MEDICAL-SURGICAL ATI PROCTORED EXAM
COMPLETE TEST
BANK WITH VERIFIED QUESTIONS AND
CORRECT ANSWERS
PREPARATION RESOURCE 2026/2027
A nurse is caring for a client who has a contusion of the brainstem and reports
thirst. The client's urinary output was 4,000 ml over the past 24 hour. The nurse
should anticipate a prescription for which of the following IV medication? a.
Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside - CORRECT ANSWER>>>>a. Desmopressin
A nurse in a clinic receives a phone call from a client who recently started therapy
with an ACE inhibitor and reports a nagging dry cough. Which of the following
responses by the nurse is appropriate?
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time" - CORRECT ANSWER>>>>a. "your cough
may require that you stop or change your medication"
Page 1 of 31
,A nurse is taking an admission history from a client who reports Raynaud's
disease. Which of the following assessment findings should the nurse identify
as a potential trigger for exacerbations of Raynaud's?
a. Eating a strict vegetarian diet
b. A history of herpes zoster
c. Taking amiodipine for hypertension
d. Using a nicotine transdermal patch - CORRECT ANSWER>>>>d. Using a
nicotine transdermal patch
A nurse is caring for a client who has a central venous access device and notes the
tubing has become disconnected. The client develops dyspnea and tachycardia.
Which of the following actions should the nurse take first? a. Perform an ECG
b. Obtain ABG values
c. Turn the client to his left side
d. Clamp the catheter - CORRECT ANSWER>>>>d. Clamp the catheter
A nurse is completing an assessment of an older adult client and notes reddened
areas over the bony prominences, but the client's skin is intact. Which of the
following interventions should the nurse include in the plan of care? a. Turn and
reposition the client every 4 hr
b. Apply an occlusive dressing
c. Support bony prominences with pillows
d. Massage the reddened areas three times a day - CORRECT ANSWER>>>>c.
Support bony prominences with pillows
A home health nurse is making an initial visit to a client who has multiple
sclerosis. Which of the following actions is the priority for the nurse to take?
a. Discuss recommendations for eating and swallowing techniques
Page 2 of 31
,b. List strategies for family coping when dealing with possible role changes
c. Review the use of adaptive grooming devices to promote client independence
d. Give the client information about the local national multiple sclerosis society -
CORRECT ANSWER>>>>a. Discuss recommendations for eating and
swallowing techniques
A nurse in an emergency department is preparing to perform an ocular irrigation
for a client. Which of the following actions should the nurse plan to take? a.
Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation - CORRECT
ANSWER>>>>d. Perform the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at
200 ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many gtt/min
should the nurse set the IV pump to administer? Round to near whole number -
CORRECT ANSWER>>>>33 gtt/min
A nurse is providing discharge teaching to a client who has a new prescription for
sublingual nitroglycerin. Which of the following client statements indicates an
understanding of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
Page 3 of 31
, d. I can take up to five tablets in 15 minutes before seeking medical attention -
CORRECT ANSWER>>>>b. I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following a left
total hip arthroplasty. Which of the following instructions should the nurse include
in the teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom - CORRECT ANSWER>>>>d.
Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. Which of
the following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
d. Change the client's dressing every 8 hour - CORRECT ANSWER>>>>c.
Maintain the client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription
for crutches. Which of the following client statements indicates that the client is
adapting to their role change?
a. I will need to have my partner take over shopping for groceries and cooking the
meals for us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
Page 4 of 31
COMPLETE TEST
BANK WITH VERIFIED QUESTIONS AND
CORRECT ANSWERS
PREPARATION RESOURCE 2026/2027
A nurse is caring for a client who has a contusion of the brainstem and reports
thirst. The client's urinary output was 4,000 ml over the past 24 hour. The nurse
should anticipate a prescription for which of the following IV medication? a.
Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside - CORRECT ANSWER>>>>a. Desmopressin
A nurse in a clinic receives a phone call from a client who recently started therapy
with an ACE inhibitor and reports a nagging dry cough. Which of the following
responses by the nurse is appropriate?
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time" - CORRECT ANSWER>>>>a. "your cough
may require that you stop or change your medication"
Page 1 of 31
,A nurse is taking an admission history from a client who reports Raynaud's
disease. Which of the following assessment findings should the nurse identify
as a potential trigger for exacerbations of Raynaud's?
a. Eating a strict vegetarian diet
b. A history of herpes zoster
c. Taking amiodipine for hypertension
d. Using a nicotine transdermal patch - CORRECT ANSWER>>>>d. Using a
nicotine transdermal patch
A nurse is caring for a client who has a central venous access device and notes the
tubing has become disconnected. The client develops dyspnea and tachycardia.
Which of the following actions should the nurse take first? a. Perform an ECG
b. Obtain ABG values
c. Turn the client to his left side
d. Clamp the catheter - CORRECT ANSWER>>>>d. Clamp the catheter
A nurse is completing an assessment of an older adult client and notes reddened
areas over the bony prominences, but the client's skin is intact. Which of the
following interventions should the nurse include in the plan of care? a. Turn and
reposition the client every 4 hr
b. Apply an occlusive dressing
c. Support bony prominences with pillows
d. Massage the reddened areas three times a day - CORRECT ANSWER>>>>c.
Support bony prominences with pillows
A home health nurse is making an initial visit to a client who has multiple
sclerosis. Which of the following actions is the priority for the nurse to take?
a. Discuss recommendations for eating and swallowing techniques
Page 2 of 31
,b. List strategies for family coping when dealing with possible role changes
c. Review the use of adaptive grooming devices to promote client independence
d. Give the client information about the local national multiple sclerosis society -
CORRECT ANSWER>>>>a. Discuss recommendations for eating and
swallowing techniques
A nurse in an emergency department is preparing to perform an ocular irrigation
for a client. Which of the following actions should the nurse plan to take? a.
Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation - CORRECT
ANSWER>>>>d. Perform the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at
200 ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many gtt/min
should the nurse set the IV pump to administer? Round to near whole number -
CORRECT ANSWER>>>>33 gtt/min
A nurse is providing discharge teaching to a client who has a new prescription for
sublingual nitroglycerin. Which of the following client statements indicates an
understanding of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
Page 3 of 31
, d. I can take up to five tablets in 15 minutes before seeking medical attention -
CORRECT ANSWER>>>>b. I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following a left
total hip arthroplasty. Which of the following instructions should the nurse include
in the teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom - CORRECT ANSWER>>>>d.
Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. Which of
the following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
d. Change the client's dressing every 8 hour - CORRECT ANSWER>>>>c.
Maintain the client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription
for crutches. Which of the following client statements indicates that the client is
adapting to their role change?
a. I will need to have my partner take over shopping for groceries and cooking the
meals for us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
Page 4 of 31
