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2023 NGN ATI RN Med Surg Proctored Exam with Answers (240 Solved Questions)

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    Test Bank Page 1 l NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSURED COMPLETE PROCTOR 1. A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching? b. Place hands on the upper abdomen during inhalation c. Exhale slowly through pursed lips d. Hold breaths about 3 to 5 seconds before exhaling e. Position the mouthpiece 2.5 cm (1 in) from the mouth 2. A nurse is assessing a client who is 12 hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? a. Heart rate 90/min b. Hgb 8.2 g/dL c. Gastric pH of 3.0 d. Absent bowel sounds 3. A nurse is preparing to receive a client from surgery following a transverse colon resection with colostomy placement. The nurse should expect to assess the stoma at which of the following locations? - pic with male chest B on top a. Upper left abdomen

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    NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSURED Test Bank Page 2 4. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer? a. Regular insulin b. Furosemide c. Desmopressin d. Lithium carbonate 5. A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following is the priority intervention by the nurse? a. Begin bicarbonate continuous IV infusion b. Administer 0.9% sodium chloride c. Check potassium levels d. Initiate a continuous IV insulin infusion 6. A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the following findings should the nurse expect? a. Elevated blood pressure b. Hypothermia c. Urine specific gravity 1.001 d. BUN 15 mg/dL 7. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Which of the following tests should the nurse monitor? a. Stool for occult blood b. Urine for white blood cells c. Fasting blood glucose d. Serum calcium

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    NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSURED Test Bank Page 3 8. A nurse in the emergency department is assessing a client. Which of the following actions should the nurse take first? (Click on the “Exhibit” button) a. Obtain a sputum sample for culture b. Prepare the client for a chest x-ray c. Initiate airborne precautions d. Administer ondansetron 9. A nurse is reviewing the laboratory results of a female client who asks about acupuncture as treatment for chemotherapy-induced nausea and vomiting. Which of the following laboratory results should the nurse identify as a contraindication to receiving acupuncture? a. Hemoglobin 12 g/dL b. C-reactive protein 0.7 mg/dL c. Platelets 160,000/mm^3 d. Absolute neutrophil count 500/mm^3 10. A nurse is contacting the provider of a client who has cancer and is experiencing breakthrough pain. Which of the following prescriptions should the nurse anticipate? a. Intravenous dexamethasone b. Transmucosal fentanyl c. Oral acetaminophen d. Intramuscular meperidine 11. A nurse is teaching a client who has ovarian cancer about skin care following radiation treatment. Which of the following instructions should the nurse include? a. Apply over-the-counter moisturizer to the radiation site b. Cover the radiation site loosely with a gauze wrap before dressing

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    NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSURED Test Bank Page 4 c. Use a soft washcloth to clean the area around the radiation site d. Pat the skin on the radiation site to dry it 12. A nurse is caring for a client who has cervical cancer and a sealed radiation implant. Which of the following actions should the nurse take? a. Leave unused equipment in the client’s room until discharge b. Place long-handled forceps at the client’s bedside c. Attach a dosimeter badge to the client’s gown d. Move the client’s soiled lines to a designated container outside the room 13. A nurse is caring for a client who is receiving radiation. The client reports nausea since the therapy was initiated. Which of the following considerations should the nurse include when planning the client’s meals? a. Offer a snack prior to radiation therapy b. Offer highly seasoned foods. c. Offer frequent, high carbohydrate meals d. Offer hot beverages with meals 14. A nurse on an oncology unit is caring for a client who is receiving internal radiation therapy. Which of the following actions should the nurse take? a. Place the dosimeter firm badge on the client’s door b. Wear a lead apron when providing client care c. Leave the door to the client’s room open d. Allow visitors to hold the client’s hand 15. A nurse is caring for a client who has cancer. The client tells the nurse, “I would prefer to try vitamins and minerals instead of chemotherapy.” Which of the following responses should the nurse make?

