ATI MED SURG PROCTORED NGN
RETAKE 2025-2026 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS
A nurse is assessing a client who is 12hr postoperative following a colon resection.
Which of the following findings should the nurse report to the surgeon? - correct
answerHgb 8.2 g/dl
A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the nurse plan to administer? - correct answerDesmopressin
A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several
times daily for 3 years. Which of the following test should the nurse monitor? - correct
answerStool for occult blood - GI bleed
A nurse in the emergency department is assessing a client. Which of the following
actions should the nurse take first (Click on the "Exhibit" button for additional
information about the client. There are three tabs that contain separate categories of
data.) - correct answerInitiate airborne precautions
A nurse is contacting the provider for a client who has cancer and is experiencing
breakthrough pain. Which of the following prescriptions should the nurse anticipate? -
correct answerTransmucosal fentanyl
A nurse is admitting a client who reports chest pain and has been placed on a telemetry
monitor. Which of the following should the nurse analyze to determine whether the client
is experiencing a myocardial infarction? - correct answerST segment
A nurse is teaching a client who has ovarian cancer about skin care following radiation
treatment. Which of the following instructions should the nurse include? - correct
answerPat the skin on the radiation site to dry it
A nurse is caring for a client who is receiving a blood transfusion. The nurse observes
that the client has bounding peripheral pulses, hypertension, and distended jugular
veins. The nurse should anticipate administering which of the following prescribed
medications? - correct answerFurosemide
,A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of
hypomagnesemia. Which of the following findings indicates effectiveness of the
medication? - correct answerApical pulse 82/min
A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21
mEq/L. The nurse should recognize these findings as indication of which of the following
conditions? - correct answerCompensated respiratory alkalosis
A nurse is caring for a client who has a deep partial thickness burns over 15% of her
body which of the following labs should the nurse expect during the first 24 hours -
correct answerHypoalbuminemia (Low due to fluid loss)
A nurse is caring for a client who has dumping syndrome following a gastrectomy, which
of the following actions should the nurse takes? - correct answerHave the client lie
down for 30 minutes after meals (Lying down after a meal slows the movement of food
within the intestines)
A nurse is preparing to administer fresh frozen plasma to a client. Which of the following
actions should the nurse take? - correct answerAdminister the plasma immediately after
thawing
A nurse is assessing a client who reports numbness and tingling of his toes and exhibits
a positive TROUSSEAU. Which of the following electrolyte imbalance should the nurse
suspect? - correct answerHypocalcemia
A home health nurse is teaching a client how to care for a peripherally central catheter
in his right arm. Which of the following statements should the nurse include in the
teaching? - correct answerUse a 10-milliliter syringe when flushing the catheter
A nurse is caring for a client who has a central venous access device. Which of the
following assessment findings should the nurse report to the provider? - correct
answerWBC count of 16,000/ mm
A nurse is providing dietary teaching to a client who has chronic kidney disease and a
decreased glomerular filtration rate. Which of the following statements by the client
indicates an understanding of the teaching? - correct answerI will spread my protein
allowances over the entire day
A nurse is caring for a client who has a peripherally inserted central catheter. The client
is receiving an antibiotic via intermittent IV bolus. Which of the following actions should
the nurse take? - correct answerVerify the placement with an x-ray prior to the initial
dose
,A nurse is teaching a client using a metered dose rescue inhaler. Which of the following
statements should the nurse include in the teaching? - correct answerExhale fully
before bringing the inhaler to your lips
A nurse is assessing the pain status of a group of clients. Which of the following findings
indicate a client is experiencing referred pain? - correct answerA client who has
pancreatitis reports pain in the left shoulder
A nurse is caring for a client who has just returned from surgery with an external fixator
to the left tibia. Which of the following assessments findings requires immediate
intervention by the nurse? - correct answerThe client's capillary refill in the left toe is 6
seconds (signs and symptoms of compartment syndrome)
A nurse is assessing a client who has acute pancreatitis and has been receiving total
parenteral nutrition for the past 72 hours. Which of the following findings requires the
nurse to intervene? - correct answerCrackle in bilateral lower lobes
A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia,
and tachypnea. In which of the following positions should the nurse place the client? -
correct answerFeet elevated
A nurse is caring for a client who has tuberculosis and is taking rifampin. The client
reports that her saliva has turned red-orange in color. Which of the following responses
should the nurse make? - correct answer"This is an expected adverse effect of this
medication."
A nurse is preparing to administer a unit of packed RBCs for a client who is receiving a
continuous IV infusion of 5% dextrose in water. Which of the following actions should
the nurse take? - correct answerBegin an IV infusion of 0.9% sodium chloride
A nurse is planning care for a client who is 12 hr. postoperative following a kidney
transplant. Which of the following actions should the nurse include in the plan of care? -
correct answerAssess urine output hourly ---à prevent shock and mods
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the nurse plan to administer? - correct answera. Desmopressin
Rationale: Diabetes Insipidus has decreased ADH. Administer
Desmopressin/Vasopressin increase ADH and to stop patient on urinating.
