pain. Which of the following prescriptions should the nurse anticipate?
- Answer- Transmucosal fentanyl
A nurse is admitting a client who reports chest pain and has been placed on a
telemetry monitor. Which of the following should the nurse analyze to determine
whether the client is experiencing a myocardial infarction? - Answer- ST segment
A nurse is teaching a client who has ovarian cancer about skin care following
radiation treatment. Which of the following instructions should the nurse include? -
Answer- Pat the skin on the radiation site to dry it
A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and distended
jugular veins. The nurse should anticipate administering which of the following
prescribed medications? - Answer- Furosemide
A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment
of hypomagnesemia. Which of the following findings indicates effectiveness of the
medication? - Answer- Apical pulse 82/min
,A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and HCO3
21 mEq/L. The nurse should recognize these findings as indication of which of the
following conditions? - Answer- Compensated respiratory alkalosis
A nurse is caring for a client who has a deep partial thickness burns over 15% of her
body which of the following labs should the nurse expect during the first 24 hours -
Answer- Hypoalbuminemia (Low due to fluid loss)
A nurse is caring for a client who has dumping syndrome following a gastrectomy,
which of the following actions should the nurse takes? - Answer- Have the client lie
down for 30 minutes after meals (Lying down after a meal slows the movement of
food within the intestines)
A nurse is preparing to administer fresh frozen plasma to a client. Which of the
following actions should the nurse take? - Answer- Administer the plasma
immediately after thawing
A nurse is assessing a client who reports numbness and tingling of his toes and
exhibits a positive TROUSSEAU. Which of the following electrolyte imbalance should
the nurse suspect? - Answer- Hypocalcemia
A home health nurse is teaching a client how to care for a peripherally central
catheter in his right arm. Which of the following statements should the nurse include
in the teaching? - Answer- Use a 10-milliliter syringe when flushing the catheter
A nurse is caring for a client who has a central venous access device. Which of the
following assessment findings should the nurse report to the provider? - Answer-
WBC count of 16,000/ mm
A nurse is providing dietary teaching to a client who has chronic kidney disease and
a decreased glomerular filtration rate. Which of the following statements by the client
indicates an understanding of the teaching? - Answer- I will spread my protein
allowances over the entire day
A nurse is caring for a client who has a peripherally inserted central catheter. The
client is receiving an antibiotic via intermittent IV bolus. Which of the following
actions should the nurse take? - Answer- Verify the placement with an x-ray prior to
the initial dose
A nurse is teaching a client using a metered dose rescue inhaler. Which of the
following statements should the nurse include in the teaching? - Answer- Exhale fully
before bringing the inhaler to your lips
A nurse is assessing the pain status of a group of clients. Which of the following
findings indicate a client is experiencing referred pain? - Answer- A client who has
pancreatitis reports pain in the left shoulder
A nurse is caring for a client who has just returned from surgery with an external
fixator to the left tibia. Which of the following assessments findings requires
,immediate intervention by the nurse? - Answer- The client's capillary refill in the left
toe is 6 seconds (signs and symptoms of compartment syndrome)
A nurse is assessing a client who has acute pancreatitis and has been receiving total
parenteral nutrition for the past 72 hours. Which of the following findings requires the
nurse to intervene? - Answer- Crackle in bilateral lower lobes
A nurse is caring for a client who has hypotension, cool and clammy skin,
tachycardia, and tachypnea. In which of the following positions should the nurse
place the client? - Answer- Feet elevated
A nurse is caring for a client who has tuberculosis and is taking rifampin. The client
reports that her saliva has turned red-orange in color. Which of the following
responses should the nurse make? - Answer- "This is an expected adverse effect of
this medication."
A nurse is preparing to administer a unit of packed RBCs for a client who is receiving
a continuous IV infusion of 5% dextrose in water. Which of the following actions
should the nurse take? - Answer- Begin an IV infusion of 0.9% sodium chloride
A nurse is planning care for a client who is 12 hr. postoperative following a kidney
transplant. Which of the following actions should the nurse include in the plan of
care? - Answer- Assess urine output hourly ---à prevent shock and mods
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the nurse plan to administer? - Answer- a. Desmopressin
Rationale: Diabetes Insipidus has decreased ADH. Administer
Desmopressin/Vasopressin increase ADH and to stop patient on urinating.
