ATI RN MEDICAL SURGICAL WITH
NGN 2026-2027 COMPLETE 180
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
Annursenisnprovidingnteachingntonanclientnwhonhasnchronicnkidneyndiseasenandnannewnprescriptionnf
ornerythropoietin.nWhichnofnthenfollowingnstatementsnbynthenclientnindicatesnannunderstandingnofn
thenteaching?n
a)n"Inshouldntakencalciumnsupplements,nsonthenmedicationnwillnworknbetterninnmynsystem."
b)n"Inamntakingnthisnmedicationntonincreasenmynenergynlevel."
c)n"Thisnmedicationncanncausenmynbloodnpressurentondrop."
d)n"Inwillnneedntonrestrictnproteinninnmyndietnwhilentakingnthisnmedication."n-
nnCORRECTnANSWERSb)n"Inamntakingnthisnmedicationntonincreasenmynenergynlevel."
Annurseninnanprovider'snofficenisncaringnfornanclientnwhonrequestsnsildenafilntontreatnerectilendysfunc
tion.nWhichnofnthenfollowingnstatementsnshouldnthennursenmake?n
a)nYounmightnneedntontakenanstoolnsoftenernwhilentakingnthisnmedication.
b)nYounwillnnotnbenablentonusensildenafilnifnyounhavendiabetes.
c)nYounwillnneedntonlimitnyourncaffeinenintakenifnyounstartntakingnsildenafil.
d)nYounwillnnotnbenablentonusensildenafilnifnyounarentakingnnitroglycerin.n-
nnCORRECTnANSWERSd)nYounwillnnotnbenablentonusensildenafilnifnyounarentakingnnitroglycerin.
Annursenisncaringnfornanclientnwhonhasnannewndiagnosisnofnhyperthyroidism.nWhichnofnthenfollowing
nisnthenprioritynassessmentnfindingnthatnthennursenshouldnreportntonthenprovider?
a)nRestlessnessn
b)nT3nleveln215nng/dL
,c)nBloodnpressuren170/80
d)nDecreasednweightn-nnCORRECTnANSWERSc)nBloodnpressuren170/80
Annursenonnanmedical-surgicalnunitnisnreceivingnchange-of-
shiftnreportnonnfournclients.nWhichnofnthenfollowingnclientsnshouldnthennursenidentifynasnhavingnthe
ngreatestnrisknforndevelopingnanninfection?
a)nAnclientnwhonhasnanclosednfracturenofnthenarmnandnisnreceivingnannopioidnpainnmedication
b)nAnclientnwhonhasnCOPDnandnisnreceivingnsteroidntherapy
c)nAnclientnwhonisnpostoperativenfollowingnanlaparoscopicnappendectomynandnisnreceivingnannantib
iotic
d)nAnclientnwhonhasnandeepnveinnthrombosisn(DVT)nandnisnreceivingnanticoagulantntherapyn-
nnCORRECTnANSWERSb)nAnclientnwhonhasnCOPDnandnisnreceivingnsteroidntherapy
Annurseninnannemergencyndepartmentnisnassessingnannoldernadultnclientnwhonhasnanfracturednwristn
followingnanfall.nDuringnthenassessment,nthenclientnstates,n"LastnweeknIncrashednmyncarnbecausenm
ynvisionnsuddenlynwentnblurry."nWhichnofnthenfollowingnactionsnisnthennurse'snpriority?n
a)nChecknthenclient'snneurologicalnstatus
b)nDocumentnthenclient'snstatements
c)nPreparenthenclientnfornanCTnscan
d)nTeachnthenclientnaboutnusingnsafetynprecautionsnfornfallsn-
nnCORRECTnANSWERSa)nChecknthenclient'snneurologicalnstatus
Annursenisnprovidingnpreoperativenteachingnfornanclientnwhonisnschedulednfornannopenncholecystect
omy.nWhichnofnthenfollowingnactionsnshouldnthennursentake?
