ATI MED-SURG PROCTORED EXAM A & B
AND C 2026 – STUDY GUIDE ALL QUESTIONS
AND ANSWERS WITH RATIONALES LATEST
2026 AGRADE
A nurse is caring for a client who has hepatic encephalopathy that is being treated with
lactulose. The client is experiencing excessive stools. Which of the following findings is an
adverse effect of this medication? - answer-Hypokalemia
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client appears anxious and restless, and the high-pressure alarm is sounding. Which of the
following actions should the nurse take first? - answer-Instruct the client to allow the machine
to breathe for them.
A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this
risk, which of the following dietary alterations should the nurse recommend? - answer-Add
cabbage to the diet.
A home health nurse is assigned to a client who was recently discharged from a rehabilitation
center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits
should the nurse expect to find when assessing the client? (Select all that apply.) - answer-Visual
spatial deficits, Left hemianopsia, One-sided neglect
A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter readings have
fluctuated between 79% and 88% for the last 30 min. Which of the following oxygen delivery
systems should the nurse initiate to provide the highest concentration of oxygen? - answer-
Nonrebreather mask
1
, A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The client has
dyspnea with a productive cough and is using accessory muscles to breathe. Which of the
following actions should the nurse take first? - answer-Place the client in high-Fowler's position.
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precautions should the nurse include in the plan
of care to prevent a Pseudomonas aeruginosa infection? - answer-Avoid placing plants or
flowers in the client's room.
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration? - answer-Urine specific gravity 1.045
A nurse in an emergency department is reviewing the provider's prescriptions for a client who
sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the
nurse expect? - answer-Administer an opioid analgesic to the client.
A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority
on which of the following findings? - answer-Dysphagia
A nurse is teaching a young adult client how to perform testicular self-examination. Which of
the following instructions should the nurse include? - answer-Roll each testicle between the
thumb and fingers.
A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
prescription for metformin. Which of the following statements by the client indicates an
understanding of the teaching? - answer-"I should take this medication with a meal."
A nurse is teaching a client who has venous insufficiency about self-care. Which of the following
statements should the nurse identify as an indication that the client understands the teaching? -
2
AND C 2026 – STUDY GUIDE ALL QUESTIONS
AND ANSWERS WITH RATIONALES LATEST
2026 AGRADE
A nurse is caring for a client who has hepatic encephalopathy that is being treated with
lactulose. The client is experiencing excessive stools. Which of the following findings is an
adverse effect of this medication? - answer-Hypokalemia
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client appears anxious and restless, and the high-pressure alarm is sounding. Which of the
following actions should the nurse take first? - answer-Instruct the client to allow the machine
to breathe for them.
A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this
risk, which of the following dietary alterations should the nurse recommend? - answer-Add
cabbage to the diet.
A home health nurse is assigned to a client who was recently discharged from a rehabilitation
center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits
should the nurse expect to find when assessing the client? (Select all that apply.) - answer-Visual
spatial deficits, Left hemianopsia, One-sided neglect
A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter readings have
fluctuated between 79% and 88% for the last 30 min. Which of the following oxygen delivery
systems should the nurse initiate to provide the highest concentration of oxygen? - answer-
Nonrebreather mask
1
, A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The client has
dyspnea with a productive cough and is using accessory muscles to breathe. Which of the
following actions should the nurse take first? - answer-Place the client in high-Fowler's position.
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precautions should the nurse include in the plan
of care to prevent a Pseudomonas aeruginosa infection? - answer-Avoid placing plants or
flowers in the client's room.
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration? - answer-Urine specific gravity 1.045
A nurse in an emergency department is reviewing the provider's prescriptions for a client who
sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the
nurse expect? - answer-Administer an opioid analgesic to the client.
A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority
on which of the following findings? - answer-Dysphagia
A nurse is teaching a young adult client how to perform testicular self-examination. Which of
the following instructions should the nurse include? - answer-Roll each testicle between the
thumb and fingers.
A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
prescription for metformin. Which of the following statements by the client indicates an
understanding of the teaching? - answer-"I should take this medication with a meal."
A nurse is teaching a client who has venous insufficiency about self-care. Which of the following
statements should the nurse identify as an indication that the client understands the teaching? -
2
