ATI MED SURG PROCTORED PRACTICE
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ A nurse is monitoring an older adult client who has an exacerbation of
chronic lymphocytic leukemia. The nurse notes petechiae on the client's
skin. 1.Institute bleeding precautions 2.Determine the client's blood type
3.Avoid administering IV pain medication 4.Implement airborne
precautions.
Answer: 1.Institute bleeding precautions
◍ A nurse is teaching a client who has AIDS and wishes to continue self care
at home despite living alone. Which of the following actions by the nurse
demonstrates client advocacy? a) Remind the client of the importance of the
medication adherence b) Initiate a referral for the client to a home health
agency c) instruct the client to avoid eating raw vegetables d) tell the client
to avoid places where there are a large crowds of people.
Answer: b) Initiate a referral for the client to a home health agency
◍ Pneumonia.
Answer: inflammatory process in the lungs that produces excess fluid and
exudate that fill the alveoli; classified as bacterial, viral, fungal, or chemical
◍ Medications for TB.
Answer: -administer medications on an empty stomach at the same time
every day-medications should be taken for 6 to 12 months, as
directed-Instruct the client to watch for indications of hepatotoxicity,
nephrotoxicity, and/or visual changes, and to notify a provider if any of
these are noted. -isoniazid (INH) -Rifampin -Pyrazinamide -streptomycin
-ethambutol
,◍ A nurse is providing discharge teaching to a client following a modified left
mastectomy with breast expander. Which of the following statements by the
client indicates an understanding of the teaching? 1.I will perform
strength-building arm exercises using a 15-pound weight 2.I should expect
less than 25 mL of secretions per day in the drainage devices 3.I will keep
my left arm flexed at the elbow as much as possible 4.I will have to wait 2
months before additional saline can be added to my breast expander.
Answer: 2.I should expect less than 25 mL of secretions per day in the
drainage devices
◍ A nurse is monitoring a client who is receiving two units packed RBC's.
Which of the following manifestation indicates a hemolytic transfusion
reaction? a) back pain b) Hypertension c) Chills d) bradycardia.
Answer: a) back pain
◍ A nurse is an emergency department is reviewing a client's ECG reading.
Which of the following findings should the nurse identify as an indication
that the client has a first degree heart block?a) more p waves than QRS
complexes b) prolonged PR intervals c) non discernible P waves d) no
correlation between P and QRS waves.
Answer: b) prolonged PR intervals
◍ A nurse is caring for a client who is scheduled for an abdominal
paracentesis. The nurse should plan to take which of the following actions?
a) Administer a stool softener following the procedure b) ask the client to
empty his bladder prior to the procedure c) instruct the client to take deep
breaths and hold them during the procedure d) assist the client into the left
lateral position during the procedure.
Answer: b) ask the client to empty his bladder prior to the procedure
◍ A nurse is planning care for a client who has a full-thickness burns on the
lower extremities. Which of the following interventions should the nurse
include? a) Limit visitation time for client's children to 40 minutes per day
b) clean the equipment in the client's room once per week c) provide a diet
of fresh fruits and vegetable for the client d) apply new gloves when
, alternating between wound care sites.
Answer: d) apply new gloves when alternating between wound care sites
◍ Education and referral for COPD.
Answer: -breathing techniques-oxygen
therapy-medications-nutrition-promote smoking cessation-infection
prevention measures-encourage immunizations for pneumonia and
influenza-pulmonary rehabilitation-activity pacing
◍ Therapeutic measures for lung cancer.
Answer: -Palliative care -medication -Thoracentesis-Surgical -tumor
excision -pneumonectomy, lobectomy, wedge resection -radiation
◍ Medications for lung cancer.
Answer: -chemotherapeutic agents-opioid narcotics
◍ Antidote for Curare.
Answer: edrophonium
◍ A nurse is caring for a client who is postoperative following coronary artery
bypass surgery and reports shortness of breath. The nurse administers
oxygen at 3 L/min and obtains arterial blood gases 60 min later. Which of
the following laboratory findings indicates a positive response to the oxygen
therapy? 1.pH 7.32 2.PaCO2 34 mm Hg 3.Pa02 90 mm Hg 4.Bicarbonate 20
mEq/L.
