ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM
2025 VERSION (NGN) WITH 100% CORRECT ANSWERS
1. Anurseis caringforaclientwhoisinthefirst stageof labor.Thenurseobserves that umbilical
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
cord protruding from the vagina. Which of the following actions should the nurse perform
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
first?
,i
- Insert agloved hand into the vagina torelievepressureon the cord ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
2. A coworker puts an arm around a nurse and says, “I bet you are a great lover.” Which of the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
following is an appropriate response by the nurse?
,i ,i ,i ,i ,i ,i ,i ,i
- “Speakingtomelike that makesme uncomfortable.” ,i ,i ,i ,i ,i ,i ,i
3. A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
neck and tachycardia. Which of the following actions should the nurse take?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Decreasetheinfusion rate ,i ,i ,i
4. A nurse working for a home health agency is assessing an older adult male client. Which of the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
following findings is the priority for the nurse to address?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Dysphagia
5. Anurse in a long-term careunit is creatinga plan of carefor a client who has
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
Alzhheimer’s disease. Which of the following interventions should the nurse include in the ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
plan?
,i
- Talktheclientthroughtasks onestepatatime. ,i ,i ,i ,i ,i ,i ,i ,i ,i
6. A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
chemotherapy-induced nausea. For which of the following adverse effects should the nurse
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
monitor?
,i
- Headache
7. A nurse is teaching a client who is taking metronidazole. Which of the following sense
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
alterations should the nurse include as an adverse effect of metronidazole?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Metallictaste ,i
8. A nurse on a medical-surgical unit is providing care for a gorup of clients. The nurse should
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
delegatecollectionofwhichofthefollowingspecimenstotheassistivepersonnel (AP)?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Random stool specimen ,i ,i
9. Aclientbecomesverydejectedandstates,“Noonereallycareswhathappensto me.Life isn’t
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
worth living anymore.” Which of the following responses should the nurse make?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- “Icareabout you and Iam concerned that you feelso sad.” ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
10. Anurseiscaringforaclientwhohaschronicrenaldiseaseandisreceivingtherapywith epoetin
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
alfa. Which of the following laboratory results should the nurse review for an indication of a
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
therapeutic effect of the medication?
,i ,i ,i ,i ,i
- Thehematocrit (Hct) ,i ,i
11. A nurse is caring for a client who has fungal infection and has a new prescription for
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
amphotericinB.Whichofthefollowinglaboratoryvaluesshouldthenursereporttothe
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
provider before initiating the medication?
,i ,i ,i ,i ,i
- BUN55 mg/dL ,i ,i
12. Anurseisplanningcareforafemaleclient whohasT4 spinalcordinjuryandis atrisk for
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
acquiring urinarytract infections.Which of the following actions should the nurse
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
, includeintheclient’splanofcare? ,i ,i ,i ,i ,i ,i
- Encouragefluidintakeat andbetween meals ,i ,i ,i ,i ,i ,i
13. Thefamilyofanolderadultclientbringshimtotheemergencydepartmentafterfinding him
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
wandering outside. During the initial assessment, the nurse notes that the client flinches when
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
she palpates his abdomen yet responds to questions onlyby nodding and smiling. Which ofthe
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
followingfactors should the nurseidentifyas alikelyexplanation for the client’s behavior?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Confusion
14. A nurse is working with a licensed practical nurse (LPN) to care for a client who is receivinga
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
continuousIVinfusion.WhichofthefollowingfindingsreportedbytheLPN indicates to the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
nurse the client has phlebitis at the IV insertion site?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- “Theareasurroundingtheinsertion sitefeels warm tothe touch.” ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
15. Anurseiscaringforaclientwhohaschemotherapy-inducedperipheralneuropathy.The nurse
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
should expect the client to report having experienced which of the following symptoms?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Tinglingfeelingsintheextremities ,i ,i ,i ,i
16. A nurse in a public clinic is planning a health fair for older adult clients in the community.In
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
teachingmedicationsafety,whichofthefollowingfoodsshouldthenurse advise the clients to
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
avoid when taking their prescription?
,i ,i ,i ,i ,i
- Grapefruitjuice ,i
17. Anurseiscaringforaclientwho isat36 weeks ofgestationand whohassuspected placenta
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
previa. Which of the following findings support the diagnosis?
