ATI ADULT MEDICAL SURGICAL 2025
PROCTORED EXAM 2026
A nurse is caring for a client who is 24 hr postopera ve following a total hip arthroplasty. Which
of the following ac ons should the nurse take?
A)Place the affected leg in external rota on.
B)Encourage the client to use the incen ve spirometer every shi .
C)Instruct the client to lean forward when rising from a chair.
D)Maintain abduc on of the affected extremity. - ANSWER D)Maintain abduc on of the
affected extremity.
The nurse should ensure that the affected extremity is in a posi on of
abduc on to prevent hip disloca on. The nurse should place an abductor
pillow or several pillows between the client's legs to keep the affected
extremity in abduc on while the client is in bed.
A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the
following statements should the nurse include in the teaching?
A)"You will not be able to eat or drink a er the procedure un l you are able to cough."
B)"You will drink a contrast solu on 30 minutes prior to the procedure."
C)"The purpose of this procedure is to remove excess fluid from your lungs."
D)"You will need to lie on your back for 4 to 6 hours following the procedure." -
ANSWER A)"You will not be able to eat or drink a er the procedure un l you are able to
cough."
A client who had a bronchoscopy received a local anesthe c that can
, suppress the cough reflex. The cough reflex protects the client from
aspira ng fluids or food. Therefore, the client should not eat or drink un l the
cough reflex returns.
A nurse is assessing a client's understanding of a surgical procedure prior to witnessing their
signature on the informed consent form. The nurse determines that the client does not
understand what the procedure will involve. Which of the following ac ons should the nurse
take?
A)Provide teaching about the surgical procedure for the client.
B)Instruct the client's spouse to sign the consent form.
C)Read the consent form to the client using words the client will understand.
D)Contact the provider who will be performing the procedure. - ANSWER D)Contact the
provider who will be performing the procedure.
The nurse should advocate for the client by informing the provider if the
client does not understand the procedure. It is the responsibility of the
provider to discuss the procedure more fully with the client.
A nurse is providing discharge teaching to a client who has COPD. Which of the following
instruc ons should the nurse include in the teaching?
A)"Schedule controlled coughing exercises a er meals."
B)"Consume a diet that is high in calories."
C)"Prac ce breath-holding."
D)"Perform arm-reaching exercises." - ANSWER B)"Consume a diet that is high in
calories."
Dyspnea decreases energy available for ea ng. Therefore, the nurse should
encourage the client to eat so , high-calorie and high-protein foods to
PROCTORED EXAM 2026
A nurse is caring for a client who is 24 hr postopera ve following a total hip arthroplasty. Which
of the following ac ons should the nurse take?
A)Place the affected leg in external rota on.
B)Encourage the client to use the incen ve spirometer every shi .
C)Instruct the client to lean forward when rising from a chair.
D)Maintain abduc on of the affected extremity. - ANSWER D)Maintain abduc on of the
affected extremity.
The nurse should ensure that the affected extremity is in a posi on of
abduc on to prevent hip disloca on. The nurse should place an abductor
pillow or several pillows between the client's legs to keep the affected
extremity in abduc on while the client is in bed.
A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the
following statements should the nurse include in the teaching?
A)"You will not be able to eat or drink a er the procedure un l you are able to cough."
B)"You will drink a contrast solu on 30 minutes prior to the procedure."
C)"The purpose of this procedure is to remove excess fluid from your lungs."
D)"You will need to lie on your back for 4 to 6 hours following the procedure." -
ANSWER A)"You will not be able to eat or drink a er the procedure un l you are able to
cough."
A client who had a bronchoscopy received a local anesthe c that can
, suppress the cough reflex. The cough reflex protects the client from
aspira ng fluids or food. Therefore, the client should not eat or drink un l the
cough reflex returns.
A nurse is assessing a client's understanding of a surgical procedure prior to witnessing their
signature on the informed consent form. The nurse determines that the client does not
understand what the procedure will involve. Which of the following ac ons should the nurse
take?
A)Provide teaching about the surgical procedure for the client.
B)Instruct the client's spouse to sign the consent form.
C)Read the consent form to the client using words the client will understand.
D)Contact the provider who will be performing the procedure. - ANSWER D)Contact the
provider who will be performing the procedure.
The nurse should advocate for the client by informing the provider if the
client does not understand the procedure. It is the responsibility of the
provider to discuss the procedure more fully with the client.
A nurse is providing discharge teaching to a client who has COPD. Which of the following
instruc ons should the nurse include in the teaching?
A)"Schedule controlled coughing exercises a er meals."
B)"Consume a diet that is high in calories."
C)"Prac ce breath-holding."
D)"Perform arm-reaching exercises." - ANSWER B)"Consume a diet that is high in
calories."
Dyspnea decreases energy available for ea ng. Therefore, the nurse should
encourage the client to eat so , high-calorie and high-protein foods to
