ATI ADVANCED MED SURG STUDY QUESTIONS AND ANSWERS WITH NGN (ANSWER KEY AT THE END)

1. Which assessment is most important for the nurse to perform on a client who is hospitalized
for Guillain-Barre syndrome that is rapidly progressing?
A. Respiratory effort.
B. Unsteady gait.
C. Intensity of pain.
D. Ability to eat.
2. A male client comes into the clinic with a history of penile discharge with painful, burning urination.
Which action should the nurse implement?
A. Collect a culture of the penile discharge.
B. Palpate the inguinal lymph nodes gently.
C. Observe forscrotalswelling and redness.
D. Expressthe discharge to determine color.
3. A client with history of atrial fibrillation is admitted to the telemetry unit with sudden onset of
shortness of breath. The nurse observes a new irregular heart rhythm and should perform which
assessment at this time?
A. Check for a pulse deficit.
B. Palpate the apical impulse.
C. Inspect jugular vein pulse.
D. Examine for a carotid bruit.
4. Which client should be further assessed for an ectopic pregnancy?
A. A 24-year-old with shoulder and lower abdominal quadrant pain.
B. A 33-year-old with intermittent lower abdominal cramping.
C. A 20-year-old with fever and right lower abdominal colic.
D. A 40-year-old with jaundice and right lower abdominal pain.
5. Which dietary assessment finding is most important for the nurse to address when caring for a client
with diabetic nephropathy?
A. Drinks a six pack of beer every day.
B. Enjoys a hamburger once a month.
C. Eatsfortified breakfast cereal daily.
D. Consumes beans and rice every day.