ATI RN ADULT MEDICAL-SURGICAL EXAM NGN
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST
RELEASED
Question 1: A nurse is teaching a client who has a new prescription
for Warfarin about foods that affect the INR. The nurse should
include in the teaching that which of the following foods interact
with this medication?
A. Kale
B. Beef stew
C. Yogurt
D. Orange juice
Answer:
a) Kale
Question 2: A nurse is monitoring an older adult client who has an
extrapolation of chronic lymphocytic leukemia. The nurse note
petechiae on the client's skin, which of the following actions
should the nurse take?
A. Determine the client's blood type
B. Avoid administering IV pain medications
C. Implement airborne precautions
D. Institute bleeding precautions
Answer:
d) Institute bleeding precautions
Question 3: A nurse is providing discharge teaching for a client
who is receiving treatment for genital herpes. Which of the
following statements by the client indicates effectiveness of the
,teaching?
A. I should expect to take my medication for 3 weeks
B. I should apply antibiotic ointment for the lesions
C. I should expect my lesions to resolve in 6 weeks
D. I should use natural skin condoms during sexual intercourse
Answer:
b) I should apply antibiotic ointment for the lesions
Question 4: A nurse in an emergency department is preparing a
client for emergency surgery. The client's blood alcohol level is 180
mg/dL, which of the following actions is the nurse's priority?
A. Insert an NG tube
B. Obtain consent for the surgery
C. Apply anti embolytic stockings
D. Insert an indwelling urinary catheter
Answer:
a) Insert an NG tube
Question 5: A nurse is preparing to administer two units of packed
RBCs to a client. Which of the following actions should the nurse
take?
A. Transfuse each unit of blood over five hours
B. Change the IV tubing after each unit of blood is transfused
C. Administer the blood through a 22 gauge intravenous catheter
D. Prime the tubing with 0.9% sodium chloride
Answer:
d) Prime the tubing with 0.9% sodium chloride
,Question 6: A nurse is caring for a client who has chronic renal
failure. The client displays the following ABG results: pH: 7.24
paCO2: 44 mmHg paO2: 84 mmHg HCO3: 18 mEq/L base excess- 2
and O2 saturation 95%. The nurse should include that the client has
which of the following acid-base balances?
A. Metabolic alkalosis
B. Respiratory acidosis
C. Respiratory alkalosis
D. Metabolic acidosis
Answer:
d) Metabolic acidosis
Question 7: A nurse in a provider's office is teaching a client about
the self management of GERD which of the following instructions
should the nurse include?
A. Lie down for 30 minutes after each meal
B. Sleep with the head of your bed elevated 6 inches
C. Increase your caloric intake by 250 calories per day
D. Eat a light meal 1 hour before bed
Answer:
b) Sleep with the head of your bed elevated 6 inches
Question 8: A nurse suspects that a client with diabetes mellitus is
experiencing HYPOglycemia. Which of the following assessment
findings supports this suspicion?
A. Cool, clammy skin
B. Kussmaul respirations
C. Acetone breath
D. Increased urinary output
, Answer:
a) Cool, clammy skin
Question 9: A nurse is caring for a client who is receiving radiation.
The client reports nausea since the therapy was initiated. Which of
the following considerations should the nurse include when
offering the client meals?
A. Offer hot beverages with meals
B. Offer a snack prior to radiation therapy
C. Offer highly seasoned foods
D. Offer frequent high carbohydrate meals
Answer:
d) Offer frequent high carbohydrate meals
Question 10: A charge nurse receives a call from the house
supervisor requesting room assignments for four new clients.
Based on the information diagnosis, which of the following clients
requires a private room?
A. A client service port reports having fever, night sweats, and cough
for 2 days
B. An older adult client who was admitted with aspiration pneumonia
C. a client who had diabetes mellitus and is presenting with acute
ketoacidosis
D. a client who has a compound fracture of the right femur
Answer:
a) A client service port reports having fever, night sweats, and cough for 2
days
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST
RELEASED
Question 1: A nurse is teaching a client who has a new prescription
for Warfarin about foods that affect the INR. The nurse should
include in the teaching that which of the following foods interact
with this medication?
