ATI - ADULT MEDICAL SURGICAL NGN B
QUESTIONS AND ANSWERS 2025
|GUARANTEE A+
A nurse is providing teaching to a client who is perimenopausal and has a
prescription for hormone replacement therapy. For which of the following
adverse effects should the nurse instruct the client to notify the provider? -
ANS - Calf pain
Numbness in the arms
Intense headache
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? - ANS - Compress the drain
reservoir after emptying.
A nurse is caring for a client who has DKA. Which of the following findings
should indicate to the nurse that the client's condition is improving? - ANS
- Glucose 272 mg/dL
A nurse is reviewing the laboratory findings of a client who developed chest
pain 6 hr ago. The nurse should identify which of the following findings as
an indication of a myocardial infarction (MI)? - ANS - Troponin I 8 ng/mL
A nurse is planning a health promotional presentation for a group of African
American clients at a community center. Which of the following disorders
presents the greatest risk to this group of clients? - ANS - hypertension
A nurse is providing education to a client who is at risk for osteoporosis.
Which of the following instructions should the nurse include? - ANS -
Walk for 30 min four times per week.
A nurse is caring for a client who has an arterial line. Which of the following
actions should the nurse take? - ANS - Place a pressure bag around the
flush solution.
,A nurse is reviewing the ABG results of a client who has advanced COPD.
Which of the following results should the nurse expect? - ANS - PaCO2
56
A nurse is providing postoperative teaching for a client who had a total
knee arthroplasty. Which of the following instructions should the nurse
include? - ANS - Flex the foot every hour when awake.
A nurse is planning care for a client who is postoperative following a
parathyroidectomy. Which of the following actions should the nurse identify
as the priority? - ANS - Place a tracheostomy tray at the bedside.
A nurse is evaluating the plan of care for four clients after 2 days of
hospitalization. The nurse should identify the need to revise the plan for
which of the following clients? - ANS - A client who is postoperative
following abdominal surgery and reports feeling that something "popped"
when they coughed
A nurse is checking the ECG rhythm strip for a client who has a temporary
pacemaker. The nurse notes a pacemaker artifact followed by a QRS
complex. Which of the following actions should the nurse take? - ANS -
Document that depolarization has occurred.
A nurse is providing discharge instructions to a client who has active
tuberculosis (TB). Which of the following information should the nurse
include in the instructions? - ANS - Sputum specimens are necessary
every 2 to 4 weeks until there are three negative cultures.
A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless, dyspneic, and has crackles noted to the lung bases.
Which of the following actions should the nurse anticipate taking? - ANS -
Slow the infusion rate
A nurse is assessing a client who is postoperative following a
thyroidectomy. Which of the following findings is the nurse's priority? - ANS
- Temperature 38.9° C (102° F)
A nurse is caring for a client who has homonymous hemianopsia as a
result of a stroke. To reduce the risk of falls when ambulating, the nurse
, should provide which of the following instructions to the client? - ANS -
Scan the environment by turning your head from side to side.
A PACU nurse is assessing a client who is postoperative following a right
nephrectomy. The client's initial vital signs were heart rate 80/min, blood
pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36° C
(96.80 F). Which of the following vital sign changes should alert the nurse
that the client might be hemorrhaging? - ANS - Heart rate 110/min
A nurse is caring for a client who is 8 hr postoperative following a total hip
arthroplasty. The client is unable to void on the bedpan. Which of the
following actions should the nurse take first? - ANS - Scan the bladder
with a portable ultrasound.
A nurse is assessing a client who has advanced lung cancer and is
receiving palliative care. The client has just undergone thoracentesis. The
nurse should expect a reduction in which of the following common
manifestations of advanced cancer? - ANS - Dyspnea
A nurse is caring for a client who is postoperative. - ANS - Nurses' Notes
Client admitted to medical-surgical unit from PACU. Client reports incisional
pain as 2 on a scale of 0 to 10. Client appears restless and frequently asks
for water. Bilateral lower extremities cool with +1 pedal pulses. Urine output
is 40 mL for the past 2 hr. Moderate amount of bright red drainage noted on
surgical incision dressing.
Vital Signs
Temperature 37.6° C (99.7° F)
Heart rate 114/min
Respiratory rate 22/min
Blood pressure 88/54 mm Hg
Oxygen saturation 93% on room air
Diagnostic Results
Hgb 18 g/dL (12 to 16 g/dL)
Hct 54% (37% to 47 %)
Total WBC count 11,000/mm3 (5,000 to 10,000/mm3)
Troponin T 0.04 ng/mL (less than 0.1 ng/mL)
Medical History.