A nurse is obtaining a medication history from a client who is to start therapy with
naproxen for rheumatoid arthritis. Which of the following medications places the
client at risk for bleeding? - Answer- Ibuprofen --NSAIDs
1. A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of the following findings should the nurse report to the surgeon? -
Answer- c. Hgb 8.2 g/dl
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
A nurse is assessing the extremities of a client who has Raynaud's disease. Which
of the following findings should the nurse expect? - Answer- Blanching of the hands
REYNAUD PHENOMENON
A nurse is caring for a group of clients. The nurse should obtain a blood pressure
reading using only the left extremity from which of the following clients? - Answer- A
client who has a right upper extremity arteriovenous fistula
, A nurse is providing teaching to a client who has DVT. Which of the following
findings should the nurse identify as a risk factor for the development of DVTs? -
Answer- Oral Contraceptive Use
A nurse is caring for client who has Cushing's disease. Which of the following actions
should the nurse take first? (Click Exhibit button for additional information) - Answer-
Auscultate the client's lung sound - due to fluid retention; action first varies on the
exhibit
A nurse is assessing a client who has nephrotic syndrome. Which of the findings
should the nurse expect? - Answer- Proteinuria
A nurse is assessing a client who has right-sided heart failure. Which of the following
assessment findings should the nurse expect to find? - Answer- Pitting edema
A nurse is caring for a client who has newly inserted chest tube. The nurse should
clarify which of the following prescriptions with the provider? - Answer- Vigorously
strip the chest tube twice daily.
A nurse is teaching a client who is taking an ACE inhibitor for heart failure. Which of
the following instructions should the nurse include for home management of heart
failure? - Answer- Monitor Intake and Output
A nurse is providing discharge teaching to a client who has a permanent pacemaker.
Which of the following statements by the client indicates an understanding of the
teaching? - Answer- I need to check my pulse rate every day for a full minute.
A nurse in a clinic is providing preventive teaching to an older adult client during well
visit. The nurse should instruct the client that which of the following immunization are
recommended for healthy adults after age 60? Select all the Apply. - Answer- Herpes
Zoster
Influenza
Pneumococcal Polysaccharide
A nurse is assessing a client who is 4hr postoperative following arterial
revascularization of the left femoral artery. Which of the following findings should the
nurse report immediately? - Answer- Pallor in the affected extremity
A nurse is caring for an older adult client who has not been eating. Which of the
following findings indicates dehydration? - Answer- Diminished peripheral pulses
A nurse is preparing to discharge a client who has a halo device and is reviewing
new prescriptions from the provider. The nurse should clarify which of the following
prescriptions with the provider? - Answer- May operate a motor vehicle when no
longer taking analgesics
A nurse is assessing for elderly signs of compartment syndrome for a client who has
a short leg fiberglass cast. Which of the following findings should the nurse expect? -
Answer- Intense pain with movement
RETAKE 2024-2025 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS
A nurse is assessing a client who is 12hr postoperative following a colon resection.
Which of the following findings should the nurse report to the surgeon? - Answer-
Hgb 8.2 g/dl
A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the nurse plan to administer? - Answer- Desmopressin
A nurse is admitting a client who has arthritic pain and reports taking ibuprofen
several times daily for 3 years. Which of the following test should the nurse monitor?
- Answer- Stool for occult blood - GI bleed
A nurse in the emergency department is assessing a client. Which of the following
actions should the nurse take first (Click on the "Exhibit" button for additional
information about the client. There are three tabs that contain separate categories of
data.) - Answer- Initiate airborne precautions
A nurse is contacting the provider for a client who has cancer and is experiencing
breakthrough pain. Which of the following prescriptions should the nurse anticipate?
- Answer- Transmucosal fentanyl
A nurse is admitting a client who reports chest pain and has been placed on a
telemetry monitor. Which of the following should the nurse analyze to determine
whether the client is experiencing a myocardial infarction? - Answer- ST segment
A nurse is teaching a client who has ovarian cancer about skin care following
radiation treatment. Which of the following instructions should the nurse include? -
Answer- Pat the skin on the radiation site to dry it
A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and distended
jugular veins. The nurse should anticipate administering which of the following
prescribed medications? - Answer- Furosemide
A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment
of hypomagnesemia. Which of the following findings indicates effectiveness of the
medication? - Answer- Apical pulse 82/min
,A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and HCO3
21 mEq/L. The nurse should recognize these findings as indication of which of the
following conditions? - Answer- Compensated respiratory alkalosis
A nurse is caring for a client who has a deep partial thickness burns over 15% of her
body which of the following labs should the nurse expect during the first 24 hours -
Answer- Hypoalbuminemia (Low due to fluid loss)
A nurse is caring for a client who has dumping syndrome following a gastrectomy,
which of the following actions should the nurse takes? - Answer- Have the client lie
down for 30 minutes after meals (Lying down after a meal slows the movement of
food within the intestines)
A nurse is preparing to administer fresh frozen plasma to a client. Which of the
following actions should the nurse take? - Answer- Administer the plasma
immediately after thawing
A nurse is assessing a client who reports numbness and tingling of his toes and
exhibits a positive TROUSSEAU. Which of the following electrolyte imbalance should
the nurse suspect? - Answer- Hypocalcemia
A home health nurse is teaching a client how to care for a peripherally central