a)nTeachnthenimportancenofnanclearnliquidndietnafterndischarge
b)nTellnthenclientntonremovenincisionalnadhesivenstripsn3ndaysnafterndischarge
c)nDemonstratenwaysntondeepnbreathnandncough
d)nInstructnthenclientntonmaintainnbedrestnforn48nhoursn-
nnCORRECTnANSWERSc)nDemonstratenwaysntondeepnbreathnandncough
,Annurseninnannemergencyndepartmentnisncaringnfornanclientnwhonhasnfull-
thicknessnburnsnovern20%nofnhisntotalnbodynsurfacenarea.nAfternensuringnanpatentnairwaynandnadmi
nisteringnoxygen,nwhichnofnthenfollowingnitemsnshouldnthennursenpreparentonadminister?
a)nIVnfluids
b)nAnalgesia
c)nAntibiotics
d)nTetanusntoxoidn-nnCORRECTnANSWERSa)nIVnfluids
Annurseninnanprovider'snofficenisnassessingnanclientnwhonhasnmigrainenheadachesnandnisntakingnfever
fewntonpreventnhernheadaches.nThennursenshouldnidentifynthatnwhichnofnthenfollowingnclientnmedi
cationsninteractsnwithnfeverfew?
a)nMetoprolol
b)nBupropion
c)nNaproxen
d)nAtorvastatinn-nnCORRECTnANSWERSc)nNaproxen
Annursenisnprovidingndischargenteachingntonanclientnwhonhasnlaryngealncancernandnisnreceivingnradi
ationntreatment.nWhichnofnthenfollowingnstatementsnmadenbynthenclientnindicatesnannunderstandi
ngnofnthenteaching?
a)nInwillnwearnanbadgentonmeasurenhownmuchnradiationnInamnreceiving
b)nInwillnremoventhenmarkingsnonnthenskinnafterneachnradiationntreatment
c)nInwillnavoidndirectnexposurentonthensun
d)nInwillnrinsenmynmouthnwithnancommercialnmouthwashn-
nnCORRECTnANSWERSc)nInwillnavoidndirectnexposurentonthensun
Annursenisnpreparingntonadministernanbloodntransfusionntonanclientnwhonhasnanemia.nWhichnofnthenf
ollowingnactionsnshouldnthennursentakenfirst?n
, a)nObtainnthenclient'snvitalnsigns
b)nDescribenthenbloodntransfusionnprocedurentonthenclient
c)nChecknfornthentypenandnnumbernofnunitsnofnbloodntonadminister
d)nInitiatenanperipheralnIVn-
nnCORRECTnANSWERSc)nChecknfornthentypenandnnumbernofnunitsnofnbloodntonadminister
Annursenisncaringnfornanclientnwhonhasnanprescriptionnfornenalapril.nThennursenshouldnidentifynwhic
hnofnthenfollowingnfindingsnasnannadverseneffectnofnthenmedication?n
a)nBradycardia
b)nTremors
c)nOrthostaticnhypotension
d)nDrowsinessn-nnCORRECTnANSWERSc)nOrthostaticnhypotension
Annursenisnassessingnforncompartmentnsyndromeninnanclientnwhonhasnanshortnlegncast.nWhichnofnth
enfollowingnfindingsnshouldnthennursenidentifynasnanmanifestationnofnthisncondition?
a)nBoundingnpedalnpulse
b)nCapillarynrefillnlessnthann2nseconds
c)nPainnthatnincreasesnwithnpassivenmovement
d)nAreasnofnwarmthnonnthencastn-
nnCORRECTnANSWERSc)nPainnthatnincreasesnwithnpassivenmovement
Annursenisnplanningncarenfornanclientnwhonhasnfull-
thicknessnburnsnonnthenlowernextremities.nWhichnofnthenfollowingninterventionsnshouldnthennursen
include?