Answer: 3.Pa02 90 mm Hg
◍ A nurse is preparing to administer peritoneal dialysis to a client. Which of
the following actions should the nurse take? 1.Use clean technique to access
the catheter 2.Chill the dialysate before administration 3.Hang the drainage
bag below the client's abdomen 4.Place the client in high-Fowler's position..
Answer: 3.Hang the drainage bag below the client's abdomen
◍ A nurse is collecting a medical history from an older adult client who has
hypertension and new prescription of nadolol. Which of the following
findings should the nurse report to the provider? a. cataracts b. GERD c.
Asthma d. Hypothyroidism.
, Answer: c. Asthma
◍ -pril.
Answer: ACE inhibitor
◍ A nurse is providing instructions about foot care for a client who has
peripheral arterial disease. The nurse should identify that which of the
following statements by the client indicates an understanding of the
teaching? 1.I apply a lubricating lotion to the cracked areas on the soles of
my feet every morning 2.I use my heating pad on a low setting to keep my
feet warm 3.I soak my feet in hot water before trimming my toenails 4.I rest
in my recliner with my feet elevated for about an hour every afternoon.
Answer: 4.I rest in my recliner with my feet elevated for about an hour every
afternoon
◍ A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and
distended jugular veins. The nurse should anticipate administering which of
the following prescribed medications? 1.Acetaminophen 2.Furosemide
3.Diphenhydramine 4.Pantoprazole.
Answer: 2.Furosemide
◍ A nurse in an emergency department is preparing a client for emergency
surgery. The client's blood alcohol level is 180 mg / DL which of the
following action is the nurse's priority? a) Insert an NG Tube b) obtain
consent for surgery c) apply anti embolic stockings d) insert an indwelling
urinary catheter.
Answer: a) Insert an NG Tube
◍ A nurse is caring for a client who is 6 hr. postoperative following a
thyroidectomy. The client reports tingling and numbness in the hands. The
nurse should identify this as a sign of which of the following electrolyte
imbalances? 1.Hypernatremia 2.Hypocalcemia 3.Hypermagnesemia
4.Hypokalemia.
Answer: 2.Hypocalcemia
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ A nurse is monitoring an older adult client who has an exacerbation of
chronic lymphocytic leukemia. The nurse notes petechiae on the client's
skin. 1.Institute bleeding precautions 2.Determine the client's blood type
3.Avoid administering IV pain medication 4.Implement airborne
precautions.
Answer: 1.Institute bleeding precautions
◍ A nurse is teaching a client who has AIDS and wishes to continue self care
at home despite living alone. Which of the following actions by the nurse
demonstrates client advocacy? a) Remind the client of the importance of the
medication adherence b) Initiate a referral for the client to a home health
agency c) instruct the client to avoid eating raw vegetables d) tell the client
to avoid places where there are a large crowds of people.
Answer: b) Initiate a referral for the client to a home health agency
◍ Pneumonia.
Answer: inflammatory process in the lungs that produces excess fluid and
exudate that fill the alveoli; classified as bacterial, viral, fungal, or chemical
◍ Medications for TB.
Answer: -administer medications on an empty stomach at the same time
every day-medications should be taken for 6 to 12 months, as
directed-Instruct the client to watch for indications of hepatotoxicity,
nephrotoxicity, and/or visual changes, and to notify a provider if any of
these are noted. -isoniazid (INH) -Rifampin -Pyrazinamide -streptomycin
-ethambutol
,◍ A nurse is providing discharge teaching to a client following a modified left
mastectomy with breast expander. Which of the following statements by the
client indicates an understanding of the teaching? 1.I will perform
strength-building arm exercises using a 15-pound weight 2.I should expect
less than 25 mL of secretions per day in the drainage devices 3.I will keep
my left arm flexed at the elbow as much as possible 4.I will have to wait 2
months before additional saline can be added to my breast expander.
Answer: 2.I should expect less than 25 mL of secretions per day in the
drainage devices
◍ A nurse is monitoring a client who is receiving two units packed RBC's.
Which of the following manifestation indicates a hemolytic transfusion
reaction? a) back pain b) Hypertension c) Chills d) bradycardia.
Answer: a) back pain
◍ A nurse is an emergency department is reviewing a client's ECG reading.
