NGN ATI RN ADULT MEDICAL SURGICAL 2023
PROCTORED EXAM 90 QUESTIONS WITH
DETAILED VERIFIED ANSWERS AND
RATIONALES /A+ GRADE ASSURED
A nurse is assess... [Show More] ing a client who has advanced lung
cancer and is receiving palliative care. The client has
just undergone thoracentesis. The nurse should
expect a reduction in which of the following common
manifestations of advanced cancer? -
...ANSWER...dyspnea
A nurse is caring for a client who is receiving total
parenteral nutrition (TPN). A new bag is not available
when the current infusion is nearly completed. Which
of the following actions should the nurse take? -
...ANSWER...Administer dextrose 10% in water until the
new bag arrives.
A nurse is providing teaching to a client who has a
gastric ulcer and a new prescription for omeprazole.
The nurse should instruct the client that the
medication provides relief by which of the following
actions? - ...ANSWER...Suppressing gastric acid
production
A nurse is planning to irrigate and dress a clean,
granulating wound for a client who has a pressure
injury. Which of the following actions should the nurse
take? - ...ANSWER...Use a 30-mL syringe.
A nurse is providing teaching to a client who has
cancer and a new prescription for an opioid analgesic
for pain management. Which of the following
information should the nurse include in the teaching?
- ...ANSWER..."You should void every 4 hours to
decrease the risk of urinary retention."
A nurse in a provider's office is assessing a client who
has hypertension and takes propranolol. Which of the
following findings should indicate to the nurse that the
client is experiencing an adverse reaction to this
medication? - ...ANSWER...Report of a night cough
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 assessing a client following the completion
of hemodialysis. Which of the following findings is the
nurse's priority to report to the provider? -
...ANSWER...Restlessness
A nurse is assessing a client who is postoperative
following a thyroidectomy. Which of the following
findings is the nurse's priority? -
...ANSWER...Temperature 38.9° C (102° F)
A nurse is providing education to a client who has
tuberculosis (TB) and their family. Which of the
following information should the nurse include in the
teaching? - ...ANSWER...Family members in the
household should undergo TB testing.
A nurse is providing discharge instructions to a client
following an upper gastrointestinal series with barium
contrast. Which of the following information should
the nurse provide? - ...ANSWER...Increase fluid intake
1NGN
000:Client presents to the ED with visual
disturbances, expressive aphasia, and numbness and
tingling of the lips. Manifestations started about 30
min ago. Client reports flashing lights in their vision,
especially on the right side.
Client's partner states the client had some difficulty
with finding words when speaking.
Client is alert and oriented x 3 and appears anxious.
No facial drooping noted. Right hand grasp is weaker
than left. Client denies pain.1045:Client states the
flashing lights, numbness, and tingling in the lips have
gone away. Client states they now have throbbing pain
behind the left eye, photophobia, and nausea. Client is
requesting medication for pain that is 7 on a scale of 0
to 10.
Hand grasps are equal and strong
bilaterally.1300:Client reports pain as 2 on a scale of 0
to 10 and nausea has resolved.
Provided client with discharge instructions regarding
sumatriptan and migraine triggers. -
...ANSWER..."Foods that contain tyramine might
trigger my headaches" is correct.
"I will keep a food and headache diary" is correct.
"I will place a cool cloth on my forehead when I
experience a migraine" is correct.
"I will take the sumatriptan once every day" is
incorrect.
"I should stay awake until my headache is gone" is
incorrect.
NGN
1000:Client presents to the ED with visual
disturbances, expressive aphasia, and numbness and
tingling of the lips. Manifestations started about 30
min ago. Client reports flashing lights in their vision,
especially on the right side.
Client's partner states the client had some difficulty
with finding words when speaking.
Client is alert and oriented x 3 and appears anxious.
No facial drooping noted. Right hand grasp is weaker
than left. Client denies pain.1045:Client states the
flashing lights, numbness, and tingling in the lips ha [Show Less]
