ATI RN MEDSURG PROCTORED EXAM
PREPARATION MATERIAL WITH Q&A 2026/2027
LATEST UPDATE
1. A nurse is caring for a client in the ER following a myocardial infarction. which of the following
actions should the nurse anticipate if the client develops asystole?
a. Administer atropine
b. Defibrillate with 200 joules
c. Starts a continuous lidocaine infusion
d. Begin CPR – first line of medical management is CPR and ACLS.
2. A nurse is caring for a client with severe burn injury. The nurse should recognize which of the following client
findings as an indication of hypovolemic shock?
a. Potassium 5.2 mEq/L
b. Capillary refill 1.5 seconds
c. Urine output 45 mL/hr
d. PaCO3 37 mmHg
3. A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli the client
does not open her eyes, displays decerebrate posturing, and makes incomprehensible sounds.
Which of the following Glasgow coma scale scores should the nurse assign the client? a.
2
b. 5
c. 10
d. 13
4. A nurse is teaching a client who has heart failure about self-management techniques. Which of the following
statements by the client indicates an understanding of the teaching?
a. I will keep an exercise diary
,b. I will take ibuprofen for mild pain
, c. I will expect swelling in my feet and ankle
d. I will weigh myself every other day
12. A nurse is providing discharge teaching for a client who has new tracheostomy. Which of the following
statements by the client indicates an understanding of the teaching
a. I’ll insert the obturator after cleaning my stoma
b. I’ll cut a slit in a clean gauze pad to use as a stoma dressing
c. I’ll cleanse the cannula with half strength hydrogen peroxide
d. I’ll remove the soiled tracheostomy ties prior to cleaning my stoma
13. A nurse is caring for a client who has a sealed radiation implant which of the following actions should the
nurse take?
a. Limit family member visits to 30 min per day – pg. 583
➢ Limit visitors to 30-min visits, and have visitors maintain 6 feet distance from the source
b. Give the dosimeter badge to the oncoming nurse at the end of the shift
c. Apply second pair of gloves before touching the clients implant if it dislodges
d. Remove soiled linens from the room after each change
14. A nurse is reviewing the medical record of a client who has pneumonia. Which of the following serum
laboratory values should the nurse expect?
a. WBC count 15,000/mm
b. Hematocrit 35%
c. Sodium 130 mg/dl
d. BUN 8 mg/dl
15. A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm.
Which of the following actions should the nurse include in the plan of care?
a. Instruct the client to avoid lifting the right arm for 72 hr
b. Check blood pressure in the right arm
c. Palpate the site for thrill
d. Insert a saline lock into a site 10 cm (4in) distal to the graft
16. A nurse in the emergency department is caring for a client who has a gunshot wound to the abdomen.
which of the following should the nurse take first?
a. Check the color of the client’s skin – Assessment first
b. Prepare the client’s clothing
PREPARATION MATERIAL WITH Q&A 2026/2027
LATEST UPDATE
1. A nurse is caring for a client in the ER following a myocardial infarction. which of the following
actions should the nurse anticipate if the client develops asystole?
a. Administer atropine
b. Defibrillate with 200 joules
c. Starts a continuous lidocaine infusion
d. Begin CPR – first line of medical management is CPR and ACLS.
2. A nurse is caring for a client with severe burn injury. The nurse should recognize which of the following client
findings as an indication of hypovolemic shock?
a. Potassium 5.2 mEq/L
b. Capillary refill 1.5 seconds
c. Urine output 45 mL/hr
d. PaCO3 37 mmHg
3. A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli the client
does not open her eyes, displays decerebrate posturing, and makes incomprehensible sounds.
Which of the following Glasgow coma scale scores should the nurse assign the client? a.
2
b. 5
c. 10
d. 13
4. A nurse is teaching a client who has heart failure about self-management techniques. Which of the following
statements by the client indicates an understanding of the teaching?
a. I will keep an exercise diary
,b. I will take ibuprofen for mild pain
, c. I will expect swelling in my feet and ankle
d. I will weigh myself every other day
12. A nurse is providing discharge teaching for a client who has new tracheostomy. Which of the following
statements by the client indicates an understanding of the teaching
a. I’ll insert the obturator after cleaning my stoma
b. I’ll cut a slit in a clean gauze pad to use as a stoma dressing
c. I’ll cleanse the cannula with half strength hydrogen peroxide
d. I’ll remove the soiled tracheostomy ties prior to cleaning my stoma
13. A nurse is caring for a client who has a sealed radiation implant which of the following actions should the
nurse take?
a. Limit family member visits to 30 min per day – pg. 583
➢ Limit visitors to 30-min visits, and have visitors maintain 6 feet distance from the source
b. Give the dosimeter badge to the oncoming nurse at the end of the shift
c. Apply second pair of gloves before touching the clients implant if it dislodges
d. Remove soiled linens from the room after each change
14. A nurse is reviewing the medical record of a client who has pneumonia. Which of the following serum
laboratory values should the nurse expect?
a. WBC count 15,000/mm
b. Hematocrit 35%
c. Sodium 130 mg/dl
d. BUN 8 mg/dl
15. A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm.
Which of the following actions should the nurse include in the plan of care?
a. Instruct the client to avoid lifting the right arm for 72 hr
b. Check blood pressure in the right arm
c. Palpate the site for thrill
d. Insert a saline lock into a site 10 cm (4in) distal to the graft
16. A nurse in the emergency department is caring for a client who has a gunshot wound to the abdomen.
which of the following should the nurse take first?
a. Check the color of the client’s skin – Assessment first
b. Prepare the client’s clothing
