ATI RN Adult Medical Surgical Proctored Exam 2024/2025 with NGN latest exam rated A+

Atherosclerosis prevention - ANSWER--Follow a smoking cessation program, maintain an appropriate weight, and eat a low-fat diet are recommendations for preventing atherosclerosis

Lyme disease - ANSWER--Joints ache as a manifestation of severe stage II Lyme disease

Arterial line - ANSWER--Flush line before administering antibiotics

Chemotherapy - ANSWER--Report of sore throat is the priority finding for a client receiving chemotherapy
Blood transfusion - ANSWER--Restlessness, dyspnea, and crackles noted to the lung bases indicate a transfusion reaction
Kidney transplant - ANSWER--Immunosuppressive therapy is necessary until the donated kidney begins producing urine

Systemic lupus erythematosus (SLE) - ANSWER--Facial butterfly rash is an expected finding in a client with SLE

Parathyroidectomy - ANSWER--Using pillows to support the client's head and neck is the priority action

Diabetes insipidus - ANSWER--Low urine specific gravity is an expected finding in a client with diabetes insipidus

Cervical cancer - ANSWER--Implant placed twice each month for the duration of the treatment in stage II cervical cancer

Thoracentesis - ANSWER--Instruct the client to remain NPO after midnight prior to the procedure
Compartment syndrome - ANSWER--Pain that increases with passive movement in a client with a short leg cast
Phenytoin - ANSWER--Oral solution 125 mg/5 mL, nurse should administer 24 mL for 600 mg

Hypothyroidism - ANSWER--Constipation is an expected manifestation of hypothyroidism

Mastectomy - ANSWER--Referring the client to community resources that can provide support is an appropriate statement for a client scheduled for a mastectomy





Nephrostomy tube - ANSWER--The client reporting back pain is an indication of a complication and should be reported to the provider

Alzheimer's disease - ANSWER--Position tabletop clocks with multi-colored backgrounds throughout the home for a client with Alzheimer's disease

Cancer pain - ANSWER--Speaking to the provider about incorporating acupuncture into the treatment plan is an appropriate response for a client with cancer pain

Extubation - ANSWER--Stridor is an indication of airway obstruction and should be reported to the provider immediately

Myocardial infarction (MI) - ANSWER--Creatine kinase (CK-MB) 85 mg/dL is an indication of a myocardial infarction

Blood transfusion - ANSWER--Checking for the type and number of units of blood to administer is the first action before initiating a blood transfusion

Aplastic anemia - ANSWER--WBC count 2,000/mm^3 indicates a potential complication in a client with aplastic anemia

Modified radical mastectomy - ANSWER--Flex the affected arm when ambulating is an appropriate instruction for a client following a modified radical mastectomy


Hemianopsia - ANSWER--Scan the environment by turning your head from side to side to reduce the risk of falls for a client with homonymous hemianopsia

Lung re-expansion - ANSWER--Bubbling in the water seal chamber ceasing is an indication of lung re-expansion

Heparin administration - ANSWER--Gently massaging the site after injecting the medication is an appropriate action for a client self-administering heparin

Osteomyelitis - ANSWER--Sedimentation rate is a potential complication and should be reported to the provider for a client with osteomyelitis

Latex allergy - ANSWER--Avocados can indicate a latex allergy

DKA improvement - ANSWER--pH 7.28 indicates improvement in a client with diabetic ketoacidosis (DKA)

DKA treatment - ANSWER--Regular insulin 20 units IV bolus is the appropriate action for a client with DKA

Revised plan of care - ANSWER--A client who is taking potassium supplements, has a potassium level of 3.2 mEq/L, and reports constipation requires a revision of the plan

Pressure injury care - ANSWER--Change positions every hour to prevent pressure injuries

Rheumatoid arthritis pain - ANSWER--Alternate application of heat and cold to the affected joints can reduce pain

Hemodialysis - ANSWER--Restlessness is a priority finding to report to the provider for a client following hemodialysis

Postoperative assessment - ANSWER--Extremity cool upon palpation is an indication of decreased circulation and should be reported to the provider

Post-thyroidectomy - ANSWER--Temperature 38.9 C (102 F) is a priority finding to report to the provider for a client post-thyroidectomy

Mastectomy drain - ANSWER--Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24 hr period

Bone cancer pain - ANSWER--A tingling sensation replacing the pain is the effect of applying a TENS unit to the painful area for a client with bone cancer pain

Irritable bowel syndrome - ANSWER--Consume at least 30 g of fiber daily to manage constipation in a client with constipation-predominant irritable bowel syndrome

AIDS infection prevention - ANSWER--Avoid drinking a glass of cold liquid that has been standing for 30 minutes to prevent infection in a client with AIDS

Warfarin therapy - ANSWER--INR 2.5 is a desired outcome for a client taking warfarin for chronic atrial fibrillation

Gastric hemorrhage - ANSWER--Administer ranitidine to a client with a gastric hemorrhage

Iron supplement - ANSWER--Increase fiber intake to avoid constipation when taking an oral iron supplement