ATI RN ADULT MEDICAL SURGICAL
PROCTORED EXAM
270+ (Updated for 2026) Exam Prep Pack | A+ Questions & Verified Answers
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 270 Qs
This document, "ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM," covers specific topics in adult
medical-surgical nursing, including endoscopy procedures, wound care, sterile technique, cardiovascular
emergencies, and pharmacological interventions. It provides 270 questions with correct answers and
detailed explanations, accompanied by diagrams and images, offering a comprehensive review of key
concepts. Students can utilize this document to study, review, and gain a deeper understanding of these
concepts, enhancing their exam preparation and clinical decision-making skills.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
Endoscopy (EGD) positioning
CORRECT ANSWER
left side lying
RATIONALE: The correct positioning for an endoscopy (EGD) is "left side lying" because it allows the stomach to fall away
from the esophagus, thereby reducing the risk of aspiration and improving visualization of the esophagus and stomach. This
position also facilitates easier passage of the endoscope and reduces the risk of gastric distension, allowing for a more
effective and safe endoscopy procedure.
Trusted by thousands of students and professionals worldwide Page 1 of 90
, QUESTION 2
Before an Endoscopy (EGD):
CORRECT ANSWER
-NPO 6-8 hr
-remove dentures
RATIONALE: The correct answer, "-NPO 6-8 hr, remove dentures," is due to the risk of aspiration during an Endoscopy
(EGD), which is a procedure that involves inserting a flexible tube with a camera through the mouth to visualize the upper
digestive tract. By making the patient NPO (nil per os, meaning nothing by mouth) for 6-8 hours and removing dentures,
the risk of aspiration of food, liquids, or other objects can be minimized, ensuring a safe and successful procedure.
QUESTION 3
Gastroenteritis care plan:
CORRECT ANSWER
-restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
RATIONALE: This care plan addresses the symptoms and causes of gastroenteritis, which is often associated with diarrhea
and vomiting, by restricting dairy and caffeine to reduce fluid and electrolyte loss, and increasing fluid intake to replace lost
fluids. The contact precautions are implemented to prevent the spread of the infection, which can be highly contagious and
spread through direct contact with an infected person.
QUESTION 4
In what order do you open the sterile package?
CORRECT ANSWER
flap furthest from body, side flaps, then closest
RATIONALE: This order is necessary to prevent accidental contamination of the sterile items by touching them with gloved
hands that may have touched the packaging. By opening the package in this sequence, the sterile items are protected from
contact with the gloved hands until the last possible moment, ensuring asepsis is maintained.
Trusted by thousands of students and professionals worldwide Page 2 of 90
, QUESTION 5
A nurse has removed a sterile pack from its outside cover and place it on a clean work surface in
preparation for an invasive procedure. Which of the following flaps should the nurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body
CORRECT ANSWER
D
RATIONALE: This question requires the nurse to follow aseptic technique, which emphasizes minimizing contamination by
handling sterile items as little as possible. Therefore, the nurse should unfold the flap closest to the body first, as this
minimizes exposure to potential contaminants on the outside of the sterile pack and maintains the sterility of the contents.
QUESTION 6
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the following
objects can the nurse touch without breaking sterile technique (Select all that apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand
CORRECT ANSWER
C, D, E
RATIONALE: The nurse can touch the inner wrapping of an item on the sterile field (C) without breaking sterile technique
because the inner wrapping is considered part of the sterile item itself and is already included in the sterile field. This is
consistent with the concept of maintaining sterile technique, where only non-sterile items that are not in contact with the
sterile items or the sterile field can be touched.
Trusted by thousands of students and professionals worldwide Page 3 of 90
, QUESTION 7
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the
following events should the nurse recognize as contaminating the field (Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field
CORRECT ANSWER
B, C, D
RATIONALE: For option A, the provider dropping a sterile instrument onto the near side of the sterile field would not be
considered contaminating the field as long as the instrument is picked up and placed back on the sterile field without
touching any non-sterile surfaces.
Options B, C, E, and the act of turning to speak in D are all examples of contaminating the field, as they involve introducing
non-sterile surfaces or objects into the sterile area, compromising the sterility of the field.
QUESTION 8
TB is suspected, what precautionary actions to do?
CORRECT ANSWER
-negative airflow room, airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
RATIONALE: This response is based on the Centers for Disease Control and Prevention (CDC) guidelines for Tuberculosis
(TB) precautions, which recommend using airborne precautions to prevent the transmission of TB when it is suspected. The
specific actions outlined ensure that healthcare workers are protected from airborne transmission via N95 masks, and the
client is isolated to prevent transmission when leaving the room, with additional measures taken such as heated and
humidified oxygen therapy if prescribed.
