ATI RN Adult Medical Surgical Online
Practice 2026 A for NGN answers
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago.
Which of the following actions should the nurse take? - Check that one finger fits
between the cast and the leg.
To make sure the cast is not too tight, the nurse should be able to slide one finger under
the cast. It is not uncommon for casts to loosen as swelling subsides, but that should
not be an issue 2 hr after application.
A nurse is providing teaching to a client who has esophageal cancer and is to undergo
radiation therapy. Which of the following statements should the nurse identify as an
indication that the client understands the teaching? - "I will use my hands rather than a
washcloth to clean the radiation area."
The client should gently wash the radiation area with their hands using warm water and
mild soap to protect the skin from further irritation.
A nurse is planning to provide discharge teaching for the family of an older adult client
who has hemianopsia and is at risk for falls. Which of the following instructions should
the nurse include? - Remind the client to scan their complete range of vision during
ambulation.
The nurse should instruct the family to remind a client who has hemianopsia, or
blindness in half of the visual field, to use visual scanning to look over their complete
range of vision during ambulation. This practice can accommodate for the loss of vision
and help to reduce the risk for falls.
A nurse has received change-of-shift report for a group of clients. Which of the following
clients should the nurse assess first? - A client who had a myocardial infarction (MI) 4
days ago and is asking for a PRN sublingual nitroglycerin tablet
A nurse is caring for a client who is postoperative following a total hip arthroplasty.
Which of the following laboratory values should the nurse report to the provider? - Hgb 8
g/dL
A nurse in a provider's office is assessing a client who has migraine headaches and is
taking feverfew to prevent headaches. The nurse should identify that which of the
following client medications interacts with feverfew? - Naproxen
An older adult client is brought to an emergency department by a family member. Which
of the following assessment findings should cause the nurse to suspect that the client
has hypertonic dehydration? - Urine specific gravity 1.045
, A mnurse mis mpreparing mto madmit ma mclient mwho mhas mdysphagia. mThe mnurse mshould
mplan mto m
m
place mwhich mof mthe mfollowing mitems mat mthe mclient's mbedside? m- mSuction
mmachine
m
A mnurse min ma mprovider's moffice mis massessing ma mclient mwho mhas mhypertension mand mtakes
mpropranolol. mWhich mof mthe mfollowing mfindings mshould mindicate mto mthe mnurse mthat mthe
mclient mis mexperiencing man madverse mreaction mto mthis mmedication? m- mReport mof ma mnight
mcough m
m
A mnurse mis mcaring mfor ma mclient mwho mhas ma mnew mprescription mfor mtotal mparenteral
mnutrition m
(TPN). mThe mclient mis mto mreceive m2,000 mkcal mper mday. mThe mTPN msolution mhas m500
mkcal/L. mThe mIV mpump mshould mbe mset mat mhow mmany mmL/hr? m(Round mthe manswer mto
mthe mnearest mwhole m
number. mUse ma mleading mzero mif mit mapplies. mDo mnot muse ma mtrailing mzero.) m- m167 m
X mmL/hr m= mVolume m(mL)/Time m(hr) m
X mmL/hr m=4000mL/24 mhr m
X mmL/hr m= m166.67 m
Round mif mnecessary. m166.67 m= m167 mmL/hr m
m
A mnurse mis mcaring mfor ma mclient mwho mis mhaving ma mseizure. mWhich mof mthe
mfollowing m
m
interventions mis mthe mnurse's mpriority? m- mTurn mthe mclient mto mthe
mside.
m
A mnurse mis mcreating ma mplan mof mcare mfor ma mclient mwho mhas mneutropenia mas ma mresult mof
mchemotherapy. mWhich mof mthe mfollowing minterventions mshould mthe mnurse minclude min mthe
mplan? m- mMonitor mthe mclient's mtemperature mevery m4 mhr. m
m
A mnurse mis mplanning mcare mfor ma mclient mwho mis mundergoing mbrachytherapy mvia ma msealed
mvaginal mimplant mto mtreat mendometrial mcancer. mWhich mof mthe mfollowing mactions mshould
mthe mnurse minclude min mthe mclient's mplan mof mcare? m- mWear ma mlead mapron mwhile mproviding
mcare mto mthe mclient. m
m
A mnurse mis mpreparing mto madminister ma munit mof mpacked mRBCs mto ma mclient. mWhich mof mthe
mfollowing mactions mshould mthe mnurse mtake? m- mRemain mwith mthe mclient mfor mthe mfirst m15
mmin mof mthe minfusion. m
m
A mnurse mis mpreparing ma mclient mwho mhas msupraventricular mtachycardia mfor melective
mcardioversion. mWhich mof mthe mfollowing mprescribed mmedications mshould mthe mnurse
minstruct mthe mclient mto mwithhold mfor m48 mhr mprior mto mcardioversion? m- mDigoxin m
m
A mnurse mis mcaring mfor ma mclient mwho mhas manorexia, mlow-grade mfever, mnight msweats, mand
ma mproductive mcough. mWhich mof mthe mfollowing mactions mshould mthe mnurse mtake mfirst? m-
mInitiate mairborne mprecautions. m
m
Practice 2026 A for NGN answers
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago.
