ATI ADULT MEDICAL SURGICAL NGN TEST EXAM LATEST UPDATE
2024-2025 QUESTIONS And ANSWERS
A nurse is caring for a client who is 6 hours postoperatively following a thyroidectomy. The client
reports
tingling and numbness in the hands. The nurse should identify this as a sign of which of following
electrolytes
imbalances?
A.Hypernatremia
B.Hypomagnesemia
C.Hypokalemia
D.Hypocalcemia - ANSWER>>D.Hypocalcemia (Parathyroid gland which is the gland that secretes
calcitonin is right behind the
thyroid . When you have a thyroidectomy, you decrease the production of calcitonin which decreases
production of calcium.)
.A nurse is assessing a client 15 min after the start of a transfusion of 1 unit of packed RBC's. Which of
the following findings is an indication of a hemolytic transfusion reaction? Page 250 MS ATI PDF 10.0
under acute hemolytic complications
A. Hypotension
B. Bradypnea-
C.Bradycardia
D.Hypothermia- - ANSWER>>A. Hypotension
A nurse in an emergency department is caring for a client who has sinus bradycardia. Which of the
following actions should the nurse take first?
A. Prepare the client for temporary pacing.
B. Initiate IV fluid therapy for the client
C. Measure the client's blood pressure
D. Administer atropine to the client - ANSWER>>B. Initiate IV fluid therapy for the client -> to solve
hypotension
A nurse is caring for a client who has a prescription to discontinue a peripherally inserted central
,catheter. Which of the following actions should the nurse take?
Apply slight pressure when resistance is met
B. Measure the catheter after removal
C. Remove the catheter with one continuous motion
D. Place a dry sterile dressing to the site after removal - ANSWER>>D. Place a dry sterile dressing to the
site after removal
A nurse is caring for a client who has a flail chest. Which of the following actions should the nurse take?
A.Provide humidified oxygen Pg150
B.Implement fluid restriction nope
C.Administer antibiotic medication
D.Administer acetaminophen orally nope - ANSWER>>A.Provide humidified oxygen Pg150
.A nurse is teaching a group of newly licensed nurses about acute respiratory failure. Which of the
following
manifestations should the nurse include in the teaching? Page 153 MS ATI PDF 10.0
A. Hypoxemia
B. Hyperventilation
C. Hypocarbia-
D. Hypervolemia - ANSWER>>A. Hypoxemia
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the
nurse
take first?
A. Obtain the client's vital signs
B. Clear items from the client's surrounding area
C. Loosen the client's restrictive clothing
D. Lower the client to the floor - ANSWER>>D. Lower the client to the floor
.A nurse is teaching a client who is receiving total parenteral nutrition at home through a central venous
access
, device about transparent dressing changes. Which of the following instructions should the nurse include
in the
teaching?
A. Change the dressing every 48 hr no
B. Replace the extension tubing with each dressing change no 72 hours
C. Use clean technique when changing the dressing no Surgical aseptic
D. Wear a mask during dressing change Surgical asepsis required - ANSWER>>D. Wear a mask during
dressing change Surgical asepsis required
.A nurse is caring for a client in the emergency department who experienced a full-thickness burn injury
to the
lower torso 1 hr ago. Which of the following findings should the nurse expect? During a major burn the
initial
phase will activate the Sympathetic nervous system. MS ATI PDF 10.0 page 482
i. Decreased respiratory rate-
j. Hypotension
k. Bradycardia-
l. Urinary diuresis - ANSWER>>j. Hypotension
A nurse in an emergency department is assessing a client who has cirrhosis of the liver. Which of the
following
is a priority finding? P 356 MS ATI PDF 10.0
a. Spider angiomas
b. Palmar erythema
c. Mental confusion
d. Yellow Sclera - ANSWER>>c. Mental confusion
A nurse is providing instructions about foot care for a client who has a peripheral arterial disease. The
nurse should identify which of the following statements by the client indicates an understanding of the
teaching?
a. "I apply a lubricating lotion to the cracked areas on the soles of my feet every morning"no
b. "I use my heating pad on a low setting to keep my feet warm."no
2024-2025 QUESTIONS And ANSWERS
A nurse is caring for a client who is 6 hours postoperatively following a thyroidectomy. The client
reports
tingling and numbness in the hands. The nurse should identify this as a sign of which of following
electrolytes
imbalances?