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    NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSURED Test Bank Page 5 a. Tell me what you know about chemotherapy b. I have never heard of any holistic treatment that is effective c. The best way to treat your cancer is chemotherapy d. You should ask your provider about your plan 16. A nurse is providing dietary teaching to a client who is at risk for developing cancer. Which of the following instruction should the nurse indicate? a. Eat 1 cup of fruits and vegetables each day b. Choose solid fats when cooking c. Select lean meats d. Consume foods low in fiber 17. A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the following actions should the nurse take? a. Limit time for visitors to 2 hrs. per day b. Discard the radioactive device in the client’s trash car c. Keep soiled bed linens in the client’s room d. Instruct visitors to remain 3 feet from the client 18. A nurse is reviewing the medical record of a client to identify risk factors for colorectal cancer. The nurse should identify which of the following findings as increasing the client’s risks? a. History of Crohn’s disease b. Age 46 years c. Diet high in fiber d. BMI of 24 19. A nurse is assessing a client who has a new diagnosis of colon cancer. Which of the following findings should the nurse expect?

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    NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSURED Test Bank Page 6 a. Weight gain b. Hematochezia c. Steatorrhea d. Elevated Hemoglobin 20. A nurse is providing education to a client who is concerned about developing breast cancer. Which of the following information should the nurse include in the teaching? a. Having a first child before age 30 increases the risk for breast cancer b. Experiencing late menarche and early menopause increases the risk for breast cancer c. Postmenopausal obesity increases the risk for breast cancer d. Dense breast tissue decreases the risk for breast cancer 21. A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client’s skin. Which of the following actions should the nurse take? a. Institute bleeding precautions b. Determine the client’s blood type c. Avoid administering IV pain medication d. Implement airborne precautions

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    NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSURED Test Bank Page 7 22. A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has bounding peripheral pulses , hypertension, and distended jugular veins . The nurse should anticipate administering which of the following prescribed medications? a. Acetaminophen b. Furosemide c. Diphenhydramine d. Pantoprazole 23. A nurse is assessing a client 15 min after the start of a transfusion of 1 unit of packed RBCs. Which of the following findings is an indication of a hemolytic transfusion reaction ? a. Hypotension b. Hypothermia c. Bradypnea d. Bradycardia 24. A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) a. (1) Obtain venous access using a 19-gauge needle b. (2) Obtain the unit of packed RBCs from blood bank c. (2) Verify blood compatibility with another nurse d. (3) Initiate transfusion of the unit of packed RBCs e. (5) Remain with the client for the first 15 to 30 min of the infusion 25. A nurse is preparing to administer 1 unit of packed RBCs to an adult client . Which of the following actions should the nurse plan to take? a. Prime the IV tubing with 0.45% sodium chloride b. Complete the transfusion within 2 hrs. c. Slow the transfusion rate if the client reports itching

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    NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSURED Test Bank Page 8 d. Administer through a 22-gauge IV catheter 26. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of hypomagnesemia. Which of the following findings indicates effectiveness of the medication? a. Lungs clear b. Hyperactive bowel sounds c. Blood pressure 90/50 mm Hg d. Apical pulse 82/min 27. A nurse is preparing a client for a lumbar puncture. Which of the following images indicates the position the nurse should assist the client into for this procedure?

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    NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSURED Test Bank Page 9 Answer is exhibit “C” – picture shows pt lying in side-lying left position Fetal position (cannonball position) 28. A nurse is reviewing a client’s ABG results: pH 7.42, PaCO2 30 mm Hg, and HCO3- 21 mEq/L. The nurse should recognize these findings as an indication of which of the following conditions? a. Compensated respiratory alkalosis b. Uncompensated respiratory acidosis c. Metabolic acidosis d. Metabolic alkalosis 29. A nurse is reviewing ABG results for a client who has COPD . Which of the following findings should the nurse expect? Paco2 should be acidic in COPD patients a. pH 7.38 b. HCO3 25 mEq/L c. PaCO2 48 mm Hg d. PaO2 85 mmHg 30. A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold? a. Metoprolol b. Metformin c. Fluticasone d. Valproic acid 31. A nurse is caring for a client following a cardiac catheterization who has hives and urticaria following administration of IV contrast dye. Which of the following Medication should the nurse plan to administer?

