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Ati RN Medsurg 2023 With NGN (100 Questions) Word For Word
Ati RN Medsurg 2023 With NGN (100 Questions) Word For Word
5. A nurse is caring for a client who has heart failure. Drag words from the choices below to fill
in each blank in the following sentence.
Word choices: dysrhythmias, respiratory alkalosis, acute kidney injury, fluid volume
Tdeficitoad A dentaration
Hyperventilation
Diagnostic Results (exhibit 1) Day of Admission:
Brain natriuretic peptide (BNP): 450 pg/mL (less than 100 pg/mL)
Potassium: 4.8 mEq/L (3.5 to 5 mEq/L)
Sodium: 132 mEq/L (136 to 145 mEq/L)
BUN: 10 mg/dL (10 to 20 mg/dL) Day 2 of
Hospitalization:
Brain natriuretic peptide: 110 pg/mL (less than 100 pg/mL)
Potassium: 3.3 mEq/L (3.5 to 5 mEq/L)
Sodium: 135 mEq/L (136 to 145 mEq/L)
BUN: 20 mg/dL (10 to 20 mg/dL)
Medical Administration Record (exhibit 2) Day of Admission:
Furosemide 80 mg IV 3 times per day
Vital Signs ( exhibit 3) Day of Admission:
Temperature 36.6°C (97.8°F)
Heart rate 112/min
Respiratory rate 24/min
Blood pressure 186/84 mmHg
Oxygen saturation 93% on room air
Weight 97.5 kg (215 lb) Day 2 of
Hospitalization:
Temperature 36.6°C (97.8°F)
Heart rate 78/min
Respiratory rate 18/min
Blood pressure 102/78 mmHg
Oxygen saturation 98% on 2 L/min oxygen via nasal cannula
Weight 90.7 kg (200 lb)
6. A nurse is providing teaching for a client who has diabetes mellitus about the
selfadministration of insulin. The client has prescriptions for regular and NPH insulins. Which
of the following statements by the client indicates an understanding of the teaching? a. "I
will draw up the regular insulin into the syringe first."
ATI RN MEDICAL SURGICAL 2023
b. "I will shake the NPH vial vigorously before drawing up the insulin."
c. "I will store prefilled syringes in the refrigerator with the needle pointed downward."
d. "I will insert the needle at a 15-degree angle."
7. A nurse on a medical-surgical unit is planning care for a client who has dementia and a
history of wandering. Which of the following actions should the nurse plan to implement?
a. Move client to a double room.
b. Use chemical restraints at bedtime.
c. Use a bed alarm.
d. Encourage participation in activities that provide excessive stimulation.
8. A nurse is caring for a client receiving TPN. Which of the following actions should the
nurse take? For each potential nursing intervention, click to specify if the potential intervention
is anticipated, nonessential, or contraindicated for the client.
12. A nurse is planning care for a client who is postoperative following insertion of an
arteriovenous graft in their left forearm. Which of the following actions should the nurse
include in the plan of care?
a. Splint the left forearm to prevent damage to the graft.
b. Collect blood specimens from the graft.
c. Check the pulse distal to the graft.
d. Keep the left forearm below the level of the heart.
13. A nurse in a clinic is assessing a client who has type 1 diabetes mellitus. The client is
diaphoretic, has a heart rate of 92/min, and reports palpitations. The client states, "I went for
my morning run and feel exhausted." Which of the following responses should the nurse
make?
a. "Did you decrease your insulin intake before you exercised?"
14. A nurse is teaching about food choices to a client who has chronic kidney disease and must
limit potassium intake. Which of the following choices should the nurse recommend as
containing the least potassium?
15. A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy
treatment. Which of the following instructions should the nurse include? a. "Brush your teeth
for 60 seconds twice daily."
b. "Wear your dentures only during meals."
and faint. Which of the following medications should the nurse administer? Oa. Atropine b.
