Approved ATI RN Adult Medical Surgical
2023 Actual & Retake Proctored Exam with
NGN 100 Clear Questions to Pass Level 3 RN
ATI Adult Med-Surg 2023–2026 Proctored
Exam with NGN
Exam: ATI RN Adult Medical Surgical 2023 (Proctored & Retake Style)
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Section A: Cardiovascular Disorders
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1. A nurse is caring for a client with heart failure who is receiving furosemide. Which of t
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he following laboratory values should the nurse monitor most closely?
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A. Serum sodium
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B. Serum potassium
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C. Serum calcium
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D. Serum magnesium
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2. A client is 2 hours post-
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operative following a coronary artery bypass graft (CABG). The nurse notes a sudden dec
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rease in chest tube output from 50 mL/hr to 5 mL/hr. What is the priority nursing action
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?
A. Clamp the chest tube.
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B. Notify the healthcare provider immediately.
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C. Assess for signs of cardiac tamponade.
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D. Strip the chest tube to clear a clot.
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3. A nurse is providing teaching to a client with newly diagnosed hypertension. Which of
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the following dietary instructions is most appropriate?
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A. Increase intake of red meat for protein.
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B. Limit sodium intake to 2,300 mg per day.
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C. Increase potassium-rich foods like bananas and spinach.
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D. Eliminate all carbohydrates from the diet.
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4. A client with atrial fibrillation is prescribed warfarin. Which of the following client stat
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ements indicates a need for further teaching?
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A. "I will take my medication at the same time every day."
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B. "I will avoid eating large amounts of leafy green vegetables."
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,C. "I will use a soft-bristled toothbrush."
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D. "I will take ibuprofen for my headaches."
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5. A nurse is assessing a client with peripheral arterial disease (PAD). Which of the follow
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ing findings is characteristic of this condition?
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A. Brownish discoloration of the skin.
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B. Diminished or absent peripheral pulses.
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C. Warm, edematous extremities.
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D. Thick, ridged toenails.
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6. A client is receiving IV heparin. The nurse reviews the aPTT results, which are 120 seco
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nds (therapeutic range is 60-80 seconds). What is the nurse's priority action?
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A. Increase the IV infusion rate.
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B. Administer vitamin K.
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C. Stop the infusion and notify the provider.
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D. Continue the infusion and monitor closely.
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7. A nurse is preparing a client for a cardiac catheterization. Which of the following aller
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gies must be reported to the provider before the procedure?
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A. Penicillin
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B. Shellfish
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C. Latex
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D. Sulfa
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Section B: Respiratory Disordershg hg hg
8. A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2 L
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/min via nasal cannula. Which of the following assessments indicates the oxygen therapy
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is effective?
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A. Respiratory rate increases to 26/min.
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B. Oxygen saturation is 92%.
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C. Patient reports increased dyspnea.
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D. Arterial PaCO2 is 58 mm Hg.
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9. A nurse is caring for a client with a chest tube following a pneumothorax. The chest t
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ube becomes disconnected from the drainage system. What is the first action the nurse s
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hould take? hg
A. Clamp the chest tube immediately.
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B. Submerge the end of the chest tube in sterile water.
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C. Apply an occlusive dressing over the insertion site.
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D. Reconnect the tube to the drainage system.
hg hg hg hg hg hg hg
10. A client with asthma is prescribed an albuterol metered-
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dose inhaler (MDI). Which of the following indicates the need for an additional medicati
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,on, such as a corticosteroid?
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A. Heart rate increases after using the inhaler.
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B. The client uses the inhaler more than twice a week.
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C. The client reports a mild headache.
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D. The client has a dry mouth.
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11. A nurse is assessing a client who has a new tracheostomy. Which of the following fin
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
dings requires immediate intervention?
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A. Crackles auscultated in the lung bases.
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B. Thick, yellow secretions in the tracheostomy tube.
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C. SpO2 of 88%.
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D. Small amount of bleeding around the stoma.
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12. A client is admitted with a pulmonary embolism. Which of the following is the priori
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ty nursing action?
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A. Administer oxygen and prepare for intubation if needed.
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B. Administer the prescribed subcutaneous enoxaparin.
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C. Place the client in a high-Fowler's position.
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D. Start an IV line.
hg hg hg hg
13. A nurse is teaching a client about incentive spirometry use post-
hg hg hg hg hg hg hg hg hg hg hg
operatively. Which of the following instructions is correct?
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A. Exhale forcefully into the device.
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B. Inhale slowly and deeply to raise the ball or piston.
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C. Perform the exercise once daily.
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D. Use the device only when feeling short of breath.
