(NGN) ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM
A nurse is caring for a client who is 24 hr postoperative following a total hip arthroplasty. Which
of the following actions should the nurse take?
Maintain abduction of the affected extremity.
A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the
following statements should the nurse include in the teaching?
"You will not be able to eat or drink after the procedure until you are able to cough."
A nurse is assessing a client's understanding of a surgical procedure prior to witnessing their
signature on the informed consent form. The nurse determines that the client does not
understand what the procedure will involve. Which of the following actions should the nurse
take?
Contact the provider who will be performing the procedure.
A nurse is providing discharge teaching to a client who has COPD. Which of the following
instructions should the nurse include in the teaching?
"Consume a diet that is high in calories."
The nurse should instruct the client to avoid foods that are gas forming, such
as cauliflower and cabbage. These foods can increase the client's abdominal
discomfort.
"Select desserts such as angel-food cake."
A nurse is monitoring a client who has a traumatic brain injury. Which of the following findings
should the nurse identify as a manifestation of Cushing's triad?
Increase in blood pressure from 130/80 mm Hg to 180/100 mm Hg
A nurse is teaching a client who has a new diagnosis of type 1 diabetes mellitus. Which of the
following statements by the client indicates an understanding of the teaching?
"I am aware that my diabetes is caused by an autoimmune disorder."
A nurse is caring for a client who has a small bowel obstruction and an NG tube in place. Which
of the following actions should the nurse take?
Maintain low intermittent suction.
A nurse is assessing a client who has a chest tube connected to a closed water-seal drainage
system. Which of the following findings should the nurse report to the provider?
Constant bubbling in the water seal chamber
A nurse is providing teaching for a client who has neutropenia and is receiving chemotherapy.
Which of the following client statements indicates an understanding of the teaching? (Select all
that apply.)
"I will avoid crowds
, "I will take my temperature daily
A nurse is preparing to administer propranolol to several clients. For which of the following
clients should the nurse clarify the prescription with the provider before administration?
A client who has a history of asthma
A nurse is analyzing the ABG results of a client who is in respiratory acidosis. Which of the
following mechanisms should the nurse identify as responsible for this acid-base imbalance?
Retention of carbon dioxide
A nurse is planning care for a client who has tuberculosis. Which of the following precautions
should the nurse implement for this client?
Airborne precautions
A nurse is caring for a client who is 3 hr postoperative and exhibiting signs of hypovolemia.
Which of the following findings should the nurse identify as a manifestation of hypovolemia?
Rapid pulse rate
A nurse is caring for a client who has a prescription for lactated Ringer's by continuous IV
infusion to replace output from an NG tube. Which of the following findings should indicate to
the nurse that this therapy is effective?
Urine specific gravity 1.020
A nurse in an emergency department is caring for a client who is confused, has a temperature
of 40° C (104° F), a BP of 74/52 mm Hg, and a diagnosis of exertional heat stroke. Which of the
following actions should the nurse take first?
Administer oxygen using a high-concentration mask.
A nurse is providing teaching to a client about strategies to manage menopausal symptoms.
Which of the following instructions should the nurse include in the teaching?
"Use water-based lubricant during intercourse to reduce discomfort."
A nurse is teaching a client about self-management of their halo fixator device. Which of the
following information should the nurse include in the teaching?
Place a small pillow under the head while lying supine.
A home health nurse is inspecting a client's residence for electrical hazards as part of the
agency's quality improvement plan. Which of the following findings should the nurse identify
as a safety hazard?
An IV pump is plugged into an outlet near a sink.
A nurse is providing teaching to a group of clients about the prevention of coronary artery
disease. Which of the following information should the nurse include in the teaching?
Walk 30 min daily at a comfortable pace.
A nurse is caring for a client who is 24 hr postoperative following a total hip arthroplasty. Which
of the following actions should the nurse take?
Maintain abduction of the affected extremity.
A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the
following statements should the nurse include in the teaching?
"You will not be able to eat or drink after the procedure until you are able to cough."
A nurse is assessing a client's understanding of a surgical procedure prior to witnessing their
signature on the informed consent form. The nurse determines that the client does not
understand what the procedure will involve. Which of the following actions should the nurse
take?
Contact the provider who will be performing the procedure.
A nurse is providing discharge teaching to a client who has COPD. Which of the following
instructions should the nurse include in the teaching?
"Consume a diet that is high in calories."
The nurse should instruct the client to avoid foods that are gas forming, such
as cauliflower and cabbage. These foods can increase the client's abdominal
discomfort.
"Select desserts such as angel-food cake."
A nurse is monitoring a client who has a traumatic brain injury. Which of the following findings
should the nurse identify as a manifestation of Cushing's triad?
Increase in blood pressure from 130/80 mm Hg to 180/100 mm Hg
A nurse is teaching a client who has a new diagnosis of type 1 diabetes mellitus. Which of the
following statements by the client indicates an understanding of the teaching?
"I am aware that my diabetes is caused by an autoimmune disorder."
A nurse is caring for a client who has a small bowel obstruction and an NG tube in place. Which
of the following actions should the nurse take?
Maintain low intermittent suction.
A nurse is assessing a client who has a chest tube connected to a closed water-seal drainage
system. Which of the following findings should the nurse report to the provider?
Constant bubbling in the water seal chamber
A nurse is providing teaching for a client who has neutropenia and is receiving chemotherapy.
Which of the following client statements indicates an understanding of the teaching? (Select all
that apply.)
"I will avoid crowds
, "I will take my temperature daily
A nurse is preparing to administer propranolol to several clients. For which of the following
clients should the nurse clarify the prescription with the provider before administration?
A client who has a history of asthma
A nurse is analyzing the ABG results of a client who is in respiratory acidosis. Which of the
following mechanisms should the nurse identify as responsible for this acid-base imbalance?
Retention of carbon dioxide
A nurse is planning care for a client who has tuberculosis. Which of the following precautions
should the nurse implement for this client?
Airborne precautions
A nurse is caring for a client who is 3 hr postoperative and exhibiting signs of hypovolemia.
Which of the following findings should the nurse identify as a manifestation of hypovolemia?
Rapid pulse rate
A nurse is caring for a client who has a prescription for lactated Ringer's by continuous IV
infusion to replace output from an NG tube. Which of the following findings should indicate to
the nurse that this therapy is effective?
Urine specific gravity 1.020
A nurse in an emergency department is caring for a client who is confused, has a temperature
of 40° C (104° F), a BP of 74/52 mm Hg, and a diagnosis of exertional heat stroke. Which of the
following actions should the nurse take first?
Administer oxygen using a high-concentration mask.
A nurse is providing teaching to a client about strategies to manage menopausal symptoms.
Which of the following instructions should the nurse include in the teaching?
"Use water-based lubricant during intercourse to reduce discomfort."
A nurse is teaching a client about self-management of their halo fixator device. Which of the
following information should the nurse include in the teaching?
Place a small pillow under the head while lying supine.
A home health nurse is inspecting a client's residence for electrical hazards as part of the
agency's quality improvement plan. Which of the following findings should the nurse identify
as a safety hazard?
An IV pump is plugged into an outlet near a sink.
A nurse is providing teaching to a group of clients about the prevention of coronary artery
disease. Which of the following information should the nurse include in the teaching?
Walk 30 min daily at a comfortable pace.
