ATI RN Adult Medical Surgical (MedSurg) Proctored
Exam with NGN 2025 Latest Version: Questions and
Correct Answers(100%) | RN ATI Medsurg Proctored
Exam with NGN 2025|||Brand New!!!!
A nurse is providing postoperative teaching for a client who had a
total knee arthroplasty. Which of the following instructions should the
nurse include? - Answer -Flex the foot every hour when awake.
Rationale: The nurse should instruct the client to flex the foot every
hour to reduce the risk for thromboembolism and promote venous
return.
A nurse is caring for a client who has a pneumothorax and a closed-
chest drainage system. Which of the following findings is an
indication of lung re-expansion? - Answer -Bubbling in the water seal
chamber has ceased.
Rationale: Bubbling in the water seal chamber ceases when the lung
re-expands.
A nurse is reviewing the medical record of a client who is taking
warfarin for chronic atrial fibrillation. Which of the following values
should the nurse identify as a desired outcome for this therapy? -
Answer -INR 2.5
Rationale: Clients receive warfarin therapy to decrease the risk of
stroke, myocardial infarction (MI), or pulmonary emboli (PE) from
blood clots. Since warfarin is an anticoagulant, the medication must
be monitored to ensure the anticoagulation is within the therapeutic
range and prevent hemorrhage (high levels of anticoagulation) or
stroke, MI, or PE (low levels of anticoagulation). An INR of 2.5 is
within the targeted therapeutic range of 2 to 3 for a client who has
atrial fibrillation.
A home health nurse is providing teaching to a client who has a stage
1 pressure injury on the greater trochanter of his left hip. Which of the
pg. 1
,following instructions should the nurse include in the teaching? -
Answer -Change position every hour
Rationale: Changing position every 1 to 2 hr decreases pressure on
bony prominences. The nurse should also instruct the client to limit
the angle of the hips when in a lateral position to no more than 30°.
This positioning prevents direct pressure on the trochanter.
A nurse is assessing a client following the completion of
hemodialysis. Which of the following findings is the nurse's priority
to report to the provider? - Answer -Restlessness
Rationale: Using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding to report to the
provider is restlessness, which can be an indication the client is
experiencing disequilibrium syndrome. Disequilibrium syndrome is
caused by the rapid removal of electrolytes from the client's blood and
can lead to dysrhythmias or seizures. Other manifestations include
nausea, vomiting, fatigue, and headache.
A nurse is caring for a client who is 8 hr postoperative following a
total hip arthroplasty. The client is unable to void on the bedpan.
Which of the following actions should the nurse take first? - Answer -
Scan the bladder with a portable ultrasound.
Rationale: The first action the nurse should take using the nursing
process is to assess the client. Scanning the bladder with a portable
ultrasound device will determine the amount of urine in the bladder
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? -
Answer -Hypertension
Rationale: When using the safety/risk reduction approach to client
care, the nurse should determine that the disorder with the greatest
risk for this group of clients is hypertension. The prevalence of
hypertension is highest among African American clients, followed by
Caucasian clients, and then Hispanic clients.
pg. 2
,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? - Answer -Glucose 272 mg/dL
Rationale: A glucose reading less than 300 mg/dL indicates
improvement in the client's status.
A nurse is caring for a client following extubation of an endotracheal
tube 10 min. ago. Which of the following findings should the nurse
report to the provider immediately? - Answer -Stridor
Rationale: Using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding is stridor. Stridor can
indicate a narrowing airway or possible obstruction caused by edema
or laryngeal spasms. The nurse should report the finding immediately
and implement an intervention.
A nurse is caring for a client who had a nephrostomy tube inserted
112 hr ago. Which of the following findings should the nurse report to
the provider? - Answer -The client reports back pain
Rationale: The nurse should notify the provider if the client reports
back pain, which can indicate that the nephrostomy tube is dislodged
or clogged.
A nurse is admitting a client who has active TB. Which of the
following types of transmission precautions should the nurse initiate?
