NGN ATI ADVANCED (ADULT) MED SURG 2026 EXAM
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED
PASS
A nurse is about to administer warfarin (Coumadin) to a
client who has atrial fibrillation. When the client asks what
his medication will do, which of the following is an
appropriate nursing response?
a. It helps convert atrial fibrillation to sinus rhythm
b. Is dissolves clots in the bloodstream
c. It slows the response of the ventricles to the fast atrial
impulses
d. It prevents strokes in clients who have atrial fibrillation
d. It prevents strokes in clients who have atrial fibrillation
,A nurse in a cardiac care unit is caring for a client with
acute heart failure. Which of the following findings should
the nurse expect? a. Decreased brain natriuretic peptide
(BNP)
b. Elevated central venous pressure (CVP)
c. Decreased pulmonary pressure
d. Increases urinary output
b. Elevated central venous pressure (CVP)
A client comes into the ED reporting nausea and vomiting
that worsens when lying down and without relief from
antacids. The provider suspects acute pancreatitis. Which of
the following lab test results should the nurse expect to see
if the client has acute pancreatitis?
a. Decreased WBC
b. Increased serum amylase
c. Decreased serum lipase
d. Increased serum calcium
b. increased serum amylase
A nurse in the ICU is caring for a client who has acute
respiratory distress syndrome (ARDS) and is receiving
,mechanical via an endotracheal tube. The provider plans to
extubate her within the next
24 hour. Which of the following is an important criterion for
extubating the client?
a. Ability to cough effectively
b. Adequate tidal volume without manually assisted breaths
c. No indication of infection
d. No need for supplemental oxygen
b. Adequate tidal volume without manually assisted breaths
A nurse is caring for a client following a CT scan with
dye who suffered from an anaphylactic reaction.
Which of the following conditions requires a priority
nursing response? a. urticaria
b. stridor
c. tachypnea
d. angioedema
b. stridor
A nurse is caring for a female client who came in to the ED
reporting
SOB and pain in the lung area. Her heart rate is 110/min,
resp. rate 40/min, and blood pressure 140/80 m8juiimHg. Her
, arterial blood gases are: pH 7.5, PaCO2 29 mmHg, PaO2 60
mm Hg, HCO3 20 mEq/L, and SaO2 86%. Which of the
following is the priority intervention? a. Prepare for
mechanical ventilation
b. Administer oxygen via face mask
c. Prepare to administer a sedative
d. Monitor for pulmonary embolism
b. Administer oxygen via face mask
A nurse is monitoring a client who has just had a
thoracentesis to remove pleural fluid. Which of the following
clinical manifestations indicate a complication that requires
notifying the provider immediately?
a. Serosanguineous drainage from the puncture site
b. Discomfort at the puncture site
c. Increased heart rate
d. Decreased temperature
c. Increased heart rate
A group of college students was attending a weekend
football rally when one of the students stumbled and fell into
the bonfire. Although several friends quickly intervened, the
client sustained partialthickness burns to both lower legs,
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED
PASS
A nurse is about to administer warfarin (Coumadin) to a
client who has atrial fibrillation. When the client asks what
his medication will do, which of the following is an
appropriate nursing response?
a. It helps convert atrial fibrillation to sinus rhythm
b. Is dissolves clots in the bloodstream
c. It slows the response of the ventricles to the fast atrial
impulses
d. It prevents strokes in clients who have atrial fibrillation
d. It prevents strokes in clients who have atrial fibrillation
,A nurse in a cardiac care unit is caring for a client with
acute heart failure. Which of the following findings should
the nurse expect? a. Decreased brain natriuretic peptide
(BNP)
b. Elevated central venous pressure (CVP)
c. Decreased pulmonary pressure
d. Increases urinary output
b. Elevated central venous pressure (CVP)
A client comes into the ED reporting nausea and vomiting
that worsens when lying down and without relief from
antacids. The provider suspects acute pancreatitis. Which of
the following lab test results should the nurse expect to see
if the client has acute pancreatitis?
a. Decreased WBC
b. Increased serum amylase
c. Decreased serum lipase
d. Increased serum calcium
b. increased serum amylase
A nurse in the ICU is caring for a client who has acute
respiratory distress syndrome (ARDS) and is receiving
,mechanical via an endotracheal tube. The provider plans to
extubate her within the next
24 hour. Which of the following is an important criterion for
extubating the client?
a. Ability to cough effectively
b. Adequate tidal volume without manually assisted breaths
c. No indication of infection
d. No need for supplemental oxygen
b. Adequate tidal volume without manually assisted breaths
A nurse is caring for a client following a CT scan with
dye who suffered from an anaphylactic reaction.
Which of the following conditions requires a priority
nursing response? a. urticaria
b. stridor
c. tachypnea
d. angioedema
b. stridor
A nurse is caring for a female client who came in to the ED
reporting
SOB and pain in the lung area. Her heart rate is 110/min,
resp. rate 40/min, and blood pressure 140/80 m8juiimHg. Her
, arterial blood gases are: pH 7.5, PaCO2 29 mmHg, PaO2 60
mm Hg, HCO3 20 mEq/L, and SaO2 86%. Which of the
following is the priority intervention? a. Prepare for
mechanical ventilation
b. Administer oxygen via face mask
c. Prepare to administer a sedative
d. Monitor for pulmonary embolism
b. Administer oxygen via face mask
A nurse is monitoring a client who has just had a
thoracentesis to remove pleural fluid. Which of the following
clinical manifestations indicate a complication that requires
notifying the provider immediately?
a. Serosanguineous drainage from the puncture site
b. Discomfort at the puncture site
c. Increased heart rate
d. Decreased temperature
c. Increased heart rate
A group of college students was attending a weekend
football rally when one of the students stumbled and fell into
the bonfire. Although several friends quickly intervened, the
client sustained partialthickness burns to both lower legs,