Lidocaine c
.Sotalol
d. Digoxin
18. A charge nurse receives a call from the house supervisor requesting room assignments for
four new clients. Based on the admission diagnoses, which of the following clients requires a
private room?
a. A client who has diabetes mellitus and is presenting with acute ketoacidosis
b. A client who has a compound fracture of the right femur
c. An older adult client who was admitted with aspiration pneumonia
Od. A client who reports having fever, night sweats, and cough for 2 days
19.A nurse is caring for a client immediately following a cardiac catheterization through the
right femoral artery. Which of the following actions should the nurse take? a. Elevate the head
of the client's bed to a 45° angle. Ob. Instruct the client not to bend the affected leg.
c. Monitor the client's vital signs once every hour.
d. Restrict the client's fluid intake.
20. A nurse is caring for a client who is using a continuous passive motion (CPM) machine
following a total knee arthroplasty. Which of the following actions should the nurse take?
a.Increase the range of motion rapidly when the CPM machine is used intermittently.
b. Check settings of the CPM machine every 12 hr.
c. Turn the CPM machine off while the client is eating.
d. Store the CPM machine on the floor when not in use.
21. A nurse is teaching a group of young adult clients about risk factors for hearing loss.
Which of the following factors should the nurse include in the teaching? (Select all that apply.)
ATI RN MEDICAL SURGICAL 2023
Oa. Chronic infections of the middle ear
b. Frequent exposure to low-volume noise
22. A nurse is caring for a client who has been prescribed an antibiotic. The client tells
the nurse, "I don't like taking medications because I don't think I need them." Which of
the following responses should the nurse make?
a. "Your provider wouldn't prescribe this medication if it weren't necessary.
Ob. "I will tell your provider that you do not want to take this medication."
c. "If you don't take this medication, you will feel worse."
d. "Most clients feel better after taking the antibiotic."
23. A nurse is caring for a client who is postoperative following a complete thyroidectomy.
Which of the following findings is the priority for the nurse to report to the provider?
24. A nurse is assessing a client who has heart failure and a new prescription for metoprolol.
Which of the following findings should the nurse identify as an adverse effect of the
medication?
a. Blood pressure 138/76 mm Hg
b. Respiratory rate 10/min
Oc. "Provide the client with structured activities to fill their time."
d. "Provide plenty of stimulation in the client's room."
27. A nurse is planning care for a client who has dementia. Which of the following interventions
should the nurse plan to include?
a. Assist the client with toileting at least once every 4 hr. Ob.
Place the client's bed at the lowest height.
c. Request a prescription for a nightly sedative.
d. Turn off all lights in the client's room at night.
28. A nurse is providing teaching to a client who is to start furosemide therapy for heart
failure. Which of the following statements indicates that the client understands a
potential adverse effect of this medication?
a. "I'm going to include more cantaloupe in my diet."
b. " I will try to limit foods that contain salt."
c. "I’Il check my blood pressure so it doesn't get too high."
d. "I will check my pulse before I take the medication."
ATI RN MEDICAL SURGICAL 2023
29. A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia.
Which of the following assessment findings
supports this suspicion? a. Cool, clammy skin b.
c. Kussmaul respirations Acetone breath
d. Increased urine output
31. A charge nurse on a neurological unit is making room assignments for a group of clients.
Which of the following clients should the nurse assign to the room closest to the nurses'
station?
a. A client who has experienced brain death and is awaiting organ procurement
b. A client who has a headache following a grade 1 concussion
Oc. A client who has a score of 10 on the Glasgow Coma Scale following a motor vehicle crash
dA client who has a score of 0 on the NIH Stroke Scale following a transient ischemic attack
32. A nurse working in the emergency department is admitting a client who has pertussis.
Which of the following actions should the nurse take? a. Perform a Mantoux skin test on
the client.
b. Assign the client to a negative-pressure airflow room.
c. Recommend that the client's family members receive antiviral therapy.
d. Wear a surgical mask when providing care to the client.
