PN MED SURG PROCTORED – ATI PN MEDICAL
SURGICAL EXAM 2026-2027 ACTUAL EXAM
QUESTIONS WITH VERIFIED CORRECT
ANSWERS | GRADED A+
1. A nurse is reviewing the medical record of a client who has a prescription for morphine.
Which of the following findings should the nurse report to the provider?
A. Bradycardia
B. Diarrhea
C. Urinary retention
D. Hypoglycemia
Correct Answer: C
2. A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the
following actions should the nurse take?
A. Keep the head of the bed elevated at 45 degrees
B. Position pillows between the bony prominences
C. Massage the reddened areas
D. Apply a donut- shaped cushion
Correct Answer: B
3. A nurse is caring for a client who is postoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take first?
A. Administer diphenhydramine
B. Stop the medication infusion
C. Slow the infusion rate
D. Notify the provider
Correct Answer: B
4. A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following
information should the nurse include?
A. Treatment consists of a single dose of antiviral medication
B. You can resume sexual activity as soon as symptoms resolve
C. Abstain from sexual activity for 7 days after treatment
,D. You are at risk for infertility with this infection, regardless of treatment
Correct Answer: D
5. A nurse is examining a client’s IV site and notes a red line up his arm. The client reports
a throbbing, burning pain at the IV site. The nurse should identify that the client’s
manifestations indicate which of the following complications?
A. Infiltration
B. Extravasation
C. Thrombophlebitis
D. Circulatory overload
Correct Answer: C
6. A nurse is reinforcing teaching with an adolescent client regarding testicular
self- examination. Which of the following statements by the client demonstrates an
understanding of the teaching?
A. “I will perform the exam every 6 months.”
B. “I will squeeze each testicle firmly to feel for lumps.”
C. “I should perform the exam after a hot shower.”
D. “I understand that testicular cancer is painless.”
Correct Answer: D
7. A nurse in a long- term care facility is collecting data from a client who reports fullness in
the rectum and abdominal cramping. Which of the following findings should indicate to the
nurse that the client might have a fecal impaction?
A. Clay- colored stools
B. Large formed stools
C. Black tarry stools
D. Small liquid stools
Correct Answer: D
8. A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client
who has skin cancer. Which of the following information should the nurse include in the
teaching?
A. Mohs surgery removes the entire tumor with a wide margin in one piece
B. Mohs surgery is a horizontal shaving of thin layers of the tumor
C. Mohs surgery uses liquid nitrogen to freeze the lesion
D. Mohs surgery is used only for metastatic melanoma
Correct Answer: B
9. A nurse is reinforcing teaching about GERD with a client. Which of the following
statements by the client indicates an understanding of the teaching?
A. “I will increase my intake of fried foods.”
, B. “I should drink orange juice every morning to reduce acid.”
C. “I will lie down for 30 minutes after meals.”
D. “I should wait at least 2 hours after eating before going to bed.”
Correct Answer: D
10. A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by
continuous IV infusion. The client reports pain and swelling at the IV site. In which order
should the nurse perform the following steps?
A. Stop the infusion, check the IV site, notify the charge nurse, elevate the arm, withdraw the
catheter
B. Check the IV site, stop the infusion, withdraw the IV catheter, elevate the affected arm, notify
the charge nurse
C. Notify the charge nurse, check the site, stop the infusion, withdraw the catheter, elevate the
arm
D. Elevate the arm, check the site, stop the infusion, withdraw the catheter, notify the charge
nurse
Correct Answer: B
11. A nurse is contributing to the plan of care for an older adult client who is at risk for
osteoporosis. Which of the following interventions should the nurse include to prevent bone
loss?
A. Provide a low- calcium diet
B. Encourage weight- bearing exercises
C. Limit fluid intake
D. Restrict protein intake
Correct Answer: B
12. A nurse is assisting with the care of a client who has a cardiac catheterization via the
right femoral artery. Which of the following actions should the nurse take to prevent
post- procedure complications?
A. Check the client’s peripheral pulses, monitor the insertion site for bleeding, maintain the
pressure dressing
B. Monitor the insertion site for bleeding, maintain the pressure dressing, check the client’s
peripheral pulses
C. Maintain the pressure dressing, check the client’s peripheral pulses, monitor the insertion site
for bleeding
D. Monitor the insertion site for bleeding, check the client’s peripheral pulses, maintain the
pressure dressing
Correct Answer: B (the exact order is not critical; the original indicated all three as correct
actions)
SURGICAL EXAM 2026-2027 ACTUAL EXAM
QUESTIONS WITH VERIFIED CORRECT
ANSWERS | GRADED A+
1. A nurse is reviewing the medical record of a client who has a prescription for morphine.
Which of the following findings should the nurse report to the provider?