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Section C: Gastrointestinal & Hepatobiliary Disorders
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14. A client has an NG tube connected to continuous suction. Which of the following fin
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dings indicates a complication of the therapy?
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A. The client reports a dry mouth.
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B. The gastric aspirate is green and clear.
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C. The client's serum potassium is 3.0 mEq/L.
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D. The NG tube is draining 50 mL/hr.
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15. A nurse is caring for a client who underwent a cholecystectomy. Which of the followi
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ng dietary instructions should the nurse provide?
hg hg hg hg hg hg
A. "Increase your intake of fatty foods to stimulate bile flow."
hg hg hg hg hg hg hg hg hg hg
B. "Eat a low-fat diet with small, frequent meals."
hg hg hg hg hg hg hg hg
C. "Avoid all dairy products permanently."
hg hg hg hg hg
D. "Increase your intake of raw vegetables."
hg hg hg hg hg hg
, 16. A client with cirrhosis has ascites. Which of the following nursing interventions is a p
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riority?
A. Restrict oral fluids to 1,000 mL/day.
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B. Measure abdominal girth daily.
hg hg hg hg
C. Administer a stool softener.
hg hg hg hg
D. Encourage a high-protein diet.
hg hg hg hg
17. A client is experiencing acute pancreatitis. Which of the following lab values is most
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indicative of this condition? hg hg hg
A. Elevated serum amylase and lipase.
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B. Elevated serum bilirubin.
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C. Decreased serum calcium.
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D. Elevated serum potassium.
hg hg hg
18. A nurse is teaching a client with diverticulosis. Which of the following should be incl
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uded in the teaching?
hg hg hg
A. "Avoid eating foods with small seeds or nuts."
hg hg hg hg hg hg hg hg
B. "Increase fiber in your diet."
hg hg hg hg hg
C. "Take a laxative daily."
hg hg hg hg
D. "Limit your fluid intake."
hg hg hg hg
19. A client is 1 day post-
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op from a bowel resection. The nurse notes the abdomen is rigid and board-
hg hg hg hg hg hg hg hg hg hg hg hg hg
like, and the client reports severe pain. What is the nurse's priority action?
hg hg hg hg hg hg hg hg hg hg hg hg
A. Administer the prescribed PRN pain medication.
hg hg hg hg hg hg
B. Apply a warm compress to the abdomen.
hg hg hg hg hg hg hg
C. Notify the healthcare provider immediately.
hg hg hg hg hg
D. Encourage the client to ambulate.
hg hg hg hg hg
20. A client with a colostomy is having skin breakdown around the stoma. Which of the
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
following actions by the nurse is most appropriate?
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A. Apply a skin barrier paste or powder.
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B. Use an ostomy pouch with a smaller opening.
hg hg hg hg hg hg hg hg
C. Clean the skin with alcohol wipes.
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D. Apply a heating pad to dry the skin.
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Section D: Renal & Urinary Disorders
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21. A nurse is caring for a client with acute kidney injury (AKI) in the oliguric phase. Whi
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ch of the following assessment findings is consistent with this phase?
hg hg hg hg hg hg hg hg hg hg
A. Urine output of 50 mL in 2 hours.
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B. Serum potassium level of 3.0 mEq/L.
hg hg hg hg hg hg
C. Fluid volume overload with edema.
hg hg hg hg hg
D. Urine specific gravity of 1.010.
hg hg hg hg hg
2023 Actual & Retake Proctored Exam with
NGN 100 Clear Questions to Pass Level 3 RN
ATI Adult Med-Surg 2023–2026 Proctored
Exam with NGN
Exam: ATI RN Adult Medical Surgical 2023 (Proctored & Retake Style)
hg hg hg hg hg hg hg hg hg hg
Section A: Cardiovascular Disorders
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1. A nurse is caring for a client with heart failure who is receiving furosemide. Which of t
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
he following laboratory values should the nurse monitor most closely?
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A. Serum sodium
hg hg
B. Serum potassium
hg hg
C. Serum calcium
hg hg
D. Serum magnesium
hg hg
2. A client is 2 hours post-
hg hg hg hg hg hg
operative following a coronary artery bypass graft (CABG). The nurse notes a sudden dec
hg hg hg hg hg hg hg hg hg hg hg hg hg
rease in chest tube output from 50 mL/hr to 5 mL/hr. What is the priority nursing action
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
?
