ATI RN Adult Medical Surgical Proctored Exam with NGN
Questions and Answers Latest 2024/2025 (ATI MED-SURG
PROCTORED EXAM NGN PRACTICE EXAM)
A nurse is providing dietary instructions to a client who has cardiovascular disease.The nurse
should identify that which of following statements by the client indicates an understanding of the
teaching?
"I will use canola oil when making sal- ad dressing
A nurse is caring for a client who has COPD. Click to highlight the findings below that
require immediate follow-up.
Neurological - Client is oriented to person, place, and time. Client is restless.
Pupils are reactive to light. Able to move all extrem- ities.
Pulmonary- Client is tachypneic, cough is produc- tive, and mucous is yellow in color.
Wheezes and crackles heard upon auscultation. Oxygen saturation 87% on room air.
Cardiovascular- Pulse 110/min. +2 pulses in all ex- tremities.
Client is restless Tachypneic
Cough is productive Mucous is yellow Pulse 110/min +2 pulses in all extremi- ties
A nurse is caring for a client who is experiencing an exacerbation of heart failure. The nurse is
as- sessing the client 24 hr later. How should the nurse interpret the findings
related to the diagnosis of heart failure? For each finding, click to specify whether the
finding is unrelated to the diagnosis, a sign of po- tential improvement, or a sign of
potential worsening condition.
Diagnostic Results
Hgb 8.4 g/dL (12 to 18 g/dL)
1
,Hct 42% (37% to 47%)
WBC count 9,800/mm3 (5,000 to 10,000/ mm3) Potassium 4.32 mEq/L (3.5 to 5 mEq/L)
Creatinine 0.9 mg/dL (0.5 to 1.2 mg/dL)
Unrelated to Diagno- sis:
Creatinine
WBC
Temperature
Indication of Potential Improvement:
Lung Sounds
Indication of potential worsening condition: Weight
Shortness of breath with exertion
A nurse is caring for a client who has heart failure. Drag words from the choices
below to fill in each blank in the following sentence.
The client is at risk for developing _________ and_________
Word choices: dysrhythmias, respiratory alkalosis, acute kidney injury, fluid volume
deficit
Dysrhythmias Acute Kidney Injury
2
, A nurse is providing teaching for a client who has diabetes mellitus about the self-administration
of insulin.The client has prescriptions for regular and NPH insulins.
Which of the following statements by the client indicates an understanding of the teaching?
I will draw up the reg- ular insulin into the syringe first."
A nurse on a medical-surgical unit is planning care for a client who has dementia and
a history of wandering. Which of the following ac- tions should the nurse plan to
implement?
Use a bed alarm.
A nurse is caring for a client receiving TPN. Which of the following actions should the
nurse take? For each potential nursing interven- tion, click to specify if the potential
intervention is anticipated, nonessential, or con- traindicated for the client.
Request a prescription for insulin
Request an antibiotic to be administered Decrease the client's oxygen to 1.5 L/min oxygen via
nasal cannula
Have 3 nurses verify the TPN solution prescription Notify provider to increase TPN rate/hr
Obtain client weight twice daily
Anticipated:
Request prescription for insulin
Request an antibiotic to be administered Obtain client weight
Nonessential
3 Nurses verify TPN
Contraindicated Decrease client's oxy- gen to 1.5 L/mi
3
Questions and Answers Latest 2024/2025 (ATI MED-SURG
PROCTORED EXAM NGN PRACTICE EXAM)
A nurse is providing dietary instructions to a client who has cardiovascular disease.The nurse
should identify that which of following statements by the client indicates an understanding of the
teaching?
"I will use canola oil when making sal- ad dressing
A nurse is caring for a client who has COPD. Click to highlight the findings below that
require immediate follow-up.
Neurological - Client is oriented to person, place, and time. Client is restless.
Pupils are reactive to light. Able to move all extrem- ities.
Pulmonary- Client is tachypneic, cough is produc- tive, and mucous is yellow in color.
Wheezes and crackles heard upon auscultation. Oxygen saturation 87% on room air.
Cardiovascular- Pulse 110/min. +2 pulses in all ex- tremities.
Client is restless Tachypneic
Cough is productive Mucous is yellow Pulse 110/min +2 pulses in all extremi- ties
A nurse is caring for a client who is experiencing an exacerbation of heart failure. The nurse is
as- sessing the client 24 hr later. How should the nurse interpret the findings
related to the diagnosis of heart failure? For each finding, click to specify whether the
finding is unrelated to the diagnosis, a sign of po- tential improvement, or a sign of
potential worsening condition.
Diagnostic Results
Hgb 8.4 g/dL (12 to 18 g/dL)
1
,Hct 42% (37% to 47%)
WBC count 9,800/mm3 (5,000 to 10,000/ mm3) Potassium 4.32 mEq/L (3.5 to 5 mEq/L)
Creatinine 0.9 mg/dL (0.5 to 1.2 mg/dL)
Unrelated to Diagno- sis:
Creatinine
WBC
Temperature
Indication of Potential Improvement:
Lung Sounds
Indication of potential worsening condition: Weight
Shortness of breath with exertion
A nurse is caring for a client who has heart failure. Drag words from the choices
below to fill in each blank in the following sentence.
The client is at risk for developing _________ and_________
Word choices: dysrhythmias, respiratory alkalosis, acute kidney injury, fluid volume
deficit
Dysrhythmias Acute Kidney Injury
2
, A nurse is providing teaching for a client who has diabetes mellitus about the self-administration
of insulin.The client has prescriptions for regular and NPH insulins.
Which of the following statements by the client indicates an understanding of the teaching?
I will draw up the reg- ular insulin into the syringe first."
A nurse on a medical-surgical unit is planning care for a client who has dementia and
a history of wandering. Which of the following ac- tions should the nurse plan to
implement?
Use a bed alarm.
A nurse is caring for a client receiving TPN. Which of the following actions should the
nurse take? For each potential nursing interven- tion, click to specify if the potential
intervention is anticipated, nonessential, or con- traindicated for the client.
Request a prescription for insulin
Request an antibiotic to be administered Decrease the client's oxygen to 1.5 L/min oxygen via
nasal cannula
Have 3 nurses verify the TPN solution prescription Notify provider to increase TPN rate/hr
Obtain client weight twice daily
Anticipated:
Request prescription for insulin
Request an antibiotic to be administered Obtain client weight
Nonessential
3 Nurses verify TPN
Contraindicated Decrease client's oxy- gen to 1.5 L/mi
3