- Answer -Airborne
Rationale: Airborne precautions are required for clients who have
infections due to micro-organisms that can remain suspended in air
for lengthy periods of time, such as tuberculosis, measles, varicella,
and disseminated varicella zoster.
A nurse is planning care for a client who has a sealed radiation
implant for cervical cancer. Which of the following interventions
should the nurse include in the plan of care? - Answer -Keep a lead-
lined container in the client's room
pg. 3
, Rationale: The nurse should keep a lead-lined container and forceps in
the client's room in case of accidental dislodgement of the implant.
A nurse is assessing a client who is postoperative following a
thyroidectomy. Which of the following findings is the nurse's priority?
- Answer -Temperature 38.9° C (102° F)
Rationale: When using the urgent vs. nonurgent approach to client
care, the nurse should determine that the priority finding is an
elevated temperature. An elevated temperature is a manifestation of
excessive thyroid hormone release, or thyroid storm, due to an
increase in metabolic rate. The nurse should report this finding
immediately to the provider because it can lead to seizures and coma.
A nurse is providing discharge teaching about infection prevention to
a client who has AIDS. Which of the following statements by the
client indicates understanding of the teaching? - Answer -"I will no
longer floss my teeth after brushing my teeth."
Rationale: The nurse should instruct the client to avoid flossing teeth
to prevent gum inflammation, which could create the opportunity for
infection.
A nurse is providing teaching to a client who has hypertension and a
new prescription for verapamil. Which of the following information
should the nurse include in the teaching? - Answer -"Increase fiber
intake to avoid constipation."
Rationale: The nurse should instruct the client that constipation is an
adverse effect of verapamil. The client should increase fiber intake to
promote regular bowel function.
A nurse is providing education to a client who is at risk for
osteoporosis. Which of the following instructions should the nurse
include? - Answer -Walk for 30 min four times per week.
Rationale: Weight-bearing exercises promote bone mass. Therefore,
walking can help the client prevent osteoporosis.
pg. 4
Exam with NGN 2025 Latest Version: Questions and
Correct Answers(100%) | RN ATI Medsurg Proctored
Exam with NGN 2025|||Brand New!!!!
A nurse is providing postoperative teaching for a client who had a
total knee arthroplasty. Which of the following instructions should the
nurse include? - Answer -Flex the foot every hour when awake.
Rationale: The nurse should instruct the client to flex the foot every
hour to reduce the risk for thromboembolism and promote venous
return.
A nurse is caring for a client who has a pneumothorax and a closed-
chest drainage system. Which of the following findings is an
indication of lung re-expansion? - Answer -Bubbling in the water seal
chamber has ceased.
Rationale: Bubbling in the water seal chamber ceases when the lung
re-expands.
A nurse is reviewing the medical record of a client who is taking
warfarin for chronic atrial fibrillation. Which of the following values
should the nurse identify as a desired outcome for this therapy? -
Answer -INR 2.5
Rationale: Clients receive warfarin therapy to decrease the risk of
stroke, myocardial infarction (MI), or pulmonary emboli (PE) from
blood clots. Since warfarin is an anticoagulant, the medication must
be monitored to ensure the anticoagulation is within the therapeutic
range and prevent hemorrhage (high levels of anticoagulation) or
stroke, MI, or PE (low levels of anticoagulation). An INR of 2.5 is
within the targeted therapeutic range of 2 to 3 for a client who has
atrial fibrillation.
A home health nurse is providing teaching to a client who has a stage
1 pressure injury on the greater trochanter of his left hip. Which of the
pg. 1
,following instructions should the nurse include in the teaching? -
Answer -Change position every hour
Rationale: Changing position every 1 to 2 hr decreases pressure on
bony prominences. The nurse should also instruct the client to limit
the angle of the hips when in a lateral position to no more than 30°.
This positioning prevents direct pressure on the trochanter.