,i ,i ,i ,i ,i ,i ,i ,i ,i
- Painlessredvaginal bleeding ,i ,i ,i
18. AnurseataprenatalcliniciscaringforaClientwhoisinherfirsttrimesterofpregnancy. The client
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
tells the nurse that she is upset because although she and her husband planned this pregnancy
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
she has been having many doubts and second thoughts about the upcoming changes in her life.
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
Which of the following is an appropriate response by the nurse?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- “Ambivalentfeelingsarequitecommonforwomenearlyinpregnancy.” ,i ,i ,i ,i ,i ,i ,i ,i ,i
19. Achargenursehasaccesstothefacility’selectronicclientsrecords.Isitappropriatefor the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
charge nurse to share her personal password with him?
,i ,i ,i ,i ,i ,i ,i ,i ,i
- No one ,i
20. Aclientsmokinginhisbathroomhasdroppedacigarettebuttintoawastepaperbasket which
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
begins to smolder. Which of the following actions is the nurse's priority?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Moveanyclients intheimmediatevicinity. ,i ,i ,i ,i ,i ,i
21. Anurseisreviewingthearterialbloodgasvaluesofaclientwhohaschronickidney disease.
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
Which of the following sets of values should the nurse expect?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- pH7.25,HCO3- 19mEq/L, PaCO230 mmHg ,i ,i ,i ,i ,i ,i
22. AchildisadmittedwithasuspecteddiagnosisofWilmstumor.Thenurseshouldplacea sign with
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
which of the following warnings over the child's bed?
,i ,i ,i ,i ,i ,i ,i ,i ,i
- Donot palpate abdomen ,i ,i ,i
, 23. A nurse is administering a tap water enema to a client who is constipated. During the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
administrationoftheenematheclientstatesthatheishavingabdominalcramps.Which of the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
following actions should the nurse take to relieve the clients discomfort?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Lowertheheightofthe solutioncontainer. ,i ,i ,i ,i ,i ,i
24. A nurse is caring for a client who has streptococcal pneumonia and a prescription for
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
penicillin G byintermediate IV bolus. 10 minutes into the infusion of the third dose the client
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
reportsthatthe IVsiteitchesandthathefeelsdizzyandshortofbreath.Whichof the following
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
actions should the nurse take first?
,i ,i ,i ,i ,i ,i
- Stopthe infusion ,i ,i
25. Anurseisteachingabout riskfactorsofdevelopingastrokewithagroupofolderclients. Which of
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
the following non-modifiable risk factors should the nurse include in the teaching?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Race
26. A nurseis caring for aclient who has a new prescription for ferrous sulfate tablets twice daily
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for iron-deficiency anemia. The client asks the nurse why the provider instructed thatshetake
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
theferroussulfatebetweenmeals.Whichofthefollowingresponsesshould the nurse make?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- “Takingthemedicationbetweenmealswillhelpyouabsorbthemedicationmore ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
efficiently.” ,i
27. AnurseisreviewingtheCBCfindingsforafemaleclientwhoisreceivingacombination of
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
chemotherapy for breast cancer. Which of the following findings should the nurse report to the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
provider?
,i
- WBC2300/mm3 ,i
28. Anurse is preparing to administer amoxicillin 30mg/kg/day divided equally every 12 hr toa
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
toddlerwhoweighs32lbs(14.5kg).Availableisamoxicillin200mg/5mLsuspension. How
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many mLshould the nurse administer? (Round the answer to the nearest tenth. Use a leading
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zero if it applies. Do not use a trailing zero.)
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- 5.5 mL ,i
29. Anurseiscaringfora clientwhoexperienced alaceratedspleen andhasbeenonbed rest for
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
severaldays.Thenurseauscultatesdecreased breathsoundsinthelowerlobesofboth lungs. The
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
nurse should realize that this finding is most likely an indication of which of the following
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
conditions?
,i
- Atelectasis
30. A nurse is caring for a client who has hypertension and asks the nurse about a prescriptionfor
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
propranolol.Thenurseshouldinformtheclientthatthismedicationis contraindicated in
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
, clients who have history of which of the following conditions?
i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Asthma
31. Thenurseiscaringforaclientwhohasanindwellingurinarycatheter.Whichofthe
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
following actions should the nurse take to prevent infection?
,i ,i ,i ,i ,i ,i ,i ,i ,i
- Checkthecathetertubingfor kinks or twisting. ,i ,i ,i ,i ,i ,i ,i
32. Anurseis teachinga clientwho has been takingprednisone to treatasthma and has a new
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
2025 VERSION (NGN) WITH 100% CORRECT ANSWERS
1. Anurseis caringforaclientwhoisinthefirst stageof labor.Thenurseobserves that umbilical
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
cord protruding from the vagina. Which of the following actions should the nurse perform
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
first?
