ATI MED SURG PROCTORED NGN RETAKE ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS
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ATI MED SURG
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ATI MED SURG
ATI MED SURG PROCTORED NGN RETAKE ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS
1. A nurse is assessing a client who is 12 hours postoperative following a colon resection.
Which of the following findings should the nurse report to the surgeon?
a. Urine o...
ATI MED SURG PROCTORED NGN RETAKE 2024-2025 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS
1. A nurse is assessing a client who is 12 hours postoperative following a colon resection.
Which of the following findings should the nurse report to the surgeon?
a. Urine output of 60 mL/hr
b. Heart rate of 90/min
c. Hgb 8.2 g/dL
d. Blood pressure 118/75 mmHg
Correct Answer: c. Hgb 8.2 g/dL
Rationale: Normal hemoglobin (Hgb) levels are generally around 13-18 g/dL for men and 12-16
g/dL for women. A value of 8.2 g/dL is significantly low and may indicate possible
hemorrhaging or excessive blood loss postoperatively, requiring immediate attention.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications should the nurse plan to administer?
a. Lisinopril
b. Metformin
c. Desmopressin
d. Furosemide
Correct Answer: c. Desmopressin
Rationale: Diabetes insipidus is characterized by decreased antidiuretic hormone (ADH)
production. Desmopressin, a synthetic analog of ADH, is used to reduce urine production and
manage symptoms.
3. 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. Serum creatinine
b. Stool for occult blood
c. Liver function tests
d. Complete blood count
Correct Answer: b. Stool for occult blood
,Rationale: Long-term use of NSAIDs like ibuprofen can lead to gastrointestinal bleeding.
Monitoring stool for occult blood is important to detect any hidden bleeding that might have
resulted from chronic NSAID use.
4. A nurse in the emergency department is assessing a client. Which of the following actions
should the nurse take first?
a. Administer oxygen at 2L/min via nasal cannula
b. Insert an intravenous catheter
c. Initiate airborne precautions
d. Check the client's blood pressure
Correct Answer: c. Initiate airborne precautions
Rationale: In situations where airborne diseases are suspected, initiating airborne precautions is
a priority to prevent the spread of infection to others.
5. 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. Ibuprofen
b. Morphine
c. Transmucosal fentanyl
d. Acetaminophen
Correct Answer: c. Transmucosal fentanyl
Rationale: Transmucosal fentanyl is a potent opioid analgesic used for managing breakthrough
pain in clients with cancer. It provides rapid relief and is effective for acute pain episodes.
6. 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 amplitude
d. ST segment
Correct Answer: d. ST segment
Rationale: ST elevation on an ECG indicates myocardial infarction, whereas ST depression may
indicate ischemia.
,7. 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 lotion to the radiation site daily
b. Use cold compresses on the radiation site
c. Pat the skin on the radiation site to dry it
d. Use a heating pad over the radiation site
Correct Answer: c. Pat the skin on the radiation site to dry it
Rationale: After radiation treatment, the skin can be very sensitive. Patting the skin dry helps
avoid further irritation, unlike rubbing, which can cause more damage.
8. 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. Morphine
b. Diphenhydramine
c. Acetaminophen
d. Furosemide
Correct Answer: d. Furosemide
Rationale: These symptoms suggest fluid overload or possible heart failure. Furosemide, a
diuretic, is used to reduce fluid volume and alleviate symptoms of fluid retention.
9. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of
hypomagnesemia. Which of the following findings indicates the effectiveness of the
medication?
a. Deep tendon reflexes 4+
b. Apical pulse 82/min
c. Respiratory rate 10/min
d. Blood pressure 150/90 mmHg
Correct Answer: b. Apical pulse 82/min
Rationale: A normal apical pulse rate (60-100/min) indicates stabilization and effectiveness of
magnesium sulfate in treating hypomagnesemia without causing adverse effects like cardiac
arrhythmias or respiratory depression.
, 10. 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 indicative of which of the following
conditions?
a. Metabolic acidosis
b. Respiratory acidosis
c. Compensated respiratory alkalosis
d. Metabolic alkalosis
Correct Answer: c. Compensated respiratory alkalosis
Rationale: The pH is within the normal range but slightly alkalotic, and the PaCO2 is low,
indicating a respiratory cause. The HCO3 is also low, showing metabolic compensation.
11. A nurse is caring for a client who has deep partial-thickness burns over 15% of her
body. Which of the following lab values should the nurse expect during the first 24 hours?
a. Hyperkalemia
b. Hypernatremia
c. Hypoalbuminemia
d. Hypokalemia
Correct Answer: c. Hypoalbuminemia
Rationale: In the first 24 hours following a burn injury, fluid shifts occur, resulting in loss of
proteins like albumin from the intravascular to the interstitial space, causing hypoalbuminemia.
12. A nurse is caring for a client who has dumping syndrome following a gastrectomy.
Which of the following actions should the nurse take?
a. Increase fluid intake during meals
b. Eat high-carbohydrate foods
c. Eat three large meals daily
d. Have the client lie down for 30 minutes after meals
Correct Answer: d. Have the client lie down for 30 minutes after meals
Rationale: Lying down after a meal slows the movement of food within the intestines, helping to
manage symptoms of dumping syndrome.
13. A nurse is preparing to administer fresh frozen plasma to a client. Which of the
following actions should the nurse take?
a. Warm the plasma to body temperature before administration
b. Administer the plasma immediately after thawing
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