RN ATI ADULT MEDICAL SURGICAL
PROCTORED EXAM WITH NGN
QUESTIONS WITH HIGHLIGHTED
CORRECT ANSWERS 2024-2025
1. A nurse is assessing for compartment syndrome in a client who has a short leg cast.
Which of thefollowing findings should the nurse identify as a manifestation of this
condition?
A. Bounding pedal pulse
B. Capillary refill less than 2 seconds
C. Pain that increases with passive movement
D. Areas of warmth on the cast
2. A nurse is providing teaching to a client who has a severe form of stage II Lyme
disease. Whichof the following statements made by the client reflects an
understanding of the teaching?
A. "I will need to take antibiotics for 1 year"
B. "My partner will need to take an antiviral medication"
C. "My joints ache because I have Lyme disease"
D. "I will bruise easily because I have Lyme disease"
3. A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount
availableis oral solution 125 mg/5 mL. How many mL should the nurse administer? 24
4. A nurse is caring for a client who has an arterial line. Which of the following actions
should the nurse take?
A. Flush the line before administering antibiotics
B. Position the client in Trendelenburg to obtain measurements
C. Have the client bear down when readings are obtained
D. Place a pressure bag around the flush solutionsolution
5. A nurse is updating the plan of care for a client who is receiving chemotherapy.
Which of the following findings should the nurse identify as the priority?
A. Report of sore throat
B. Report of memory loss
C. Alopecia
D. Mucositis
6. A nurse is reviewing the medical record of a client who has systemic lupus
erthematosus (SLE).Which of the following findings should the nurse expect?
A. Facial butterfly rash
1|Page
,B. Bradycardia
C. Esophagitis
D. Interstitial fibrosis
7. A nurse is planning care for a client who is postoperative following a
parathyroidectomy. Whichof the following actions should the nurse identify as the
priority?
A. Use pillows to support the client's head and neck
B. Offer opioid medication
C. Place a tracheostomy tray at the bedside
D. Place the client in semi-Fowler's position
8. A nurse is assessing a client who has diabetes insipidus. Which of the following
findings
shouldthe nurse expect?
A. Low urine specific gravity
B. Hypertension
C. Bounding peripheral pulses
D. Hyperglycemia
9. A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the nurse
include?
A. "You will have an implant placed twice each month for the duration of the treatment"
B. "You should remain at least 6 feet away from others between treatments"
C. "You should expect to have blood in your urine for a few days after treatment"
D. "You will need to stay still in the bed during each treatment session"
10. A nurse is planning care for a client who is scheduled for a thoracentesis. Which of
the followinginterventions should the nurse include in the plan?
A. Encourage the client to take deep breaths after the procedure
B. Assist the client to hold their arms up during the procedure
C. Instruct the client to remain NPO after midnight prior to the procedure
D. Keep the client on bedrest for 8 hr following the procedure
11. A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless,dyspneic, and has crackles noted to the lung bases. Which of the
following actions should the nurse anticipate taking?
A. Administer an antihistamine
B. Slow the infusion rate
C. Give the client a corticosteriod
D. Elevate the client's lower extremities
2|Page
, 12. A nurse is providing teaching to a client who has end-stage kidney disease and is
waiting for a kidney transplant. Which of the following information should the nurse
provide?
A. Kidney donation must come from a living donor
B. Immunosuppressive therapy is necessary until the donated kidney begins producing
urine
C. Hemodialysis is sometimes required following surgery
D. Kidney transplant recipients can resume their regular diet following surgery
13. A nurse is caring for a client who has hypothyroidism. Which of the following
manifestationsshould the nurse expect?
A. Constipation
B. Insomnia
C. Tachycardia
D. Diaphoresis
14. A nurse is providing preoperative teaching for a client who is scheduled for a
mastectomy. Which of the following statements should the nurse make?
A. "You should accept your body image change before discharge"
B. "It is important for you to look at the incisional site when the dressings are removed"
C. "I will refer you to community resources that can provide support"
D. "The scar will remain red and raised for many years after surgery"
15. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Which
of the following findings should the nurse report to the provider?
A. The client's urinary output has increased
B. The client reports back pain
C. The client's urine color is red tinged
D. The client's BUN is 18 mg/dL
16. A nurse is teaching a family about the care of a patient who has a new diagnosis of
Alzheimer'sdisease. Which of the following information should the nurse include in
the teaching?
A. Position tabletop clocks with multi-colored backgrounds throughout the home
B. Explain how to complete a task while having the client do the task
C. Place a calendar on the wall with days and weeks included
D. Create complete outfits and allow the client to select one each day
17. A nurse is caring for a client who has breast cancer and tells the nurse that they
would like to have acupunture because it provides greater relief than pain
medication. Which of the following statements should the nurse make?
