ATI MED-SURG PROCTORED EXAM 2026 (284 QUESTIONS AND ANSWERS) WITH VERIFIED AND CORRECT ANSWERS AND EXPLANATIONS UPDATED APRIL

ATI MED-SURG PROCTORED
EXAM
2026 (284 QUESTIONS AND
ANSWERS) WITH VERIFIED AND
CORRECT ANSWERS
AND EXPLANATIONS
UPDATED APRIL
ATI MED-SURG PROCTORED EXAM 1

1. A nurse is reinforcing teaching with an older adult client who has
osteoporosis. Which of the following instructions should the nurse in the
teaching?
a) "Place throw rugs on wooden floors at home.
b) " b) "Supplement your diet with vitamin E."
c) "Swim laps for 20 minutes twice per week."
d) "Take calcium supplements with meals." (The nurse should instruct the
client to take calcium carbonate supplements with or following meals to
increase absorption and effectiveness.)

2. A nurse is reviewing the medication record of a client who is taking
digoxin. Which of the following medications should the nurse identify as
increasing the risk for the client to develop digoxin toxicity?
a) Potassium chloride
b) Famotidine
c) Levothyroxine
d) Furosemide (The nurse should identify that loop diuretics, such as
furosemide, increase the urinary excretion of potassium, which can lead to
hypokalemia. Hypokalemia increases the risk for the development of
digoxin toxicity.)

3. A nurse is reinforcing teaching about insulin injections with an adult
client who weighs 45.4 kg (100 lb.). Which of the following statements by
the client indicates an understanding of the teaching?
a) "I should insert the needle at a 90-degree angle.
b) "I should give my shot in my belly tissue." (Clients who have low body
weights can have very little subcutaneous tissue. Therefore, the nurse should
instruct the client to administer the medication in the upper abdomen for
proper absorption.)
c) "I will pull back on the syringe plunger to look for blood before I push the

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,medication in."
d) "I will use the side of my hand to pull my skin to the side prior to
administering the insulin."




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,4. A nurse is reinforcing discharge teaching for a client who had a
mechanical mitral valve replacement. Which of the following statements by
the client indicates an understanding of the teaching?
a) "I will notify my dentist about this procedure." (The nurse should instruct
the client to notify his dentist about the mechanical mitral valve
replacement before any procedures so antibiotic therapy can be initiated to
reduce the risk of endocardial infection.)
b) "I will take an enteric-coated aspirin daily."
c) "I will use a firm-bristled toothbrush."
d) "I will weigh myself once a week."


5. A nurse is reviewing the medical record for an older adult client who is
experiencing nausea and vomiting. Based on the client data, which of the
following actions should the nurse take? (Click on the “Exhibit” button for
additional client information. There are three tabs that contain separate
categories of data.) View the Exhibit


Exhibit 1 Exhibit 2 Exhibit 3
Diagnosis Results Nurses’ Notes 1200: Graphic Record
Sodium 142 mEq/ Alert and oriented x3 Temperature 0800:
Potassium 4.2 mEq/L Lungs clear to 37.7° C (99.9° F) 1200:
BUN 36 mg/dL auscultation Decreased 37.2° C (99.0° F) Pulse
Creatinine 1.4 mg/dL skin turgor Dry mucous 0800: 96/min
membranes 1200:105/min
Respiratory rate 0800:
18/min 1200: 20/min
Blood pressure 0800;
118/62 mmHg 1200:
104/65 mm Hg


a) Encourage the client to ambulate.
b) Administer an antipyretic medication.
c) Notify the charge nurse of the client's BUN level (The client's BUN level
is above the expected reference range of 10 to 20 mg/dL, which indicates
dehydration and impaired renal function. The nurse should notify the
charge nurse of this finding and anticipate interventions to restore the
client's fluid volume.)
d) Keep the temperature in the client's room warm.



6. A nurse is assisting with the development of a plan of care to manage
pain for a client who has herpes zoster with lesions on the lower extremities.
Which of the following interventions should the nurse include in the plan of
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, care?
a) Keep bed linens off of the affected areas. (The nurse should keep bed
linens off of the affected areas using a bed cradle, which will relieve pain
caused by the linens rubbing against the lesions.)
b) Position a heat lamp over the lower extremities.
c) Apply warm, moist compresses to the affected areas.
d) Initiate droplet isolation precautions.


7. A nurse is reinforcing teaching with a client about increasing dietary
fiber. The nurse should recommend which of the following foods as the best
source of fiber?
a) ½ cup cooked kidney beans (The nurse should recommend kidney
beans as the best source of fiber because ½ cup contains 6.5 g of fiber per
serving.)
b) ½ cup raw cauliflower
c) 1 cup cucumber with peel
d) 1 cup parboiled brown rice


8. A nurse is assisting in the care of a client who has AIDS-related
pneumonia. The client is receiving antibiotic therapy and albuterol nebulizer
treatments daily. Which of the following findings should indicate to the
nurse that the client’s therapeutic regimen is effective?
a) Adventitious lung sounds
b) Decrease in exertional dyspnea (A decrease in exertional dyspnea
indicates the antibiotics are resolving the infection and the albuterol
treatments are facilitating effective ventilation. Therefore, the nurse should
evaluate the therapeutic regimen as effective for the client.)
c) Respiratory rate of 26/min while sitting in a chair
d) Elevation of the head of the bed is required to sleep




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