ATI MEDICAL-SURGICAL PROCTORED EXAM 2023 (NGN-
INCORPORATED): COMPREHENSIVE REVIEW, TEST
BLUEPRINT, PRACTICE QUESTIONS, AND RATIONALES FOR
NEXT-GENERATION NCLEX (NGN).
what's a complication from an av graft? - ANSWER-Weak pulses
in the leg or feet (capillary filling in the toe 6).
What position would you place a client for an ART line? -
ANSWER-supine or trendelenburg.
What education would you give a pt suffering from COPD? -
ANSWER-pursed lip breathing.
What would you teach a pt about exercise when they suffer from
diabetes? - ANSWER-eat a snack during unexpected activity.
which pt is most at risk of developing an infection? - ANSWER-
low WBC.
Expected finding of drainage postop? - ANSWER-sanguinous to
serosanguinous, pink wound edges, slight swelling under
sutures/staples, slight crusting of drainage.
,Which of the following diseases would warrant airborne
precautions? - ANSWER-measles.
A pt has a positive TB skin test what would your first action be? -
ANSWER-put a mask on either the pt or yourself.
What precautions would you take with a person diagnosed with
TB? - ANSWER-negative airflow room
N95 mask on the nurse & the pt only when leaving the room.
What complaint would lead you to believe the pt is suffering from
an aneurysm? - ANSWER-pain in the abd, back, arm, or leg
sudden onset.
If a pt suffered 18% burns what lab values would you expect to
increase after 24 hrs? - ANSWER-WBC decrease
Hgb & Hct decrease
Sodium decrease.
Internal radiation: - ANSWER--visitors limited to 30 min a day at
distance of 6 ft
-healthcare staff must wear dosimeter
-sign on door
,-client gets private room & bath
-no pregnant visitors or kids
-lead container for disposal of stuff in clients room
Internal radiation, which indicates client understanding? -
ANSWER-I will wash area with mild soap and water daily.
which of the following pts is at risk for developing metabolic
alkalosis? - ANSWER-vomiting .
laxatives
ng tube suctioning
Which of the following pt complaints would lead you to suspect
extravasation? - ANSWER-burning stinging pain
Suspected septicemia appropriate intervention? - ANSWER-
obtain a blood culture for dx
what would be an appropriate finding in an EKG strip? -
ANSWER-absent inverted T waves
, What would be your primary intervention for a pt following a
thoracentesis? - ANSWER-apply dressing over the puncture site
& assist to position on the unaffected side
A pt comes to the hospital with a TB induration of 10mm what
would be your following nursing action? - ANSWER-obtain
sputum cultures
Which of the following is an expected lab value for a pt following
hemodialysis? - ANSWER-whichever level is decreased (that is
expected)
which lab value would cause nurse to notify physician that pt isn't
ready for surgery? - ANSWER-too high INR (normal is 2-3)
what would you tell a pt's family who is to undergo a procedure
w/conscious sedation to expect? - ANSWER-drive the pt home,
pain, full stop listening
Which of the following indicates the client's understanding about
their diagnosis of diabetes and plan for foot care? - ANSWER-i
will wear cotton socks
INCORPORATED): COMPREHENSIVE REVIEW, TEST
BLUEPRINT, PRACTICE QUESTIONS, AND RATIONALES FOR
NEXT-GENERATION NCLEX (NGN).
what's a complication from an av graft? - ANSWER-Weak pulses
in the leg or feet (capillary filling in the toe 6).
What position would you place a client for an ART line? -
ANSWER-supine or trendelenburg.
What education would you give a pt suffering from COPD? -
ANSWER-pursed lip breathing.
What would you teach a pt about exercise when they suffer from
diabetes? - ANSWER-eat a snack during unexpected activity.
which pt is most at risk of developing an infection? - ANSWER-
low WBC.
Expected finding of drainage postop? - ANSWER-sanguinous to
serosanguinous, pink wound edges, slight swelling under
sutures/staples, slight crusting of drainage.
,Which of the following diseases would warrant airborne
precautions? - ANSWER-measles.
A pt has a positive TB skin test what would your first action be? -
ANSWER-put a mask on either the pt or yourself.
What precautions would you take with a person diagnosed with
TB? - ANSWER-negative airflow room
N95 mask on the nurse & the pt only when leaving the room.
What complaint would lead you to believe the pt is suffering from
an aneurysm? - ANSWER-pain in the abd, back, arm, or leg
sudden onset.
If a pt suffered 18% burns what lab values would you expect to
increase after 24 hrs? - ANSWER-WBC decrease
Hgb & Hct decrease
Sodium decrease.
Internal radiation: - ANSWER--visitors limited to 30 min a day at
distance of 6 ft
-healthcare staff must wear dosimeter
-sign on door
,-client gets private room & bath
-no pregnant visitors or kids
-lead container for disposal of stuff in clients room
Internal radiation, which indicates client understanding? -
ANSWER-I will wash area with mild soap and water daily.
which of the following pts is at risk for developing metabolic
alkalosis? - ANSWER-vomiting .
laxatives
ng tube suctioning
Which of the following pt complaints would lead you to suspect
extravasation? - ANSWER-burning stinging pain
Suspected septicemia appropriate intervention? - ANSWER-
obtain a blood culture for dx
what would be an appropriate finding in an EKG strip? -
ANSWER-absent inverted T waves
, What would be your primary intervention for a pt following a
thoracentesis? - ANSWER-apply dressing over the puncture site
& assist to position on the unaffected side
A pt comes to the hospital with a TB induration of 10mm what
would be your following nursing action? - ANSWER-obtain
sputum cultures
Which of the following is an expected lab value for a pt following
hemodialysis? - ANSWER-whichever level is decreased (that is
expected)
which lab value would cause nurse to notify physician that pt isn't
ready for surgery? - ANSWER-too high INR (normal is 2-3)
what would you tell a pt's family who is to undergo a procedure
w/conscious sedation to expect? - ANSWER-drive the pt home,
pain, full stop listening
Which of the following indicates the client's understanding about
their diagnosis of diabetes and plan for foot care? - ANSWER-i
will wear cotton socks