A. "Acupuncture is not an approved treatment for cancer pain"
B. "I can speak to the provider about incorporating acupuncture into your treatment plan"
3|Page
PROCTORED EXAM WITH NGN
QUESTIONS WITH HIGHLIGHTED
CORRECT ANSWERS 2024-2025
1. A nurse is assessing for compartment syndrome in a client who has a short leg cast.
Which of thefollowing findings should the nurse identify as a manifestation of this
condition?
A. Bounding pedal pulse
B. Capillary refill less than 2 seconds
C. Pain that increases with passive movement
D. Areas of warmth on the cast
2. A nurse is providing teaching to a client who has a severe form of stage II Lyme
disease. Whichof the following statements made by the client reflects an
understanding of the teaching?
A. "I will need to take antibiotics for 1 year"
B. "My partner will need to take an antiviral medication"
C. "My joints ache because I have Lyme disease"
D. "I will bruise easily because I have Lyme disease"
3. A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount
availableis oral solution 125 mg/5 mL. How many mL should the nurse administer? 24
4. A nurse is caring for a client who has an arterial line. Which of the following actions
should the nurse take?
A. Flush the line before administering antibiotics
B. Position the client in Trendelenburg to obtain measurements
C. Have the client bear down when readings are obtained
D. Place a pressure bag around the flush solutionsolution
5. A nurse is updating the plan of care for a client who is receiving chemotherapy.
Which of the following findings should the nurse identify as the priority?
A. Report of sore throat
B. Report of memory loss
C. Alopecia
D. Mucositis
6. A nurse is reviewing the medical record of a client who has systemic lupus
erthematosus (SLE).Which of the following findings should the nurse expect?
A. Facial butterfly rash
1|Page
,B. Bradycardia
C. Esophagitis
D. Interstitial fibrosis
7. A nurse is planning care for a client who is postoperative following a
parathyroidectomy. Whichof the following actions should the nurse identify as the
priority?
A. Use pillows to support the client's head and neck
B. Offer opioid medication
C. Place a tracheostomy tray at the bedside
D. Place the client in semi-Fowler's position
8. A nurse is assessing a client who has diabetes insipidus. Which of the following
findings
shouldthe nurse expect?
A. Low urine specific gravity
B. Hypertension
C. Bounding peripheral pulses
D. Hyperglycemia
9. A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the nurse
include?
A. "You will have an implant placed twice each month for the duration of the treatment"
B. "You should remain at least 6 feet away from others between treatments"
C. "You should expect to have blood in your urine for a few days after treatment"
D. "You will need to stay still in the bed during each treatment session"
10. A nurse is planning care for a client who is scheduled for a thoracentesis. Which of
the followinginterventions should the nurse include in the plan?
A. Encourage the client to take deep breaths after the procedure
B. Assist the client to hold their arms up during the procedure
C. Instruct the client to remain NPO after midnight prior to the procedure
D. Keep the client on bedrest for 8 hr following the procedure
11. A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless,dyspneic, and has crackles noted to the lung bases. Which of the
following actions should the nurse anticipate taking?
A. Administer an antihistamine
B. Slow the infusion rate
C. Give the client a corticosteriod
D. Elevate the client's lower extremities
2|Page
, 12. A nurse is providing teaching to a client who has end-stage kidney disease and is
waiting for a kidney transplant. Which of the following information should the nurse
provide?
A. Kidney donation must come from a living donor
B. Immunosuppressive therapy is necessary until the donated kidney begins producing
urine
C. Hemodialysis is sometimes required following surgery
D. Kidney transplant recipients can resume their regular diet following surgery
13. A nurse is caring for a client who has hypothyroidism. Which of the following
manifestationsshould the nurse expect?
A. Constipation
B. Insomnia
C. Tachycardia
D. Diaphoresis
14. A nurse is providing preoperative teaching for a client who is scheduled for a
mastectomy. Which of the following statements should the nurse make?
A. "You should accept your body image change before discharge"
B. "It is important for you to look at the incisional site when the dressings are removed"
C. "I will refer you to community resources that can provide support"
D. "The scar will remain red and raised for many years after surgery"
15. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Which
of the following findings should the nurse report to the provider?
A. The client's urinary output has increased
B. The client reports back pain
C. The client's urine color is red tinged
D. The client's BUN is 18 mg/dL
16. A nurse is teaching a family about the care of a patient who has a new diagnosis of
Alzheimer'sdisease. Which of the following information should the nurse include in
the teaching?
A. Position tabletop clocks with multi-colored backgrounds throughout the home
B. Explain how to complete a task while having the client do the task
C. Place a calendar on the wall with days and weeks included
D. Create complete outfits and allow the client to select one each day
17. A nurse is caring for a client who has breast cancer and tells the nurse that they
would like to have acupunture because it provides greater relief than pain
medication. Which of the following statements should the nurse make?
A. "Acupuncture is not an approved treatment for cancer pain"
B. "I can speak to the provider about incorporating acupuncture into your treatment plan"
3|Page