a)nLimitnvisitationntimenfornthenclient'snchildrennton40nminutesnpernday
b)nCleannthenequipmentninnthenclient'snroomnoncenpernweekn
c)nProvidenandietnofnfreshnfruitsnandnvegetablesnfornthenclient
NGN 2026-2027 COMPLETE 180
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
Annursenisnprovidingnteachingntonanclientnwhonhasnchronicnkidneyndiseasenandnannewnprescriptionnf
ornerythropoietin.nWhichnofnthenfollowingnstatementsnbynthenclientnindicatesnannunderstandingnofn
thenteaching?n
a)n"Inshouldntakencalciumnsupplements,nsonthenmedicationnwillnworknbetterninnmynsystem."
b)n"Inamntakingnthisnmedicationntonincreasenmynenergynlevel."
c)n"Thisnmedicationncanncausenmynbloodnpressurentondrop."
d)n"Inwillnneedntonrestrictnproteinninnmyndietnwhilentakingnthisnmedication."n-
nnCORRECTnANSWERSb)n"Inamntakingnthisnmedicationntonincreasenmynenergynlevel."
Annurseninnanprovider'snofficenisncaringnfornanclientnwhonrequestsnsildenafilntontreatnerectilendysfunc
tion.nWhichnofnthenfollowingnstatementsnshouldnthennursenmake?n
a)nYounmightnneedntontakenanstoolnsoftenernwhilentakingnthisnmedication.
b)nYounwillnnotnbenablentonusensildenafilnifnyounhavendiabetes.
c)nYounwillnneedntonlimitnyourncaffeinenintakenifnyounstartntakingnsildenafil.
d)nYounwillnnotnbenablentonusensildenafilnifnyounarentakingnnitroglycerin.n-
nnCORRECTnANSWERSd)nYounwillnnotnbenablentonusensildenafilnifnyounarentakingnnitroglycerin.
Annursenisncaringnfornanclientnwhonhasnannewndiagnosisnofnhyperthyroidism.nWhichnofnthenfollowing
nisnthenprioritynassessmentnfindingnthatnthennursenshouldnreportntonthenprovider?
a)nRestlessnessn
b)nT3nleveln215nng/dL
,c)nBloodnpressuren170/80
d)nDecreasednweightn-nnCORRECTnANSWERSc)nBloodnpressuren170/80
Annursenonnanmedical-surgicalnunitnisnreceivingnchange-of-
shiftnreportnonnfournclients.nWhichnofnthenfollowingnclientsnshouldnthennursenidentifynasnhavingnthe
ngreatestnrisknforndevelopingnanninfection?
a)nAnclientnwhonhasnanclosednfracturenofnthenarmnandnisnreceivingnannopioidnpainnmedication
b)nAnclientnwhonhasnCOPDnandnisnreceivingnsteroidntherapy
c)nAnclientnwhonisnpostoperativenfollowingnanlaparoscopicnappendectomynandnisnreceivingnannantib
iotic
d)nAnclientnwhonhasnandeepnveinnthrombosisn(DVT)nandnisnreceivingnanticoagulantntherapyn-
nnCORRECTnANSWERSb)nAnclientnwhonhasnCOPDnandnisnreceivingnsteroidntherapy
Annurseninnannemergencyndepartmentnisnassessingnannoldernadultnclientnwhonhasnanfracturednwristn
followingnanfall.nDuringnthenassessment,nthenclientnstates,n"LastnweeknIncrashednmyncarnbecausenm
ynvisionnsuddenlynwentnblurry."nWhichnofnthenfollowingnactionsnisnthennurse'snpriority?n
a)nChecknthenclient'snneurologicalnstatus
b)nDocumentnthenclient'snstatements
c)nPreparenthenclientnfornanCTnscan
d)nTeachnthenclientnaboutnusingnsafetynprecautionsnfornfallsn-
nnCORRECTnANSWERSa)nChecknthenclient'snneurologicalnstatus
Annursenisnprovidingnpreoperativenteachingnfornanclientnwhonisnschedulednfornannopenncholecystect
omy.nWhichnofnthenfollowingnactionsnshouldnthennursentake?