Which of the following findings should the nurse identify as an indication
that the client has a first degree heart block?a) more p waves than QRS
complexes b) prolonged PR intervals c) non discernible P waves d) no
correlation between P and QRS waves.
Answer: b) prolonged PR intervals
◍ A nurse is caring for a client who is scheduled for an abdominal
paracentesis. The nurse should plan to take which of the following actions?
a) Administer a stool softener following the procedure b) ask the client to
empty his bladder prior to the procedure c) instruct the client to take deep
breaths and hold them during the procedure d) assist the client into the left
lateral position during the procedure.
Answer: b) ask the client to empty his bladder prior to the procedure
◍ A nurse is planning care for a client who has a full-thickness burns on the
lower extremities. Which of the following interventions should the nurse
include? a) Limit visitation time for client's children to 40 minutes per day
b) clean the equipment in the client's room once per week c) provide a diet
of fresh fruits and vegetable for the client d) apply new gloves when
, alternating between wound care sites.
Answer: d) apply new gloves when alternating between wound care sites
◍ Education and referral for COPD.
Answer: -breathing techniques-oxygen
therapy-medications-nutrition-promote smoking cessation-infection
prevention measures-encourage immunizations for pneumonia and
influenza-pulmonary rehabilitation-activity pacing
◍ Therapeutic measures for lung cancer.
Answer: -Palliative care -medication -Thoracentesis-Surgical -tumor
excision -pneumonectomy, lobectomy, wedge resection -radiation
◍ Medications for lung cancer.
Answer: -chemotherapeutic agents-opioid narcotics
◍ Antidote for Curare.
Answer: edrophonium
◍ A nurse is caring for a client who is postoperative following coronary artery
bypass surgery and reports shortness of breath. The nurse administers
oxygen at 3 L/min and obtains arterial blood gases 60 min later. Which of
the following laboratory findings indicates a positive response to the oxygen
therapy? 1.pH 7.32 2.PaCO2 34 mm Hg 3.Pa02 90 mm Hg 4.Bicarbonate 20
mEq/L.
Answer: 3.Pa02 90 mm Hg
◍ A nurse is preparing to administer peritoneal dialysis to a client. Which of
the following actions should the nurse take? 1.Use clean technique to access
the catheter 2.Chill the dialysate before administration 3.Hang the drainage
bag below the client's abdomen 4.Place the client in high-Fowler's position..
Answer: 3.Hang the drainage bag below the client's abdomen
◍ A nurse is collecting a medical history from an older adult client who has
hypertension and new prescription of nadolol. Which of the following
findings should the nurse report to the provider? a. cataracts b. GERD c.
Asthma d. Hypothyroidism.
, Answer: c. Asthma
◍ -pril.
Answer: ACE inhibitor
◍ A nurse is providing instructions about foot care for a client who has
peripheral arterial disease. The nurse should identify that which of the
following statements by the client indicates an understanding of the
teaching? 1.I apply a lubricating lotion to the cracked areas on the soles of
my feet every morning 2.I use my heating pad on a low setting to keep my
feet warm 3.I soak my feet in hot water before trimming my toenails 4.I rest
in my recliner with my feet elevated for about an hour every afternoon.
Answer: 4.I rest in my recliner with my feet elevated for about an hour every
afternoon
◍ A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and
distended jugular veins. The nurse should anticipate administering which of
the following prescribed medications? 1.Acetaminophen 2.Furosemide
3.Diphenhydramine 4.Pantoprazole.
Answer: 2.Furosemide
◍ A nurse in an emergency department is preparing a client for emergency
surgery. The client's blood alcohol level is 180 mg / DL which of the
following action is the nurse's priority? a) Insert an NG Tube b) obtain
consent for surgery c) apply anti embolic stockings d) insert an indwelling
urinary catheter.
Answer: a) Insert an NG Tube
◍ A nurse is caring for a client who is 6 hr. postoperative following a
thyroidectomy. The client reports tingling and numbness in the hands. The
nurse should identify this as a sign of which of the following electrolyte
imbalances? 1.Hypernatremia 2.Hypocalcemia 3.Hypermagnesemia
4.Hypokalemia.
Answer: 2.Hypocalcemia
