1|Page
ATI RN ADVANCED MEDICAL SURGICAL PROCTORED VERSION 1
AND 2 LATEST 2026-2027 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
A patient is admitted to the hospital with severe renal colic. The
nurse's first priority in management of the patient is to
a. Administer opioids as prescribed
b. Obtain supplies for straining all urine
c. Encourage fluid intake of 3 to 4 L/day
d. Keep the patient NPO in preparation for surgery - ANSWER-a.
Administer opioids as prescribed
The nurse recommends genetic counseling for the children of a
patient with
a. Nephrotic syndrome
b. Chronic pyelonephritis
c. Malignant nephrosclerosis
d.Adult-Onset Polycystic Kidney disease - ANSWER-d.Adult-
Onset Polycystic Kidney disease
,2|Page
The nurse identifies a risk factor for kidney and bladder cancer in
a patient who relates a history of
a. Aspirin use
b. Tobacco use
c. Chronic alcohol abuse
d.Use of artificial sweeteners - ANSWER-b. Tobacco use
In planning nursing interventions to increased bladder control in
the patient with urinary incontinence, the nurse includes
a. Teaching the patient to use Kegel exercises
b. Clamping and releasing a catheter to increase bladder tone
c. Teaching the patient biofeedback mechanisms to suppress the
urge to void
d.Counseling the patient concerning choice of incontinence
containment device - ANSWER-a. Teaching the patient to use
Kegel exercises
,3|Page
A patient with a ureterolithotomy returns from surgery with a
nephrostomy tube in place. Postoperative nursing care of the
patient includes
a. Encouraging the patient to drink fruit juices and milk
b. Encouraging fluids of at least 2 to 3 L/day after nausea has
subsided
c. Irrigating the nephrostomy tube with 10mL of normal saline
solution as needed
d.Notifying the physician if nephrostomy tube drainage is more
than 30mL/hr - ANSWER-b. Encouraging fluids of at least 2 to 3
L/day after nausea has subsided
A patient has had cystectomy and ileal conduit diversion
performed. Four days postoperatively, mucous shreds are seen in
the drainage bag. The nurse should
a. Notify the physician
b. Notify the charge nurse
c. Irrigate the drainage tube
d.Document it as a normal observation - ANSWER-d.Document it
as a normal observation
, 4|Page
In assessing the joints of a patient with osteoarthritis, the nurse
understands that Bouchard's nodes
a. are often red, swollen, and tender
b. indicate osteophyte formation at the PIP joints
c. are the result of pannus formation at the DIP joints
d. occur from deterioration of cartilage by proteolytic enzymes -
ANSWER-b.Indicate osteophyte formation at the PIP joints
A patient with rheumatoid arthritis is experiencing articular
involvement. The nurse recognizes these characteristic changes
include (SATA)
a. bamboo shaped fingers
b. metatarsal head dislocation in feet
c. noninflammatory pain in large joints
d. asymmetric involvement of small joints
e. morning stiffness lasting 60 minutes or more - ANSWER-b.
Metatarsal head dislocation in feet
e. Morning stiffness lasting 60 minutes or more
ATI RN ADVANCED MEDICAL SURGICAL PROCTORED VERSION 1
AND 2 LATEST 2026-2027 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
A patient is admitted to the hospital with severe renal colic. The
nurse's first priority in management of the patient is to
a. Administer opioids as prescribed
b. Obtain supplies for straining all urine
c. Encourage fluid intake of 3 to 4 L/day
d. Keep the patient NPO in preparation for surgery - ANSWER-a.
Administer opioids as prescribed
The nurse recommends genetic counseling for the children of a
patient with
a. Nephrotic syndrome
b. Chronic pyelonephritis
c. Malignant nephrosclerosis
d.Adult-Onset Polycystic Kidney disease - ANSWER-d.Adult-
Onset Polycystic Kidney disease
,2|Page
The nurse identifies a risk factor for kidney and bladder cancer in
a patient who relates a history of
a. Aspirin use
b. Tobacco use
c. Chronic alcohol abuse
d.Use of artificial sweeteners - ANSWER-b. Tobacco use
In planning nursing interventions to increased bladder control in
the patient with urinary incontinence, the nurse includes
a. Teaching the patient to use Kegel exercises
b. Clamping and releasing a catheter to increase bladder tone
c. Teaching the patient biofeedback mechanisms to suppress the
urge to void
d.Counseling the patient concerning choice of incontinence
containment device - ANSWER-a. Teaching the patient to use
Kegel exercises
,3|Page
A patient with a ureterolithotomy returns from surgery with a
nephrostomy tube in place. Postoperative nursing care of the
patient includes
a. Encouraging the patient to drink fruit juices and milk
b. Encouraging fluids of at least 2 to 3 L/day after nausea has
subsided
c. Irrigating the nephrostomy tube with 10mL of normal saline
solution as needed
d.Notifying the physician if nephrostomy tube drainage is more
than 30mL/hr - ANSWER-b. Encouraging fluids of at least 2 to 3
L/day after nausea has subsided
A patient has had cystectomy and ileal conduit diversion
performed. Four days postoperatively, mucous shreds are seen in
the drainage bag. The nurse should
a. Notify the physician
b. Notify the charge nurse
c. Irrigate the drainage tube
d.Document it as a normal observation - ANSWER-d.Document it
as a normal observation
, 4|Page
In assessing the joints of a patient with osteoarthritis, the nurse
understands that Bouchard's nodes
a. are often red, swollen, and tender
b. indicate osteophyte formation at the PIP joints
c. are the result of pannus formation at the DIP joints
d. occur from deterioration of cartilage by proteolytic enzymes -
ANSWER-b.Indicate osteophyte formation at the PIP joints
A patient with rheumatoid arthritis is experiencing articular
involvement. The nurse recognizes these characteristic changes
include (SATA)
a. bamboo shaped fingers
b. metatarsal head dislocation in feet
c. noninflammatory pain in large joints
d. asymmetric involvement of small joints
e. morning stiffness lasting 60 minutes or more - ANSWER-b.
Metatarsal head dislocation in feet
e. Morning stiffness lasting 60 minutes or more
