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ATI PN ADULT MEDICAL SURGICAL (MED-SURG)
PROCTORED EXAM WITH NGN STUDY GUIDE | VERIFIED
PRACTICE QUESTIONS & ANSWERS | COMPREHENSIVE
ATI PN MED-SURG EXAM PREP 2026
A nurse is caring for a client who is taking lithium and reports persistent
nausea and vomiting for 2 days. Which of the following laboratory
values should the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L ......ANSWER......D. Sodium 132 mEq/L
Rationale:
The nurse should identify that a sodium level of 132 mEq/L is not within
the expected reference range of 136 to 145 mEq/L. This finding
indicates hyponatremia, which can lead to lithium accumulation and
places the client at risk for lithium toxicity. The nurse should report this
finding to the provider.
A nurse is caring for a client who has cancer and has a WBC count of
4,000/mm3. Which of the following
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actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.
......ANSWER......A. Cleanse the client's toothbrush with hydrogen
peroxide.
Rationale:
A WBC count of 4,000/mm3 is considered low and is known as
leukopenia. A low WBC count can be caused by cancer or cancer
treatment. The nurse should instruct the client to cleanse their
toothbrush with hydrogen peroxide. People with leukemia or
leukopenia should avoid using disposable razors, which can cause cuts
and bleeding that can lead to infections. Instead, they recommend
using an electric razor to reduce the risk of injury. Encouraging the
client to eat unpasteurized dairy products is not recommended as they
can contain harmful bacteria that can cause infections. Decreasing the
client's protein intake is not recommended as protein is important for
wound healing and immune function
TEST
A nurse enters a client's room and sees smoke coming from the
bathroom. Which of the following actions should the nurse take first?
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a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. ......ANSWER......C. Assist the client to a nearby common
area.
Rationale:
use
Rescue
Alarm
Contain
Extinguish
TEST
A nurse is contributing to the plan of care for a client who reports
difficulty eating due to chronic arthritis. Which of the following
interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating utensils.
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b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a pureed diet.
......ANSWER......A. Apply foam handles to the client's eating utensils.
Rationale:
To help a client with chronic arthritis who experiences difficulty eating,
applying foam handles to the eating utensils can provide a larger, more
comfortable grip and reduce strain on the joints. Asking for a puree diet
may not be necessary unless swallowing difficulties are present. Having
an assistive personnel feed the client may not promote independence.
While obtaining a referral for physical therapy may be beneficial for
overall mobility, it does not directly address the client's difficulty with
eating.
A nurse is providing directions to an assistive personnel about moving a
client up in bed.
a. "Place a pillow under the client's head prior to repositioning."
b. "Keep your feet close together while moving the client"
c "Face in the direction of the client's movement"
d. "Move the client's arms to his sides prior to repositioning."
......ANSWER......C. "Face in the direction of the client's movement."
ATI PN ADULT MEDICAL SURGICAL (MED-SURG)
PROCTORED EXAM WITH NGN STUDY GUIDE | VERIFIED
PRACTICE QUESTIONS & ANSWERS | COMPREHENSIVE
ATI PN MED-SURG EXAM PREP 2026
A nurse is caring for a client who is taking lithium and reports persistent
nausea and vomiting for 2 days. Which of the following laboratory
values should the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L ......ANSWER......D. Sodium 132 mEq/L
Rationale:
The nurse should identify that a sodium level of 132 mEq/L is not within
the expected reference range of 136 to 145 mEq/L. This finding
indicates hyponatremia, which can lead to lithium accumulation and
places the client at risk for lithium toxicity. The nurse should report this
finding to the provider.
A nurse is caring for a client who has cancer and has a WBC count of
4,000/mm3. Which of the following
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actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.
......ANSWER......A. Cleanse the client's toothbrush with hydrogen
peroxide.
Rationale:
A WBC count of 4,000/mm3 is considered low and is known as
leukopenia. A low WBC count can be caused by cancer or cancer
treatment. The nurse should instruct the client to cleanse their
toothbrush with hydrogen peroxide. People with leukemia or
leukopenia should avoid using disposable razors, which can cause cuts
and bleeding that can lead to infections. Instead, they recommend
using an electric razor to reduce the risk of injury. Encouraging the
client to eat unpasteurized dairy products is not recommended as they
can contain harmful bacteria that can cause infections. Decreasing the
client's protein intake is not recommended as protein is important for
wound healing and immune function
TEST
A nurse enters a client's room and sees smoke coming from the
bathroom. Which of the following actions should the nurse take first?
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a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. ......ANSWER......C. Assist the client to a nearby common
area.
Rationale:
use
Rescue
Alarm
Contain
Extinguish
TEST
A nurse is contributing to the plan of care for a client who reports
difficulty eating due to chronic arthritis. Which of the following
interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating utensils.
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b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a pureed diet.
......ANSWER......A. Apply foam handles to the client's eating utensils.
Rationale:
To help a client with chronic arthritis who experiences difficulty eating,
applying foam handles to the eating utensils can provide a larger, more
comfortable grip and reduce strain on the joints. Asking for a puree diet
may not be necessary unless swallowing difficulties are present. Having
an assistive personnel feed the client may not promote independence.
While obtaining a referral for physical therapy may be beneficial for
overall mobility, it does not directly address the client's difficulty with
eating.
A nurse is providing directions to an assistive personnel about moving a
client up in bed.
a. "Place a pillow under the client's head prior to repositioning."
b. "Keep your feet close together while moving the client"
c "Face in the direction of the client's movement"
d. "Move the client's arms to his sides prior to repositioning."
......ANSWER......C. "Face in the direction of the client's movement."