A. Kale
B. Beef stew
C. Yogurt
D. Orange juice
Answer:
a) Kale
Question 2: A nurse is monitoring an older adult client who has an
extrapolation of chronic lymphocytic leukemia. The nurse note
petechiae on the client's skin, which of the following actions
should the nurse take?
A. Determine the client's blood type
B. Avoid administering IV pain medications
C. Implement airborne precautions
D. Institute bleeding precautions
Answer:
d) Institute bleeding precautions
Question 3: A nurse is providing discharge teaching for a client
who is receiving treatment for genital herpes. Which of the
following statements by the client indicates effectiveness of the
,teaching?
A. I should expect to take my medication for 3 weeks
B. I should apply antibiotic ointment for the lesions
C. I should expect my lesions to resolve in 6 weeks
D. I should use natural skin condoms during sexual intercourse
Answer:
b) I should apply antibiotic ointment for the lesions
Question 4: A nurse in an emergency department is preparing a
client for emergency surgery. The client's blood alcohol level is 180
mg/dL, which of the following actions is the nurse's priority?
A. Insert an NG tube
B. Obtain consent for the surgery
C. Apply anti embolytic stockings
D. Insert an indwelling urinary catheter
Answer:
a) Insert an NG tube
Question 5: A nurse is preparing to administer two units of packed
RBCs to a client. Which of the following actions should the nurse
take?
A. Transfuse each unit of blood over five hours
B. Change the IV tubing after each unit of blood is transfused
C. Administer the blood through a 22 gauge intravenous catheter
D. Prime the tubing with 0.9% sodium chloride
Answer:
d) Prime the tubing with 0.9% sodium chloride
,Question 6: A nurse is caring for a client who has chronic renal
failure. The client displays the following ABG results: pH: 7.24
paCO2: 44 mmHg paO2: 84 mmHg HCO3: 18 mEq/L base excess- 2
and O2 saturation 95%. The nurse should include that the client has
which of the following acid-base balances?
A. Metabolic alkalosis
B. Respiratory acidosis
C. Respiratory alkalosis
D. Metabolic acidosis
Answer:
d) Metabolic acidosis
Question 7: A nurse in a provider's office is teaching a client about
the self management of GERD which of the following instructions
should the nurse include?
A. Lie down for 30 minutes after each meal
B. Sleep with the head of your bed elevated 6 inches
C. Increase your caloric intake by 250 calories per day
D. Eat a light meal 1 hour before bed
Answer:
b) Sleep with the head of your bed elevated 6 inches
Question 8: A nurse suspects that a client with diabetes mellitus is
experiencing HYPOglycemia. Which of the following assessment
findings supports this suspicion?
A. Cool, clammy skin
B. Kussmaul respirations
C. Acetone breath
D. Increased urinary output
, Answer:
a) Cool, clammy skin
Question 9: A nurse is caring for a client who is receiving radiation.
The client reports nausea since the therapy was initiated. Which of
the following considerations should the nurse include when
offering the client meals?
A. Offer hot beverages with meals
B. Offer a snack prior to radiation therapy
C. Offer highly seasoned foods
D. Offer frequent high carbohydrate meals
Answer:
d) Offer frequent high carbohydrate meals
Question 10: A charge nurse receives a call from the house
supervisor requesting room assignments for four new clients.
Based on the information diagnosis, which of the following clients
requires a private room?
A. A client service port reports having fever, night sweats, and cough
for 2 days
B. An older adult client who was admitted with aspiration pneumonia
C. a client who had diabetes mellitus and is presenting with acute
ketoacidosis
D. a client who has a compound fracture of the right femur
Answer:
a) A client service port reports having fever, night sweats, and cough for 2
days
