ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2025
WITH NGN QUESTIONS/A+ GRADE
A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the
following findings should the nurse identify as a manifestation of this condition?
Pain that increases with passive movement
Rationale: The nurse should identify that a client who has compartment syndrome experiences
pain that increases with passive movement. Compartment syndrome results from a decrease in
blood flow in the extremity caused by a decrease in the muscle compartment size due to a cast
that is too tight.
A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which
of the following statements made by the client reflects an understanding of the teaching?
My joints ache because I have Lyme disease
Rationale: Lyme disease is a vector-borne illness transmitted by the deer tick. The disease
course occurs in three stages beginning with joint and muscle pain in stage I. If left untreated,
these symptoms continue throughout stage II and, by stage III, become chronic. Other chronic
complications include memory problems and fatigue.
A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount
available is oral solution 125 mg/5 mL. How many mL should the nurse administer? (Round
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, ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2025 WITH NGN QUESTIONS/A+ GRADE
the answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.)
24
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
Rationale: The nurse should place a pressure bag around the flush solution of 0.9% sodium
chloride because the pressure from an artery is greater than that of the line.
An arterial line is not appropriate access for administering antibiotics. The nurse should use the
arterial line to obtain arterial blood gas samples and monitor hemodynamic pressures.
A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the
following findings should the nurse identify as the priority?
Report of sore throat
Rationale: When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is a report of a sore throat, which could be a manifestation
of an infection. The client is at risk for neutropenia due to myelosuppression; therefore, an
infection could lead to sepsis.
A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE).
Which of the following findings should the nurse expect?
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, ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2025 WITH NGN QUESTIONS/A+ GRADE
Facial butterfly rash
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