33. A nurse is assessing a client who has skeletal traction for a femoral fracture. The nurse
notes that the weights are resting on the floor. Which of the following actions should the
nurse take?
a. Remove one of the weights.
b. Tie knots in the ropes near the pulleys to shorten them.
c. Increase the elevation of the affected extremity.
Oa. Teach the client how to self-medicate using the PCA device.
b. Encourage family members to press the PCA button for the client.
c. Monitor the client's respiratory status every 4 hr.
d. Administer an oral opioid for breakthrough pain.
35. A nurse is caring for a client in the emergency department. For each assessment finding,
click to specify if the assessment finding is consistent with diabetic ketoacidosis or
hyperglycemic-hyperosmolar state (HHS).
37.
ATI RN MEDICAL SURGICAL 2023
39.
41. A nurse is teaching a client who has AIDS and wishes to continue self-care at home despite
living alone. Which of the following actions by the nurse demonstrates client advocacy?
a. Instruct the client to avoid eating raw vegetables.
b. Remind the client of the importance of medication adherence.
c. Tell the client to avoid places where there are large crowds of people. 0d. Initiate a referral
for the client to a home health agency.
42. A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line in
her left forearm. The client is receiving an antibiotic via intermittent IV bolus every 12 hr. Which
of the following actions should the nurse take in managing the client's PICC line? a.
Access the catheter using a non-coring needle.
b. Change the transparent membrane dressing daily.
c. Maintain a continuous IV infusion through the PICC line.
d. Flush the catheter with a 0.9% sodium chloride solution after each use.
43. A nurse is providing discharge teaching for a client who is receiving treatment for
genital herpes. Which of the following statements by the client indicates effectiveness of the
teaching? a. "I should apply antibiotic ointment to the lesions."
b. "I should use natural skin condoms during sexual intercourse."
c. "I should expect my lesions to resolve in 6 weeks."
44. A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and has a
referral for dietary consult. The client tells the nurse, "I will have to eat whatever the dietitian
tells me." Which of the following statements by the nurse encourages the client's involvement
in their plan of care?
a. "The dietitian will provide you with the best food choices to manage your diabetes."
Oc. "I can assist you with making a list of foods you like for the dietitian."
d. "Managing your diabetes will require you to make accommodations."
45. A nurse is planning care for a client who is 12 hr postoperative following a kidney
transplant. Which of the following actions should the nurse include in the plan of care? a.
Check the client's blood pressure every 8 hr. Ob. Assess urine output hourly.
c. Administer opioids PO.
d. Monitor for hypokalemia as a manifestation of acute rejection.
ATI RN MEDICAL SURGICAL 2023
46.A nurse is caring for a client immediately following a lumbar puncture. Which of
the following actions should the nurse take? a. Limit the client's fluid intake. b.
Measure blood glucose every 2 hr.
c. Instruct the client to expect tingling in their extremities.
48. A PACU nurse is monitoring the drainage from a client's NG tube following
abdominal surgery. Which of the following findings in the first postoperative hour
should the nurse report to the provider?
49. A nurse in the PACU is caring for a client. Which of the following assessments is the nurse's
priority?
a. Level of consciousness
b. Surgical site
c. Pain level
d. Respiratory status
50. A nurse is caring for a client who has oral achalasia. The nurse should ask the client which of
the following questions to assess their ability to swallow?
a. "Do you feel like you have food stuck at the base of your throat?"
b. "Do you have any feelings of fullness in the neck?"
c. "Do you feel any burning sensations in your throat?"
d. "Do you have any problems with pain while swallowing?"
51. A nurse is admitting a client who reports tightness in their chest that radiates to left arm.
The nurse is reviewing the client's medical record. Select the four findings that require
immediate follow-up.
52.
ATI RN MEDICAL SURGICAL 2023
ATI RN MEDICAL SURGICAL 2023
ATI RN MEDICAL SURGICAL 2023
ATI RN MEDICAL SURGICAL 2023