NGN ATI RN MED-SURG PROCTORED EXAM 2023/2024 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS [100% CORRECT ANSWERS] A+ GRADED

1. A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching? b. Place hands on the upper abdomen during inhalation c. Exhale slowly through pursed lips d. Hold breaths about 3 to 5 seconds before exhaling e. Position the mouthpiece 2.5 cm (1 in) from the mouth 2. A nurse is assessing a client who is 12 hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? a. Heart rate 90/min b. Hgb 8.2 g/dL c. Gastric pH of 3.0 d. Absent bowel sounds 3. A nurse is preparing to receive a client from surgery following a transverse colon resection with colostomy placement. The nurse should expect to assess the stoma at which of the following locations? - pic with male chest B on top a. Upper left abdomen 4. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer? a. Regular insulin b. Furosemide c. Desmopressin d. Lithium carbonate 5. A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following is the priority intervention by the nurse? a. Begin bicarbonate continuous IV infusion b. Administer 0.9% sodium chloride c. Check potassium levels d. Initiate a continuous IV insulin infusion 6. A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the following findings should the nurse expect? a. Elevated blood pressure b. Hypothermia c. Urine specific gravity 1.001 d. BUN 15 mg/dL 7. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Which of the following tests should the nurse monitor? a. Stool for occult blood b. Urine for white blood cells c. Fasting blood glucose d. Serum calcium 8. A nurse in the emergency department is assessing a client. Which of the following actions should the nurse take first? (Click on the “Exhibit” button) a. Obtain a sputum sample for culture b. Prepare the client for a chest x-ray c. Initiate airborne precautions d. Administer ondansetron 9. A nurse is reviewing the laboratory results of a female client who asks about acupuncture as treatment for chemotherapy-induced nausea and vomiting. Which of the following laboratory results should the nurse identify as a contraindication to receiving acupuncture? a. Hemoglobin 12 g/dL b. C-reactive protein 0.7 mg/dL c. Platelets 160,000/mm^3 d. Absolute neutrophil count 500/mm^3 10. A nurse is contacting the provider of a client who has cancer and is experiencing breakthrough pain. Which of the following prescriptions should the nurse anticipate? a. Intravenous dexamethasone b. Transmucosal fentanyl c. Oral acetaminophen d. Intramuscular meperidine 11. A nurse is teaching a client who has ovarian cancer about skin care following radiation treatment. Which of the following instructions should the nurse include? a. Apply over-the-counter moisturizer to the radiation site b. Cover the radiation site loosely with a gauze wrap before dressing c. Use a soft washcloth to clean the area around the radiation site d. Pat the skin on the radiation site to dry it 12. A nurse is caring for a client who has cervical cancer and a sealed radiation implant. Which of the following actions should the nurse take? a. Leave unused equipment in the client’s room until discharge b. Place long-handled forceps at the client’s bedside c. Attach a dosimeter badge to the client’s gown d. Move the client’s soiled lines to a designated container outside the room 13. 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 planning the client’s meals? a. Offer a snack prior to radiation therapy b. Offer highly seasoned foods. c. Offer frequent, high carbohydrate meals d. Offer hot beverages with meals 14. A nurse on an oncology unit is caring for a client who is receiving internal radiation therapy. Which of the following actions should the nurse take? a. Place the dosimeter firm badge on the client’s door b. Wear a lead apron when providing client care c. Leave the door to the client’s room open d. Allow visitors to hold the client’s hand 15. A nurse is caring for a client who has cancer. The client tells the nurse, “I would prefer to try vitamins and minerals instead of chemotherapy.” Which of the following responses should the nurse make? a. Tell me what you know about chemotherapy b. I have never heard of any holistic treatment that is effective c. The best way to treat your cancer is chemotherapy d. You should ask your provider about your plan 16. A nurse is providing dietary teaching to a client who is at risk for developing cancer. Which of the following instruction should the nurse indicate? a. Eat 1 cup of fruits and vegetables each day b. Choose solid fats when cooking c. Select lean meats d. Consume foods low in fiber 17. A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the following actions should the nurse take? a. Limit time for visitors to 2 hrs. per day b. Discard the radioactive device in the client’s trash car c. Keep soiled bed linens in the client’s room d. Instruct visitors to remain 3 feet from the client