a)nTeachnthenimportancenofnanclearnliquidndietnafterndischarge
b)nTellnthenclientntonremovenincisionalnadhesivenstripsn3ndaysnafterndischarge
c)nDemonstratenwaysntondeepnbreathnandncough
d)nInstructnthenclientntonmaintainnbedrestnforn48nhoursn-
nnCORRECTnANSWERSc)nDemonstratenwaysntondeepnbreathnandncough
,Annurseninnannemergencyndepartmentnisncaringnfornanclientnwhonhasnfull-
thicknessnburnsnovern20%nofnhisntotalnbodynsurfacenarea.nAfternensuringnanpatentnairwaynandnadmi
nisteringnoxygen,nwhichnofnthenfollowingnitemsnshouldnthennursenpreparentonadminister?
a)nIVnfluids
b)nAnalgesia
c)nAntibiotics
d)nTetanusntoxoidn-nnCORRECTnANSWERSa)nIVnfluids
Annurseninnanprovider'snofficenisnassessingnanclientnwhonhasnmigrainenheadachesnandnisntakingnfever
fewntonpreventnhernheadaches.nThennursenshouldnidentifynthatnwhichnofnthenfollowingnclientnmedi
cationsninteractsnwithnfeverfew?
a)nMetoprolol
b)nBupropion
c)nNaproxen
d)nAtorvastatinn-nnCORRECTnANSWERSc)nNaproxen
Annursenisnprovidingndischargenteachingntonanclientnwhonhasnlaryngealncancernandnisnreceivingnradi
ationntreatment.nWhichnofnthenfollowingnstatementsnmadenbynthenclientnindicatesnannunderstandi
ngnofnthenteaching?
a)nInwillnwearnanbadgentonmeasurenhownmuchnradiationnInamnreceiving
b)nInwillnremoventhenmarkingsnonnthenskinnafterneachnradiationntreatment
c)nInwillnavoidndirectnexposurentonthensun
d)nInwillnrinsenmynmouthnwithnancommercialnmouthwashn-
nnCORRECTnANSWERSc)nInwillnavoidndirectnexposurentonthensun
Annursenisnpreparingntonadministernanbloodntransfusionntonanclientnwhonhasnanemia.nWhichnofnthenf
ollowingnactionsnshouldnthennursentakenfirst?n
, a)nObtainnthenclient'snvitalnsigns
b)nDescribenthenbloodntransfusionnprocedurentonthenclient
c)nChecknfornthentypenandnnumbernofnunitsnofnbloodntonadminister
d)nInitiatenanperipheralnIVn-
nnCORRECTnANSWERSc)nChecknfornthentypenandnnumbernofnunitsnofnbloodntonadminister
Annursenisncaringnfornanclientnwhonhasnanprescriptionnfornenalapril.nThennursenshouldnidentifynwhic
hnofnthenfollowingnfindingsnasnannadverseneffectnofnthenmedication?n
a)nBradycardia
b)nTremors
c)nOrthostaticnhypotension
d)nDrowsinessn-nnCORRECTnANSWERSc)nOrthostaticnhypotension
Annursenisnassessingnforncompartmentnsyndromeninnanclientnwhonhasnanshortnlegncast.nWhichnofnth
enfollowingnfindingsnshouldnthennursenidentifynasnanmanifestationnofnthisncondition?
a)nBoundingnpedalnpulse
b)nCapillarynrefillnlessnthann2nseconds
c)nPainnthatnincreasesnwithnpassivenmovement
d)nAreasnofnwarmthnonnthencastn-
nnCORRECTnANSWERSc)nPainnthatnincreasesnwithnpassivenmovement
Annursenisnplanningncarenfornanclientnwhonhasnfull-
thicknessnburnsnonnthenlowernextremities.nWhichnofnthenfollowingninterventionsnshouldnthennursen
include?
a)nLimitnvisitationntimenfornthenclient'snchildrennton40nminutesnpernday
b)nCleannthenequipmentninnthenclient'snroomnoncenpernweekn
c)nProvidenandietnofnfreshnfruitsnandnvegetablesnfornthenclient