ATI - Adult Medical Surgical NGN B Questions
& 100% correct Answers- Latest Test |
Graded A+ | Passed
A nurse is providing teaching to a client who is perimenopausal and has a prescription for
hormone replacement therapy. For which of the following adverse effects should the nurse
instruct the client to notify the provider?
✓ ;-- Calf pain
✓ Numbness in the arms
✓ Intense headache
A nurse is planning care for a client who is postoperative following a laparotomy and has a
closed-suction drain. Which of the following actions should the nurse take to manage the
drain?
✓ ;-- Compress the drain reservoir after emptying.
A nurse is caring for a client who has DKA. Which of the following findings should indicate to
the nurse that the client's condition is improving?
✓ ;-- Glucose 272 mg/dL
A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago.
The nurse should identify which of the following findings as an indication of a myocardial
infarction (MI)?
✓ ;-- Troponin I 8 ng/mL
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A nurse is planning a health promotional presentation for a group of African American clients
at a community center. Which of the following disorders presents the greatest risk to this group
of clients?
✓ ;-- hypertension
A nurse is providing education to a client who is at risk for osteoporosis. Which of the
following instructions should the nurse include?
✓ ;-- Walk for 30 min four times per week.
A nurse is caring for a client who has an arterial line. Which of the following actions should the
nurse take?
✓ ;-- Place a pressure bag around the flush solution.
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the
following results should the nurse expect?
✓ ;-- PaCO2 56
A nurse is providing postoperative teaching for a client who had a total knee arthroplasty.
Which of the following instructions should the nurse include?
✓ ;-- Flex the foot every hour when awake.
A nurse is planning care for a client who is postoperative following a parathyroidectomy.
Which of the following actions should the nurse identify as the priority?
✓ ;-- Place a tracheostomy tray at the bedside.
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A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. The nurse
should identify the need to revise the plan for which of the following clients?
✓ ;-- A client who is postoperative following abdominal surgery and reports feeling that
something "popped" when they coughed
A nurse is checking the ECG rhythm strip for a client who has a temporary pacemaker. The
nurse notes a pacemaker artifact followed by a QRS complex. Which of the following actions
should the nurse take?
✓ ;-- Document that depolarization has occurred.
A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Which of
the following information should the nurse include in the instructions?
✓ ;-- Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures.
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?
✓ ;-- Slow the infusion rate
A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the
following findings is the nurse's priority?
✓ ;-- Temperature 38.9° C (102° F)
A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. To
reduce the risk of falls when ambulating, the nurse should provide which of the following
instructions to the client?
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✓ ;-- Scan the environment by turning your head from side to side.
A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The
client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory
rate 16/min, and temperature 36° C (96.80 F). Which of the following vital sign changes
should alert the nurse that the client might be hemorrhaging?
✓ ;-- Heart rate 110/min
A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The
client is unable to void on the bedpan. Which of the following actions should the nurse take
first?
✓ ;-- Scan the bladder with a portable ultrasound.
A nurse is assessing a client who has advanced lung cancer and is receiving palliative care.
The client has just undergone thoracentesis. The nurse should expect a reduction in which of the
following common manifestations of advanced cancer?
✓ ;-- Dyspnea
A nurse is caring for a client who is postoperative.
✓ ;-- Nurses' Notes
Client admitted to medical-surgical unit from PACU. Client reports incisional pain as 2 on a
scale of 0 to 10. Client appears restless and frequently asks for water. Bilateral lower
extremities cool with +1 pedal pulses. Urine output is 40 mL for the past 2 hr. Moderate
amount of bright red drainage noted on surgical incision dressing.
Vital Signs
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