ATI ADULT MEDICAL SURGICAL NGN TEST
1. A nurse is caring for a client who has dumping syndrome following a
gastrectomy, which of the following
actions should the nurse take ?
a. Offer the client high carbohydrate meal options meals a day
c. Encourage the client to to drink at least 360 ml of fluids with meals
d. Have the client lie down for 30 minutes after meals:
D. Have the client lie down
for 30 minutes after meals (Lying down after a meal slows the movement
of food within the intestines)
2. 1.A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of the
following findings should the nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds ’ normal findings after major bowel surgery; takes
several days to return
to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0:
3. Hgb 8.2 g/dl
3. A nurse is caring for a client who has diabetes insipidus. Which of the
following medications should
the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate:
A. Desmopressin
4. A nurse is admitting a client who has arthritic pain and reports taking
ibuprofen several times daily for
3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
bStool for occult blood
c. Urine for white blood cells
d. Serum calcium:
B.Stool for occult blood
5. 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 for additional information about the
client. There are three tabs
that contain separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
, ATI ADULT MEDICAL SURGICAL NGN TEST
d. Administer ondansertron.:
No idea what the Exhibit is all about; wont be able
to answer it
6. A nurse is contacting the provider for a client who has cancer and is
experiencing breakthrough
pain. Which of the following prescriptions should the nurse anticipate?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone:
A. Transmucosal fentanyl
7. A nurse is admitting a client who reports chest pain and has been placed
on a telemetry monitor. Which of
the following should the nurse analyze to determine whether the client is
experiencing a myocardial
infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment:
D. ST segment
8. A nurse is teaching a client who has ovarian cancer about skin care follow-
ing radiation treatment. Which
of the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around the radiation:
A. Pat the skin
on the radiation site to dry it
9. 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. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide:
D. Furosemide
10. 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?
, ATI ADULT MEDICAL SURGICAL NGN TEST
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel sounds
d. Blood pressure 90/50 mm Hg:
B. Apical pulse 82/min
11. A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and
HCO3 21 mEq/L. The nurse
should recognize these findings as indication of which of the following con-
ditions?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Compensated respiratory alkalosis
d. Uncompensated respiratory acidosis:
C. Compensated respiratory alkalosis
12. 11. A nurse is caring for a client who has a deep partial thickness burns
over 15% of her body which of
the following labs should the nurse expect during the first 24 hours
A. Decreased BUN ELEVATED DT fluid loss
B. Hypoglycemia
C. Hypoalbuminemia
D. Decreased Hematocrit:
C. Hypoalbuminemia (Low due to fluid loss)
13. 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? SATA.
a Born with a high weight
b Chronic infections of the middle ear
c Use a loop diuretic
d Perforation of the ear drum
eFrequent exposure to low volume noise:
Chronic infections of the middle ear
Use a loop diuretic
Perforation of the ear drum
14. A nurse is preparing to administer fresh frozen plasma to a client . Which
of the following actions should the
nurse take?
a Administer the plasma immediately after thawing
b Transfuse the plasma over 4 hour
c Hold the transfusion if the client is actively bleeding
d Administer the transfusion through a 24 gauge saline lock:
B.Transfuse the plasma over 4 hour (Can be in 2 to 4 hours)
15. A nurse is assessing a clients who reports numbness and tingling of his
toes and exhibits a positive
1. A nurse is caring for a client who has dumping syndrome following a
gastrectomy, which of the following
actions should the nurse take ?
a. Offer the client high carbohydrate meal options meals a day
c. Encourage the client to to drink at least 360 ml of fluids with meals
d. Have the client lie down for 30 minutes after meals:
D. Have the client lie down
for 30 minutes after meals (Lying down after a meal slows the movement
of food within the intestines)
2. 1.A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of the
following findings should the nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds ’ normal findings after major bowel surgery; takes
several days to return
to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0:
3. Hgb 8.2 g/dl
3. A nurse is caring for a client who has diabetes insipidus. Which of the
following medications should
the nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate:
A. Desmopressin
4. A nurse is admitting a client who has arthritic pain and reports taking
ibuprofen several times daily for
3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
bStool for occult blood
c. Urine for white blood cells
d. Serum calcium:
B.Stool for occult blood
5. 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 for additional information about the
client. There are three tabs
that contain separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
, ATI ADULT MEDICAL SURGICAL NGN TEST
d. Administer ondansertron.:
No idea what the Exhibit is all about; wont be able
to answer it
6. A nurse is contacting the provider for a client who has cancer and is
experiencing breakthrough
pain. Which of the following prescriptions should the nurse anticipate?
a. Transmucosal fentanyl
b. Intramuscular meperidine
c. Oral acetaminophen
d. Intravenous dexamethasone:
A. Transmucosal fentanyl
7. A nurse is admitting a client who reports chest pain and has been placed
on a telemetry monitor. Which of
the following should the nurse analyze to determine whether the client is
experiencing a myocardial
infarction?
a. PR interval
b. QRS duration
c. T wave
d. ST segment:
D. ST segment
8. A nurse is teaching a client who has ovarian cancer about skin care follow-
ing radiation treatment. Which
of the following instructions should the nurse include?
a. Pat the skin on the radiation site to dry it
b. Apply OTC moisturizer to the radiation site
c. Cover the radiation site loosely with a gauze wrap before dressing
d. Use a soft washcloth to clean the area around the radiation:
A. Pat the skin
on the radiation site to dry it
9. 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. Diphenhydramine
b. Acetaminophen
c. Pantoprazole
d. Furosemide:
D. Furosemide
10. 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?
, ATI ADULT MEDICAL SURGICAL NGN TEST
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel sounds
d. Blood pressure 90/50 mm Hg:
B. Apical pulse 82/min
11. A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and
HCO3 21 mEq/L. The nurse
should recognize these findings as indication of which of the following con-
ditions?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Compensated respiratory alkalosis
d. Uncompensated respiratory acidosis:
C. Compensated respiratory alkalosis
12. 11. A nurse is caring for a client who has a deep partial thickness burns
over 15% of her body which of
the following labs should the nurse expect during the first 24 hours
A. Decreased BUN ELEVATED DT fluid loss
B. Hypoglycemia
C. Hypoalbuminemia
D. Decreased Hematocrit:
C. Hypoalbuminemia (Low due to fluid loss)
13. 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? SATA.
a Born with a high weight
b Chronic infections of the middle ear
c Use a loop diuretic
d Perforation of the ear drum
eFrequent exposure to low volume noise:
Chronic infections of the middle ear
Use a loop diuretic
Perforation of the ear drum
14. A nurse is preparing to administer fresh frozen plasma to a client . Which
of the following actions should the
nurse take?
a Administer the plasma immediately after thawing
b Transfuse the plasma over 4 hour
c Hold the transfusion if the client is actively bleeding
d Administer the transfusion through a 24 gauge saline lock:
B.Transfuse the plasma over 4 hour (Can be in 2 to 4 hours)
15. A nurse is assessing a clients who reports numbness and tingling of his
toes and exhibits a positive
