ATI Med Surg Proctored Exam Prac ce Qs
WITH ANSWERS HIGHLITED REVISED FOR
2026/2027
A nurse is caring for a client who experienced a trauma c head injury and has an
intraventricular catheter (Ventriculostomy) for ICP monitoring. The nurse should monitor the
client for which of the following complica ons related to the ventriculostomy?:
a. Headache
b. Infec on
c. Aphasia
d. Hypertension - ANSWER b. Infec on
Monitor for infec on and use strict asepsis to avoid life-threatening meningi s.
A nurse is providing educa on to a client who is to undergo an EEG the next day. Which of the
following info should the nurse include in the teaching?
a. "Do not wash your hair the morning of the procedure."
b. "Try and stay awake most of the night prior to the procedure."
c. "The procedure will take approximately 15 mins."
d. "You will need to lie flat for 4 hours a er the procedure." - ANSWER b. "Try and stay
awake most of the night prior to the procedure."
,Tell the client to remain awake to provide cranial stress and increase the possibility of abnormal
electrical ac vity
A nurse is caring for a client who is postprocedural following a lumbar puncture and reports a
throbbing headache when si ng upright. Which of the following ac ons should the nurse take?
SATA.
a. Use the GCS scale to assess the client
b. Assist the client into a supine posi on
c. Administer an opioid analgesic
d. Encourage the client to increase PO fluid intake
e. Instruct the client to perform coughing and deep breathing - ANSWER B, D
A nurse is caring for a client who has con nuous bladder irriga on following a transurethral
resec on of the prostate (TURP). Which of the following findings should the nurse report to the
provider?
a Output equal to the ins lled irrigate
b. Client reports bladder spasms
c. Viscous urinary output with clots
d. Reports of strong urge to urinate - ANSWER c. Viscous urinary output with clots
Urine that is bright red with clots is an indica on of arterial bleeding.
A nurse is monitoring the ECG of a client who has hypocalcemia. Which of the following findings
should the nurse expect?
a. Fla ened T waves
, b. Prolonged QT intervals
c. Shortened QT intervals
d Widened QRS complexes - ANSWER b. Prolonged QT intervals
Manifesta ons of hypocalcemia include ngling, numbness, tetany, seizures, prolonged QT
intervals, and laryngospasm.
A nurse is preparing a client who has a brain tumor for a CT scan. Which of the following factors
affects the manner in which the nurse will prepare the client for the scan?
a. No food or fluids consumed for 4 hours
b. Difficulty recalling recent events
c. Development of hives while ea ng shrimp
d. Paresthesia in both hands - ANSWER c. Development of hives while ea ng shrimp
Shellfish allergy is contraindica on of use of contrast media during a CT scan.
A nurse is preparing an in-service program about the stages of acute kidney injury. Which of the
following pieces of info should the nurse include about prerenal azotemia?
a. Prerenal azotemia begins prior to the onset of symptoms
b. Interference with renal perfusion causes renal azotemia
c. Prerenal azotemia is irreversible, even in early stages
d. Infec ons and tumors cause prerenal azotemia - ANSWER b. Interference with renal
perfusion causes prerenal azotemia.
Prerenal = interference with renal perfusion, such as from heart failure or hypovolemic shock.
A nurse is teaching a client who has CAD about the difference between angina pectoris and MI.
Which of the following should the nurse iden fy as indica ons of MI? SATA.
WITH ANSWERS HIGHLITED REVISED FOR
2026/2027
A nurse is caring for a client who experienced a trauma c head injury and has an
intraventricular catheter (Ventriculostomy) for ICP monitoring. The nurse should monitor the
client for which of the following complica ons related to the ventriculostomy?:
a. Headache
b. Infec on
c. Aphasia
d. Hypertension - ANSWER b. Infec on
Monitor for infec on and use strict asepsis to avoid life-threatening meningi s.
A nurse is providing educa on to a client who is to undergo an EEG the next day. Which of the
following info should the nurse include in the teaching?
a. "Do not wash your hair the morning of the procedure."
b. "Try and stay awake most of the night prior to the procedure."
c. "The procedure will take approximately 15 mins."
d. "You will need to lie flat for 4 hours a er the procedure." - ANSWER b. "Try and stay
awake most of the night prior to the procedure."
,Tell the client to remain awake to provide cranial stress and increase the possibility of abnormal
electrical ac vity
A nurse is caring for a client who is postprocedural following a lumbar puncture and reports a
throbbing headache when si ng upright. Which of the following ac ons should the nurse take?
SATA.
a. Use the GCS scale to assess the client
b. Assist the client into a supine posi on
c. Administer an opioid analgesic
d. Encourage the client to increase PO fluid intake
e. Instruct the client to perform coughing and deep breathing - ANSWER B, D
A nurse is caring for a client who has con nuous bladder irriga on following a transurethral
resec on of the prostate (TURP). Which of the following findings should the nurse report to the
provider?
a Output equal to the ins lled irrigate
b. Client reports bladder spasms
c. Viscous urinary output with clots
d. Reports of strong urge to urinate - ANSWER c. Viscous urinary output with clots
Urine that is bright red with clots is an indica on of arterial bleeding.
A nurse is monitoring the ECG of a client who has hypocalcemia. Which of the following findings
should the nurse expect?
a. Fla ened T waves
, b. Prolonged QT intervals
c. Shortened QT intervals
d Widened QRS complexes - ANSWER b. Prolonged QT intervals
Manifesta ons of hypocalcemia include ngling, numbness, tetany, seizures, prolonged QT
intervals, and laryngospasm.
A nurse is preparing a client who has a brain tumor for a CT scan. Which of the following factors
affects the manner in which the nurse will prepare the client for the scan?
a. No food or fluids consumed for 4 hours
b. Difficulty recalling recent events
c. Development of hives while ea ng shrimp
d. Paresthesia in both hands - ANSWER c. Development of hives while ea ng shrimp
Shellfish allergy is contraindica on of use of contrast media during a CT scan.
A nurse is preparing an in-service program about the stages of acute kidney injury. Which of the
following pieces of info should the nurse include about prerenal azotemia?
a. Prerenal azotemia begins prior to the onset of symptoms
b. Interference with renal perfusion causes renal azotemia
c. Prerenal azotemia is irreversible, even in early stages
d. Infec ons and tumors cause prerenal azotemia - ANSWER b. Interference with renal
perfusion causes prerenal azotemia.
Prerenal = interference with renal perfusion, such as from heart failure or hypovolemic shock.
A nurse is teaching a client who has CAD about the difference between angina pectoris and MI.
Which of the following should the nurse iden fy as indica ons of MI? SATA.