A nurse is obtaining a medication history from a client who is to start therapy with
naproxen for rheumatoid arthritis. Which of the following medications places the client at
risk for bleeding? - correct answerIbuprofen --NSAIDs
, 1. A nurse is assessing a client who is 12hr postoperative following a colon resection.
Which of the following findings should the nurse report to the surgeon? - correct
answerc. Hgb 8.2 g/dl
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
A nurse is assessing the extremities of a client who has Raynaud's disease. Which of
the following findings should the nurse expect? - correct answerBlanching of the hands
REYNAUD PHENOMENON
A nurse is caring for a group of clients. The nurse should obtain a blood pressure
reading using only the left extremity from which of the following clients? - correct
answerA client who has a right upper extremity arteriovenous fistula
A nurse is providing teaching to a client who has DVT. Which of the following findings
should the nurse identify as a risk factor for the development of DVTs? - correct
answerOral Contraceptive Use
A nurse is caring for client who has Cushing's disease. Which of the following actions
should the nurse take first? (Click Exhibit button for additional information) - correct
answerAuscultate the client's lung sound - due to fluid retention; action first varies on
the exhibit
A nurse is assessing a client who has nephrotic syndrome. Which of the findings should
the nurse expect? - correct answerProteinuria
A nurse is assessing a client who has right-sided heart failure. Which of the following
assessment findings should the nurse expect to find? - correct answerPitting edema
A nurse is caring for a client who has newly inserted chest tube. The nurse should
clarify which of the following prescriptions with the provider? - correct answerVigorously
strip the chest tube twice daily.
A nurse is teaching a client who is taking an ACE inhibitor for heart failure. Which of the
following instructions should the nurse include for home management of heart failure? -
correct answerMonitor Intake and Output
A nurse is providing discharge teaching to a client who has a permanent pacemaker.
Which of the following statements by the client indicates an understanding of the
teaching? - correct answerI need to check my pulse rate every day for a full minute.
A nurse in a clinic is providing preventive teaching to an older adult client during well
visit. The nurse should instruct the client that which of the following immunization are
recommended for healthy adults after age 60? Select all the Apply. - correct
answerHerpes Zoster
RETAKE 2025-2026 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS
A nurse is assessing a client who is 12hr postoperative following a colon resection.
Which of the following findings should the nurse report to the surgeon? - correct
answerHgb 8.2 g/dl
A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the nurse plan to administer? - correct answerDesmopressin
A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several
times daily for 3 years. Which of the following test should the nurse monitor? - correct
answerStool for occult blood - GI bleed
A nurse in the emergency department is assessing a client. Which of the following
actions should the nurse take first (Click on the "Exhibit" button for additional
information about the client. There are three tabs that contain separate categories of
data.) - correct answerInitiate airborne precautions
A nurse is contacting the provider for a client who has cancer and is experiencing
breakthrough pain. Which of the following prescriptions should the nurse anticipate? -
correct answerTransmucosal fentanyl
A nurse is admitting a client who reports chest pain and has been placed on a telemetry
monitor. Which of the following should the nurse analyze to determine whether the client
is experiencing a myocardial infarction? - correct answerST segment
A nurse is teaching a client who has ovarian cancer about skin care following radiation
treatment. Which of the following instructions should the nurse include? - correct
answerPat the skin on the radiation site to dry it
A nurse is caring for a client who is receiving a blood transfusion. The nurse observes
that the client has bounding peripheral pulses, hypertension, and distended jugular
veins. The nurse should anticipate administering which of the following prescribed
medications? - correct answerFurosemide
,A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of
hypomagnesemia. Which of the following findings indicates effectiveness of the
medication? - correct answerApical pulse 82/min
A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21
mEq/L. The nurse should recognize these findings as indication of which of the following
conditions? - correct answerCompensated respiratory alkalosis
A nurse is caring for a client who has a deep partial thickness burns over 15% of her
body which of the following labs should the nurse expect during the first 24 hours -
correct answerHypoalbuminemia (Low due to fluid loss)
A nurse is caring for a client who has dumping syndrome following a gastrectomy, which
of the following actions should the nurse takes? - correct answerHave the client lie
down for 30 minutes after meals (Lying down after a meal slows the movement of food
within the intestines)
A nurse is preparing to administer fresh frozen plasma to a client. Which of the following
actions should the nurse take? - correct answerAdminister the plasma immediately after
thawing
A nurse is assessing a client who reports numbness and tingling of his toes and exhibits
a positive TROUSSEAU. Which of the following electrolyte imbalance should the nurse
suspect? - correct answerHypocalcemia
A home health nurse is teaching a client how to care for a peripherally central catheter
