ATI MED SURG
PROCTORED EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
THIS ATI DOCUMENT CONTAINS THE FOLLOWING:
, 100 Qs & Ans
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case Scenario
Expert-Verified Explanations & Solutions
ATI MED SURG COMPREHENSIVE EXAM 001
Question 1 (Skeletal Traction – NGN Style with Case Scenario)
,Case Study:
A 54-year-old client who sustained a femur fracture after a fall is admitted to the orthopedic unit and placed
in skeletal traction. The nurse observes the weights used in the traction setup.
Vital Signs:
- Temperature: 98.6°F
- HR: 88 bpm
- RR: 18 bpm
- BP: 128/80 mmHg
Question:
Which of the following nursing actions aligns with proper care for a client in skeletal traction?
A. Ensure the client’s weights are hanging freely from the bed.
B. Apply additional weights to improve fracture alignment.
C. Remove weights temporarily during routine repositioning.
D. Allow weights to rest on the floor to stabilize the traction.
Answer: A. Ensure the client’s weights are hanging freely from the bed.
Explanation:
In skeletal traction, the weights should hang freely to maintain proper alignment and traction, prevent
complications, and ensure the desired therapeutic effect. Weights resting on the floor or removal of weights
compromise the effectiveness of traction and put the client at risk of injury.
Question 2 (Ferrous Gluconate – Standard Style Question with Teaching Focus)
Scenario:
A client with anemia has been prescribed ferrous gluconate and has been taking it for several weeks. The
nurse is reinforcing teaching regarding medication administration.
Question:
Which of the following instructions should the nurse include?
A. Take this medication with milk to reduce irritation to the stomach.
B. Take this medication between meals unless contraindicated.
C. Avoid taking vitamin C supplements while on this medication.
D. Take this medication only before bedtime for optimal absorption.
Answer: B. Take this medication between meals unless contraindicated.
Explanation:
Ferrous gluconate is best absorbed on an empty stomach; therefore, it should ideally be taken between
meals. However, if it causes gastrointestinal irritation, it can be taken with food. Avoid simultaneous intake
with milk, calcium, or antacids as they reduce absorption.
Question 3 (Ferrous Gluconate – NGN Style Question Using Case Study and Rationale)
Case Study:
A 45-year-old client diagnosed with iron-deficiency anemia reports fatigue, pale skin, and dizziness. The
provider prescribes ferrous gluconate, and the nurse provides detailed education on proper administration.
, Question:
Based on the nurse's educational reinforcement, which of the following instructions should the
nurse prioritize?
A. Take ferrous gluconate with milk to improve digestion.
B. Take ferrous gluconate between meals for optimal effectiveness.
C. Always use a straw when consuming the liquid form to prevent staining of teeth.
D. Consume ferrous gluconate with antacids to reduce heartburn.
Answer: B. Take ferrous gluconate between meals for optimal effectiveness.
Explanation:
Iron absorption is improved when taken on an empty stomach. Vitamin C (e.g., orange juice) can enhance
absorption, whereas milk and antacids hinder it. Using a straw is recommended for liquids to mitigate teeth
staining; however, this question pertains specifically to the oral tablet.
---
Question 4 (Cellulitis Care – Standard Style Question)
Scenario:
A client diagnosed with cellulitis of the lower leg presents with swelling, redness, and warmth localized to
the affected area.
Question:
Which nursing intervention should the nurse recommend in the plan of care?
A. Apply cold compresses to affected areas.
B. Wash the affected area daily with antibacterial soap.
C. Leave the affected area uncovered to encourage air circulation.
D. Apply lotion to prevent dryness of the skin over the infected area.
Answer: B. Wash the affected area daily with antibacterial soap.
Explanation:
Daily washing with antibacterial soap helps to reduce surface bacteria and prevent the spread of infection.
Cold compresses are contraindicated as the goal is to promote circulation and reduce inflammation.
---
Question 5 (Postoperative Ileostomy Care – NGN Style Using Case Study)
Case Study:
A 62-year-old client is recovering from an ileostomy surgery. During a follow-up visit, the nurse provides
teaching regarding dietary considerations and medication administration.
Question:
Which of the following instructions about medication administration should the nurse include in the
teaching plan?
