ATI RN MEDICAL SURGICAL NGN
ATI RN MEDICAL SURGICAL NGN BRAND
NEW VERSION PROCTORED NEWEST
2025/2026 COMPLETE ALL 450+
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION
A nurse is providing teaching to an older adult female client who has stress
incontinence and a BMI of 32. Which of the following statements by the client
indicates an understanding of the teaching?
A. "Taking my daily progesterone should improve my symptoms.
B. "A risk factor for my condition is obesity."
C. "I should limit my daily fluid intake."The client should maintain an adequate
intake of water for proper kidney function and hydration.
D. "I will switch my morning cup of coffee to hot te
B. "A risk factor for my condition is obesity."
Excess weight creates increased abdominal pressure that can result in stress
incontinence.
A nurse is teaching a young adult client how to preform testicular self-exam.
Which of the following instructions should the nurse include?
A. Compare both testicles by examining them simultaneously.
B. Roll each testicle between the thumb and fingers.
C. Perform testicular self-examination before a warm bath or shower.
D. Perform self-examination of the testicles every 2 weeks.
Roll each testicle between the thumb and fingers.
ADMIN 1
, ATI RN MEDICAL SURGICAL NGN
The nurse should instruct the client to roll each testicle horizontally between the
thumbs and fingers to feel for any lumps deep in the center of the testicle.
A nurse is caring for a client who has a dx of hyperthyroidism. Which of the
following is the priority assessment finding that the nurse should report to the
provider?
A. Restlessness
B. T3 level 215 ng/dL
C. Blood pressure 170/80 mm Hg
D. Decreased weight
C. Blood pressure 170/80 mm Hg
Using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is a systolic blood pressure of 170 mm Hg,
which indicates that the client is at risk for thyroid storm.
.!
A nurse is providing discharge instructions to a client who has a partial thickness
burn of the hand. Which of the following instructions should the nurse include?
A. Change the dressing every 72 hr.
B. Immobilize the hand with a pressure dressing.
C. Take pain medication 30 min after changing the dressing.
D. Wrap fingers with individual dressings.
D. Wrap fingers with individual dressings.
The nurse should instruct the client to wrap the fingers individually to allow for
functional use of the hand while healing occurs. The nurse should also instruct the
client to perform range-of-motion exercises to each finger every hour while awake
to promote function of the injured hand.
A nurse is caring for a client who has a closed head injury and has an
intraventricular catheter placed. Which of the following findings indicates that the
client is experiencing ICP? (select all that apply)
Flat jugular veins
A Glasgow Coma Scale score of 15
ADMIN 2
, ATI RN MEDICAL SURGICAL NGN
Sleepiness exhibited by the client
Widening pulse pressure
Decerebrate posturing
Sleepiness exhibited by the client is correct. Sleepiness or difficulty arousing the
client from sleep is an indication of increased ICP. Widening pulse pressure is
correct. A widening pulse pressure (increase in systolic with concurrent decrease
in diastolic blood pressure) is an indication of increased ICP. Decerebrate posturing
is correct. Both decerebrate and decorticate posturing indicate increased ICP.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of
the following findings should the nurse identify as a component of Cushing's triad?
Hypotension
Tachypnea
Nuchal rigidity
Bradycardia
Bradycardia
A client who has increased intracranial pressure from a traumatic brain injury can
develop bradycardia, which is one component of Cushing's triad. The other
components of Cushing's triad are severe hypertension and a widened pulse
pressure.
A nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. Which of the following statements by the client
indicates an understanding of the teaching?
"I should take calcium supplements so the medication will work better in my
system."
"I am taking this medication to increase my energy level."'
"This medication can cause my blood pressure to drop."
"I will not need to restrict protein in my diet while taking this medication."
"I am taking this medication to increase my energy level."
The goal of erythropoietin therapy is to increase the level of hematocrit in clients
ADMIN 3
, ATI RN MEDICAL SURGICAL NGN
who have anemia. When the medication is effective, the client should have a
decrease in fatigue and an improvement in activity tolerance.
A nurse is assessing a group of clients for indications of roll changes. The nurse
should identify that which if the following clients is at risk for experiencing a role
change?
A client who has type 1 diabetes mellitus and is starting to self-monitor blood
glucose
A client who had a cholecystectomy and is starting on a modified-fat diet
A client who has Crohn's disease and is experiencing diarrhea three times a day
A client who has multiple sclerosis and is experiencing progressive difficu
A client who has multiple sclerosis and is experiencing progressive difficulty
ambulating
The nurse should identify that progression of a neurologic disease such as multiple
sclerosis can lead to a role change as the client becomes less independent.
A nurse is preparing a client who has a supraventricular tachycardia for elective
cardioversion. Which of the following medications should the nurse instruct the
client to withhold for 48 hr prior to cardioversion?
Enoxaparin
Metformin
Diazepam
Digoxin
Digoxin
Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. These
medications can increase ventricular irritability and put the client at risk for
ventricular fibrillation after the synchronized countershock of cardioversion.