A. Bradycardia
B. Diarrhea
C. Urinary retention
D. Hypoglycemia
Correct Answer: C
2. A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the
following actions should the nurse take?
A. Keep the head of the bed elevated at 45 degrees
B. Position pillows between the bony prominences
C. Massage the reddened areas
D. Apply a donut- shaped cushion
Correct Answer: B
3. A nurse is caring for a client who is postoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take first?
A. Administer diphenhydramine
B. Stop the medication infusion
C. Slow the infusion rate
D. Notify the provider
Correct Answer: B
4. A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following
information should the nurse include?
A. Treatment consists of a single dose of antiviral medication
B. You can resume sexual activity as soon as symptoms resolve
C. Abstain from sexual activity for 7 days after treatment
,D. You are at risk for infertility with this infection, regardless of treatment
Correct Answer: D
5. A nurse is examining a client’s IV site and notes a red line up his arm. The client reports
a throbbing, burning pain at the IV site. The nurse should identify that the client’s
manifestations indicate which of the following complications?
A. Infiltration
B. Extravasation
C. Thrombophlebitis
D. Circulatory overload
Correct Answer: C
6. A nurse is reinforcing teaching with an adolescent client regarding testicular
self- examination. Which of the following statements by the client demonstrates an
understanding of the teaching?
A. “I will perform the exam every 6 months.”
B. “I will squeeze each testicle firmly to feel for lumps.”
C. “I should perform the exam after a hot shower.”
D. “I understand that testicular cancer is painless.”
Correct Answer: D
7. A nurse in a long- term care facility is collecting data from a client who reports fullness in
the rectum and abdominal cramping. Which of the following findings should indicate to the
nurse that the client might have a fecal impaction?
A. Clay- colored stools
B. Large formed stools
C. Black tarry stools
D. Small liquid stools
Correct Answer: D
8. A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client
who has skin cancer. Which of the following information should the nurse include in the
teaching?
A. Mohs surgery removes the entire tumor with a wide margin in one piece
B. Mohs surgery is a horizontal shaving of thin layers of the tumor
C. Mohs surgery uses liquid nitrogen to freeze the lesion
D. Mohs surgery is used only for metastatic melanoma
Correct Answer: B
9. A nurse is reinforcing teaching about GERD with a client. Which of the following
statements by the client indicates an understanding of the teaching?
A. “I will increase my intake of fried foods.”
, B. “I should drink orange juice every morning to reduce acid.”
C. “I will lie down for 30 minutes after meals.”
D. “I should wait at least 2 hours after eating before going to bed.”
Correct Answer: D
10. A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by
continuous IV infusion. The client reports pain and swelling at the IV site. In which order
should the nurse perform the following steps?
A. Stop the infusion, check the IV site, notify the charge nurse, elevate the arm, withdraw the
catheter
B. Check the IV site, stop the infusion, withdraw the IV catheter, elevate the affected arm, notify
the charge nurse
C. Notify the charge nurse, check the site, stop the infusion, withdraw the catheter, elevate the
arm
D. Elevate the arm, check the site, stop the infusion, withdraw the catheter, notify the charge
nurse
Correct Answer: B
11. A nurse is contributing to the plan of care for an older adult client who is at risk for
osteoporosis. Which of the following interventions should the nurse include to prevent bone
loss?
A. Provide a low- calcium diet
B. Encourage weight- bearing exercises
C. Limit fluid intake
D. Restrict protein intake
Correct Answer: B
12. A nurse is assisting with the care of a client who has a cardiac catheterization via the
right femoral artery. Which of the following actions should the nurse take to prevent
post- procedure complications?
A. Check the client’s peripheral pulses, monitor the insertion site for bleeding, maintain the
pressure dressing
B. Monitor the insertion site for bleeding, maintain the pressure dressing, check the client’s
peripheral pulses
C. Maintain the pressure dressing, check the client’s peripheral pulses, monitor the insertion site
for bleeding
D. Monitor the insertion site for bleeding, check the client’s peripheral pulses, maintain the
pressure dressing
Correct Answer: B (the exact order is not critical; the original indicated all three as correct
actions)
