ATI PN ADULT MEDICAL-SURGICAL (MED-SURG) WITH NEXT
GENERATION NCLEX (NGN) COMPLETE STUDY GUIDE
FEATURING HIGH-YIELD PRACTICE QUESTIONS, DETAILED
ANSWER EXPLANATIONS AND RATIONALES, CLINICAL
JUDGMENT CASE SCENARIOS, PRIORITIZATION
STRATEGIES, AND COMPREHENSIVE EXAM PREPARATION
TOOLS FOR SUCCESS – 2026/2027 LATEST UPDATED
EDITION
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
D. Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
,c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products.
A. Cleanse the client's toothbrush with hydrogen
peroxide.
A nurse enters a client's room and sees smoke coming from the bathroom. Which
of the following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.
C. Assist the client to a nearby common area.
A nurse is contributing to the plan of care for a client who reports difficulty eating
due to chronic arthritis.
Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating
utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
,d) Ask the provider for a prescription for a
pureed diet.
A. Apply foam handles to the client's eating utensils.
A nurse is obtaining a medication history from a client who is to start taking
nitroglycerin for chest discomfort with activity. Which of the following
medications should the nurse instruct the client to avoid taking within 24 hr of
using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole
C. Sildenafil
A nurse is preparing to obtain a postprandial blood glucose level from a client
who has diabetes mellitus. Which of the following actions should the nurse take?
a) Apply the first drop of blood to the test strip.
b) Clean the client's finger with
hexachlorophene.
c) Prick the central tip of the client's finger.
d) Hold the client's finger in a dependent
position.
D. Hold the client's finger in a dependent
position.
, A nurse is reinforcing teaching with a client about breast self-examinations.
Which of the following statements by the client indicates an understanding of the
teaching?
a) "It is common for one breast to be larger than
the other."
b) "It is common for the skin on my breasts to
dimple."
c) "I will perform breast exams the day my
period begins."
d) "I will perform breast exams every other
month."
A. "It is common for one breast to be larger than
the other."
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of
the following statements by the client indicates an understanding of the
teaching?
a) "I will need to empty the bag every 4 to 6
hours."
b) "I will use moisturizing soap to clean around
the stoma before applying the bag."
c) "I will use a skin sealant before I apply the
bag."
GENERATION NCLEX (NGN) COMPLETE STUDY GUIDE
FEATURING HIGH-YIELD PRACTICE QUESTIONS, DETAILED
ANSWER EXPLANATIONS AND RATIONALES, CLINICAL
JUDGMENT CASE SCENARIOS, PRIORITIZATION
STRATEGIES, AND COMPREHENSIVE EXAM PREPARATION
TOOLS FOR SUCCESS – 2026/2027 LATEST UPDATED
EDITION
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
D. Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
,c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products.
A. Cleanse the client's toothbrush with hydrogen
peroxide.
A nurse enters a client's room and sees smoke coming from the bathroom. Which
of the following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.
C. Assist the client to a nearby common area.
A nurse is contributing to the plan of care for a client who reports difficulty eating
due to chronic arthritis.
Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating
utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
,d) Ask the provider for a prescription for a
pureed diet.
A. Apply foam handles to the client's eating utensils.
A nurse is obtaining a medication history from a client who is to start taking
nitroglycerin for chest discomfort with activity. Which of the following
medications should the nurse instruct the client to avoid taking within 24 hr of
using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole
C. Sildenafil
A nurse is preparing to obtain a postprandial blood glucose level from a client
who has diabetes mellitus. Which of the following actions should the nurse take?
a) Apply the first drop of blood to the test strip.
b) Clean the client's finger with
hexachlorophene.
c) Prick the central tip of the client's finger.
d) Hold the client's finger in a dependent
position.
D. Hold the client's finger in a dependent
position.
, A nurse is reinforcing teaching with a client about breast self-examinations.
Which of the following statements by the client indicates an understanding of the
teaching?
a) "It is common for one breast to be larger than
the other."
b) "It is common for the skin on my breasts to
dimple."
c) "I will perform breast exams the day my
period begins."
d) "I will perform breast exams every other
month."
A. "It is common for one breast to be larger than
the other."
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of
the following statements by the client indicates an understanding of the
teaching?
a) "I will need to empty the bag every 4 to 6
hours."
b) "I will use moisturizing soap to clean around
the stoma before applying the bag."
c) "I will use a skin sealant before I apply the
bag."