,i
- Insert agloved hand into the vagina torelievepressureon the cord ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
2. A coworker puts an arm around a nurse and says, “I bet you are a great lover.” Which of the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
following is an appropriate response by the nurse?
,i ,i ,i ,i ,i ,i ,i ,i
- “Speakingtomelike that makesme uncomfortable.” ,i ,i ,i ,i ,i ,i ,i
3. A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
neck and tachycardia. Which of the following actions should the nurse take?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Decreasetheinfusion rate ,i ,i ,i
4. A nurse working for a home health agency is assessing an older adult male client. Which of the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
following findings is the priority for the nurse to address?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Dysphagia
5. Anurse in a long-term careunit is creatinga plan of carefor a client who has
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
Alzhheimer’s disease. Which of the following interventions should the nurse include in the ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
plan?
,i
- Talktheclientthroughtasks onestepatatime. ,i ,i ,i ,i ,i ,i ,i ,i ,i
6. A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
chemotherapy-induced nausea. For which of the following adverse effects should the nurse
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
monitor?
,i
- Headache
7. A nurse is teaching a client who is taking metronidazole. Which of the following sense
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
alterations should the nurse include as an adverse effect of metronidazole?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Metallictaste ,i
8. A nurse on a medical-surgical unit is providing care for a gorup of clients. The nurse should
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
delegatecollectionofwhichofthefollowingspecimenstotheassistivepersonnel (AP)?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Random stool specimen ,i ,i
9. Aclientbecomesverydejectedandstates,“Noonereallycareswhathappensto me.Life isn’t
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
worth living anymore.” Which of the following responses should the nurse make?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- “Icareabout you and Iam concerned that you feelso sad.” ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
10. Anurseiscaringforaclientwhohaschronicrenaldiseaseandisreceivingtherapywith epoetin
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
alfa. Which of the following laboratory results should the nurse review for an indication of a
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
therapeutic effect of the medication?
,i ,i ,i ,i ,i
- Thehematocrit (Hct) ,i ,i
11. A nurse is caring for a client who has fungal infection and has a new prescription for
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
amphotericinB.Whichofthefollowinglaboratoryvaluesshouldthenursereporttothe
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
provider before initiating the medication?
,i ,i ,i ,i ,i
- BUN55 mg/dL ,i ,i
12. Anurseisplanningcareforafemaleclient whohasT4 spinalcordinjuryandis atrisk for
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
acquiring urinarytract infections.Which of the following actions should the nurse
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
, includeintheclient’splanofcare? ,i ,i ,i ,i ,i ,i
- Encouragefluidintakeat andbetween meals ,i ,i ,i ,i ,i ,i
13. Thefamilyofanolderadultclientbringshimtotheemergencydepartmentafterfinding him
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
wandering outside. During the initial assessment, the nurse notes that the client flinches when
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
she palpates his abdomen yet responds to questions onlyby nodding and smiling. Which ofthe
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
followingfactors should the nurseidentifyas alikelyexplanation for the client’s behavior?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Confusion
14. A nurse is working with a licensed practical nurse (LPN) to care for a client who is receivinga
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
continuousIVinfusion.WhichofthefollowingfindingsreportedbytheLPN indicates to the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
nurse the client has phlebitis at the IV insertion site?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- “Theareasurroundingtheinsertion sitefeels warm tothe touch.” ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
15. Anurseiscaringforaclientwhohaschemotherapy-inducedperipheralneuropathy.The nurse
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
should expect the client to report having experienced which of the following symptoms?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Tinglingfeelingsintheextremities ,i ,i ,i ,i
16. A nurse in a public clinic is planning a health fair for older adult clients in the community.In
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
teachingmedicationsafety,whichofthefollowingfoodsshouldthenurse advise the clients to
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
avoid when taking their prescription?
,i ,i ,i ,i ,i
- Grapefruitjuice ,i
17. Anurseiscaringforaclientwho isat36 weeks ofgestationand whohassuspected placenta
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
previa. Which of the following findings support the diagnosis?