A. Clamp the chest tube.
hg hg hg hg
B. Notify the healthcare provider immediately.
hg hg hg hg hg
C. Assess for signs of cardiac tamponade.
hg hg hg hg hg hg
D. Strip the chest tube to clear a clot.
hg hg hg hg hg hg hg hg
3. A nurse is providing teaching to a client with newly diagnosed hypertension. Which of
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
the following dietary instructions is most appropriate?
hg hg hg hg hg hg hg
A. Increase intake of red meat for protein.
hg hg hg hg hg hg hg
B. Limit sodium intake to 2,300 mg per day.
hg hg hg hg hg hg hg hg
C. Increase potassium-rich foods like bananas and spinach.
hg hg hg hg hg hg hg
D. Eliminate all carbohydrates from the diet.
hg hg hg hg hg hg
4. A client with atrial fibrillation is prescribed warfarin. Which of the following client stat
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ements indicates a need for further teaching?
hg hg hg hg hg hg
A. "I will take my medication at the same time every day."
hg hg hg hg hg hg hg hg hg hg hg
B. "I will avoid eating large amounts of leafy green vegetables."
hg hg hg hg hg hg hg hg hg hg
,C. "I will use a soft-bristled toothbrush."
hg hg hg hg hg hg
D. "I will take ibuprofen for my headaches."
hg hg hg hg hg hg hg
5. A nurse is assessing a client with peripheral arterial disease (PAD). Which of the follow
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ing findings is characteristic of this condition?
hg hg hg hg hg hg
A. Brownish discoloration of the skin.
hg hg hg hg hg
B. Diminished or absent peripheral pulses.
hg hg hg hg hg
C. Warm, edematous extremities.
hg hg hg
D. Thick, ridged toenails.
hg hg hg
6. A client is receiving IV heparin. The nurse reviews the aPTT results, which are 120 seco
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
nds (therapeutic range is 60-80 seconds). What is the nurse's priority action?
hg hg hg hg hg hg hg hg hg hg hg
A. Increase the IV infusion rate.
hg hg hg hg hg
B. Administer vitamin K.
hg hg hg
C. Stop the infusion and notify the provider.
hg hg hg hg hg hg hg
D. Continue the infusion and monitor closely.
hg hg hg hg hg hg
7. A nurse is preparing a client for a cardiac catheterization. Which of the following aller
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
gies must be reported to the provider before the procedure?
hg hg hg hg hg hg hg hg hg
A. Penicillin
hg
B. Shellfish
hg
C. Latex
hg
D. Sulfa
hg
Section B: Respiratory Disordershg hg hg
8. A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2 L
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
/min via nasal cannula. Which of the following assessments indicates the oxygen therapy
hg hg hg hg hg hg hg hg hg hg hg hg
is effective?
hg hg
A. Respiratory rate increases to 26/min.
hg hg hg hg hg
B. Oxygen saturation is 92%.
hg hg hg hg
C. Patient reports increased dyspnea.
hg hg hg hg
D. Arterial PaCO2 is 58 mm Hg.
hg hg hg hg hg hg
9. A nurse is caring for a client with a chest tube following a pneumothorax. The chest t
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ube becomes disconnected from the drainage system. What is the first action the nurse s
hg hg hg hg hg hg hg hg hg hg hg hg hg hg
hould take? hg
A. Clamp the chest tube immediately.
hg hg hg hg hg
B. Submerge the end of the chest tube in sterile water.
hg hg hg hg hg hg hg hg hg hg
C. Apply an occlusive dressing over the insertion site.
hg hg hg hg hg hg hg hg
D. Reconnect the tube to the drainage system.
hg hg hg hg hg hg hg
10. A client with asthma is prescribed an albuterol metered-
hg hg hg hg hg hg hg hg hg
dose inhaler (MDI). Which of the following indicates the need for an additional medicati
hg hg hg hg hg hg hg hg hg hg hg hg hg
,on, such as a corticosteroid?
hg hg hg hg
A. Heart rate increases after using the inhaler.
hg hg hg hg hg hg hg
B. The client uses the inhaler more than twice a week.
hg hg hg hg hg hg hg hg hg hg
C. The client reports a mild headache.
hg hg hg hg hg hg
D. The client has a dry mouth.
hg hg hg hg hg hg
11. A nurse is assessing a client who has a new tracheostomy. Which of the following fin
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
dings requires immediate intervention?
hg hg hg
A. Crackles auscultated in the lung bases.
hg hg hg hg hg hg
B. Thick, yellow secretions in the tracheostomy tube.
hg hg hg hg hg hg hg
C. SpO2 of 88%.
hg hg hg
D. Small amount of bleeding around the stoma.
hg hg hg hg hg hg hg
12. A client is admitted with a pulmonary embolism. Which of the following is the priori
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ty nursing action?