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    NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSURED Test Bank Page 10 a. Diphenhydramine (Benadryl) b. Spironolactone c. Desmopressin d. Metoclopramide 32. A nurse is providing preoperative teaching for a client who is having a left sided cardiac catheterization. Which of the following information should the nurse include in the teaching? a. You will receive a general anesthetic during the procedure b. You should expect warm sensation after injection of the contrast dye during the procedure

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    NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSURED Test Bank Page 11 c. You will have blood pressure measurements every 5 minutes for the first 2 hours after the procedure d. You should plan to remain in bed for 18 hours after the procedure. 33. A nurse is planning care for a client following a cardiac catheterization. which of the following actions should the nurse take? a. Maintain the client's affected extremity in extension b. Keep the client on bed rest for 24 hours c. Limit the client’s fluid intake to 1 l per day d. Change the client’s dressing every 8 hour 34. A nurse is assessing a client who has pericarditis. In which of the following areas of the client’s chest should the nurse place the stethoscope best hear a pericardial friction? a. left lower sternal border 35. A nurse is assessing a client admitted with peripheral vascular disease. Which of the following findings indicate a venous vascular disorder? a. Edema of the ankle b. An ulcer on the tip of the toe c. Hair loss distal to the client’s calves d. Leg pain at rest 36. A community health nurse is reviewing home care instructions with an older adult who has a new diagnosis of heart failure. Which of the following is the priority topic for the nurse to review with the client? a. Changes in weight b. Daily sodium restrictions c. Fluid intake record

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    NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSURED Test Bank Page 12 d. Daily exercise routine 37. A nurse finds a client in bed, unresponsive and breathing. Which of the following actions should the nurse take first? a. Establish an IV access b. Apply a blood pressure cuff c. Palpate for the client’s carotid pulse d. Initiate cardiac monitoring for the client 38. A nurse is caring for a client who is experiencing a hypertensive crisis. Which of the following actions should the nurse take?

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    NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSURED Test Bank Page 13 a. Initiate an IV dopamine infusion b. Place the client supine c. Begin an IV bolus of lactated Ringer’s d. Perform neurological assessments 39. A nurse is planning care for a client who is experiencing seizures secondary to meningitis. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) a. Assist the client to ambulate every 4 hr b. Place a tongue blade at the bedside c. Have suction equipment at the bedside d. Dim the overhead lights e. Apply a warming blanket 40. A nurse is caring for a client who has a pressure ulcer with necrotic tissue and requires wet- to-damp dressing changes daily. Which of the following types of debridement should the nurse include in the plan of care? a. Enzymatic b. Surgical c. Autolytic d. Mechanical 41. A nurse is caring for a client who has a duodenal ulcer. Which of the following actions should the nurse take? ( Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data) a. Infuse packed RBCs b. Offer a snack before bedtime c. Administer the client’s naproxen prescription d. Restrict the client’s fluid intake to 1,000 mL/day

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    NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSURED Test Bank Page 14 42. A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect as an indication the wound is healing? a. Dark red granulation tissue 43. A nurse in a provider's office is teaching a client about the self-management of GERD. Which of the following instructions should the nurse include? a. “Sleep with the head of the bed elevated 6 inches” b. “Increase your caloric intake by 250 calories per day” c. “Lie down for 30 min after each meal” d. “Eat a light meal 1 hour before bedtime”

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    NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIED DETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSURED Test Bank Page 15 44. A nurse is caring for a female client who has toxic shock syndrome. Which of the following findings should the nurse expect? a. Elevated platelet count b. Decreased total bilirubin c. Generalized rash d. Hypertension 45. A nurse in the emergency department is caring for a client who is in hypovolemic shock . Which of the following actions should the nurse take first? a. Monitor urine output b. Administer IV therapy c. Insert a large-bore IV catheter d. Obtain a blood specimen for type and crossmatch 46. A nurse is caring for an older adult client who is suspected of having septicemia. Which of the following actions is the nurse’s priority? a. Obtain a history to determine recent injuries b. Obtain a WBC count with differential c. Obtain a broad-spectrum antibiotic for rapid administration d. Obtain a blood specimen for culture and sensitivity testing 47. A nurse is caring for a client who has hypervolemia . Which of the following is an expected assessment finding? a. Weight gain b. Bradycardia c. Hypotension d. Loss of skin turgor

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