NGN ATI ADULT MED SURG 2024 ACTUAL EXAM /NGN ATI RN ADULT MEDICAL SURICAL 2024 PROCTORED EXAM 90 QUESTIONS WITH DETAILED VERIFIED SOLUTIONS AND RATIONALES /A+ GRADE ASSURED

NGN ATI ADULT MED SURG 2024 ACTUAL
EXAM /NGN ATI RN ADULT MEDICAL
SURICAL 2024 PROCTORED EXAM 90
QUESTIONS WITH DETAILED VERIFIED
SOLUTIONS AND RATIONALES /A+
GRADE ASSURED
A nurse is providing teaching to a client who has
hypertension and a new prescription for verapamil. Which
of the following statements by the client indicates an
understanding of the teaching? - ...ANSWER...I will count
my heart beats before taking this medication.
A nurse is providing teaching to a client who is receiving
chemotherapy and has a new prescription for epoetin alfa.
Which of the following client statements indicates an
understanding of the teaching? - ...ANSWER...I will
monitor my blood pressure while taking this medication.
A nurse is caring for a client who has diabetic ketoacidosis
(DKA). Which of the following should the nurse plan to
administer? - ...ANSWER...Regular insulin 20 units IV
bolus
A nurse is reviewing the laboratory findings of a client who
developed chest pain 6 hr ago. The nurse should identify
which of the following findings as an indication of a
myocardial infarction(MI)? - ...ANSWER...Troponin 8
ng/mL
A nurse is preparing to administer a unit of packed RBCs to
a client. Which of the following actions should the nurse
take? - ...ANSWER...Remain with the client for the first 15
minutes of the infusion.
RATIONALE : The nurse should remain with the client for
the first 15 to 30 min of the infusion because hemolytic
reactions usually occur during the infusion of the first 50 mL
of blood.
A nurse is assessing a client who had extracorporeal shock
wave lithotripsy(ESWL) 6 hr ago. Which of the following
findings should the nurse expect? - ...ANSWER...Stone
fragments in the urine
RATIONALE: ESWL is an effort to break the calculi so
that the fragments pass down the ureter, into the bladder,
and through the urethra during voiding. Following the
procedure, the nurse should strain the client's urine to
confirm the passage of stones.
A nurse is teaching a group of newly licensed nurses about
pain management for older adult clients. Which of the
following statements by a newly licensed nurse indicates an
understanding of the teaching? - ...ANSWER...Ibuprofen
can cause gastrointestinal bleeding in older adult clients.
A nurse is caring for a client who is experiencing a tonicclonic seizure. Which of the following actions should the
nurse take? - ...ANSWER...Loosen restrictive clothing
A nurse is assessing a client who has Cushing's disease.
Which of the following findings should the nurse expect? -
...ANSWER...Muscle atrophy
A nurse is planning to irrigate and dress a clean, granulating
wound for a client who has a pressure ulcer. Which of the
following actions should the nurse take? - ...ANSWER...Use
a 30 mL syringe
RATIONALE: The nurse should use a 30-mL to 60-mL
syringe with an 18- or 19-gauge catheter to deliver the ideal
pressure of 8 pounds per square inch (psi) when irrigating a
wound. To maintain healthy granulation tissue, the wound
irrigation should be delivered at between 4 and 15 psi.
A nurse is reviewing the laboratory results of a client who
had a recent exposure to hepatitis C virus. Which of the
following tests should the nurse identify as indicating the
presence of hepatitis C antibodies? - ...ANSWER...Enzyme
immunoassay (EIA)
A nurse in an emergency department is assessing a client
who has a detached retina. Which of the following should
the nurse expect the client to report? - ...ANSWER...It's like
a curtain closed over my eye.
RATIONALE: A retinal detachment is the separation of the
retina from the epithelium. It can occur because of trauma,
cataract surgery, retinopathy, or uveitis. Clients who have
retinal detachment typically report the sensation of a curtain
being pulled over part of the visual field.
A nurse is assessing heart sounds of a client who reports
substernal precordial pain. Identify which of the following
sounds the nurse should document in the client's medical
record by listening to audio clip. - ...ANSWER...Pericardial
friction rub
A nurse is caring for a client who has active bleeding from
peptic ulcer disease. Which of the following findings is an
indication that the client is experiencing compensatory
shock? - ...ANSWER...Increased heart rate
A nurse is conducting an admission history for a client who
is to undergo a CT scan with an IV contrast agent. The nurse
should identify that which of the following findings requires
further screening? - ...ANSWER...Shellfish allergy
A nurse is providing teaching to a client who has a recent
diagnosis of constipation-predominant irritable bowel
syndrome. Which of the following instructions should the
nurse include in the teaching? - ...ANSWER...Consume at
least 30 g of fiber daily
A nurse is caring for a client who has type 1 diabetes
mellitus and has had acute bronchitis for the past 3 days.
Which of the following statements should the nurse include
when instructing the client? - ...ANSWER...Take insulin
even if you are unable to eat your regular diet.
A nurse is reviewing the laboratory report of a client who is
receiving nonsurgical treatment for Cushing's disease.
Which of the following laboratory findings should the nurse
identify as a positive outcome of the treatment? -
...ANSWER...Decreased sodium