hg hg
A. Administer oxygen and prepare for intubation if needed.
hg hg hg hg hg hg hg hg
B. Administer the prescribed subcutaneous enoxaparin.
hg hg hg hg hg
C. Place the client in a high-Fowler's position.
hg hg hg hg hg hg hg
D. Start an IV line.
hg hg hg hg
13. A nurse is teaching a client about incentive spirometry use post-
hg hg hg hg hg hg hg hg hg hg hg
operatively. Which of the following instructions is correct?
hg hg hg hg hg hg hg
A. Exhale forcefully into the device.
hg hg hg hg hg
B. Inhale slowly and deeply to raise the ball or piston.
hg hg hg hg hg hg hg hg hg hg
C. Perform the exercise once daily.
hg hg hg hg hg
D. Use the device only when feeling short of breath.
hg hg hg hg hg hg hg hg hg
Section C: Gastrointestinal & Hepatobiliary Disorders
hg hg hg hg hg
14. A client has an NG tube connected to continuous suction. Which of the following fin
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
dings indicates a complication of the therapy?
hg hg hg hg hg hg
A. The client reports a dry mouth.
hg hg hg hg hg hg
B. The gastric aspirate is green and clear.
hg hg hg hg hg hg hg
C. The client's serum potassium is 3.0 mEq/L.
hg hg hg hg hg hg hg
D. The NG tube is draining 50 mL/hr.
hg hg hg hg hg hg hg
15. A nurse is caring for a client who underwent a cholecystectomy. Which of the followi
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ng dietary instructions should the nurse provide?
hg hg hg hg hg hg
A. "Increase your intake of fatty foods to stimulate bile flow."
hg hg hg hg hg hg hg hg hg hg
B. "Eat a low-fat diet with small, frequent meals."
hg hg hg hg hg hg hg hg
C. "Avoid all dairy products permanently."
hg hg hg hg hg
D. "Increase your intake of raw vegetables."
hg hg hg hg hg hg
, 16. A client with cirrhosis has ascites. Which of the following nursing interventions is a p
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
riority?
A. Restrict oral fluids to 1,000 mL/day.
hg hg hg hg hg hg
B. Measure abdominal girth daily.
hg hg hg hg
C. Administer a stool softener.
hg hg hg hg
D. Encourage a high-protein diet.
hg hg hg hg
17. A client is experiencing acute pancreatitis. Which of the following lab values is most
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
indicative of this condition? hg hg hg
A. Elevated serum amylase and lipase.
hg hg hg hg hg
B. Elevated serum bilirubin.
hg hg hg
C. Decreased serum calcium.
hg hg hg
D. Elevated serum potassium.
hg hg hg
18. A nurse is teaching a client with diverticulosis. Which of the following should be incl
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
uded in the teaching?
hg hg hg
A. "Avoid eating foods with small seeds or nuts."
hg hg hg hg hg hg hg hg
B. "Increase fiber in your diet."
hg hg hg hg hg
C. "Take a laxative daily."
hg hg hg hg
D. "Limit your fluid intake."
hg hg hg hg
19. A client is 1 day post-
hg hg hg hg hg hg
op from a bowel resection. The nurse notes the abdomen is rigid and board-
hg hg hg hg hg hg hg hg hg hg hg hg hg
like, and the client reports severe pain. What is the nurse's priority action?
hg hg hg hg hg hg hg hg hg hg hg hg
A. Administer the prescribed PRN pain medication.
hg hg hg hg hg hg
B. Apply a warm compress to the abdomen.
hg hg hg hg hg hg hg
C. Notify the healthcare provider immediately.
hg hg hg hg hg
D. Encourage the client to ambulate.
hg hg hg hg hg
20. A client with a colostomy is having skin breakdown around the stoma. Which of the
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
following actions by the nurse is most appropriate?
hg hg hg hg hg hg hg
A. Apply a skin barrier paste or powder.
hg hg hg hg hg hg hg
B. Use an ostomy pouch with a smaller opening.
hg hg hg hg hg hg hg hg
C. Clean the skin with alcohol wipes.
hg hg hg hg hg hg
D. Apply a heating pad to dry the skin.
hg hg hg hg hg hg hg hg
Section D: Renal & Urinary Disorders
hg hg hg hg hg
21. A nurse is caring for a client with acute kidney injury (AKI) in the oliguric phase. Whi
hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg hg
ch of the following assessment findings is consistent with this phase?
hg hg hg hg hg hg hg hg hg hg
A. Urine output of 50 mL in 2 hours.
hg hg hg hg hg hg hg hg
B. Serum potassium level of 3.0 mEq/L.
hg hg hg hg hg hg
C. Fluid volume overload with edema.
hg hg hg hg hg
D. Urine specific gravity of 1.010.
hg hg hg hg hg
