Newest 2025 ATI RN Adult Medical-Surgical Exam
NGN Includes Accurate And Verified Questions
Covering Major Body Systems, Disease Processes,
Nursing Interventions, Lab Interpretation, Patient
Education, And Safety. Topics Include Respiratory,
Cardiovascular, Renal, Gastrointestinal, Endocrine,
and Neurological System.
A nurse is caring for a client who is 24 hr postoperative following a total hip
arthroplasty. Which
of the following actions should the nurse take?
A)Place the affected leg in external rotation.
B)Encourage the client to use the incentive spirometer every shift.
C)Instruct the client to lean forward when rising from a chair.
D)Maintain abduction of the affected extremity. - answers- :D)Maintain
abduction of the affected extremity.
The nurse should ensure that the affected extremity is in a position of
abduction to prevent hip dislocation. The nurse should place an abductor
pillow or several pillows between the client's legs to keep the affected
extremity in abduction while the client is in bed.
,A nurse is providing teaching to a client who is scheduled for a bronchoscopy.
Which of the
following statements should the nurse include in the teaching?
A)"You will not be able to eat or drink after the procedure until you are able to
cough."
B)"You will drink a contrast solution 30 minutes prior to the procedure."
C)"The purpose of this procedure is to remove excess fluid from your lungs."
D)"You will need to lie on your back for 4 to 6 hours following the procedure." -
answers- :A)"You will not be able to eat or drink after the procedure until you are
able to cough."
A client who had a bronchoscopy received a local anesthetic that can
suppress the cough reflex. The cough reflex protects the client from
aspirating fluids or food. Therefore, the client should not eat or drink until the
cough reflex returns.
A nurse is providing postoperative teaching for a client who had a total knee
arthroplasty. Which of the following instructions should the nurse include? -
answers- :Flex the foot every hour when awake.
Rationale: The nurse should instruct the client to flex the foot every hour to
reduce the risk for thromboembolism and promote venous return.
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of
the following results should the nurse expect? - answers- :PaCO2 56mmHg
,Rationale: A client who has COPD retains PaCO2 due to the weakening and the
collapse of the alveolar sacs, which decreases the area in the lungs for gas
exchange and causes the PaCO2 to increase above the expected reference range.
A nurse is assessing a client who has peripheral arterial disease. Which of the
following findings should the nurse expect? - answers- :Hair loss on the lower
legs
Rationale: The nurse should expect a client who has peripheral arterial disease to
have hair loss on the lower legs as a result of impaired arterial circulation affecting
follicular growth.
A nurse is performing a preoperative assessment for a client. The nurse should
identify that an allergy to which of the following foods can indicate a latex allergy?
- answers- :Avocados
Rationale: Clients who have an avocado allergy might have an allergic reaction or a
sensitivity to latex. Allergies to certain fruits, such as strawberries and bananas,
can also indicate latex allergy or sensitivity.
A nurse is planning care for a client who is postoperative following laparotomy
and has a closed-suction drain. which of the following actions should the nurse
take to manage the drain? - answers- :Compress the drain reservoir after
emptying.
Rationale: Compressing the reservoir creates a vacuum that draws fluid out of the
wound, through the drain, and into the reservoir.
A nurse is caring for a client who has terminal cancer. The client tells the nurse, "I
wish I could stop these treatments. I am ready to die." Which of the following
, statements should the nurse make? - answers- :"Discontinuing with the
treatments is your choice if it is your wish to do so."
Rationale: The nurse should recognize the client's right to refuse the treatments
and inform the client of this right. The nurse should advocate for the client and
offer to contact the provider for the client.
A nurse is caring for an older adult client who has dementia and requires acute
care for a respiratory infection. The client is agitated and is attempting to remove
their IV catheter. Which of the following actions should nurse take to avoid
restraining the client? - answers- :Keep the client occupied with a manual
activity.
Rationale: The nurse should provide the client with a manual activity such as a
puzzle or an art project. This can help to distract the client from the IV catheter.
A nurse is caring for a client who has breast cancer and tells the nurse that they
would like to have acupuncture because it provides greater relief than pain
medication. Which of the following statements should the nurse make? -
answers- :"I can speak with the provider about incorporating acupuncture into
your treatment plan."
Rationale: The nurse should serve as an advocate for the client by acting on behalf
of the client and offering to speak with the provider. The client has the right to
make choices and decisions about their treatment and the nurse should support
these decisions and assist the client to carry them out.
