ATI RN ADULT MEDICAL
SURGICAL PROCTORED EXAM
2025/2026 BANK COMPLETE 200
QUESTIONS AND ANSWERS
ACCURATE ACTUAL EXAM
WITH FREQUENTLY TESTED
QUESTIONS AND STUDY GUIDE
/ EXPERT VERIFIED FOR
GUARANTEED PASS/ALREADY
GRADED A+
,Anaphylactic transfusion reaction s/s: - ANSWER --wheezing
-dyspnea
-chest tightness
-cyanosis
-hypotension
Treatment for circulatory overload: - ANSWER --O2 therapy
-vital sign monitoring
-slow the rate of infusion
-admin diuretics as prescribed
Removing a PICC: - ANSWER -remove using direct pressure w/gauze sponge until bleeding stops
apply cool compresses
elevation of arm is optional
Central venous access device care: - ANSWER --remove tubing & solution bag every 24 hr
-DO NOT use line for other bolus IV solutions
-sterile dressing changes
-check cap glucose Q 4-6 hr
Expected outcome of magnesium sulfate for electrolyte imbalances: - ANSWER -decreased seizures
increased magnesium levels
limit cerebral edema
CNS & resp depressant effects
,Evaluating a client on Lisinopril: - ANSWER --cough is a side effect
-angioedema (facial/throat swelling)
-elevated K+ is a side effect so monitor K+ in diet
Client teaching on use of Furosemide: - ANSWER --monitor for hypokalemia effects
-eat more K+ foods
-increased peeing is normal
-take in the morning before breakfast to prevent nocturia
Client teaching for self-admin of alendronate (fosamax): - ANSWER --take w/ 8 oz of water in the early
morning before eating
-remain upright for 30 min after taking
Preventing AKI: - ANSWER --fluid resuscitation
-smoking cessation
-weight loss
-NSAID use monitoring
-control DM & HTN
-take prescribed abx
Managing cancer pt breakthrough pain: - ANSWER -opioids (morphine, meperidine, hydromorphone,
oxycodone, fentanyl)
combinations indicated: acetaminophen & oxy
Preparing a client for a lumbar puncture: - ANSWER --remove all jewelry
-void prior
-cannonball position, side lying with knees to chest or sitting stretched over an overbed table
Lab values for evaluating effective glycemic control in diabetic pts: - ANSWER -HbA1c 4-6% no more than
7%
, 2 hr glucose tolerance test greater than 200 is bad
fasting blood glucose greater than 126 is bad
Client teaching following a partial glossectomy: - ANSWER --speech therapist/pathologist
-avoid mouth washes with alcohol or lemon glycerin swabs
-rinse mouth w/warm sodium bicarbonate or 0.9% sodium chloride
-report swallowing difficulty
-HOB elevated
-thicken liquids
-cleanse toothbrush after each use
-temp/permenant taste changes may happen
Paracentesis actions: - ANSWER --informed consent
-labs (BUN, creat, albumin, protein, glucose)
-void or urinary cath
-high fowlers
-review baseline vitals & abd girth
-admin sedation as prescribed
-admin IV bolus fluids or albumin prior to & after
Planning to admin thrombolytic therapy to a client who had a stroke... - ANSWER -admin within 4.5
hours of onset of initial symptoms
What would cause the nurse to question the prescription of a provider on a client with a chest tube? -
ANSWER --milk the tubing 1x/day
-Strip the drainage tubing to check for kinks
also question clamping as this can cause tension pneumothorax
SURGICAL PROCTORED EXAM
2025/2026 BANK COMPLETE 200
QUESTIONS AND ANSWERS
ACCURATE ACTUAL EXAM
WITH FREQUENTLY TESTED
QUESTIONS AND STUDY GUIDE
/ EXPERT VERIFIED FOR
GUARANTEED PASS/ALREADY
GRADED A+
,Anaphylactic transfusion reaction s/s: - ANSWER --wheezing
-dyspnea
-chest tightness
-cyanosis
-hypotension
Treatment for circulatory overload: - ANSWER --O2 therapy
-vital sign monitoring
-slow the rate of infusion
-admin diuretics as prescribed
Removing a PICC: - ANSWER -remove using direct pressure w/gauze sponge until bleeding stops
apply cool compresses
elevation of arm is optional
Central venous access device care: - ANSWER --remove tubing & solution bag every 24 hr
-DO NOT use line for other bolus IV solutions
-sterile dressing changes
-check cap glucose Q 4-6 hr
Expected outcome of magnesium sulfate for electrolyte imbalances: - ANSWER -decreased seizures
increased magnesium levels
limit cerebral edema
CNS & resp depressant effects
,Evaluating a client on Lisinopril: - ANSWER --cough is a side effect
-angioedema (facial/throat swelling)
-elevated K+ is a side effect so monitor K+ in diet
Client teaching on use of Furosemide: - ANSWER --monitor for hypokalemia effects
-eat more K+ foods
-increased peeing is normal
-take in the morning before breakfast to prevent nocturia
Client teaching for self-admin of alendronate (fosamax): - ANSWER --take w/ 8 oz of water in the early
morning before eating
-remain upright for 30 min after taking
Preventing AKI: - ANSWER --fluid resuscitation
-smoking cessation
-weight loss
-NSAID use monitoring
-control DM & HTN
-take prescribed abx
Managing cancer pt breakthrough pain: - ANSWER -opioids (morphine, meperidine, hydromorphone,
oxycodone, fentanyl)
combinations indicated: acetaminophen & oxy
Preparing a client for a lumbar puncture: - ANSWER --remove all jewelry
-void prior
-cannonball position, side lying with knees to chest or sitting stretched over an overbed table
Lab values for evaluating effective glycemic control in diabetic pts: - ANSWER -HbA1c 4-6% no more than
7%
, 2 hr glucose tolerance test greater than 200 is bad
fasting blood glucose greater than 126 is bad
Client teaching following a partial glossectomy: - ANSWER --speech therapist/pathologist
-avoid mouth washes with alcohol or lemon glycerin swabs
-rinse mouth w/warm sodium bicarbonate or 0.9% sodium chloride
-report swallowing difficulty
-HOB elevated
-thicken liquids
-cleanse toothbrush after each use
-temp/permenant taste changes may happen
Paracentesis actions: - ANSWER --informed consent
-labs (BUN, creat, albumin, protein, glucose)
-void or urinary cath
-high fowlers
-review baseline vitals & abd girth
-admin sedation as prescribed
-admin IV bolus fluids or albumin prior to & after
Planning to admin thrombolytic therapy to a client who had a stroke... - ANSWER -admin within 4.5
hours of onset of initial symptoms
What would cause the nurse to question the prescription of a provider on a client with a chest tube? -
ANSWER --milk the tubing 1x/day
-Strip the drainage tubing to check for kinks
also question clamping as this can cause tension pneumothorax