catheter in his right arm. Which of the following statements should the nurse include
in the teaching? - Answer- Use a 10-milliliter syringe when flushing the catheter
A nurse is caring for a client who has a central venous access device. Which of the
following assessment findings should the nurse report to the provider? - Answer-
WBC count of 16,000/ mm
A nurse is providing dietary teaching to a client who has chronic kidney disease and
a decreased glomerular filtration rate. Which of the following statements by the client
indicates an understanding of the teaching? - Answer- I will spread my protein
allowances over the entire day
A nurse is caring for a client who has a peripherally inserted central catheter. The
client is receiving an antibiotic via intermittent IV bolus. Which of the following
actions should the nurse take? - Answer- Verify the placement with an x-ray prior to
the initial dose
A nurse is teaching a client using a metered dose rescue inhaler. Which of the
following statements should the nurse include in the teaching? - Answer- Exhale fully
before bringing the inhaler to your lips
A nurse is assessing the pain status of a group of clients. Which of the following
findings indicate a client is experiencing referred pain? - Answer- A client who has
pancreatitis reports pain in the left shoulder
A nurse is caring for a client who has just returned from surgery with an external
fixator to the left tibia. Which of the following assessments findings requires
,immediate intervention by the nurse? - Answer- The client's capillary refill in the left
toe is 6 seconds (signs and symptoms of compartment syndrome)
A nurse is assessing a client who has acute pancreatitis and has been receiving total
parenteral nutrition for the past 72 hours. Which of the following findings requires the
nurse to intervene? - Answer- Crackle in bilateral lower lobes
A nurse is caring for a client who has hypotension, cool and clammy skin,
tachycardia, and tachypnea. In which of the following positions should the nurse
place the client? - Answer- Feet elevated
A nurse is caring for a client who has tuberculosis and is taking rifampin. The client
reports that her saliva has turned red-orange in color. Which of the following
responses should the nurse make? - Answer- "This is an expected adverse effect of
this medication."
A nurse is preparing to administer a unit of packed RBCs for a client who is receiving
a continuous IV infusion of 5% dextrose in water. Which of the following actions
should the nurse take? - Answer- Begin an IV infusion of 0.9% sodium chloride
A nurse is planning care for a client who is 12 hr. postoperative following a kidney
transplant. Which of the following actions should the nurse include in the plan of
care? - Answer- Assess urine output hourly ---à prevent shock and mods
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the nurse plan to administer? - Answer- a. Desmopressin
Rationale: Diabetes Insipidus has decreased ADH. Administer
Desmopressin/Vasopressin increase ADH and to stop patient on urinating.
A nurse is obtaining a medication history from a client who is to start therapy with
naproxen for rheumatoid arthritis. Which of the following medications places the
client at risk for bleeding? - Answer- Ibuprofen --NSAIDs
1. A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of the following findings should the nurse report to the surgeon? -
Answer- c. Hgb 8.2 g/dl
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
A nurse is assessing the extremities of a client who has Raynaud's disease. Which
of the following findings should the nurse expect? - Answer- Blanching of the hands
REYNAUD PHENOMENON
A nurse is caring for a group of clients. The nurse should obtain a blood pressure
reading using only the left extremity from which of the following clients? - Answer- A
client who has a right upper extremity arteriovenous fistula
, A nurse is providing teaching to a client who has DVT. Which of the following
findings should the nurse identify as a risk factor for the development of DVTs? -
Answer- Oral Contraceptive Use
A nurse is caring for client who has Cushing's disease. Which of the following actions
should the nurse take first? (Click Exhibit button for additional information) - Answer-
Auscultate the client's lung sound - due to fluid retention; action first varies on the
exhibit
A nurse is assessing a client who has nephrotic syndrome. Which of the findings
should the nurse expect? - Answer- Proteinuria
A nurse is assessing a client who has right-sided heart failure. Which of the following
assessment findings should the nurse expect to find? - Answer- Pitting edema
A nurse is caring for a client who has newly inserted chest tube. The nurse should
clarify which of the following prescriptions with the provider? - Answer- Vigorously
strip the chest tube twice daily.
A nurse is teaching a client who is taking an ACE inhibitor for heart failure. Which of
the following instructions should the nurse include for home management of heart
failure? - Answer- Monitor Intake and Output
A nurse is providing discharge teaching to a client who has a permanent pacemaker.
Which of the following statements by the client indicates an understanding of the
teaching? - Answer- I need to check my pulse rate every day for a full minute.
A nurse in a clinic is providing preventive teaching to an older adult client during well
visit. The nurse should instruct the client that which of the following immunization are
recommended for healthy adults after age 60? Select all the Apply. - Answer- Herpes
Zoster
Influenza
Pneumococcal Polysaccharide
A nurse is assessing a client who is 4hr postoperative following arterial
revascularization of the left femoral artery. Which of the following findings should the
nurse report immediately? - Answer- Pallor in the affected extremity
A nurse is caring for an older adult client who has not been eating. Which of the
following findings indicates dehydration? - Answer- Diminished peripheral pulses
A nurse is preparing to discharge a client who has a halo device and is reviewing
new prescriptions from the provider. The nurse should clarify which of the following
prescriptions with the provider? - Answer- May operate a motor vehicle when no
longer taking analgesics
A nurse is assessing for elderly signs of compartment syndrome for a client who has
a short leg fiberglass cast. Which of the following findings should the nurse expect? -
Answer- Intense pain with movement