QUESTIONS AND ANSWERS 2025
|GUARANTEE A+
A nurse is providing teaching to a client who is perimenopausal and has a
prescription for hormone replacement therapy. For which of the following
adverse effects should the nurse instruct the client to notify the provider? -
ANS - Calf pain
Numbness in the arms
Intense headache
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? - ANS - Compress the drain
reservoir after emptying.
A nurse is caring for a client who has DKA. Which of the following findings
should indicate to the nurse that the client's condition is improving? - ANS
- Glucose 272 mg/dL
A nurse is reviewing the laboratory findings of a client who developed chest
pain 6 hr ago. The nurse should identify which of the following findings as
an indication of a myocardial infarction (MI)? - ANS - Troponin I 8 ng/mL
A nurse is planning a health promotional presentation for a group of African
American clients at a community center. Which of the following disorders
presents the greatest risk to this group of clients? - ANS - hypertension
A nurse is providing education to a client who is at risk for osteoporosis.
Which of the following instructions should the nurse include? - ANS -
Walk for 30 min four times per week.
A nurse is caring for a client who has an arterial line. Which of the following
actions should the nurse take? - ANS - Place a pressure bag around the
flush solution.
,A nurse is reviewing the ABG results of a client who has advanced COPD.
Which of the following results should the nurse expect? - ANS - PaCO2
56
A nurse is providing postoperative teaching for a client who had a total
knee arthroplasty. Which of the following instructions should the nurse
include? - ANS - Flex the foot every hour when awake.
A nurse is planning care for a client who is postoperative following a
parathyroidectomy. Which of the following actions should the nurse identify
as the priority? - ANS - Place a tracheostomy tray at the bedside.
A nurse is evaluating the plan of care for four clients after 2 days of
hospitalization. The nurse should identify the need to revise the plan for
which of the following clients? - ANS - A client who is postoperative
following abdominal surgery and reports feeling that something "popped"
when they coughed
A nurse is checking the ECG rhythm strip for a client who has a temporary
pacemaker. The nurse notes a pacemaker artifact followed by a QRS
complex. Which of the following actions should the nurse take? - ANS -
Document that depolarization has occurred.
A nurse is providing discharge instructions to a client who has active
tuberculosis (TB). Which of the following information should the nurse
include in the instructions? - ANS - Sputum specimens are necessary
every 2 to 4 weeks until there are three negative cultures.
A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless, dyspneic, and has crackles noted to the lung bases.
Which of the following actions should the nurse anticipate taking? - ANS -
Slow the infusion rate
A nurse is assessing a client who is postoperative following a
thyroidectomy. Which of the following findings is the nurse's priority? - ANS
- Temperature 38.9° C (102° F)
A nurse is caring for a client who has homonymous hemianopsia as a
result of a stroke. To reduce the risk of falls when ambulating, the nurse
, should provide which of the following instructions to the client? - ANS -
Scan the environment by turning your head from side to side.
A PACU nurse is assessing a client who is postoperative following a right
nephrectomy. The client's initial vital signs were heart rate 80/min, blood
pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36° C
(96.80 F). Which of the following vital sign changes should alert the nurse
that the client might be hemorrhaging? - ANS - Heart rate 110/min
A nurse is caring for a client who is 8 hr postoperative following a total hip
arthroplasty. The client is unable to void on the bedpan. Which of the
following actions should the nurse take first? - ANS - Scan the bladder
with a portable ultrasound.
A nurse is assessing a client who has advanced lung cancer and is
receiving palliative care. The client has just undergone thoracentesis. The
nurse should expect a reduction in which of the following common
manifestations of advanced cancer? - ANS - Dyspnea
A nurse is caring for a client who is postoperative. - ANS - Nurses' Notes
Client admitted to medical-surgical unit from PACU. Client reports incisional
pain as 2 on a scale of 0 to 10. Client appears restless and frequently asks
for water. Bilateral lower extremities cool with +1 pedal pulses. Urine output
is 40 mL for the past 2 hr. Moderate amount of bright red drainage noted on
surgical incision dressing.
Vital Signs
Temperature 37.6° C (99.7° F)
Heart rate 114/min
Respiratory rate 22/min
Blood pressure 88/54 mm Hg
Oxygen saturation 93% on room air
Diagnostic Results
Hgb 18 g/dL (12 to 16 g/dL)
Hct 54% (37% to 47 %)
Total WBC count 11,000/mm3 (5,000 to 10,000/mm3)
Troponin T 0.04 ng/mL (less than 0.1 ng/mL)
Medical History.