in his right arm. Which of the following statements should the nurse include in the
teaching? - correct answerUse a 10-milliliter syringe when flushing the catheter
A nurse is caring for a client who has a central venous access device. Which of the
following assessment findings should the nurse report to the provider? - correct
answerWBC count of 16,000/ mm
A nurse is providing dietary teaching to a client who has chronic kidney disease and a
decreased glomerular filtration rate. Which of the following statements by the client
indicates an understanding of the teaching? - correct answerI will spread my protein
allowances over the entire day
A nurse is caring for a client who has a peripherally inserted central catheter. The client
is receiving an antibiotic via intermittent IV bolus. Which of the following actions should
the nurse take? - correct answerVerify the placement with an x-ray prior to the initial
dose
,A nurse is teaching a client using a metered dose rescue inhaler. Which of the following
statements should the nurse include in the teaching? - correct answerExhale fully
before bringing the inhaler to your lips
A nurse is assessing the pain status of a group of clients. Which of the following findings
indicate a client is experiencing referred pain? - correct answerA client who has
pancreatitis reports pain in the left shoulder
A nurse is caring for a client who has just returned from surgery with an external fixator
to the left tibia. Which of the following assessments findings requires immediate
intervention by the nurse? - correct answerThe client's capillary refill in the left toe is 6
seconds (signs and symptoms of compartment syndrome)
A nurse is assessing a client who has acute pancreatitis and has been receiving total
parenteral nutrition for the past 72 hours. Which of the following findings requires the
nurse to intervene? - correct answerCrackle in bilateral lower lobes
A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia,
and tachypnea. In which of the following positions should the nurse place the client? -
correct answerFeet elevated
A nurse is caring for a client who has tuberculosis and is taking rifampin. The client
reports that her saliva has turned red-orange in color. Which of the following responses
should the nurse make? - correct answer"This is an expected adverse effect of this
medication."
A nurse is preparing to administer a unit of packed RBCs for a client who is receiving a
continuous IV infusion of 5% dextrose in water. Which of the following actions should
the nurse take? - correct answerBegin an IV infusion of 0.9% sodium chloride
A nurse is planning care for a client who is 12 hr. postoperative following a kidney
transplant. Which of the following actions should the nurse include in the plan of care? -
correct answerAssess urine output hourly ---à prevent shock and mods
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the nurse plan to administer? - correct answera. Desmopressin
Rationale: Diabetes Insipidus has decreased ADH. Administer
Desmopressin/Vasopressin increase ADH and to stop patient on urinating.
A nurse is obtaining a medication history from a client who is to start therapy with
naproxen for rheumatoid arthritis. Which of the following medications places the client at
risk for bleeding? - correct answerIbuprofen --NSAIDs
, 1. A nurse is assessing a client who is 12hr postoperative following a colon resection.
Which of the following findings should the nurse report to the surgeon? - correct
answerc. Hgb 8.2 g/dl
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible
hemorrhaging.
A nurse is assessing the extremities of a client who has Raynaud's disease. Which of
the following findings should the nurse expect? - correct answerBlanching of the hands
REYNAUD PHENOMENON
A nurse is caring for a group of clients. The nurse should obtain a blood pressure
reading using only the left extremity from which of the following clients? - correct
answerA client who has a right upper extremity arteriovenous fistula
A nurse is providing teaching to a client who has DVT. Which of the following findings
should the nurse identify as a risk factor for the development of DVTs? - correct
answerOral Contraceptive Use
A nurse is caring for client who has Cushing's disease. Which of the following actions
should the nurse take first? (Click Exhibit button for additional information) - correct
answerAuscultate the client's lung sound - due to fluid retention; action first varies on
the exhibit
A nurse is assessing a client who has nephrotic syndrome. Which of the findings should
the nurse expect? - correct answerProteinuria
A nurse is assessing a client who has right-sided heart failure. Which of the following
assessment findings should the nurse expect to find? - correct answerPitting edema
A nurse is caring for a client who has newly inserted chest tube. The nurse should
clarify which of the following prescriptions with the provider? - correct answerVigorously
strip the chest tube twice daily.
A nurse is teaching a client who is taking an ACE inhibitor for heart failure. Which of the
following instructions should the nurse include for home management of heart failure? -
correct answerMonitor Intake and Output
A nurse is providing discharge teaching to a client who has a permanent pacemaker.
Which of the following statements by the client indicates an understanding of the
teaching? - correct answerI need to check my pulse rate every day for a full minute.
A nurse in a clinic is providing preventive teaching to an older adult client during well
visit. The nurse should instruct the client that which of the following immunization are
recommended for healthy adults after age 60? Select all the Apply. - correct
answerHerpes Zoster
