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

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Test BankPage 1lNGN ATI RN MED SURG PROCTOREDEXAM2023VERSION100QUESTIONSWITHVERIFIEDDETAILEDANSWERS(100% CORRECT ANSWERS)/A+ GRADEASSUREDCOMPLETE PROCTOR1.A nurse is teaching a client about the use of an incentive spirometer. Which of the followinginstructions should the nurse include in the teaching?b.Place hands on the upper abdomen during inhalationc.Exhale slowly through pursed lipsd.Hold breaths about 3 to 5 seconds before exhalinge.Position the mouthpiece 2.5 cm (1 in) from the mouth2.A nurse is assessing a client who is 12 hr postoperative following a colon resection. Which ofthe following findings should the nurse report to the surgeon?a.Heart rate 90/minb.Hgb 8.2 g/dLc.Gastric pH of 3.0d.Absent bowel sounds3.A nurse is preparing to receive a client from surgery following atransverse colon resectionwith colostomy placement. The nurseshould expect to assess the stoma at which of the followinglocations? - pic with male chestB on topa. Upper left abdomen

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NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIEDDETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSUREDTest BankPage 24.A nurse is caring for a client who has diabetes insipidus. Which of the following medicationsshould the nurse plan to administer?a.Regular insulinb.Furosemidec.Desmopressind.Lithium carbonate5.A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following is thepriority intervention by the nurse?a.Begin bicarbonate continuous IV infusionb.Administer 0.9% sodium chloridec.Check potassium levelsd.Initiate a continuous IV insulin infusion6.A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of thefollowing findings should the nurse expect?a.Elevated blood pressureb.Hypothermiac.Urine specific gravity 1.001d.BUN 15 mg/dL7.A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several timesdaily for 3 years. Which of the following tests should the nurse monitor?a.Stool for occult bloodb.Urine for white blood cellsc.Fasting blood glucosed.Serum calcium

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NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIEDDETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSUREDTest BankPage 38.A nurse in the emergency department is assessing a client. Which of the following actionsshould the nurse take first? (Click on the“Exhibit” button)a.Obtain a sputum sample for cultureb.Prepare the client for a chest x-rayc.Initiate airborne precautionsd.Administer ondansetron9.A nurse is reviewing the laboratory results of a female client who asks about acupuncture astreatment for chemotherapy-induced nausea and vomiting. Which of the following laboratoryresults should the nurse identify as a contraindication to receiving acupuncture?a.Hemoglobin 12 g/dLb.C-reactive protein 0.7 mg/dLc.Platelets 160,000/mm^3d.Absolute neutrophil count 500/mm^310.A nurse is contacting the provider of a client who has cancer and is experiencingbreakthrough pain. Which of the following prescriptions should the nurse anticipate?a.Intravenous dexamethasoneb.Transmucosal fentanylc.Oral acetaminophend.Intramuscular meperidine11.A nurse is teaching a client who has ovarian cancer about skin care following radiationtreatment. Which of the following instructions should the nurse include?a.Apply over-the-counter moisturizer to the radiation siteb.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 VERIFIEDDETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSUREDTest BankPage 4c.Use a soft washcloth to clean the area around the radiation sited.Pat the skin on the radiation site to dry it12.A nurse is caring for a client who hascervical cancer and a sealed radiation implant.Which of the followingactionsshould the nursetake?a.Leave unused equipment in theclient’sroom until dischargeb.Place long-handled forceps at theclient’sbedsidec.Attach a dosimeter badge to theclient’sgownd.Move theclient’ssoiled lines to a designated container outside the room13.A nurse is caring for a client who is receiving radiation. The client reports nausea since thetherapy was initiated. Which of the following considerations should the nurse include whenplanning theclient’smeals?a.Offer a snack prior to radiation therapyb.Offer highly seasoned foods.c.Offer frequent, high carbohydrate mealsd.Offer hot beverages with meals14.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 theclient’sdoorb.Wear a lead apron when providing client carec.Leave the door to theclient’sroom opend.Allow visitors to hold theclient’shand15.A nurse is caring for a client who has cancer. Theclient tells the nurse, “I would prefer to tryvitamins and minerals instead of chemotherapy.” Which of the following responses shouldthe nurse make?

