1
ATI RN ADULT MEDICAL SURGICAL PROCTORED
NGN B EXAM [2025 UPDATED]
THIS STUDY GUIDE PROVIDE ACTUAL EXAM TIPS SAT ON 2025
A nurse is reviewing the medical record of a client who has
osteomyelitis and a prescription for gentamicin. Which of the
following findings from the client's medical record should indicate to
the nurse the need to withhold the medication and notify the
provider? --- correct precise answer ---Serum creatinine
A nurse is obtaining a medication history from a client who is
scheduled to undergo cataract surgery. The nurse should recognize
that which of the following client medications is a contraindication for
the surgery and notify the provider? --- correct precise answer ---
Warfarin
A nurse is providing teaching to a client who has hypertension and a
new prescription for verapamil. Which of the following information
should the nurse include in the teaching? --- correct precise answer --
-"Increase fiber intake to avoid constipation."
,2
A nurse is reviewing the medical record of a client who is taking
warfarin for chronic atrial fibrillation. Which of the following values
should the nurse identify as a desired outcome for this therapy? ---
correct precise answer ---INR 2.5
A nurse is caring for a client who has breast cancer and tells the nurse
that they would like to have acupuncture because it provides greater
relief than pain medication. Which of the following statements should
the nurse make? --- correct precise answer ---"I can speak with the
provider about incorporating acupuncture into your treatment plan."
A nurse is caring for a client who has increased intracranial pressure
(ICP) and is receiving mannitol via continuous IV infusion. Which of
the following findings should the nurse report to the provider as an
adverse effect of this medication? --- correct precise answer ---
Crackles heard on auscultation
A nurse is reviewing the laboratory results of a client who has AIDS
and is taking amphotericin B for a fungal infection. The nurse should
,3
identify that which of the following values is an indication of an
adverse effect of the medication? --- correct precise answer ---BUN 34
mg/dL
A nurse is teaching a client about osteoporosis prevention. The nurse
should instruct the client that which of the following medications can
increase their risk for developing osteoporosis? --- correct precise
answer ---Prednisone
A nurse has received report on a client who is being admitted to the
emergency department. --- correct precise answer ---Nurses' Notes
2330:
Report received from ambulance crew:
Client has a penetrating wound to the anterior upper right chest.
Client is alert and oriented with a Glasgow Coma Scale (GCS) score of
15. Client's shirt covered with bright red blood.
Client reports pain as 6 on a scale of 0 to 10. Shortness of breath
noted.
2345:
, 4
Client is alert and oriented with a GCS score of 15. Client has a
penetrating wound to the anterior right upper chest measuring
2.5 cm (1 in). No other wounds or injuries found.
Bilateral radial and pedal pulses are +1. Left lung sounds are clear,
right upper lung sounds diminished.
Client still reports pain as 6 on a scale of 0 to 10 over anterior chest.
Bowel sounds are present in all 4 quadrants.
Graphic Record
2330:
Current vital signs from ambulance crew:
Heart rate 125/min
Respiratory rate 28/min
Temperature 36° C (96.8° F)
Blood pressure 145/90 mm Hg
Sa0, 90% on oxygen 2 L/min via nasal cannula
2345:
Temperature 35.9° C (96.6° F) A
Heart rate 135/min
ATI RN ADULT MEDICAL SURGICAL PROCTORED
NGN B EXAM [2025 UPDATED]
THIS STUDY GUIDE PROVIDE ACTUAL EXAM TIPS SAT ON 2025
A nurse is reviewing the medical record of a client who has
osteomyelitis and a prescription for gentamicin. Which of the
following findings from the client's medical record should indicate to
the nurse the need to withhold the medication and notify the
provider? --- correct precise answer ---Serum creatinine
A nurse is obtaining a medication history from a client who is
scheduled to undergo cataract surgery. The nurse should recognize
that which of the following client medications is a contraindication for
the surgery and notify the provider? --- correct precise answer ---
Warfarin
A nurse is providing teaching to a client who has hypertension and a
new prescription for verapamil. Which of the following information
should the nurse include in the teaching? --- correct precise answer --
-"Increase fiber intake to avoid constipation."
,2
A nurse is reviewing the medical record of a client who is taking
warfarin for chronic atrial fibrillation. Which of the following values
should the nurse identify as a desired outcome for this therapy? ---
correct precise answer ---INR 2.5
A nurse is caring for a client who has breast cancer and tells the nurse
that they would like to have acupuncture because it provides greater
relief than pain medication. Which of the following statements should
the nurse make? --- correct precise answer ---"I can speak with the
provider about incorporating acupuncture into your treatment plan."
A nurse is caring for a client who has increased intracranial pressure
(ICP) and is receiving mannitol via continuous IV infusion. Which of
the following findings should the nurse report to the provider as an
adverse effect of this medication? --- correct precise answer ---
Crackles heard on auscultation
A nurse is reviewing the laboratory results of a client who has AIDS
and is taking amphotericin B for a fungal infection. The nurse should
,3
identify that which of the following values is an indication of an
adverse effect of the medication? --- correct precise answer ---BUN 34
mg/dL
A nurse is teaching a client about osteoporosis prevention. The nurse
should instruct the client that which of the following medications can
increase their risk for developing osteoporosis? --- correct precise
answer ---Prednisone
A nurse has received report on a client who is being admitted to the
emergency department. --- correct precise answer ---Nurses' Notes
2330:
Report received from ambulance crew:
Client has a penetrating wound to the anterior upper right chest.
Client is alert and oriented with a Glasgow Coma Scale (GCS) score of
15. Client's shirt covered with bright red blood.
Client reports pain as 6 on a scale of 0 to 10. Shortness of breath
noted.
2345:
, 4
Client is alert and oriented with a GCS score of 15. Client has a
penetrating wound to the anterior right upper chest measuring
2.5 cm (1 in). No other wounds or injuries found.
Bilateral radial and pedal pulses are +1. Left lung sounds are clear,
right upper lung sounds diminished.
Client still reports pain as 6 on a scale of 0 to 10 over anterior chest.
Bowel sounds are present in all 4 quadrants.
Graphic Record
2330:
Current vital signs from ambulance crew:
Heart rate 125/min
Respiratory rate 28/min
Temperature 36° C (96.8° F)
Blood pressure 145/90 mm Hg
Sa0, 90% on oxygen 2 L/min via nasal cannula
2345:
Temperature 35.9° C (96.6° F) A
Heart rate 135/min