A.Hypernatremia
B.Hypomagnesemia
C.Hypokalemia
D.Hypocalcemia - ANSWER>>D.Hypocalcemia (Parathyroid gland which is the gland that secretes
calcitonin is right behind the
thyroid . When you have a thyroidectomy, you decrease the production of calcitonin which decreases
production of calcium.)
.A nurse is assessing a client 15 min after the start of a transfusion of 1 unit of packed RBC's. Which of
the following findings is an indication of a hemolytic transfusion reaction? Page 250 MS ATI PDF 10.0
under acute hemolytic complications
A. Hypotension
B. Bradypnea-
C.Bradycardia
D.Hypothermia- - ANSWER>>A. Hypotension
A nurse in an emergency department is caring for a client who has sinus bradycardia. Which of the
following actions should the nurse take first?
A. Prepare the client for temporary pacing.
B. Initiate IV fluid therapy for the client
C. Measure the client's blood pressure
D. Administer atropine to the client - ANSWER>>B. Initiate IV fluid therapy for the client -> to solve
hypotension
A nurse is caring for a client who has a prescription to discontinue a peripherally inserted central
,catheter. Which of the following actions should the nurse take?
Apply slight pressure when resistance is met
B. Measure the catheter after removal
C. Remove the catheter with one continuous motion
D. Place a dry sterile dressing to the site after removal - ANSWER>>D. Place a dry sterile dressing to the
site after removal
A nurse is caring for a client who has a flail chest. Which of the following actions should the nurse take?
A.Provide humidified oxygen Pg150
B.Implement fluid restriction nope
C.Administer antibiotic medication
D.Administer acetaminophen orally nope - ANSWER>>A.Provide humidified oxygen Pg150
.A nurse is teaching a group of newly licensed nurses about acute respiratory failure. Which of the
following
manifestations should the nurse include in the teaching? Page 153 MS ATI PDF 10.0
A. Hypoxemia
B. Hyperventilation
C. Hypocarbia-
D. Hypervolemia - ANSWER>>A. Hypoxemia
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the
nurse
take first?
A. Obtain the client's vital signs
B. Clear items from the client's surrounding area
C. Loosen the client's restrictive clothing
D. Lower the client to the floor - ANSWER>>D. Lower the client to the floor
.A nurse is teaching a client who is receiving total parenteral nutrition at home through a central venous
access
, device about transparent dressing changes. Which of the following instructions should the nurse include
in the
teaching?
A. Change the dressing every 48 hr no
B. Replace the extension tubing with each dressing change no 72 hours
C. Use clean technique when changing the dressing no Surgical aseptic
D. Wear a mask during dressing change Surgical asepsis required - ANSWER>>D. Wear a mask during
dressing change Surgical asepsis required
.A nurse is caring for a client in the emergency department who experienced a full-thickness burn injury
to the
lower torso 1 hr ago. Which of the following findings should the nurse expect? During a major burn the
initial
phase will activate the Sympathetic nervous system. MS ATI PDF 10.0 page 482
i. Decreased respiratory rate-
j. Hypotension
k. Bradycardia-
l. Urinary diuresis - ANSWER>>j. Hypotension
A nurse in an emergency department is assessing a client who has cirrhosis of the liver. Which of the
following
is a priority finding? P 356 MS ATI PDF 10.0
a. Spider angiomas
b. Palmar erythema
c. Mental confusion
d. Yellow Sclera - ANSWER>>c. Mental confusion
A nurse is providing instructions about foot care for a client who has a peripheral arterial disease. The
nurse should identify which of the following statements by the client indicates an understanding of the
teaching?
a. "I apply a lubricating lotion to the cracked areas on the soles of my feet every morning"no
b. "I use my heating pad on a low setting to keep my feet warm."no