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NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIEDDETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSUREDTest BankPage 5a.Tell me what you know about chemotherapyb.I have never heard of any holistic treatment that is effectivec.The best way to treat your cancer is chemotherapyd.You should ask your provider about your plan16.A nurse is providing dietary teaching to a client who is atrisk for developing cancer.Whichof the followinginstructionshould thenurse indicate?a.Eat 1 cup of fruits and vegetables each dayb.Choose solid fats when cookingc.Select lean meatsd.Consume foods low in fiber17.A nurse is caring for a client who hascervical cancerand isreceiving brachytherapy.Which of the followingactionsshould thenurse take?a.Limit time for visitors to 2 hrs. per dayb.Discard the radioactive device in theclient’strash carc.Keep soiled bed linens in theclient’sroomd.Instruct visitors to remain 3 feet from the client18.A nurse is reviewing the medical record of a client to identifyrisk factors for colorectalcancer.The nurse should identify which of the followingfindingsas increasing theclient’srisks?a.History ofCrohn’sdiseaseb.Age 46 yearsc.Diet high in fiberd.BMI of 2419.A nurse is assessing a client who has a new diagnosis of colon cancer. Which of thefollowing findings should the nurse expect?

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NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIEDDETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSUREDTest BankPage 6a.Weight gainb.Hematocheziac.Steatorrhead.Elevated Hemoglobin20.A nurse is providingeducationto a client who is concerned about developingbreastcancer.Which of the followinginformationshould the nurseinclude in the teaching?a.Having a first child before age 30 increases the risk for breast cancerb.Experiencing late menarche and early menopause increases the risk for breast cancerc.Postmenopausal obesity increases the risk for breast cancerd.Dense breast tissue decreases the risk for breast cancer21.A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocyticleukemia. The nurse notes petechiae on the client’s skin. Which of the following actionsshould the nurse take?a.Institute bleeding precautionsb.Determine theclient’sblood typec.Avoid administering IV pain medicationd.Implement airborne precautions

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NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIEDDETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSUREDTest BankPage 722.A nurse is caring for a client who is receiving a blood transfusion. The nurse observes thatthe clienthas bounding peripheral pulses,hypertension,anddistended jugular veins.The nurse should anticipate administering which of the following prescribed medications?a.Acetaminophenb.Furosemidec.Diphenhydramined.Pantoprazole23.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 ahemolytic transfusion reaction?a.Hypotensionb.Hypothermiac.Bradypnead.Bradycardia24.A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identifythe 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 needleb.(2) Obtain the unit of packed RBCs from blood bankc.(2) Verify blood compatibility with another nursed.(3) Initiate transfusion of the unit of packed RBCse.(5) Remain with the client for the first 15 to 30 min of the infusion25.A nurse is preparing to administer1 unit of packed RBCsto an adult client.Which of thefollowingactionsshould the nurseplan to take?a.Prime the IV tubing with 0.45% sodium chlorideb.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 VERIFIEDDETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSUREDTest BankPage 8d.Administer through a 22-gauge IV catheter26.A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment ofhypomagnesemia. Which of the following findings indicates effectiveness of the medication?a.Lungs clearb.Hyperactive bowel soundsc.Blood pressure 90/50 mm Hgd.Apical pulse 82/min27.A nurse is preparing a client for a lumbar puncture. Which of the following images indicatesthe 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 VERIFIEDDETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSUREDTest BankPage 9Answer is exhibit“C”–picture shows pt lying in side-lying left positionFetal position (cannonball position)28.A nurse is reviewing a client’s ABG results:pH 7.42, PaCO2 30 mm Hg, and HCO3- 21mEq/L. The nurse should recognize these findings as an indication of which of the followingconditions?a.Compensated respiratory alkalosisb.Uncompensated respiratory acidosisc.Metabolic acidosisd.Metabolic alkalosis29.A nurse is reviewingABG resultsfor a client who hasCOPD. Which of the followingfindingsshould the nurseexpect?Paco2 should be acidic in COPD patientsa.pH 7.38b.HCO3 25 mEq/Lc.PaCO2 48 mm Hgd.PaO2 85 mmHg30.A nurse is preparing to administer daily medications to a client who is undergoing aprocedure at 1000 that requires IVcontrast dye.Which of the following routine medicationsto give at 0800 should the nursewithhold?a.Metoprololb.Metforminc.Fluticasoned.Valproic acid31.A nurse is caring for a client following a cardiac catheterization whohas hives and urticariafollowing administration ofIV contrast dye.Which of the following Medication should thenurse plan to administer?

