NGN ATI RN ADULT MEDICAL SURGICAL 2025 PROCTORED EXAM 90 QUESTIONS
WITH DETAILED VERIFIED ANSWERS AND RATIONALES /A+ GRADE ASSURED
A nurse is assessing a client who has advanced
lung cancer and is receiving palliative care. The
client has
just undergone thoracentesis. The nurse should expect a reduction in which of
the following common manifestations of advanced cancer? -
...ANSWER...dyspnea
A nurse is caring for a client who is receiving total parenteral nutrition (TPN).
A new bag is not available when the current infusion is nearly completed.
Which of the following actions should the nurse take? -
...ANSWER...Administer dextrose 10% in water until the new bag arrives.
A nurse is providing teaching to a client who has a gastric ulcer and a new
prescription for omeprazole. The nurse should instruct the client that the
medication provides relief by which of the following actions? -
...ANSWER...Suppressing gastric acid production
A nurse is planning to irrigate and dress a
clean, granulating wound for a client who has a
pressure
,injury. Which of the following actions should the nurse take? - ...ANSWER...Use
a 30-mL syringe.
A nurse is providing teaching to a client who has cancer and a new
prescription for an opioid analgesic for pain management. Which of the
following information should the nurse include in the teaching?
- ...ANSWER..."You should void every 4 hours to decrease the risk of urinary
retention."
A nurse in a provider's office is assessing a client
who has hypertension and takes propranolol. Which
of the following findings should indicate to the nurse
that the client is experiencing an adverse reaction to
this medication? - ...ANSWER...Report of a night
cough
A nurse is teaching a group of newly licensed nurses about pain management for
older adult clients. Which of the following statements by a newly licensed nurse
indicates an understanding of the teaching? -
...ANSWER..."Ibuprofen can cause gastrointestinal bleeding in older adult
clients."
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
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)
A nurse is providing education to a client who has tuberculosis (TB) and their
family. Which of the following information should the nurse include in the
teaching? - ...ANSWER...Family members in the household should undergo TB
testing.
A nurse is providing discharge instructions to a
client following an upper gastrointestinal series with
barium contrast. Which of the following information
should the nurse provide? - ...ANSWER...Increase
fluid intake
1NGN
000:Client presents to the ED with visual disturbances, expressive aphasia,
and numbness and tingling of the lips. Manifestations started about 30 min
ago. Client reports flashing lights in their vision, especially on the right side.
Client's partner states the client had some difficulty with finding words when
speaking.
Client is alert and oriented x 3 and appears anxious. No facial drooping
noted. Right hand grasp is weaker than left. Client denies pain.1045:Client
states the flashing lights, numbness, and tingling in the lips have gone away.
Client states they now have throbbing pain behind the left eye, photophobia,
and nausea. Client is requesting medication for pain that is 7 on a scale of 0
to 10.
WITH DETAILED VERIFIED ANSWERS AND RATIONALES /A+ GRADE ASSURED
A nurse is assessing a client who has advanced
lung cancer and is receiving palliative care. The
client has
just undergone thoracentesis. The nurse should expect a reduction in which of
the following common manifestations of advanced cancer? -
...ANSWER...dyspnea
A nurse is caring for a client who is receiving total parenteral nutrition (TPN).
A new bag is not available when the current infusion is nearly completed.
Which of the following actions should the nurse take? -
...ANSWER...Administer dextrose 10% in water until the new bag arrives.
A nurse is providing teaching to a client who has a gastric ulcer and a new
prescription for omeprazole. The nurse should instruct the client that the
medication provides relief by which of the following actions? -
...ANSWER...Suppressing gastric acid production
A nurse is planning to irrigate and dress a
clean, granulating wound for a client who has a
pressure
,injury. Which of the following actions should the nurse take? - ...ANSWER...Use
a 30-mL syringe.
A nurse is providing teaching to a client who has cancer and a new
prescription for an opioid analgesic for pain management. Which of the
following information should the nurse include in the teaching?
- ...ANSWER..."You should void every 4 hours to decrease the risk of urinary
retention."
A nurse in a provider's office is assessing a client
who has hypertension and takes propranolol. Which
of the following findings should indicate to the nurse
that the client is experiencing an adverse reaction to
this medication? - ...ANSWER...Report of a night
cough
A nurse is teaching a group of newly licensed nurses about pain management for
older adult clients. Which of the following statements by a newly licensed nurse
indicates an understanding of the teaching? -
...ANSWER..."Ibuprofen can cause gastrointestinal bleeding in older adult
clients."
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
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)
A nurse is providing education to a client who has tuberculosis (TB) and their
family. Which of the following information should the nurse include in the
teaching? - ...ANSWER...Family members in the household should undergo TB
testing.
A nurse is providing discharge instructions to a
client following an upper gastrointestinal series with
barium contrast. Which of the following information
should the nurse provide? - ...ANSWER...Increase
fluid intake
1NGN
000:Client presents to the ED with visual disturbances, expressive aphasia,
and numbness and tingling of the lips. Manifestations started about 30 min
ago. Client reports flashing lights in their vision, especially on the right side.
Client's partner states the client had some difficulty with finding words when
speaking.
Client is alert and oriented x 3 and appears anxious. No facial drooping
noted. Right hand grasp is weaker than left. Client denies pain.1045:Client
states the flashing lights, numbness, and tingling in the lips have gone away.
Client states they now have throbbing pain behind the left eye, photophobia,
and nausea. Client is requesting medication for pain that is 7 on a scale of 0
to 10.
