ATI MED SURG PROCTORED NGN RETAKE ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
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 ANSWER~Hgb 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
ANSWER~Desmopressin
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 ANSWER~Stool 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 ANSWER~Initiate 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 ANSWER~Transmucosal 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 ANSWER~ST 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 ANSWER~Pat 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 ANSWER~Furosemide
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 ANSWER~Apical 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 ANSWER~Compensated
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 ANSWER~Hypoalbuminemia (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
ANSWER~Have 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 ANSWER~Administer 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 ANSWER~Hypocalcemia
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 ANSWER~Use 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 ANSWER~WBC 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 ANSWER~I
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 ANSWER~Verify 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
ANSWER~Exhale 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 ANSWER~A
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 ANSWER~The 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 ANSWER~Crackle in bilateral
lower lobes
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
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 ANSWER~Hgb 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
ANSWER~Desmopressin
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 ANSWER~Stool 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 ANSWER~Initiate 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 ANSWER~Transmucosal 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 ANSWER~ST 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 ANSWER~Pat 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 ANSWER~Furosemide
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 ANSWER~Apical 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 ANSWER~Compensated
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 ANSWER~Hypoalbuminemia (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
ANSWER~Have 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 ANSWER~Administer 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 ANSWER~Hypocalcemia
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 ANSWER~Use 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 ANSWER~WBC 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 ANSWER~I
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 ANSWER~Verify 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
ANSWER~Exhale 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 ANSWER~A
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 ANSWER~The 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 ANSWER~Crackle in bilateral
lower lobes