A nurse is assessing a client following the completion of
hemodialysis. Which of the following findings is the nurse's priority
to report to the provider? - Answer -Restlessness
Rationale: Using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding to report to the
provider is restlessness, which can be an indication the client is
experiencing disequilibrium syndrome. Disequilibrium syndrome is
caused by the rapid removal of electrolytes from the client's blood and
can lead to dysrhythmias or seizures. Other manifestations include
nausea, vomiting, fatigue, and headache.
A nurse is caring for a client who is 8 hr postoperative following a
total hip arthroplasty. The client is unable to void on the bedpan.
Which of the following actions should the nurse take first? - Answer -
Scan the bladder with a portable ultrasound.
Rationale: The first action the nurse should take using the nursing
process is to assess the client. Scanning the bladder with a portable
ultrasound device will determine the amount of urine in the bladder
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? -
Answer -Hypertension
Rationale: When using the safety/risk reduction approach to client
care, the nurse should determine that the disorder with the greatest
risk for this group of clients is hypertension. The prevalence of
hypertension is highest among African American clients, followed by
Caucasian clients, and then Hispanic clients.
pg. 2
,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? - Answer -Glucose 272 mg/dL
Rationale: A glucose reading less than 300 mg/dL indicates
improvement in the client's status.
A nurse is caring for a client following extubation of an endotracheal
tube 10 min. ago. Which of the following findings should the nurse
report to the provider immediately? - Answer -Stridor
Rationale: Using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding is stridor. Stridor can
indicate a narrowing airway or possible obstruction caused by edema
or laryngeal spasms. The nurse should report the finding immediately
and implement an intervention.
A nurse is caring for a client who had a nephrostomy tube inserted
112 hr ago. Which of the following findings should the nurse report to
the provider? - Answer -The client reports back pain
Rationale: The nurse should notify the provider if the client reports
back pain, which can indicate that the nephrostomy tube is dislodged
or clogged.
A nurse is admitting a client who has active TB. Which of the
following types of transmission precautions should the nurse initiate?
- Answer -Airborne
Rationale: Airborne precautions are required for clients who have
infections due to micro-organisms that can remain suspended in air
for lengthy periods of time, such as tuberculosis, measles, varicella,
and disseminated varicella zoster.
A nurse is planning care for a client who has a sealed radiation
implant for cervical cancer. Which of the following interventions
should the nurse include in the plan of care? - Answer -Keep a lead-
lined container in the client's room
pg. 3
, Rationale: The nurse should keep a lead-lined container and forceps in
the client's room in case of accidental dislodgement of the implant.
A nurse is assessing a client who is postoperative following a
thyroidectomy. Which of the following findings is the nurse's priority?
- Answer -Temperature 38.9° C (102° F)
Rationale: When using the urgent vs. nonurgent approach to client
care, the nurse should determine that the priority finding is an
elevated temperature. An elevated temperature is a manifestation of
excessive thyroid hormone release, or thyroid storm, due to an
increase in metabolic rate. The nurse should report this finding
immediately to the provider because it can lead to seizures and coma.
A nurse is providing discharge teaching about infection prevention to
a client who has AIDS. Which of the following statements by the
client indicates understanding of the teaching? - Answer -"I will no
longer floss my teeth after brushing my teeth."
Rationale: The nurse should instruct the client to avoid flossing teeth
to prevent gum inflammation, which could create the opportunity for
infection.
A nurse is providing teaching to a client who has hypertension and a
new prescription for verapamil. Which of the following information
should the nurse include in the teaching? - Answer -"Increase fiber
intake to avoid constipation."
Rationale: The nurse should instruct the client that constipation is an
adverse effect of verapamil. The client should increase fiber intake to
promote regular bowel function.
A nurse is providing education to a client who is at risk for
osteoporosis. Which of the following instructions should the nurse
include? - Answer -Walk for 30 min four times per week.
Rationale: Weight-bearing exercises promote bone mass. Therefore,
walking can help the client prevent osteoporosis.
pg. 4
