ATI RN MEDICAL SURGICAL NGN
ATI RN MEDICAL SURGICAL NGN BRAND
NEW VERSION PROCTORED NEWEST
2025/2026 COMPLETE ALL 370
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION
A nurse is reviewing the laboratory results of a client who has a history of aplastic
anemia. Which of the following findings indicates that the client is experiencing
pancytopenia?
- RBC count 6.3 million/mm3 (4.7 to 6.1 million/mm3 male)
- WBC count 2,000/mm3 (5000 to 10,000/mm3)
- Platelets 450,000/mm3 (150,000 to 400,000/mm3)
- Potassium 3.3 mEq/L (43.5 to 5 mEq/L)
- Answer ✓✓- WBC count 2,000/mm3 (5000 to 10,000/mm3)
RATIONALE: A decreased WBC, or leukopenia, is a manifestation of pancytopenia.
Pancytopenia occurs when there is a decreased RBC count, decreased WBC count,
and decreased platelets.
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and
a productive cough. Which of the following actions should the nurse take first?
ADMIN 1
, ATI RN MEDICAL SURGICAL NGN
- Obtain a sputum sample
- Administer antipyretics
- Provide hand hygiene education
- Initiate airborne precautions
- Answer ✓✓- Initiate airborne precautions
RATIONALE: The client is exhibiting manifestations of tuberculosis. The greatest
risk in this client situation is for other people in the facility to acquire an airborne
disease from this client. Therefore, the first action the nurse should take is to
initiate airborne precuations.
A nurse is caring for a client who has terminal cancer. The client tells the nurse, "I
wish I could stop these treatments. I am ready to die." Which of the following
statements should the nurse make?
- "Discontinuing with the treatments is your choice if it is your wish to do so."
-"Your child is named as your health care surrogate. I will ask them if you can stop
the treatments."
-"I will call your spiritual advisor to come in, so you can discuss this with them."
-"Next time you have an oncology appointment, you should ask the oncologist." -
Answer ✓✓- "Discontinuing with the treatments is your choice if it is your wish to
do so."
RATIONALE: The nurse should recognize the client's right to refuse treatments and
inform the client of this right. The nurse should advocate for the client and offer
to contact the provider for the client.
ADMIN 2
, ATI RN MEDICAL SURGICAL NGN
A nurse is providing teaching to a client who is receiving chemotherapy and has a
new prescription for epoetin alfa. Which of the following client statements
indicates an understanding of the teaching?
- "I will monitor my blood pressure while taking this medication."
- "I should take a vitamin D supplement to increase the effectiveness of the
medication."
- "I should inform the provider if I experience an increased appetite while taking
this medication."
- "I will decrease the amount of protein in my diet while taking this medication."
- Answer ✓✓- "I will monitor my blood pressure while taking this medication."
RATIONALE: The client should montior their blood pressure while taking this
medication because HTN is a common adverse effect and can lead to hypertensive
encephalopathy.
A nurse is admitting a client who has active tuberculosis. Which of the following
types of transmission precautions should the nurse initiate?
- Airborne
- Droplet
- Contact
- Protective environment
- Answer ✓✓- Airborne
RATIONALE: Airborne precautions are required for clients who have infections due
to microorganisms that can remain suspended in air for lengthy periods of time,
such as tuberculosis, measles, varicella, and disseminated varicella zoster.
ADMIN 3
, ATI RN MEDICAL SURGICAL NGN
A nurse is caring for a client who has chronic glomerulonephritis with oliguria.
Which of the following findings should the nurse identify as a manifestation of
chronic glomerulonephritis?
- Metabolic alkalosis
- Hyperkalemia
- Increased hemoglobin
- Hypophosphatemia - Answer ✓✓- Hyperkalemia
RATIONALE: The nurse should identify that a client who has chronic
glomerulonephritis can experience hyperkalemia as a result of kidney failure.
Kidney failure results in decreased excretion of potassium.
A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the nurse
include?
- "You will have an implant placed twice each month for the duration of the
treatment."
- "You should remain at least 6 feet away from others between treatments."
- "You should expect to have blood in your urine for a few days after treatment."
- "You will need to stay still in the bed during each treatment session." - Answer
✓✓- "You will need to stay still in the bed during each treatment session."
RATIONALE: The nurse should instruct the client that they will need to remain on
bed rest with very limited movement because excessive movement can cause the
radioactive source to become dislodged.
A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL)
6 hr ago. Which of the following findings should the nurse expect?