PROCTORED EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
THIS ATI DOCUMENT CONTAINS THE FOLLOWING:
, 100 Qs & Ans
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case Scenario
Expert-Verified Explanations & Solutions
ATI MED SURG COMPREHENSIVE EXAM 001
Question 1 (Skeletal Traction – NGN Style with Case Scenario)
,Case Study:
A 54-year-old client who sustained a femur fracture after a fall is admitted to the orthopedic unit and placed
in skeletal traction. The nurse observes the weights used in the traction setup.
Vital Signs:
- Temperature: 98.6°F
- HR: 88 bpm
- RR: 18 bpm
- BP: 128/80 mmHg
Question:
Which of the following nursing actions aligns with proper care for a client in skeletal traction?
A. Ensure the client’s weights are hanging freely from the bed.
B. Apply additional weights to improve fracture alignment.
C. Remove weights temporarily during routine repositioning.
D. Allow weights to rest on the floor to stabilize the traction.
Answer: A. Ensure the client’s weights are hanging freely from the bed.
Explanation:
In skeletal traction, the weights should hang freely to maintain proper alignment and traction, prevent
complications, and ensure the desired therapeutic effect. Weights resting on the floor or removal of weights
compromise the effectiveness of traction and put the client at risk of injury.
Question 2 (Ferrous Gluconate – Standard Style Question with Teaching Focus)
Scenario:
A client with anemia has been prescribed ferrous gluconate and has been taking it for several weeks. The
nurse is reinforcing teaching regarding medication administration.
Question:
Which of the following instructions should the nurse include?
A. Take this medication with milk to reduce irritation to the stomach.
B. Take this medication between meals unless contraindicated.
C. Avoid taking vitamin C supplements while on this medication.
D. Take this medication only before bedtime for optimal absorption.
Answer: B. Take this medication between meals unless contraindicated.
Explanation:
Ferrous gluconate is best absorbed on an empty stomach; therefore, it should ideally be taken between
meals. However, if it causes gastrointestinal irritation, it can be taken with food. Avoid simultaneous intake
with milk, calcium, or antacids as they reduce absorption.
Question 3 (Ferrous Gluconate – NGN Style Question Using Case Study and Rationale)
Case Study:
A 45-year-old client diagnosed with iron-deficiency anemia reports fatigue, pale skin, and dizziness. The
provider prescribes ferrous gluconate, and the nurse provides detailed education on proper administration.
, Question:
Based on the nurse's educational reinforcement, which of the following instructions should the
nurse prioritize?
A. Take ferrous gluconate with milk to improve digestion.
B. Take ferrous gluconate between meals for optimal effectiveness.
C. Always use a straw when consuming the liquid form to prevent staining of teeth.
D. Consume ferrous gluconate with antacids to reduce heartburn.
Answer: B. Take ferrous gluconate between meals for optimal effectiveness.
Explanation:
Iron absorption is improved when taken on an empty stomach. Vitamin C (e.g., orange juice) can enhance
absorption, whereas milk and antacids hinder it. Using a straw is recommended for liquids to mitigate teeth
staining; however, this question pertains specifically to the oral tablet.
---
Question 4 (Cellulitis Care – Standard Style Question)
Scenario:
A client diagnosed with cellulitis of the lower leg presents with swelling, redness, and warmth localized to
the affected area.
Question:
Which nursing intervention should the nurse recommend in the plan of care?
A. Apply cold compresses to affected areas.
B. Wash the affected area daily with antibacterial soap.
C. Leave the affected area uncovered to encourage air circulation.
D. Apply lotion to prevent dryness of the skin over the infected area.
Answer: B. Wash the affected area daily with antibacterial soap.
Explanation:
Daily washing with antibacterial soap helps to reduce surface bacteria and prevent the spread of infection.
Cold compresses are contraindicated as the goal is to promote circulation and reduce inflammation.
---
Question 5 (Postoperative Ileostomy Care – NGN Style Using Case Study)
Case Study:
A 62-year-old client is recovering from an ileostomy surgery. During a follow-up visit, the nurse provides
teaching regarding dietary considerations and medication administration.
Question:
Which of the following instructions about medication administration should the nurse include in the
teaching plan?
