ATI ADULT MEDICAL-SURGICAL EXAM LATEST UPDATE 2026 WITH
VERIFIED QUESTIONS & CORRECT ANSWERS
1. Describe the mechanism by which a dry powder inhaler delivers
medication to a patient with asthma.
A dry powder inhaler requires the patient to exhale forcefully to
release the medication.
A dry powder inhaler delivers medication when the patient
inhales deeply, which activates the device and disperses the
medication into the lungs.
A dry powder inhaler requires the patient to hold their breath for
several seconds after inhalation.
A dry powder inhaler releases medication automatically when
opened.
2. What is one key nursing action to prevent overfeeding during enteral
feedings?
Increase the feeding rate gradually.
Use a larger feeding tube.
Administer medications before feeding.
Monitor the patient's tolerance to the feeding.
3. Describe the physiological changes that occur in a patient experiencing
malignant hyperthermia.
Malignant hyperthermia causes decreased oxygen levels in the
blood, leading to fatigue.
Malignant hyperthermia results in reduced blood flow to the
extremities, causing numbness.
Malignant hyperthermia leads to increased calcium release in
, muscle cells, resulting in muscle rigidity and a rapid rise in
body temperature.
Malignant hyperthermia is characterized by a decrease in
metabolic rate and muscle relaxation.
4. What breathing technique is recommended for patients with COPD to
help manage their symptoms?
Diaphragmatic breathing
Pursed lip breathing
Abdominal breathing
Chest breathing
5. Describe the importance of monitoring cortisol levels in a patient with
Cushing's disease.
Monitoring cortisol levels is unnecessary as symptoms are always
evident.
Monitoring cortisol levels is only important during surgery.
Monitoring cortisol levels only helps in diagnosing the disease
initially.
Monitoring cortisol levels is crucial to assess the effectiveness
of treatment and manage symptoms.
6. What is a major/primary nursing intervention with pancreatitis?
Providing the patient a regular diet
Prevention of pressure ulcers
Teaching the patient relaxation techniques
Administration of pain medications
,7. What are the common medications prescribed for managing atrial
fibrillation?
Beta-blockers and statins
Anticoagulants and antiarrhythmics
Antibiotics and analgesics
Diuretics and corticosteroids
8. What is the recommended type of needle for accessing an implanted
port in a patient?
Huber needle
Intravenous catheter
Butterfly needle
Syringe needle
9. Pt with Cushings should be monitored for
hyperglycemia
hypokalemia
hypernatremia
all of the above
10. What is a key teaching point for a patient prior to undergoing
paracentesis?
The patient should be informed about the procedure and what
to expect.
The patient should fast for 24 hours before the procedure.
The patient should take anticoagulants before the procedure.
, The patient should avoid all medications before the procedure.
11. A special needle is required to access a device called a(n):
implanted port
Port-a-Cath
Mediport
All of the above
12. If a nurse is caring for a patient with TB who is not responding to initial
treatment, what should be the next step in management?
Increase the dosage of the current medication.
Switch to a different class of antibiotics.
Reassess the treatment plan and consider drug resistance
testing.
Discontinue all medications and monitor the patient.
13. A patient receiving enteral feedings develops signs of respiratory
distress. What should the nurse do first to address the potential for
aspiration pneumonia?
Assess the patient's airway and breathing
Contact the physician for an order
Administer a bronchodilator
Increase the rate of enteral feedings
14. Patient with TB asks nurse when it is permissible to return to work. What
should the nurse tell the client?
A sputum culture & a chest x-ray must be negative before
returning to work
VERIFIED QUESTIONS & CORRECT ANSWERS
1. Describe the mechanism by which a dry powder inhaler delivers
medication to a patient with asthma.
A dry powder inhaler requires the patient to exhale forcefully to
release the medication.
A dry powder inhaler delivers medication when the patient
inhales deeply, which activates the device and disperses the
medication into the lungs.
A dry powder inhaler requires the patient to hold their breath for
several seconds after inhalation.
A dry powder inhaler releases medication automatically when
opened.
2. What is one key nursing action to prevent overfeeding during enteral
feedings?
Increase the feeding rate gradually.
Use a larger feeding tube.
Administer medications before feeding.
Monitor the patient's tolerance to the feeding.
3. Describe the physiological changes that occur in a patient experiencing
malignant hyperthermia.
Malignant hyperthermia causes decreased oxygen levels in the
blood, leading to fatigue.
Malignant hyperthermia results in reduced blood flow to the
extremities, causing numbness.
Malignant hyperthermia leads to increased calcium release in
, muscle cells, resulting in muscle rigidity and a rapid rise in
body temperature.
Malignant hyperthermia is characterized by a decrease in
metabolic rate and muscle relaxation.
4. What breathing technique is recommended for patients with COPD to
help manage their symptoms?
Diaphragmatic breathing
Pursed lip breathing
Abdominal breathing
Chest breathing
5. Describe the importance of monitoring cortisol levels in a patient with
Cushing's disease.
Monitoring cortisol levels is unnecessary as symptoms are always
evident.
Monitoring cortisol levels is only important during surgery.
Monitoring cortisol levels only helps in diagnosing the disease
initially.
Monitoring cortisol levels is crucial to assess the effectiveness
of treatment and manage symptoms.
6. What is a major/primary nursing intervention with pancreatitis?
Providing the patient a regular diet
Prevention of pressure ulcers
Teaching the patient relaxation techniques
Administration of pain medications
,7. What are the common medications prescribed for managing atrial
fibrillation?
Beta-blockers and statins
Anticoagulants and antiarrhythmics
Antibiotics and analgesics
Diuretics and corticosteroids
8. What is the recommended type of needle for accessing an implanted
port in a patient?
Huber needle
Intravenous catheter
Butterfly needle
Syringe needle
9. Pt with Cushings should be monitored for
hyperglycemia
hypokalemia
hypernatremia
all of the above
10. What is a key teaching point for a patient prior to undergoing
paracentesis?
The patient should be informed about the procedure and what
to expect.
The patient should fast for 24 hours before the procedure.
The patient should take anticoagulants before the procedure.
, The patient should avoid all medications before the procedure.
11. A special needle is required to access a device called a(n):
implanted port
Port-a-Cath
Mediport
All of the above
12. If a nurse is caring for a patient with TB who is not responding to initial
treatment, what should be the next step in management?
Increase the dosage of the current medication.
Switch to a different class of antibiotics.
Reassess the treatment plan and consider drug resistance
testing.
Discontinue all medications and monitor the patient.
13. A patient receiving enteral feedings develops signs of respiratory
distress. What should the nurse do first to address the potential for
aspiration pneumonia?
Assess the patient's airway and breathing
Contact the physician for an order
Administer a bronchodilator
Increase the rate of enteral feedings
14. Patient with TB asks nurse when it is permissible to return to work. What
should the nurse tell the client?
A sputum culture & a chest x-ray must be negative before
returning to work