,i ,i ,i ,i ,i ,i ,i ,i ,i
- Painlessredvaginal bleeding ,i ,i ,i
18. AnurseataprenatalcliniciscaringforaClientwhoisinherfirsttrimesterofpregnancy. The client
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
tells the nurse that she is upset because although she and her husband planned this pregnancy
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
she has been having many doubts and second thoughts about the upcoming changes in her life.
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
Which of the following is an appropriate response by the nurse?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- “Ambivalentfeelingsarequitecommonforwomenearlyinpregnancy.” ,i ,i ,i ,i ,i ,i ,i ,i ,i
19. Achargenursehasaccesstothefacility’selectronicclientsrecords.Isitappropriatefor the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
charge nurse to share her personal password with him?
,i ,i ,i ,i ,i ,i ,i ,i ,i
- No one ,i
20. Aclientsmokinginhisbathroomhasdroppedacigarettebuttintoawastepaperbasket which
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
begins to smolder. Which of the following actions is the nurse's priority?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Moveanyclients intheimmediatevicinity. ,i ,i ,i ,i ,i ,i
21. Anurseisreviewingthearterialbloodgasvaluesofaclientwhohaschronickidney disease.
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
Which of the following sets of values should the nurse expect?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- pH7.25,HCO3- 19mEq/L, PaCO230 mmHg ,i ,i ,i ,i ,i ,i
22. AchildisadmittedwithasuspecteddiagnosisofWilmstumor.Thenurseshouldplacea sign with
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
which of the following warnings over the child's bed?
,i ,i ,i ,i ,i ,i ,i ,i ,i
- Donot palpate abdomen ,i ,i ,i
, 23. A nurse is administering a tap water enema to a client who is constipated. During the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
administrationoftheenematheclientstatesthatheishavingabdominalcramps.Which of the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
following actions should the nurse take to relieve the clients discomfort?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Lowertheheightofthe solutioncontainer. ,i ,i ,i ,i ,i ,i
24. A nurse is caring for a client who has streptococcal pneumonia and a prescription for
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
penicillin G byintermediate IV bolus. 10 minutes into the infusion of the third dose the client
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
reportsthatthe IVsiteitchesandthathefeelsdizzyandshortofbreath.Whichof the following
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actions should the nurse take first?
,i ,i ,i ,i ,i ,i
- Stopthe infusion ,i ,i
25. Anurseisteachingabout riskfactorsofdevelopingastrokewithagroupofolderclients. Which of
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
the following non-modifiable risk factors should the nurse include in the teaching?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Race
26. A nurseis caring for aclient who has a new prescription for ferrous sulfate tablets twice daily
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for iron-deficiency anemia. The client asks the nurse why the provider instructed thatshetake
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theferroussulfatebetweenmeals.Whichofthefollowingresponsesshould the nurse make?
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- “Takingthemedicationbetweenmealswillhelpyouabsorbthemedicationmore ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
efficiently.” ,i
27. AnurseisreviewingtheCBCfindingsforafemaleclientwhoisreceivingacombination of
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chemotherapy for breast cancer. Which of the following findings should the nurse report to the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
provider?
,i
- WBC2300/mm3 ,i
28. Anurse is preparing to administer amoxicillin 30mg/kg/day divided equally every 12 hr toa
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
toddlerwhoweighs32lbs(14.5kg).Availableisamoxicillin200mg/5mLsuspension. How
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many mLshould the nurse administer? (Round the answer to the nearest tenth. Use a leading
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zero if it applies. Do not use a trailing zero.)
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- 5.5 mL ,i
29. Anurseiscaringfora clientwhoexperienced alaceratedspleen andhasbeenonbed rest for
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
severaldays.Thenurseauscultatesdecreased breathsoundsinthelowerlobesofboth lungs. The
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nurse should realize that this finding is most likely an indication of which of the following
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
conditions?
,i
- Atelectasis
30. A nurse is caring for a client who has hypertension and asks the nurse about a prescriptionfor
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propranolol.Thenurseshouldinformtheclientthatthismedicationis contraindicated in
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, clients who have history of which of the following conditions?
i ,i ,i ,i ,i ,i ,i ,i ,i ,i
- Asthma
31. Thenurseiscaringforaclientwhohasanindwellingurinarycatheter.Whichofthe
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following actions should the nurse take to prevent infection?
,i ,i ,i ,i ,i ,i ,i ,i ,i
- Checkthecathetertubingfor kinks or twisting. ,i ,i ,i ,i ,i ,i ,i
32. Anurseis teachinga clientwho has been takingprednisone to treatasthma and has a new
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