Trusted by thousands of students and professionals worldwide Page 4 of 90
PROCTORED EXAM
270+ (Updated for 2026) Exam Prep Pack | A+ Questions & Verified Answers
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 270 Qs
This document, "ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM," covers specific topics in adult
medical-surgical nursing, including endoscopy procedures, wound care, sterile technique, cardiovascular
emergencies, and pharmacological interventions. It provides 270 questions with correct answers and
detailed explanations, accompanied by diagrams and images, offering a comprehensive review of key
concepts. Students can utilize this document to study, review, and gain a deeper understanding of these
concepts, enhancing their exam preparation and clinical decision-making skills.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
Endoscopy (EGD) positioning
CORRECT ANSWER
left side lying
RATIONALE: The correct positioning for an endoscopy (EGD) is "left side lying" because it allows the stomach to fall away
from the esophagus, thereby reducing the risk of aspiration and improving visualization of the esophagus and stomach. This
position also facilitates easier passage of the endoscope and reduces the risk of gastric distension, allowing for a more
effective and safe endoscopy procedure.
Trusted by thousands of students and professionals worldwide Page 1 of 90
, QUESTION 2
Before an Endoscopy (EGD):
CORRECT ANSWER
-NPO 6-8 hr
-remove dentures
RATIONALE: The correct answer, "-NPO 6-8 hr, remove dentures," is due to the risk of aspiration during an Endoscopy
(EGD), which is a procedure that involves inserting a flexible tube with a camera through the mouth to visualize the upper
digestive tract. By making the patient NPO (nil per os, meaning nothing by mouth) for 6-8 hours and removing dentures,
the risk of aspiration of food, liquids, or other objects can be minimized, ensuring a safe and successful procedure.
QUESTION 3
Gastroenteritis care plan:
CORRECT ANSWER
-restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
RATIONALE: This care plan addresses the symptoms and causes of gastroenteritis, which is often associated with diarrhea
and vomiting, by restricting dairy and caffeine to reduce fluid and electrolyte loss, and increasing fluid intake to replace lost
fluids. The contact precautions are implemented to prevent the spread of the infection, which can be highly contagious and
spread through direct contact with an infected person.
QUESTION 4
In what order do you open the sterile package?
CORRECT ANSWER
flap furthest from body, side flaps, then closest
RATIONALE: This order is necessary to prevent accidental contamination of the sterile items by touching them with gloved
hands that may have touched the packaging. By opening the package in this sequence, the sterile items are protected from
contact with the gloved hands until the last possible moment, ensuring asepsis is maintained.
Trusted by thousands of students and professionals worldwide Page 2 of 90
, QUESTION 5
A nurse has removed a sterile pack from its outside cover and place it on a clean work surface in
preparation for an invasive procedure. Which of the following flaps should the nurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body
CORRECT ANSWER
D
RATIONALE: This question requires the nurse to follow aseptic technique, which emphasizes minimizing contamination by
handling sterile items as little as possible. Therefore, the nurse should unfold the flap closest to the body first, as this
minimizes exposure to potential contaminants on the outside of the sterile pack and maintains the sterility of the contents.
QUESTION 6
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the following
objects can the nurse touch without breaking sterile technique (Select all that apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand
CORRECT ANSWER
C, D, E
RATIONALE: The nurse can touch the inner wrapping of an item on the sterile field (C) without breaking sterile technique
because the inner wrapping is considered part of the sterile item itself and is already included in the sterile field. This is
consistent with the concept of maintaining sterile technique, where only non-sterile items that are not in contact with the
sterile items or the sterile field can be touched.
Trusted by thousands of students and professionals worldwide Page 3 of 90
, QUESTION 7
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the
following events should the nurse recognize as contaminating the field (Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field
CORRECT ANSWER
B, C, D
RATIONALE: For option A, the provider dropping a sterile instrument onto the near side of the sterile field would not be
considered contaminating the field as long as the instrument is picked up and placed back on the sterile field without
touching any non-sterile surfaces.
Options B, C, E, and the act of turning to speak in D are all examples of contaminating the field, as they involve introducing
non-sterile surfaces or objects into the sterile area, compromising the sterility of the field.
QUESTION 8
TB is suspected, what precautionary actions to do?
CORRECT ANSWER
-negative airflow room, airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
RATIONALE: This response is based on the Centers for Disease Control and Prevention (CDC) guidelines for Tuberculosis
(TB) precautions, which recommend using airborne precautions to prevent the transmission of TB when it is suspected. The
specific actions outlined ensure that healthcare workers are protected from airborne transmission via N95 masks, and the
client is isolated to prevent transmission when leaving the room, with additional measures taken such as heated and
humidified oxygen therapy if prescribed.
Trusted by thousands of students and professionals worldwide Page 4 of 90