A nurse is obtaining a medication history from a client who is scheduled to
undergo cataract surgery. The nurse should recognize that which of the following
client medications is a contraindication for the surgery and notify the provider? -
answers- :Warfarin
NGN Includes Accurate And Verified Questions
Covering Major Body Systems, Disease Processes,
Nursing Interventions, Lab Interpretation, Patient
Education, And Safety. Topics Include Respiratory,
Cardiovascular, Renal, Gastrointestinal, Endocrine,
and Neurological System.
A nurse is caring for a client who is 24 hr postoperative following a total hip
arthroplasty. Which
of the following actions should the nurse take?
A)Place the affected leg in external rotation.
B)Encourage the client to use the incentive spirometer every shift.
C)Instruct the client to lean forward when rising from a chair.
D)Maintain abduction of the affected extremity. - answers- :D)Maintain
abduction of the affected extremity.
The nurse should ensure that the affected extremity is in a position of
abduction to prevent hip dislocation. The nurse should place an abductor
pillow or several pillows between the client's legs to keep the affected
extremity in abduction while the client is in bed.
,A nurse is providing teaching to a client who is scheduled for a bronchoscopy.
Which of the
following statements should the nurse include in the teaching?
A)"You will not be able to eat or drink after the procedure until you are able to
cough."
B)"You will drink a contrast solution 30 minutes prior to the procedure."
C)"The purpose of this procedure is to remove excess fluid from your lungs."
D)"You will need to lie on your back for 4 to 6 hours following the procedure." -
answers- :A)"You will not be able to eat or drink after the procedure until you are
able to cough."
A client who had a bronchoscopy received a local anesthetic that can
suppress the cough reflex. The cough reflex protects the client from
aspirating fluids or food. Therefore, the client should not eat or drink until the
cough reflex returns.
A nurse is providing postoperative teaching for a client who had a total knee
arthroplasty. Which of the following instructions should the nurse include? -
answers- :Flex the foot every hour when awake.
Rationale: The nurse should instruct the client to flex the foot every hour to
reduce the risk for thromboembolism and promote venous return.
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of
the following results should the nurse expect? - answers- :PaCO2 56mmHg
,Rationale: A client who has COPD retains PaCO2 due to the weakening and the
collapse of the alveolar sacs, which decreases the area in the lungs for gas
exchange and causes the PaCO2 to increase above the expected reference range.
A nurse is assessing a client who has peripheral arterial disease. Which of the
following findings should the nurse expect? - answers- :Hair loss on the lower
legs
Rationale: The nurse should expect a client who has peripheral arterial disease to
have hair loss on the lower legs as a result of impaired arterial circulation affecting
follicular growth.
A nurse is performing a preoperative assessment for a client. The nurse should
identify that an allergy to which of the following foods can indicate a latex allergy?
- answers- :Avocados
Rationale: Clients who have an avocado allergy might have an allergic reaction or a
sensitivity to latex. Allergies to certain fruits, such as strawberries and bananas,
can also indicate latex allergy or sensitivity.
A nurse is planning care for a client who is postoperative following laparotomy
and has a closed-suction drain. which of the following actions should the nurse
take to manage the drain? - answers- :Compress the drain reservoir after
emptying.
Rationale: Compressing the reservoir creates a vacuum that draws fluid out of the
wound, through the drain, and into the reservoir.
A nurse is caring for a client who has terminal cancer. The client tells the nurse, "I
wish I could stop these treatments. I am ready to die." Which of the following
, statements should the nurse make? - answers- :"Discontinuing with the
treatments is your choice if it is your wish to do so."
Rationale: The nurse should recognize the client's right to refuse the treatments
and inform the client of this right. The nurse should advocate for the client and
offer to contact the provider for the client.
A nurse is caring for an older adult client who has dementia and requires acute
care for a respiratory infection. The client is agitated and is attempting to remove
their IV catheter. Which of the following actions should nurse take to avoid
restraining the client? - answers- :Keep the client occupied with a manual
activity.
Rationale: The nurse should provide the client with a manual activity such as a
puzzle or an art project. This can help to distract the client from the IV catheter.
A nurse is caring for a client who has breast cancer and tells the nurse that they
would like to have acupuncture because it provides greater relief than pain
medication. Which of the following statements should the nurse make? -
answers- :"I can speak with the provider about incorporating acupuncture into
your treatment plan."
Rationale: The nurse should serve as an advocate for the client by acting on behalf
of the client and offering to speak with the provider. The client has the right to
make choices and decisions about their treatment and the nurse should support
these decisions and assist the client to carry them out.
A nurse is obtaining a medication history from a client who is scheduled to
undergo cataract surgery. The nurse should recognize that which of the following
client medications is a contraindication for the surgery and notify the provider? -
answers- :Warfarin
