ATI- ADULT MEDICAL SURGICAL
NGN B FULLY EXAPLAINED
QUESTIONS AND ANSWERS
A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone
replacement therapy. For which of the following adverse effects should the nurse instruct the client to
notify the provider? - answer✔✔✨-Calf pain
Numbness in the arms
Intense headache
A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-
suction drain. Which of the following actions should the nurse take to manage the drain? -
answer✔✔✨-Compress the drain reservoir after emptying.
A nurse is caring for a client who has DKA. Which of the following findings should indicate to the nurse
that the client's condition is improving? - answer✔✔✨-Glucose 272 mg/dL
A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. The nurse
should identify which of the following findings as an indication of a myocardial infarction (MI)? -
answer✔✔✨-Troponin I 8 ng/mL
A nurse is planning a health promotional presentation for a group of African American clients at a
community center. Which of the following disorders presents the greatest risk to this group of clients? -
answer✔✔✨-hypertension
A nurse is providing education to a client who is at risk for osteoporosis. Which of the following
instructions should the nurse include? - answer✔✔✨-Walk for 30 min four times per week.
A nurse is caring for a client who has an arterial line. Which of the following actions should the nurse
take? - answer✔✔✨-Place a pressure bag around the flush solution.
,A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the following results
should the nurse expect? - answer✔✔✨-PaCO2 56
A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which of the
following instructions should the nurse include? - answer✔✔✨-Flex the foot every hour when
awake.
A nurse is planning care for a client who is postoperative following a parathyroidectomy. Which of the
following actions should the nurse identify as the priority? - answer✔✔✨-Place a tracheostomy tray
at the bedside.
A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. The nurse should
identify the need to revise the plan for which of the following clients? - answer✔✔✨-A client who is
postoperative following abdominal surgery and reports feeling that something "popped" when they
coughed
A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. The nurse notes a
pacemaker artifact followed by a QRS complex. Which of the following actions should the nurse take? -
answer✔✔✨-Document that depolarization has occurred.
A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Which of the
following information should the nurse include in the instructions? - answer✔✔✨-Sputum
specimens are necessary every 2 to 4 weeks until there are three negative cultures.
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? - answer✔✔✨-Slow the infusion rate
A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following
findings is the nurse's priority? - answer✔✔✨-Temperature 38.9° C (102° F)
, A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. To reduce the
risk of falls when ambulating, the nurse should provide which of the following instructions to the client?
- answer✔✔✨-Scan the environment by turning your head from side to side.
A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The client's initial
vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory rate 16/min, and
temperature 36° C (96.80 F). Which of the following vital sign changes should alert the nurse that the
client might be hemorrhaging? - answer✔✔✨-Heart rate 110/min
A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The client is
unable to void on the bedpan. Which of the following actions should the nurse take first? -
answer✔✔✨-Scan the bladder with a portable ultrasound.
A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The client has
just undergone thoracentesis. The nurse should expect a reduction in which of the following common
manifestations of advanced cancer? - answer✔✔✨-Dyspnea
A nurse is caring for a client who is postoperative. - answer✔✔✨-Nurses' Notes
Client admitted to medical-surgical unit from PACU. Client reports incisional pain as 2 on a scale of 0 to
10. Client appears restless and frequently asks for water. Bilateral lower extremities cool with +1 pedal
pulses. Urine output is 40 mL for the past 2 hr. Moderate amount of bright red drainage noted on
surgical incision dressing.
Vital Signs
Temperature 37.6° C (99.7° F)
Heart rate 114/min
Respiratory rate 22/min
Blood pressure 88/54 mm Hg
Oxygen saturation 93% on room air
Diagnostic Results
Hgb 18 g/dL (12 to 16 g/dL)
Hct 54% (37% to 47 %)
NGN B FULLY EXAPLAINED
QUESTIONS AND ANSWERS
A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone
replacement therapy. For which of the following adverse effects should the nurse instruct the client to
notify the provider? - answer✔✔✨-Calf pain
Numbness in the arms
Intense headache
A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-
suction drain. Which of the following actions should the nurse take to manage the drain? -
answer✔✔✨-Compress the drain reservoir after emptying.
A nurse is caring for a client who has DKA. Which of the following findings should indicate to the nurse
that the client's condition is improving? - answer✔✔✨-Glucose 272 mg/dL
A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. The nurse
should identify which of the following findings as an indication of a myocardial infarction (MI)? -
answer✔✔✨-Troponin I 8 ng/mL
A nurse is planning a health promotional presentation for a group of African American clients at a
community center. Which of the following disorders presents the greatest risk to this group of clients? -
answer✔✔✨-hypertension
A nurse is providing education to a client who is at risk for osteoporosis. Which of the following
instructions should the nurse include? - answer✔✔✨-Walk for 30 min four times per week.
A nurse is caring for a client who has an arterial line. Which of the following actions should the nurse
take? - answer✔✔✨-Place a pressure bag around the flush solution.
,A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the following results
should the nurse expect? - answer✔✔✨-PaCO2 56
A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which of the
following instructions should the nurse include? - answer✔✔✨-Flex the foot every hour when
awake.
A nurse is planning care for a client who is postoperative following a parathyroidectomy. Which of the
following actions should the nurse identify as the priority? - answer✔✔✨-Place a tracheostomy tray
at the bedside.
A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. The nurse should
identify the need to revise the plan for which of the following clients? - answer✔✔✨-A client who is
postoperative following abdominal surgery and reports feeling that something "popped" when they
coughed
A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. The nurse notes a
pacemaker artifact followed by a QRS complex. Which of the following actions should the nurse take? -
answer✔✔✨-Document that depolarization has occurred.
A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Which of the
following information should the nurse include in the instructions? - answer✔✔✨-Sputum
specimens are necessary every 2 to 4 weeks until there are three negative cultures.
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? - answer✔✔✨-Slow the infusion rate
A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following
findings is the nurse's priority? - answer✔✔✨-Temperature 38.9° C (102° F)
, A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. To reduce the
risk of falls when ambulating, the nurse should provide which of the following instructions to the client?
- answer✔✔✨-Scan the environment by turning your head from side to side.
A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The client's initial
vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory rate 16/min, and
temperature 36° C (96.80 F). Which of the following vital sign changes should alert the nurse that the
client might be hemorrhaging? - answer✔✔✨-Heart rate 110/min
A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The client is
unable to void on the bedpan. Which of the following actions should the nurse take first? -
answer✔✔✨-Scan the bladder with a portable ultrasound.
A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The client has
just undergone thoracentesis. The nurse should expect a reduction in which of the following common
manifestations of advanced cancer? - answer✔✔✨-Dyspnea
A nurse is caring for a client who is postoperative. - answer✔✔✨-Nurses' Notes
Client admitted to medical-surgical unit from PACU. Client reports incisional pain as 2 on a scale of 0 to
10. Client appears restless and frequently asks for water. Bilateral lower extremities cool with +1 pedal
pulses. Urine output is 40 mL for the past 2 hr. Moderate amount of bright red drainage noted on
surgical incision dressing.
Vital Signs
Temperature 37.6° C (99.7° F)
Heart rate 114/min
Respiratory rate 22/min
Blood pressure 88/54 mm Hg
Oxygen saturation 93% on room air
Diagnostic Results
Hgb 18 g/dL (12 to 16 g/dL)
Hct 54% (37% to 47 %)