- Stone fragments in the urine
ADMIN 4
ATI RN MEDICAL SURGICAL NGN BRAND
NEW VERSION PROCTORED NEWEST
2025/2026 COMPLETE ALL 370
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION
A nurse is reviewing the laboratory results of a client who has a history of aplastic
anemia. Which of the following findings indicates that the client is experiencing
pancytopenia?
- RBC count 6.3 million/mm3 (4.7 to 6.1 million/mm3 male)
- WBC count 2,000/mm3 (5000 to 10,000/mm3)
- Platelets 450,000/mm3 (150,000 to 400,000/mm3)
- Potassium 3.3 mEq/L (43.5 to 5 mEq/L)
- Answer ✓✓- WBC count 2,000/mm3 (5000 to 10,000/mm3)
RATIONALE: A decreased WBC, or leukopenia, is a manifestation of pancytopenia.
Pancytopenia occurs when there is a decreased RBC count, decreased WBC count,
and decreased platelets.
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and
a productive cough. Which of the following actions should the nurse take first?
ADMIN 1
, ATI RN MEDICAL SURGICAL NGN
- Obtain a sputum sample
- Administer antipyretics
- Provide hand hygiene education
- Initiate airborne precautions
- Answer ✓✓- Initiate airborne precautions
RATIONALE: The client is exhibiting manifestations of tuberculosis. The greatest
risk in this client situation is for other people in the facility to acquire an airborne
disease from this client. Therefore, the first action the nurse should take is to
initiate airborne precuations.
A nurse is caring for a client who has terminal cancer. The client tells the nurse, "I
wish I could stop these treatments. I am ready to die." Which of the following
statements should the nurse make?
- "Discontinuing with the treatments is your choice if it is your wish to do so."
-"Your child is named as your health care surrogate. I will ask them if you can stop
the treatments."
-"I will call your spiritual advisor to come in, so you can discuss this with them."
-"Next time you have an oncology appointment, you should ask the oncologist." -
Answer ✓✓- "Discontinuing with the treatments is your choice if it is your wish to
do so."
RATIONALE: The nurse should recognize the client's right to refuse treatments and
inform the client of this right. The nurse should advocate for the client and offer
to contact the provider for the client.
ADMIN 2
, ATI RN MEDICAL SURGICAL NGN
A nurse is providing teaching to a client who is receiving chemotherapy and has a
new prescription for epoetin alfa. Which of the following client statements
indicates an understanding of the teaching?
- "I will monitor my blood pressure while taking this medication."
- "I should take a vitamin D supplement to increase the effectiveness of the
medication."
- "I should inform the provider if I experience an increased appetite while taking
this medication."
- "I will decrease the amount of protein in my diet while taking this medication."
- Answer ✓✓- "I will monitor my blood pressure while taking this medication."
RATIONALE: The client should montior their blood pressure while taking this
medication because HTN is a common adverse effect and can lead to hypertensive
encephalopathy.
A nurse is admitting a client who has active tuberculosis. Which of the following
types of transmission precautions should the nurse initiate?
- Airborne
- Droplet
- Contact
- Protective environment
- Answer ✓✓- Airborne
RATIONALE: Airborne precautions are required for clients who have infections due
to microorganisms that can remain suspended in air for lengthy periods of time,
such as tuberculosis, measles, varicella, and disseminated varicella zoster.
ADMIN 3
, ATI RN MEDICAL SURGICAL NGN
A nurse is caring for a client who has chronic glomerulonephritis with oliguria.
Which of the following findings should the nurse identify as a manifestation of
chronic glomerulonephritis?
- Metabolic alkalosis
- Hyperkalemia
- Increased hemoglobin
- Hypophosphatemia - Answer ✓✓- Hyperkalemia
RATIONALE: The nurse should identify that a client who has chronic
glomerulonephritis can experience hyperkalemia as a result of kidney failure.
Kidney failure results in decreased excretion of potassium.
A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the nurse
include?
- "You will have an implant placed twice each month for the duration of the
treatment."
- "You should remain at least 6 feet away from others between treatments."
- "You should expect to have blood in your urine for a few days after treatment."
- "You will need to stay still in the bed during each treatment session." - Answer
✓✓- "You will need to stay still in the bed during each treatment session."
RATIONALE: The nurse should instruct the client that they will need to remain on
bed rest with very limited movement because excessive movement can cause the
radioactive source to become dislodged.
A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL)
6 hr ago. Which of the following findings should the nurse expect?
- Stone fragments in the urine
ADMIN 4
