NGN RN ATI MEDICAL SURGICAL EXAM |
NEWEST ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% PASS | 2025 UPDATE!
A nurse is planning care for a client who is scheduled for a
thoracentesis. Which of the following interventions should the nurse
include in the plan?
- Encourage the client to take deep breaths after the procedure
- Assist the client to hold their arms up during the procedure
- Instruct the client to remain NPO after midnight prior to the
procedure
- Keep the client on bed rest for 8 hr following the procedure - ✔✔✔
Correct Answer > - Encourage the client to take deep breaths after
the procedure
RATIONALE: After a thoracentesis, the client should deep breath to
reexpand the lung.
A nurse in an emergency department is assessing an older adult client
who has a fractured wrist following a fall. During the assessment, the
client states, "Last week I crashed my car because my vision suddenly
became blurry." Which of the following actions is the nurse's priority?
- Check the client's neurologic status
,- Document the client's statements
- Prepare the client for a CT scan
- Teach the client about using safety precautions for falls - ✔✔✔
Correct Answer > - Check the client's neurologic status
RATIONALE: The first action the nurse should take using the nursing
process is to assess the client. Therefore, the nurse should first check
the neurologic status of the client.
A nurse is planning care for a client who is undergoing brachytherapy
via a sealed vaginal implant to treat endometrial cancer. Which of the
following actions should the nurse include in the client's plan of care?
- Collect and place the client's urine or feces in a biohazard bag
- Limit the client's ambulation to their own room
- Wear a lead apron while providing care to the client
- Limit each visit to 1 hr per day - ✔✔✔ Correct Answer > - Wear a
lead apron while providing care to the client
RATIONALE: The nurse should wear a lead apron when providing direct
care to provide protection from the radiation source and not turn their
back toward the client, because the apron only shields the front of the
body. The nurse should also wear a dosimeter film badge to measure
radiation exposure.
,A nurse is planning care to decrease psychosocial health issues for a
client who is starting dialysis treatments for chronic kidney disease.
Which of the following intervention should the nurse include in the
plan?
- Remind the client that dialysis treatments are not difficult to
incorporate into daily
- Inform the client that dialysis will result in a cure
- Tell a client that it is possible to return to similar previous levels of
activity
- Begin health promotion teaching during the first dialysis treatment -
✔✔✔ Correct Answer > - Tell a client that it is possible to return to
similar previous levels of activity
RATIONALE: The nurse should help the client develop realistic goals and
activities to have a productive life.
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?
- Set the wall suction to 80 to 100 mmHg
- Compress the drain reservoir after emptying
- Allow the drainage to collect on a sterile gauze dressing
- Position the drain below the bed to promote drainage - ✔✔✔
Correct Answer > - Compress the drain reservoir after emptying
, RATIONALE: Compressing the reservoir creates a vacuum that draws
fluid out of the wound, through the drain, and into the reservoir.
A nurse has received report on a client who is being admitted to the
emergency department.
Select the 3 findings that require follow-up by the nurse.
- GCS score
- Wound drainage
- Oxygen saturation
- Pain level
- Temperature - ✔✔✔ Correct Answer > - Wound drainage
RATIONALE: The nurse should apply a pressure dressing to control
bleeding.
- Oxygen saturation
RATIONALE: The client has an oxygen saturation that is less than the
expected reference level, indicating hypoxia. The nurse should plan to
increase the client's supplemental oxygen.
NEWEST ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% PASS | 2025 UPDATE!
A nurse is planning care for a client who is scheduled for a
thoracentesis. Which of the following interventions should the nurse
include in the plan?
- Encourage the client to take deep breaths after the procedure
- Assist the client to hold their arms up during the procedure
- Instruct the client to remain NPO after midnight prior to the
procedure
- Keep the client on bed rest for 8 hr following the procedure - ✔✔✔
Correct Answer > - Encourage the client to take deep breaths after
the procedure
RATIONALE: After a thoracentesis, the client should deep breath to
reexpand the lung.
A nurse in an emergency department is assessing an older adult client
who has a fractured wrist following a fall. During the assessment, the
client states, "Last week I crashed my car because my vision suddenly
became blurry." Which of the following actions is the nurse's priority?
- Check the client's neurologic status
,- Document the client's statements
- Prepare the client for a CT scan
- Teach the client about using safety precautions for falls - ✔✔✔
Correct Answer > - Check the client's neurologic status
RATIONALE: The first action the nurse should take using the nursing
process is to assess the client. Therefore, the nurse should first check
the neurologic status of the client.
A nurse is planning care for a client who is undergoing brachytherapy
via a sealed vaginal implant to treat endometrial cancer. Which of the
following actions should the nurse include in the client's plan of care?
- Collect and place the client's urine or feces in a biohazard bag
- Limit the client's ambulation to their own room
- Wear a lead apron while providing care to the client
- Limit each visit to 1 hr per day - ✔✔✔ Correct Answer > - Wear a
lead apron while providing care to the client
RATIONALE: The nurse should wear a lead apron when providing direct
care to provide protection from the radiation source and not turn their
back toward the client, because the apron only shields the front of the
body. The nurse should also wear a dosimeter film badge to measure
radiation exposure.
,A nurse is planning care to decrease psychosocial health issues for a
client who is starting dialysis treatments for chronic kidney disease.
Which of the following intervention should the nurse include in the
plan?
- Remind the client that dialysis treatments are not difficult to
incorporate into daily
- Inform the client that dialysis will result in a cure
- Tell a client that it is possible to return to similar previous levels of
activity
- Begin health promotion teaching during the first dialysis treatment -
✔✔✔ Correct Answer > - Tell a client that it is possible to return to
similar previous levels of activity
RATIONALE: The nurse should help the client develop realistic goals and
activities to have a productive life.
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?
- Set the wall suction to 80 to 100 mmHg
- Compress the drain reservoir after emptying
- Allow the drainage to collect on a sterile gauze dressing
- Position the drain below the bed to promote drainage - ✔✔✔
Correct Answer > - Compress the drain reservoir after emptying
, RATIONALE: Compressing the reservoir creates a vacuum that draws
fluid out of the wound, through the drain, and into the reservoir.
A nurse has received report on a client who is being admitted to the
emergency department.
Select the 3 findings that require follow-up by the nurse.
- GCS score
- Wound drainage
- Oxygen saturation
- Pain level
- Temperature - ✔✔✔ Correct Answer > - Wound drainage
RATIONALE: The nurse should apply a pressure dressing to control
bleeding.
- Oxygen saturation
RATIONALE: The client has an oxygen saturation that is less than the
expected reference level, indicating hypoxia. The nurse should plan to
increase the client's supplemental oxygen.