Which of the following actions should the nurse take? - Check that one finger fits
between the cast and the leg.
To make sure the cast is not too tight, the nurse should be able to slide one finger under
the cast. It is not uncommon for casts to loosen as swelling subsides, but that should
not be an issue 2 hr after application.
A nurse is providing teaching to a client who has esophageal cancer and is to undergo
radiation therapy. Which of the following statements should the nurse identify as an
indication that the client understands the teaching? - "I will use my hands rather than a
washcloth to clean the radiation area."
The client should gently wash the radiation area with their hands using warm water and
mild soap to protect the skin from further irritation.
A nurse is planning to provide discharge teaching for the family of an older adult client
who has hemianopsia and is at risk for falls. Which of the following instructions should
the nurse include? - Remind the client to scan their complete range of vision during
ambulation.
The nurse should instruct the family to remind a client who has hemianopsia, or
blindness in half of the visual field, to use visual scanning to look over their complete
range of vision during ambulation. This practice can accommodate for the loss of vision
and help to reduce the risk for falls.
A nurse has received change-of-shift report for a group of clients. Which of the following
clients should the nurse assess first? - A client who had a myocardial infarction (MI) 4
days ago and is asking for a PRN sublingual nitroglycerin tablet
A nurse is caring for a client who is postoperative following a total hip arthroplasty.
Which of the following laboratory values should the nurse report to the provider? - Hgb 8
g/dL
A nurse in a provider's office is assessing a client who has migraine headaches and is
taking feverfew to prevent headaches. The nurse should identify that which of the
following client medications interacts with feverfew? - Naproxen
An older adult client is brought to an emergency department by a family member. Which
of the following assessment findings should cause the nurse to suspect that the client
has hypertonic dehydration? - Urine specific gravity 1.045
, A mnurse mis mpreparing mto madmit ma mclient mwho mhas mdysphagia. mThe mnurse mshould
mplan mto m
m
place mwhich mof mthe mfollowing mitems mat mthe mclient's mbedside? m- mSuction
mmachine
m
A mnurse min ma mprovider's moffice mis massessing ma mclient mwho mhas mhypertension mand mtakes
mpropranolol. mWhich mof mthe mfollowing mfindings mshould mindicate mto mthe mnurse mthat mthe
mclient mis mexperiencing man madverse mreaction mto mthis mmedication? m- mReport mof ma mnight
mcough m
m
A mnurse mis mcaring mfor ma mclient mwho mhas ma mnew mprescription mfor mtotal mparenteral
mnutrition m
(TPN). mThe mclient mis mto mreceive m2,000 mkcal mper mday. mThe mTPN msolution mhas m500
mkcal/L. mThe mIV mpump mshould mbe mset mat mhow mmany mmL/hr? m(Round mthe manswer mto
mthe mnearest mwhole m
number. mUse ma mleading mzero mif mit mapplies. mDo mnot muse ma mtrailing mzero.) m- m167 m
X mmL/hr m= mVolume m(mL)/Time m(hr) m
X mmL/hr m=4000mL/24 mhr m
X mmL/hr m= m166.67 m
Round mif mnecessary. m166.67 m= m167 mmL/hr m
m
A mnurse mis mcaring mfor ma mclient mwho mis mhaving ma mseizure. mWhich mof mthe
mfollowing m
m
interventions mis mthe mnurse's mpriority? m- mTurn mthe mclient mto mthe
mside.
m
A mnurse mis mcreating ma mplan mof mcare mfor ma mclient mwho mhas mneutropenia mas ma mresult mof
mchemotherapy. mWhich mof mthe mfollowing minterventions mshould mthe mnurse minclude min mthe
mplan? m- mMonitor mthe mclient's mtemperature mevery m4 mhr. m
m
A mnurse mis mplanning mcare mfor ma mclient mwho mis mundergoing mbrachytherapy mvia ma msealed
mvaginal mimplant mto mtreat mendometrial mcancer. mWhich mof mthe mfollowing mactions mshould
mthe mnurse minclude min mthe mclient's mplan mof mcare? m- mWear ma mlead mapron mwhile mproviding
mcare mto mthe mclient. m
m
A mnurse mis mpreparing mto madminister ma munit mof mpacked mRBCs mto ma mclient. mWhich mof mthe
mfollowing mactions mshould mthe mnurse mtake? m- mRemain mwith mthe mclient mfor mthe mfirst m15
mmin mof mthe minfusion. m
m
A mnurse mis mpreparing ma mclient mwho mhas msupraventricular mtachycardia mfor melective
mcardioversion. mWhich mof mthe mfollowing mprescribed mmedications mshould mthe mnurse
minstruct mthe mclient mto mwithhold mfor m48 mhr mprior mto mcardioversion? m- mDigoxin m
m
A mnurse mis mcaring mfor ma mclient mwho mhas manorexia, mlow-grade mfever, mnight msweats, mand
ma mproductive mcough. mWhich mof mthe mfollowing mactions mshould mthe mnurse mtake mfirst? m-
mInitiate mairborne mprecautions. m
m
