ATI RN ADULT MED SURG ADVANCED
PRACTICE TEST 2026 NGN UPDATED
QUESTIONS AND DETAILED CORRECT
ANSWERS GRADED A+
⩥ What manifestation should a nurse expect in a client with left-sided
heart failure? Answer: Daytime oliguria.
⩥ What is the first action a nurse should take when observing a client
having a tonic-clonic seizure? Answer: Turn the client on their side.
⩥ What finding indicates that morphine IV was effective for a client
with acute heart failure? Answer: Decreased anxiety.
⩥ What manifestation of malnutrition should a nurse identify in a client
with anorexia? Answer: Alopecia.
⩥ What is the purpose of maintaining an elastic bandage around the
residual limb after a below-the-knee amputation? Answer: The elastic
bandage will prevent excessive edema.
⩥ What is the first action a nurse should take for a client with an
electrical shock injury? Answer: Obtain an ECG.
,⩥ What is the highest priority intervention for a client with a new onset
of hyperglycemic hyperosmolar state (HHS)? Answer: Initiate IV fluid
replacement.
⩥ Which food allergy indicates a risk for an allergic reaction to latex for
a client scheduled for exploratory surgery? Answer: Strawberries.
⩥ What instruction should a nurse provide to a client who received a
PPD skin test and has erythema with induration of 12 mm? Answer: You
will need to return in 48 hours for re-evaluation.
⩥ What action should a nurse take when withdrawing medication from
an ampule? Answer: Place a paper towel around the ampule's neck to
break off the top with both hands.
⩥ What recommendation should a nurse make to a caregiver who is tired
and irritable while caring for a client with moderate Alzheimer's disease?
Answer: Consider respite care services.
⩥ What assessment should be the priority for a nurse caring for a client
postoperative following an ORIF of the femur? Answer: Pain
assessment.
, ⩥ What action should a nurse take to prevent venous thromboembolism
in a client who is 3 hours postoperative following a total knee
arthroplasty? Answer: Encourage the client to perform circumduction of
the feet.
⩥ What test should a nurse monitor for a client who has taken ibuprofen
several times daily for 3 years? Answer: Stool for occult blood.
⩥ What action should a nurse take for a client who is 16 hours
postoperative and experiencing abdominal gas pains? Answer: Assist the
client with ambulation.
⩥ What is the first action a nurse should take when a client reports
chills, lower back pain, and nausea after 10 minutes of a packed RBC
infusion? Answer: Stop the infusion.
⩥ What laboratory value should a nurse anticipate to be elevated in a
client with a new diagnosis of Graves' disease? Answer:
Triiodothyronine 3.
⩥ What action should a nurse take when preparing to administer fresh
frozen plasma? Answer: Administer the plasma immediately after
thawing.
PRACTICE TEST 2026 NGN UPDATED
QUESTIONS AND DETAILED CORRECT
ANSWERS GRADED A+
⩥ What manifestation should a nurse expect in a client with left-sided
heart failure? Answer: Daytime oliguria.
⩥ What is the first action a nurse should take when observing a client
having a tonic-clonic seizure? Answer: Turn the client on their side.
⩥ What finding indicates that morphine IV was effective for a client
with acute heart failure? Answer: Decreased anxiety.
⩥ What manifestation of malnutrition should a nurse identify in a client
with anorexia? Answer: Alopecia.
⩥ What is the purpose of maintaining an elastic bandage around the
residual limb after a below-the-knee amputation? Answer: The elastic
bandage will prevent excessive edema.
⩥ What is the first action a nurse should take for a client with an
electrical shock injury? Answer: Obtain an ECG.
,⩥ What is the highest priority intervention for a client with a new onset
of hyperglycemic hyperosmolar state (HHS)? Answer: Initiate IV fluid
replacement.
⩥ Which food allergy indicates a risk for an allergic reaction to latex for
a client scheduled for exploratory surgery? Answer: Strawberries.
⩥ What instruction should a nurse provide to a client who received a
PPD skin test and has erythema with induration of 12 mm? Answer: You
will need to return in 48 hours for re-evaluation.
⩥ What action should a nurse take when withdrawing medication from
an ampule? Answer: Place a paper towel around the ampule's neck to
break off the top with both hands.
⩥ What recommendation should a nurse make to a caregiver who is tired
and irritable while caring for a client with moderate Alzheimer's disease?
Answer: Consider respite care services.
⩥ What assessment should be the priority for a nurse caring for a client
postoperative following an ORIF of the femur? Answer: Pain
assessment.
, ⩥ What action should a nurse take to prevent venous thromboembolism
in a client who is 3 hours postoperative following a total knee
arthroplasty? Answer: Encourage the client to perform circumduction of
the feet.
⩥ What test should a nurse monitor for a client who has taken ibuprofen
several times daily for 3 years? Answer: Stool for occult blood.
⩥ What action should a nurse take for a client who is 16 hours
postoperative and experiencing abdominal gas pains? Answer: Assist the
client with ambulation.
⩥ What is the first action a nurse should take when a client reports
chills, lower back pain, and nausea after 10 minutes of a packed RBC
infusion? Answer: Stop the infusion.
⩥ What laboratory value should a nurse anticipate to be elevated in a
client with a new diagnosis of Graves' disease? Answer:
Triiodothyronine 3.
⩥ What action should a nurse take when preparing to administer fresh
frozen plasma? Answer: Administer the plasma immediately after
thawing.
