NGN ATI MED SURG PROCTORED 2024
EXAM OVER 150 QUESTIONS WITH
DETAILED VERIFIED SOLUTIONS
AND RATIONALES /A+ GRADE
ASSURED
A nurse cares for a client who has obstructive jaundice.
The client asks, Why is my skin so itchy? How should
the nurse respond?
a. Bile salts accumulate in the skin and cause the
itching.
b. Toxins released from an inflamed gallbladder lead to
itching.
c. Itching is caused by the release of calcium into the
skin.
d. Itching is caused by a hypersensitivity reaction -
...ANSWER...a
After teaching a client who is recovering from
laparoscopic cholecystectomy surgery, the nurse
assesses the clients understanding. Which statement
made by the client indicates a correct understanding of
the teaching?
,a. Drinking at least 2 liters of water each day
is suggested.
b. I will decrease the amount of fatty foods in my diet.
c. Drinking fluids with my meals will increase bloating.
d. I will avoid concentrated sweets and simple
carbohydrates. - ...ANSWER...b
A nurse cares for a client who is recovering from
laparoscopic cholecystectomy surgery. The client
reports pain in the shoulder blades. How should the
nurse respond?
a. Ambulating in the hallway twice a day will help.
b. I will apply a cold compress to the painful area on
your back.
c. Drinking a warm beverage can relieve this referred
pain.
d. You should cough and deep breathe every hour. -
...ANSWER...a
After teaching a client who has a history of
cholelithiasis, the nurse assesses the clients
understanding. Which menu selection made by the
client indicates the client clearly understands the
dietary teaching?
a. Lasagna, tossed salad with Italian dressing, and low-
fat milk
b. Grilled cheese sandwich, tomato soup, and coffee
with cream
c. Cream of potato soup, Caesar salad with chicken,
and a diet cola
,d. Roasted chicken breast, baked potato with
chives, and orange juice - ...ANSWER...d
A nurse plans care for a client with acute pancreatitis.
Which intervention should the nurse include in this
clients plan of care to reduce discomfort?
a. Administer morphine sulfate intravenously every 4
hours as needed.
b. Maintain nothing by mouth (NPO) and
administer intravenous fluids.
c. Provide small, frequent feedings with no
concentrated sweets.
d. Place the client in semi-Fowlers position with the
head of bed elevated. - ...ANSWER...b
After teaching a client who is prescribed pancreatic
enzyme replacement therapy, the nurse assesses the
clients understanding. Which statement made by the
client indicates a need for additional teaching?
a. The capsules can be opened and the powder sprinkled
on applesauce if needed.
b. I will wipe my lips carefully after I drink the enzyme
preparation.
c. The best time to take the enzymes is immediately
after I have a meal or a snack.
d. I will not mix the enzyme powder with food or
liquids that contain protein. - ...ANSWER...c
, A nurse assesses a client who is recovering from an
open Whipple procedure. Which action should the nurse
perform first?
a. Assess the clients endotracheal tube with 40% FiO2.
b. Insert an indwelling Foley catheter to gravity
drainage.
c. Place the clients nasogastric tube to low intermittent
suction.
d. Start lactated Ringers solution through an intravenous
catheter. - ...ANSWER...a
A nurse cares for a client with end-stage pancreatic
cancer. The client asks, Why is this happening to me?
How should the nurse respond?
a. I dont know. I wish I had an answer for you, but I
dont.
b. Its important to keep a positive attitude for your
family right now.
c. Scientists have not determined why cancer develops
in certain people.
d. I think that this is a trial so you can become a better
person because of it. - ...ANSWER...a
A nurse prepares to assess the emotional state of a client
with end-stage pancreatic cancer. Which action should
the nurse take first?
a. Bring the client to a quiet room for privacy.
b. Pull up a chair and sit next to the clients bed.
c. Determine whether the client feels like talking about
his or her feelings.
EXAM OVER 150 QUESTIONS WITH
DETAILED VERIFIED SOLUTIONS
AND RATIONALES /A+ GRADE
ASSURED
A nurse cares for a client who has obstructive jaundice.
The client asks, Why is my skin so itchy? How should
the nurse respond?
a. Bile salts accumulate in the skin and cause the
itching.
b. Toxins released from an inflamed gallbladder lead to
itching.
c. Itching is caused by the release of calcium into the
skin.
d. Itching is caused by a hypersensitivity reaction -
...ANSWER...a
After teaching a client who is recovering from
laparoscopic cholecystectomy surgery, the nurse
assesses the clients understanding. Which statement
made by the client indicates a correct understanding of
the teaching?
,a. Drinking at least 2 liters of water each day
is suggested.
b. I will decrease the amount of fatty foods in my diet.
c. Drinking fluids with my meals will increase bloating.
d. I will avoid concentrated sweets and simple
carbohydrates. - ...ANSWER...b
A nurse cares for a client who is recovering from
laparoscopic cholecystectomy surgery. The client
reports pain in the shoulder blades. How should the
nurse respond?
a. Ambulating in the hallway twice a day will help.
b. I will apply a cold compress to the painful area on
your back.
c. Drinking a warm beverage can relieve this referred
pain.
d. You should cough and deep breathe every hour. -
...ANSWER...a
After teaching a client who has a history of
cholelithiasis, the nurse assesses the clients
understanding. Which menu selection made by the
client indicates the client clearly understands the
dietary teaching?
a. Lasagna, tossed salad with Italian dressing, and low-
fat milk
b. Grilled cheese sandwich, tomato soup, and coffee
with cream
c. Cream of potato soup, Caesar salad with chicken,
and a diet cola
,d. Roasted chicken breast, baked potato with
chives, and orange juice - ...ANSWER...d
A nurse plans care for a client with acute pancreatitis.
Which intervention should the nurse include in this
clients plan of care to reduce discomfort?
a. Administer morphine sulfate intravenously every 4
hours as needed.
b. Maintain nothing by mouth (NPO) and
administer intravenous fluids.
c. Provide small, frequent feedings with no
concentrated sweets.
d. Place the client in semi-Fowlers position with the
head of bed elevated. - ...ANSWER...b
After teaching a client who is prescribed pancreatic
enzyme replacement therapy, the nurse assesses the
clients understanding. Which statement made by the
client indicates a need for additional teaching?
a. The capsules can be opened and the powder sprinkled
on applesauce if needed.
b. I will wipe my lips carefully after I drink the enzyme
preparation.
c. The best time to take the enzymes is immediately
after I have a meal or a snack.
d. I will not mix the enzyme powder with food or
liquids that contain protein. - ...ANSWER...c
, A nurse assesses a client who is recovering from an
open Whipple procedure. Which action should the nurse
perform first?
a. Assess the clients endotracheal tube with 40% FiO2.
b. Insert an indwelling Foley catheter to gravity
drainage.
c. Place the clients nasogastric tube to low intermittent
suction.
d. Start lactated Ringers solution through an intravenous
catheter. - ...ANSWER...a
A nurse cares for a client with end-stage pancreatic
cancer. The client asks, Why is this happening to me?
How should the nurse respond?
a. I dont know. I wish I had an answer for you, but I
dont.
b. Its important to keep a positive attitude for your
family right now.
c. Scientists have not determined why cancer develops
in certain people.
d. I think that this is a trial so you can become a better
person because of it. - ...ANSWER...a
A nurse prepares to assess the emotional state of a client
with end-stage pancreatic cancer. Which action should
the nurse take first?
a. Bring the client to a quiet room for privacy.
b. Pull up a chair and sit next to the clients bed.
c. Determine whether the client feels like talking about
his or her feelings.
