ATI RN MEDICAL SURGICAL WITH
NGN 2024-2025 LATEST
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES
Instructions
Answers are underlined
Rationales are in red
Questions
,A nurse at an urgent care clinic is caring for a client who is
experiencing an anaphylactic reaction. After ensuring a
patent airway, which of the following interventions is the
priority?
- Obtaining vital signs
- Placing the client in Fowler's position
- Administering epinephrine
- Initiating an IV infusion of 0.9% sodium chloride
<answer>- Administering epinephrine
RATIONALE: Evidence-based practice indicates that the
priority intervention is for the nurse to administer
epinephrine quickly to dilate the bronchioles and prevent
circulatory shock.
A nurse has received report on a client who is being
admitted to the emergency department.
Select the 3 findings that require follow-up by the nurse.
- GCS score
- Wound drainage
,- Oxygen saturation
- Pain level
- Temperature <answer>- Wound drainage
RATIONALE: The nurse should apply a pressure dressing
to control bleeding.
- Oxygen saturation
RATIONALE: The client has an oxygen saturation that is
less than the expected reference level, indicating hypoxia.
The nurse should plan to increase the client's
supplemental oxygen.
- Pain level
RATIONALE: The nurse should follow-up on the client's
pain level.
A nurse in a provider's office is assessing a client who has
HTN and takes propranolol. Which of the following
assessment findings should indicate to the nurse that the
, client is experiencing an adverse reaction to this
medication?
- Report of a night cough
- Report of tinnitus
- Report of excessive tearing
- Report of increased salivation <answer>- Report of a
night cough
RATIONALE: The nurse should recognize that a night
cough is an early indication of heart failure and report this
adverse reaction to the provider.
A nurse in an acute care facility is caring for a client who is
at risk for seizures. Which of the following precautions
should the nurse implement?
- Place a padded tongue blade at the client's bedside
- Keep the side rails lowered on the client's bed
- Maintain the client's bed at hip level or above
- Ensure that the patient has a patent IV <answer>-
Ensure that the patient has a patent IV
NGN 2024-2025 LATEST
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES
Instructions
Answers are underlined
Rationales are in red
Questions
,A nurse at an urgent care clinic is caring for a client who is
experiencing an anaphylactic reaction. After ensuring a
patent airway, which of the following interventions is the
priority?
- Obtaining vital signs
- Placing the client in Fowler's position
- Administering epinephrine
- Initiating an IV infusion of 0.9% sodium chloride
<answer>- Administering epinephrine
RATIONALE: Evidence-based practice indicates that the
priority intervention is for the nurse to administer
epinephrine quickly to dilate the bronchioles and prevent
circulatory shock.
A nurse has received report on a client who is being
admitted to the emergency department.
Select the 3 findings that require follow-up by the nurse.
- GCS score
- Wound drainage
,- Oxygen saturation
- Pain level
- Temperature <answer>- Wound drainage
RATIONALE: The nurse should apply a pressure dressing
to control bleeding.
- Oxygen saturation
RATIONALE: The client has an oxygen saturation that is
less than the expected reference level, indicating hypoxia.
The nurse should plan to increase the client's
supplemental oxygen.
- Pain level
RATIONALE: The nurse should follow-up on the client's
pain level.
A nurse in a provider's office is assessing a client who has
HTN and takes propranolol. Which of the following
assessment findings should indicate to the nurse that the
, client is experiencing an adverse reaction to this
medication?
- Report of a night cough
- Report of tinnitus
- Report of excessive tearing
- Report of increased salivation <answer>- Report of a
night cough
RATIONALE: The nurse should recognize that a night
cough is an early indication of heart failure and report this
adverse reaction to the provider.
A nurse in an acute care facility is caring for a client who is
at risk for seizures. Which of the following precautions
should the nurse implement?
- Place a padded tongue blade at the client's bedside
- Keep the side rails lowered on the client's bed
- Maintain the client's bed at hip level or above
- Ensure that the patient has a patent IV <answer>-
Ensure that the patient has a patent IV
