1 | Page
ATI - ADULT MEDICAL SURGICAL NGN B 2025
UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
A nurse is providing teaching to a client who is perimenopausal
and has a prescription for hormone replacement therapy. For
which of the following adverse effects should the nurse instruct
the client to notify the provider? - correct answer- Calf pain
Numbness in the arms
Intense headache
A nurse is planning care for a client who is postoperative
following a laparotomy and has a closed-suction drain. Which
of the following actions should the nurse take to manage the
drain? - correct answer- Compress the drain reservoir after
emptying.
A nurse is caring for a client who has DKA. Which of the
following findings should indicate to the nurse that the client's
condition is improving? - correct answer- Glucose 272 mg/dL
A nurse is reviewing the laboratory findings of a client who
developed chest pain 6 hr ago. The nurse should identify which
,2 | Page
of the following findings as an indication of a myocardial
infarction (MI)? - correct answer- Troponin I 8 ng/mL
A nurse is planning a health promotional presentation for a
group of African American clients at a community center. Which
of the following disorders presents the greatest risk to this
group of clients? - correct answer- hypertension
A nurse is providing education to a client who is at risk for
osteoporosis. Which of the following instructions should the
nurse include? - correct answer- Walk for 30 min four times per
week.
A nurse is caring for a client who has an arterial line. Which of
the following actions should the nurse take? - correct answer-
Place a pressure bag around the flush solution.
A nurse is reviewing the ABG results of a client who has
advanced COPD. Which of the following results should the
nurse expect? - correct answer- PaCO2 56
A nurse is providing postoperative teaching for a client who had
a total knee arthroplasty. Which of the following instructions
,3 | Page
should the nurse include? - correct answer- Flex the foot every
hour when awake.
A nurse is planning care for a client who is postoperative
following a parathyroidectomy. Which of the following actions
should the nurse identify as the priority? - correct answer-
Place a tracheostomy tray at the bedside.
A nurse is evaluating the plan of care for four clients after 2
days of hospitalization. The nurse should identify the need to
revise the plan for which of the following clients? - correct
answer- A client who is postoperative following abdominal
surgery and reports feeling that something "popped" when they
coughed
A nurse is checking the ECG rhythm strip for a client who has a
temporary pacemaker. The nurse notes a pacemaker artifact
followed by a QRS complex. Which of the following actions
should the nurse take? - correct answer- Document that
depolarization has occurred.
A nurse is providing discharge instructions to a client who has
active tuberculosis (TB). Which of the following information
should the nurse include in the instructions? - correct answer-
Sputum specimens are necessary every 2 to 4 weeks until
there are three negative cultures.
, 4 | Page
A nurse is caring for a client who is receiving a blood
transfusion. The client becomes restless, dyspneic, and has
crackles noted to the lung bases. Which of the following actions
should the nurse anticipate taking? - correct answer- Slow the
infusion rate
A nurse is assessing a client who is postoperative following a
thyroidectomy. Which of the following findings is the nurse's
priority? - correct answer- Temperature 38.9° C (102° F)
A nurse is caring for a client who has homonymous
hemianopsia as a result of a stroke. To reduce the risk of falls
when ambulating, the nurse should provide which of the
following instructions to the client? - correct answer- Scan the
environment by turning your head from side to side.
A PACU nurse is assessing a client who is postoperative
following a right nephrectomy. The client's initial vital signs were
heart rate 80/min, blood pressure 130/70 mm Hg, respiratory
rate 16/min, and temperature 36° C (96.80 F). Which of the
following vital sign changes should alert the nurse that the
client might be hemorrhaging? - correct answer- Heart rate
110/min
ATI - ADULT MEDICAL SURGICAL NGN B 2025
UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
A nurse is providing teaching to a client who is perimenopausal
and has a prescription for hormone replacement therapy. For
which of the following adverse effects should the nurse instruct
the client to notify the provider? - correct answer- Calf pain
Numbness in the arms
Intense headache
A nurse is planning care for a client who is postoperative
following a laparotomy and has a closed-suction drain. Which
of the following actions should the nurse take to manage the
drain? - correct answer- Compress the drain reservoir after
emptying.
A nurse is caring for a client who has DKA. Which of the
following findings should indicate to the nurse that the client's
condition is improving? - correct answer- Glucose 272 mg/dL
A nurse is reviewing the laboratory findings of a client who
developed chest pain 6 hr ago. The nurse should identify which
,2 | Page
of the following findings as an indication of a myocardial
infarction (MI)? - correct answer- Troponin I 8 ng/mL
A nurse is planning a health promotional presentation for a
group of African American clients at a community center. Which
of the following disorders presents the greatest risk to this
group of clients? - correct answer- hypertension
A nurse is providing education to a client who is at risk for
osteoporosis. Which of the following instructions should the
nurse include? - correct answer- Walk for 30 min four times per
week.
A nurse is caring for a client who has an arterial line. Which of
the following actions should the nurse take? - correct answer-
Place a pressure bag around the flush solution.
A nurse is reviewing the ABG results of a client who has
advanced COPD. Which of the following results should the
nurse expect? - correct answer- PaCO2 56
A nurse is providing postoperative teaching for a client who had
a total knee arthroplasty. Which of the following instructions
,3 | Page
should the nurse include? - correct answer- Flex the foot every
hour when awake.
A nurse is planning care for a client who is postoperative
following a parathyroidectomy. Which of the following actions
should the nurse identify as the priority? - correct answer-
Place a tracheostomy tray at the bedside.
A nurse is evaluating the plan of care for four clients after 2
days of hospitalization. The nurse should identify the need to
revise the plan for which of the following clients? - correct
answer- A client who is postoperative following abdominal
surgery and reports feeling that something "popped" when they
coughed
A nurse is checking the ECG rhythm strip for a client who has a
temporary pacemaker. The nurse notes a pacemaker artifact
followed by a QRS complex. Which of the following actions
should the nurse take? - correct answer- Document that
depolarization has occurred.
A nurse is providing discharge instructions to a client who has
active tuberculosis (TB). Which of the following information
should the nurse include in the instructions? - correct answer-
Sputum specimens are necessary every 2 to 4 weeks until
there are three negative cultures.
, 4 | Page
A nurse is caring for a client who is receiving a blood
transfusion. The client becomes restless, dyspneic, and has
crackles noted to the lung bases. Which of the following actions
should the nurse anticipate taking? - correct answer- Slow the
infusion rate
A nurse is assessing a client who is postoperative following a
thyroidectomy. Which of the following findings is the nurse's
priority? - correct answer- Temperature 38.9° C (102° F)
A nurse is caring for a client who has homonymous
hemianopsia as a result of a stroke. To reduce the risk of falls
when ambulating, the nurse should provide which of the
following instructions to the client? - correct answer- Scan the
environment by turning your head from side to side.
A PACU nurse is assessing a client who is postoperative
following a right nephrectomy. The client's initial vital signs were
heart rate 80/min, blood pressure 130/70 mm Hg, respiratory
rate 16/min, and temperature 36° C (96.80 F). Which of the
following vital sign changes should alert the nurse that the
client might be hemorrhaging? - correct answer- Heart rate
110/min
