Retake Proctored Exam with NGN 100 Clear
Questions to Pass Level 3 RN ATI Adult Med-Surg
2023–2026 Proctored Exam with NGN
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, 1. A nurse is caring for a client with heart failure who reports shortness of breath and a
weight gain of 3 pounds in 24 hours. Which action should the nurse take first?
A. Administer furosemide as prescribed
B. Place the client in high-Fowler's position
C. Restrict oral fluids to 1 L per day
D. Notify the provider immediately
Correct Answer: B
Explanation: Placing the client in high-Fowler's position is the first action to improve
breathing and reduce pulmonary congestion by allowing maximum chest expansion.
Administering furosemide, restricting fluids, and notifying the provider are important
but are subsequent interventions after addressing the immediate breathing difficulty.
2. A nurse is assessing a client with pneumonia. Which finding requires immediate
intervention?
A. Temperature of 100.4°F (38°C)
B. Oxygen saturation of 88% on room air
C. Productive cough with green sputum
D. Respiratory rate of 24 breaths per minute
Correct Answer: B
Explanation: Oxygen saturation of 88% indicates hypoxia and requires immediate
intervention to prevent respiratory compromise. The other findings (elevated
temperature, productive cough, and increased respiratory rate) are expected with
pneumonia but do not require immediate action compared to hypoxia.
3. A nurse is providing discharge teaching to a client with a new diagnosis of heart failure.
Which statement by the client indicates understanding?
A. "I will weigh myself every morning after voiding."
B. "I will increase my fluid intake to 3 liters per day."
C. "I can stop taking my diuretic when I feel better."
D. "I will limit my sodium intake to 4 grams per day."
Correct Answer: A