ATI RN MEDICAL SURGICAL WITH NGN COMPLETE 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES| GRADED A+

ATI RN MEDICAL SURGICAL WITH NGN 2025-
2026 COMPLETE 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES| GRADED A+




1. A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect?

- Constipation

- Insomnia

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,- Tachycardia

- Diaphoresis ANS >> - Constipation


RATIONALE ANS >> A client who has hypothyroidism can experience constipation
due to the decrease in the client's metabolism, resulting in slow motility of the GI
tract. The nurse should instruct the client to increase fiber and fluid intake to
reduce the risk for constipation.

2. A nurse is assessing a client who has a diagnosis of rheumatoid arthritis.
Which of the following nonpharmacological interventions should the nurse
suggest to the client to reduce pain?

- Increase intake of foods containing calcium

- Alternate application of heat and cold to the affected joints

- Keep the affected extremities elevated

- Limit movement of the affected joints ANS >> - Alternate application of heat
and cold to the affected joints

RATIONALE ANS >> The nurse should instruct the client to alternate heat and cold
appli- cations to decrease joint inflammation and pain. The application of cold can
relieve joint swelling and the application of heat can decrease joint stiffness and
pain.

3. A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless, dyspneic, and has crackles noted to the lung bases. Which
of the following actions should the nurse anticipate taking?


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,- Administer an antihistamine G G




- Slow the infusion rateG G G




- Give the client a corticosteroid
G G G G




- Elevate the client's lower extremities
G G G G G ANS G>> G G- GSlow Gthe Ginfusion Grate



RATIONALE ANS >> Dyspnea, restlessness, and the onset of crackles during a
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blood transfusion are manifestations of circulatory overload. The nurse should slow
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or stop the infusion to improve the client's ability to breath, place the client in an
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upright position, and notify the provider. The provider might prescribe a diuretic to
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alleviate the fluid overload.
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4. A nurse in the emergency department is assessing a client who has a
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detached retina. Which of the following should the nurse expect the client
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to report?
G G




- "It's like a curtain closed over my eye."
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- "This sharp pain in my eye started 2 hours ago."
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- "I've been having more and more difficulty seeing over the last few weeks.
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- "I seem to have more problems seeing different colors."
G G G G G G G G G ANS G>> G G- G"It's Glike
Ga curtain closed over my eye."
G G G G G




RATIONALE G ANS G>> G GA Gretinal Gdetachment Gis Gthe Gseparation Gof Gthe Gretina Gfrom Gthe
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, G epithelium. It can occur because of trauma, cataract surgery, retinopathy, or uveitis.
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G Clients who have retinal detachment typically report the sensation of a curtain
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G being pulled over part of the visual field.
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5. A nurse is teaching a client who has a family history of colorectal
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cancer. To help mitigate this risk, which of the following dietary alterations
G G G G G G G G G G G G


should the nurse recommend?
G G G G




- Add full-fat yogurt to the diet
G G G G G




- Add cabbage to the diet
G G G G




- Replace butter with coconut oil G G G G




- Replace shellfish with red meat G G G G G ANS G>> G G- GAdd Gcabbage Gto Gthe Gdiet



RATIONALE ANS >> To help reduce the risk for colorectal cancer, the client should
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consume a diet that is high in fiber, low in fat, and low in refined carbohydrates.
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Brassica vegetables, such as cabbage, cauliflower, and broccoli, are high in
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fiber.
G




6. A nurse is caring for a client who is postoperative following
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abdominal surgery.
G G




A nurse is caring for a client who is postoperative. Which of the following
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