NGN ATI ADVANCED (ADULT) MED SURG EXAM
QUESTIONS WITH COMPLETE SOLUTIONS
GUARANTEED PASS 2025/2026
A nurse is assessing a client who has disseminated intravascular
coagulation
(DIC). Which of the following should the nurse expect in the
findings? a. Excessive thrombosis and bleeding b. Progressive
increase in platelet production
c. Immediate sodium and fluid retention
d. Increased clotting factors
d. Increased clotting factors
A nurse is about to administer warfarin (Coumadin) to a client who
has atrial fibrillation. When the client asks what his medication will
do, which of the following is an appropriate nursing response?
a. It helps convert atrial fibrillation to sinus rhythm
b. Is dissolves clots in the bloodstream
c. It slows the response of the ventricles to the fast atrial impulses
d. It prevents strokes in clients who have atrial fibrillation
,d. It prevents strokes in clients who have atrial fibrillation
A nurse in a cardiac care unit is caring for a client with acute heart
failure. Which of the following findings should the nurse expect? a.
Decreased brain natriuretic peptide
(BNP)
b. Elevated central venous pressure (CVP)
c. Decreased pulmonary pressure
d. Increases urinary output
b. Elevated central venous pressure (CVP)
A client comes into the ED reporting nausea and vomiting that
worsens when lying down and without relief from antacids. The
provider suspects acute pancreatitis. Which of the following lab test
results should the nurse expect to see if the client has acute
pancreatitis? a. Decreased WBC
b. Increased serum amylase
c. Decreased serum lipase
d. Increased serum calcium
b. increased serum amylase
,A nurse in the ICU is caring for a client who has acute respiratory
distress syndrome (ARDS) and is receiving mechanical via an
endotracheal tube. The provider plans to extubate her within the next
24 hour. Which of the following is an important criterion for
extubating the client?
a. Ability to cough effectively
b. Adequate tidal volume without manually assisted breaths
c. No indication of infection
d. No need for supplemental oxygen
b. Adequate tidal volume without manually assisted breaths
A nurse is caring for a client following a CT scan with dye who
suffered from an anaphylactic reaction. Which of the
following conditions requires a priority nursing response? a.
urticaria b. stridor
c. tachypnea
d. angioedema
b. stridor
A nurse is caring for a female client who came in to the ED reporting
, SOB and pain in the lung area. Her heart rate is 110/min, resp. rate
40/min, and blood pressure 140/80 m8juiimHg. Her arterial blood
gases are: pH 7.5, PaCO2 29 mmHg, PaO2 60 mm Hg, HCO3 20 mEq/L,
and SaO2 86%. Which of the following is the priority intervention? a.
Prepare for mechanical ventilation
b. Administer oxygen via face mask
c. Prepare to administer a sedative
d. Monitor for pulmonary embolism
b. Administer oxygen via face mask
A nurse is monitoring a client who has just had a thoracentesis to
remove pleural fluid. Which of the following clinical manifestations
indicate a complication that requires notifying the provider
immediately?
a. Serosanguineous drainage from the puncture site
b. Discomfort at the puncture site
c. Increased heart rate
d. Decreased temperature
c. Increased heart rate
A group of college students was attending a weekend football rally
when one of the students stumbled and fell into the bonfire. Although
QUESTIONS WITH COMPLETE SOLUTIONS
GUARANTEED PASS 2025/2026
A nurse is assessing a client who has disseminated intravascular
coagulation
(DIC). Which of the following should the nurse expect in the
findings? a. Excessive thrombosis and bleeding b. Progressive
increase in platelet production
c. Immediate sodium and fluid retention
d. Increased clotting factors
d. Increased clotting factors
A nurse is about to administer warfarin (Coumadin) to a client who
has atrial fibrillation. When the client asks what his medication will
do, which of the following is an appropriate nursing response?
a. It helps convert atrial fibrillation to sinus rhythm
b. Is dissolves clots in the bloodstream
c. It slows the response of the ventricles to the fast atrial impulses
d. It prevents strokes in clients who have atrial fibrillation
,d. It prevents strokes in clients who have atrial fibrillation
A nurse in a cardiac care unit is caring for a client with acute heart
failure. Which of the following findings should the nurse expect? a.
Decreased brain natriuretic peptide
(BNP)
b. Elevated central venous pressure (CVP)
c. Decreased pulmonary pressure
d. Increases urinary output
b. Elevated central venous pressure (CVP)
A client comes into the ED reporting nausea and vomiting that
worsens when lying down and without relief from antacids. The
provider suspects acute pancreatitis. Which of the following lab test
results should the nurse expect to see if the client has acute
pancreatitis? a. Decreased WBC
b. Increased serum amylase
c. Decreased serum lipase
d. Increased serum calcium
b. increased serum amylase
,A nurse in the ICU is caring for a client who has acute respiratory
distress syndrome (ARDS) and is receiving mechanical via an
endotracheal tube. The provider plans to extubate her within the next
24 hour. Which of the following is an important criterion for
extubating the client?
a. Ability to cough effectively
b. Adequate tidal volume without manually assisted breaths
c. No indication of infection
d. No need for supplemental oxygen
b. Adequate tidal volume without manually assisted breaths
A nurse is caring for a client following a CT scan with dye who
suffered from an anaphylactic reaction. Which of the
following conditions requires a priority nursing response? a.
urticaria b. stridor
c. tachypnea
d. angioedema
b. stridor
A nurse is caring for a female client who came in to the ED reporting
, SOB and pain in the lung area. Her heart rate is 110/min, resp. rate
40/min, and blood pressure 140/80 m8juiimHg. Her arterial blood
gases are: pH 7.5, PaCO2 29 mmHg, PaO2 60 mm Hg, HCO3 20 mEq/L,
and SaO2 86%. Which of the following is the priority intervention? a.
Prepare for mechanical ventilation
b. Administer oxygen via face mask
c. Prepare to administer a sedative
d. Monitor for pulmonary embolism
b. Administer oxygen via face mask
A nurse is monitoring a client who has just had a thoracentesis to
remove pleural fluid. Which of the following clinical manifestations
indicate a complication that requires notifying the provider
immediately?
a. Serosanguineous drainage from the puncture site
b. Discomfort at the puncture site
c. Increased heart rate
d. Decreased temperature
c. Increased heart rate
A group of college students was attending a weekend football rally
when one of the students stumbled and fell into the bonfire. Although
