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ATI RN Adult Medical-Surgical Exam NGN 2025 –
Updated Next Generation NCLEX Practice Test, Test
Bank, and Study Guide with Answers
Master the ATI RN Adult Medical-Surgical Exam NGN 2025 with this comprehensive
nursing test prep. Access the latest ATI-style Next Generation NCLEX (NGN) practice
questions, detailed rationales, and a full Med-Surg study guide covering cardiovascular,
respiratory, endocrine, and renal systems.
• ATI RN Adult Medical-Surgical Exam NGN 2025
• ATI RN Med-Surg NGN exam practice
• ATI Next Gen RN Med-Surg test bank
• ATI RN Med-Surg NGN questions and answers
• ATI RN Med-Surg study guide 2025
A nurse is caring for a client who has chronic renal failure. The client displays the following ABG results:
pH: 7.24 paCO2: 44 mmHg paO2: 84 mmHg HCO3: 18 mEq/L base excess- 2 and O2 saturation 95%. The
nurse should include that the client has which of the following acid-base balances?
a) Metabolic alkalosis
b) Respiratory acidosis
c) Respiratory alkalosis
d) Metabolic acidosis - ANSWER-d) Metabolic acidosis
A nurse in a provider's office is teaching a client about the self management of GERD which of the
following instructions should the nurse include?
a) Lie down for 30 minutes after each meal
,2|Page
b) Sleep with the head of your bed elevated 6 inches
c) Increase your caloric intake by 250 calories per day
d) Eat a light meal 1 hour before bed - ANSWER-b) Sleep with the head of your bed elevated 6 inches
A nurse suspects that a client with diabetes mellitus is experiencing HYPOglycemia. Which of the
following assessment findings supports this suspicion?
a) Cool, clammy skin
b) Kussmaul respirations
c) Acetone breath
d) Increased urinary output - ANSWER-a) Cool, clammy skin
A nurse is caring for a client who is receiving radiation. The client reports nausea since the therapy was
initiated. Which of the following considerations should the nurse include when offering the client meals?
a) Offer hot beverages with meals
b) Offer a snack prior to radiation therapy
c) Offer highly seasoned foods
d) Offer frequent high carbohydrate meals - ANSWER-d) Offer frequent high carbohydrate meals
A nurse is teaching a client who has a new prescription for Warfarin about foods that affect the INR. The
nurse should include in the teaching that which of the following foods interact with this medication?
a) Kale
b) Beef stew
c) Yogurt
d) Orange juice - ANSWER-a) Kale
A nurse is monitoring an older adult client who has an extrapolation of chronic lymphocytic leukemia.
The nurse note petechiae on the client's skin, which of the following actions should the nurse take?
a) Determine the client's blood type
b) Avoid administering IV pain medications
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c) Implement airborne precautions
d) Institute bleeding precautions - ANSWER-d) Institute bleeding precautions
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which
of the following statements by the client indicates effectiveness of the teaching?
a) I should expect to take my medication for 3 weeks
b) I should apply antibiotic ointment for the lesions
c) I should expect my lesions to resolve in 6 weeks
d) I should use natural skin condoms during sexual intercourse - ANSWER-b) I should apply antibiotic
ointment for the lesions
A nurse in an emergency department is preparing a client for emergency surgery. The client's blood
alcohol level is 180 mg/dL, which of the following actions is the nurse's priority?
a) Insert an NG tube
b) Obtain consent for the surgery
c) Apply anti embolytic stockings
d) Insert an indwelling urinary catheter - ANSWER-a) Insert an NG tube
A nurse is preparing to administer two units of packed RBCs to a client. Which of the following actions
should the nurse take?
a) Transfuse each unit of blood over five hours
b) Change the IV tubing after each unit of blood is transfused
c) Administer the blood through a 22 gauge intravenous catheter
d) Prime the tubing with 0.9% sodium chloride - ANSWER-d) Prime the tubing with 0.9% sodium chloride
A charge nurse receives a call from the house supervisor requesting room assignments for four new
clients. Based on the information diagnosis, which of the following clients requires a private room?
a) A client service port reports having fever, night sweats, and cough for 2 days
b) An older adult client who was admitted with aspiration pneumonia
c) a client who had diabetes mellitus and is presenting with acute ketoacidosis
ATI RN Adult Medical-Surgical Exam NGN 2025 –
Updated Next Generation NCLEX Practice Test, Test
Bank, and Study Guide with Answers
Master the ATI RN Adult Medical-Surgical Exam NGN 2025 with this comprehensive
nursing test prep. Access the latest ATI-style Next Generation NCLEX (NGN) practice
questions, detailed rationales, and a full Med-Surg study guide covering cardiovascular,
respiratory, endocrine, and renal systems.