ADMIN 4
ATI RN MEDICAL SURGICAL NGN BRAND
NEW VERSION PROCTORED NEWEST
2025/2026 COMPLETE ALL 450+
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION
A nurse is providing teaching to an older adult female client who has stress
incontinence and a BMI of 32. Which of the following statements by the client
indicates an understanding of the teaching?
A. "Taking my daily progesterone should improve my symptoms.
B. "A risk factor for my condition is obesity."
C. "I should limit my daily fluid intake."The client should maintain an adequate
intake of water for proper kidney function and hydration.
D. "I will switch my morning cup of coffee to hot te
B. "A risk factor for my condition is obesity."
Excess weight creates increased abdominal pressure that can result in stress
incontinence.
A nurse is teaching a young adult client how to preform testicular self-exam.
Which of the following instructions should the nurse include?
A. Compare both testicles by examining them simultaneously.
B. Roll each testicle between the thumb and fingers.
C. Perform testicular self-examination before a warm bath or shower.
D. Perform self-examination of the testicles every 2 weeks.
Roll each testicle between the thumb and fingers.
ADMIN 1
, ATI RN MEDICAL SURGICAL NGN
The nurse should instruct the client to roll each testicle horizontally between the
thumbs and fingers to feel for any lumps deep in the center of the testicle.
A nurse is caring for a client who has a dx of hyperthyroidism. Which of the
following is the priority assessment finding that the nurse should report to the
provider?
A. Restlessness
B. T3 level 215 ng/dL
C. Blood pressure 170/80 mm Hg
D. Decreased weight
C. Blood pressure 170/80 mm Hg
Using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is a systolic blood pressure of 170 mm Hg,
which indicates that the client is at risk for thyroid storm.
.!
A nurse is providing discharge instructions to a client who has a partial thickness
burn of the hand. Which of the following instructions should the nurse include?
A. Change the dressing every 72 hr.
B. Immobilize the hand with a pressure dressing.
C. Take pain medication 30 min after changing the dressing.
D. Wrap fingers with individual dressings.
D. Wrap fingers with individual dressings.
The nurse should instruct the client to wrap the fingers individually to allow for
functional use of the hand while healing occurs. The nurse should also instruct the
client to perform range-of-motion exercises to each finger every hour while awake
to promote function of the injured hand.
A nurse is caring for a client who has a closed head injury and has an
intraventricular catheter placed. Which of the following findings indicates that the
client is experiencing ICP? (select all that apply)
Flat jugular veins
A Glasgow Coma Scale score of 15
ADMIN 2
, ATI RN MEDICAL SURGICAL NGN
Sleepiness exhibited by the client
Widening pulse pressure
Decerebrate posturing
Sleepiness exhibited by the client is correct. Sleepiness or difficulty arousing the
client from sleep is an indication of increased ICP. Widening pulse pressure is
correct. A widening pulse pressure (increase in systolic with concurrent decrease
in diastolic blood pressure) is an indication of increased ICP. Decerebrate posturing
is correct. Both decerebrate and decorticate posturing indicate increased ICP.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of
the following findings should the nurse identify as a component of Cushing's triad?
Hypotension
Tachypnea
Nuchal rigidity
Bradycardia
Bradycardia
A client who has increased intracranial pressure from a traumatic brain injury can
develop bradycardia, which is one component of Cushing's triad. The other
components of Cushing's triad are severe hypertension and a widened pulse
pressure.
A nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. Which of the following statements by the client
indicates an understanding of the teaching?
"I should take calcium supplements so the medication will work better in my
system."
"I am taking this medication to increase my energy level."'
"This medication can cause my blood pressure to drop."
"I will not need to restrict protein in my diet while taking this medication."
"I am taking this medication to increase my energy level."
The goal of erythropoietin therapy is to increase the level of hematocrit in clients
ADMIN 3
, ATI RN MEDICAL SURGICAL NGN
who have anemia. When the medication is effective, the client should have a
decrease in fatigue and an improvement in activity tolerance.
A nurse is assessing a group of clients for indications of roll changes. The nurse
should identify that which if the following clients is at risk for experiencing a role
change?
A client who has type 1 diabetes mellitus and is starting to self-monitor blood
glucose
A client who had a cholecystectomy and is starting on a modified-fat diet
A client who has Crohn's disease and is experiencing diarrhea three times a day
A client who has multiple sclerosis and is experiencing progressive difficu
A client who has multiple sclerosis and is experiencing progressive difficulty
ambulating
The nurse should identify that progression of a neurologic disease such as multiple
sclerosis can lead to a role change as the client becomes less independent.
A nurse is preparing a client who has a supraventricular tachycardia for elective
cardioversion. Which of the following medications should the nurse instruct the
client to withhold for 48 hr prior to cardioversion?
Enoxaparin
Metformin
Diazepam
Digoxin
Digoxin
Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. These
medications can increase ventricular irritability and put the client at risk for
ventricular fibrillation after the synchronized countershock of cardioversion.
ADMIN 4