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NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIEDDETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSUREDTest BankPage 10a.Diphenhydramine (Benadryl)b.Spironolactonec.Desmopressind.Metoclopramide32.A nurse is providing preoperative teaching for a client who is having a left sided cardiaccatheterization. Which of the following information should the nurse include in the teaching?a.You will receive a general anesthetic during the procedureb.You should expect warm sensation after injection of the contrast dye during theprocedure

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NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIEDDETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSUREDTest BankPage 11c.You will have blood pressure measurements every 5 minutes for the first 2 hours afterthe procedured.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 thefollowing actions should the nurse take?a.Maintain the client's affected extremity in extensionb.Keep the client on bed rest for 24 hoursc.Limit theclient’sfluid intake to 1 l per dayd.Change theclient’sdressing every 8 hour34.A nurse is assessing a client who has pericarditis. In which of the following areas of theclient’schest should the nurse place the stethoscope best hear a pericardial friction?a. left lower sternal border35.A nurse is assessing a client admitted with peripheral vascular disease. Which of thefollowing findings indicate a venous vascular disorder?a.Edema of the ankleb.An ulcer on the tip of the toec.Hair loss distal to theclient’scalvesd.Leg pain at rest36.A community health nurse is reviewing home care instructions with an older adult who has anew diagnosis of heart failure. Which of the following is the priority topic for the nurse toreview with the client?a.Changes in weightb.Daily sodium restrictionsc.Fluid intake record

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NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIEDDETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSUREDTest BankPage 12d.Daily exercise routine37.A nurse finds a client in bed, unresponsive and breathing. Which of the following actionsshould the nurse take first?a.Establish an IV accessb.Apply a blood pressure cuffc.Palpate for theclient’scarotid pulsed.Initiate cardiac monitoring for the client38.A nurse is caring for a client who is experiencing a hypertensive crisis. Which of thefollowing actions should the nurse take?

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NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIEDDETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSUREDTest BankPage 13a.Initiate an IV dopamine infusionb.Place the client supinec.Begin an IV bolus of lactatedRinger’sd.Perform neurological assessments39.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 allthat apply.)a.Assist the client to ambulate every 4 hrb.Place a tongue blade at the bedsidec.Have suction equipment at the bedsided.Dim the overhead lightse.Apply a warming blanket40.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 thenurse include in the plan of care?a.Enzymaticb.Surgicalc.Autolyticd.Mechanical41.A nurse is caring for a client who has aduodenal ulcer.Which of the followingactionsshould thenurse take? (Click on the“Exhibit” buttonfor additional information about theclient. There are three tabs that contain separate categories of data)a.Infuse packed RBCsb.Offer a snack before bedtimec.Administer theclient’snaproxen prescriptiond.Restrict theclient’sfluid intake to 1,000 mL/day

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NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIEDDETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSUREDTest BankPage 1442.A nurse is assessing a client who has a pressure ulcer. Which of the following findings shouldthe nurse expect as an indication the wound is healing?a. Dark red granulation tissue43.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 withthe head of the bed elevated 6inches”b.“Increaseyour caloric intake by 250 calories perday”c.“Liedown for 30 min after eachmeal”d.“Eata light meal 1 hour beforebedtime”

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NGN ATI RN MED SURG PROCTORED EXAM 2023 VERSION 100 QUESTIONS WITH VERIFIEDDETAILED ANSWERS (100% CORRECT ANSWERS)/A+ GRADE ASSUREDTest BankPage 1544.A nurse is caring for a female client who has toxic shock syndrome. Which of the followingfindings should the nurse expect?a.Elevated platelet countb.Decreased total bilirubinc.Generalized rashd.Hypertension45.A nurse in the emergency department is caring for a client who is inhypovolemic shock.Which of the followingactionsshould the nursetake first?a.Monitor urine outputb.Administer IV therapyc.Insert a large-bore IV catheterd.Obtain a blood specimen for type and crossmatch46.A nurse is caring for an older adult client who is suspected of having septicemia. Which ofthe following actions is thenurse’spriority?a.Obtain a history to determine recent injuriesb.Obtain a WBC count with differentialc.Obtain a broad-spectrum antibiotic for rapid administrationd.Obtain a blood specimen for culture and sensitivity testing47.A nurse is caring for a client who hashypervolemia. Which of the following is an expectedassessment finding?a.Weight gainb.Bradycardiac.Hypotensiond.Loss of skin turgor

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