• ATI RN Adult Medical-Surgical Exam NGN 2025
• ATI RN Med-Surg NGN exam practice
• ATI Next Gen RN Med-Surg test bank
• ATI RN Med-Surg NGN questions and answers
• ATI RN Med-Surg study guide 2025
A nurse is caring for a client who has chronic renal failure. The client displays the following ABG results:
pH: 7.24 paCO2: 44 mmHg paO2: 84 mmHg HCO3: 18 mEq/L base excess- 2 and O2 saturation 95%. The
nurse should include that the client has which of the following acid-base balances?
a) Metabolic alkalosis
b) Respiratory acidosis
c) Respiratory alkalosis
d) Metabolic acidosis - ANSWER-d) Metabolic acidosis
A nurse in a provider's office is teaching a client about the self management of GERD which of the
following instructions should the nurse include?
a) Lie down for 30 minutes after each meal
,2|Page
b) Sleep with the head of your bed elevated 6 inches
c) Increase your caloric intake by 250 calories per day
d) Eat a light meal 1 hour before bed - ANSWER-b) Sleep with the head of your bed elevated 6 inches
A nurse suspects that a client with diabetes mellitus is experiencing HYPOglycemia. Which of the
following assessment findings supports this suspicion?
a) Cool, clammy skin
b) Kussmaul respirations
c) Acetone breath
d) Increased urinary output - ANSWER-a) Cool, clammy skin
A nurse is caring for a client who is receiving radiation. The client reports nausea since the therapy was
initiated. Which of the following considerations should the nurse include when offering the client meals?
a) Offer hot beverages with meals
b) Offer a snack prior to radiation therapy
c) Offer highly seasoned foods
d) Offer frequent high carbohydrate meals - ANSWER-d) Offer frequent high carbohydrate meals
A nurse is teaching a client who has a new prescription for Warfarin about foods that affect the INR. The
nurse should include in the teaching that which of the following foods interact with this medication?
a) Kale
b) Beef stew
c) Yogurt
d) Orange juice - ANSWER-a) Kale
A nurse is monitoring an older adult client who has an extrapolation of chronic lymphocytic leukemia.
The nurse note petechiae on the client's skin, which of the following actions should the nurse take?
a) Determine the client's blood type
b) Avoid administering IV pain medications
, 3|Page
c) Implement airborne precautions
d) Institute bleeding precautions - ANSWER-d) Institute bleeding precautions
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which
of the following statements by the client indicates effectiveness of the teaching?
a) I should expect to take my medication for 3 weeks
b) I should apply antibiotic ointment for the lesions
c) I should expect my lesions to resolve in 6 weeks
d) I should use natural skin condoms during sexual intercourse - ANSWER-b) I should apply antibiotic
ointment for the lesions
A nurse in an emergency department is preparing a client for emergency surgery. The client's blood
alcohol level is 180 mg/dL, which of the following actions is the nurse's priority?
a) Insert an NG tube
b) Obtain consent for the surgery
c) Apply anti embolytic stockings
d) Insert an indwelling urinary catheter - ANSWER-a) Insert an NG tube
A nurse is preparing to administer two units of packed RBCs to a client. Which of the following actions
should the nurse take?
a) Transfuse each unit of blood over five hours
b) Change the IV tubing after each unit of blood is transfused
c) Administer the blood through a 22 gauge intravenous catheter
d) Prime the tubing with 0.9% sodium chloride - ANSWER-d) Prime the tubing with 0.9% sodium chloride
A charge nurse receives a call from the house supervisor requesting room assignments for four new
clients. Based on the information diagnosis, which of the following clients requires a private room?
a) A client service port reports having fever, night sweats, and cough for 2 days
b) An older adult client who was admitted with aspiration pneumonia
c) a client who had diabetes mellitus and is presenting with acute ketoacidosis
