ATI RN ADULT MED SURG ONLINE PRACTICE 2026 A WITH NGN (A+ RATED SOLUTIONS)

1. Client presents to the ED with upper abdominal pain that radiates to the right shoulder. Client rates pain as 7 on a scale of 0 to 10. Client also reports nausea, vomiting, and dyspepsia. Client is awake, alert, and oriented x3. Lung sounds clear bilaterally, S1 and S2 heart tones noted. All pulses palpable. Bowel sounds active in all 4 quadrants. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress. Actions to take: - administer morphine - ensure NPO Potential condition: - cholecystitis Parameters to monitor: - monitor for dark urine - monitor color of stools 2a. 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. Drag words from the choices below to fill in each blank in the following sentence. The client is most likely experiencing _____________ and _____________. - acute chest syndrome - pneumonia 2b. Select the 4 findings that require follow-up by the nurse. - Hand grasps - Visual disturbances - Tingling of lips - Expressive aphasia 2c. For each finding below, click to specify if the finding is consistent with migraine, stroke, or meningitis. Each finding can support more than one disease process. - Hand grasps: migraine, stroke, & meningitis - Aphasia: migraine & stroke - Numbness: migraine & stroke - Visual changes: migraine, stroke, & meningitis - Fam Hx: migraine & stroke 2d. Complete the following sentence by using the list of options. The nurse should identify that the client is most likely experiencing _________ and the nurse should address the client's ___________ - Migraine - Pain 2e. A nurse is caring for a client who has a migraine. Which of the following interventions should the nurse anticipate? Select all that apply. - Administer phenobarbital. - Dim the lights in the client's room. - Prepare to initiate fibrinolytic therapy. - Prepare the client for a lumbar puncture. - Administer sumatriptan. - Place the client in seizure precautions. - Administer sumatriptan. The nurse should plan to administer a medication, such as sumatriptan, to produce cerebral artery vasoconstriction and relieve the client's manifestations. - Dim the lights in the client's room The nurse should plan to dim the lights in the client's room to promote comfort because the client is experiencing photophobia. 2f. Drag one condition and one client finding to fill in each blank in the following sentence. Following the administration of sumatriptan, the nurse should monitor for _________ due to the risk of ___________ - chest pain - myocardial ischemia 2g. The nurse is evaluating the client's understanding of discharge instructions. Which of the following client statements indicates an understanding of the teaching? Click to highlight the findings that indicate client understanding. To deselect a finding, click on the finding again. - "Foods that contain tyramine might trigger my headaches." - "I will keep a food and headache diary." - "I will place a cool cloth on my forehead when I experience a migraine." - "I will take the sumatriptan once every day." - "I should stay awake until my headache is gone." - "Foods that contain tyramine might trigger my headaches" Tyramine-containing foods, such as aged cheeses, smoked sausage, pickles, and beer are common triggers for migraines. - "I will keep a food and headache diary" The nurse should instruct the client to keep a food and headache diary to identify migraine triggers. - "I will place a cool cloth on my forehead when I experience a migraine" The nurse should instruct the client to lie down, dim the lights, and place a cool cloth on the forehead to relieve migraine pain. 3. A nurse is caring for a client who is receiving dialysis treatment. 0530: Client is awake and alert. Arteriovenous fistula (AVF) to right forearm with thrill palpated and auscultated for bruit. Lung sounds clear upon auscultation; client denies shortness of breath. No peripheral edema noted; capillary refill is less than 3 seconds; +2 bilateral pedal and radial pulses. AVF access prepared and cannulated twice with no difficulty. Lines are taped and secured; treatment is initiated.0600: Client is reading a book. Access is visible, and lines are secure. Client reports no discomfort or pain. For each potential nursing intervention, click to specify if the intervention is indicated or not indicated. - Perform a 12-lead ECG: not indicated - Apply oxygen at 2 L/min via nasal cannula: indicated - Obtain the client's blood glucose level: not indicated - Notify the provider immediately: indicated - Administer a 0.9% sodium chloride 200 mL IV bolus: indicated - Place the client in Trendelenburg position: indicated 4. A nurse is caring for a client. 1000: Client is alert and oriented and reports not feeling well for a few days. Client is on continuous ambulatory peritoneal dialysis (CAPD) and reports dialysate appeared cloudy this morning. Reports abdominal pain as 4 on a scale of 0 to 10. Bowel sounds active in all quadrants. Peritoneal dialysis access site red, warm to touch, with a small amount of purulent drainage noted on dressing.1300: Client is lying in bed with the knees flexed, guarding the abdomen. Abdomen is slightly distended, hypoactive bowel sounds. Client reports nausea. Reports pain as 6 on a scale of 0 to 10. Provider notified and updated with client condition and diagnostic results. Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is experiencing manifestations of _________ due to _________. - Condition: Peritonitis - Client finding: x-ray results 5a. 1000: Client is short of breath and has a productive cough with yellow mucus. Client reports feeling sick for the last few days and states, "I could barely breathe when I got up this morning and I had a throbbing headache." Client is alert and oriented to person, place, and time. Capillary refill less than 2 seconds. Client is diaphoretic. Crackles heard in posterior lungs. Pedal pulses +2 bilaterally. Client reports decreased appetite for the past 2 days. The nurse is reviewing the client's diagnostic results. Which of the following findings requires follow-up by the nurse? Select all that apply. - Calcium level - BUN level - PCO2 level - Chest x-ray - WBC count - Oxygen saturation level - HCO3- level - BUN level - PCO2 level - Chest x-ray - WBC count -