ATI RN ADULT MEDICAL SURGICAL PROCTORED
EXAM 2026/2027 BANK COMPLETE 200
QUESTIONS AND ANSWERS ACCURATE ACTUAL
EXAM WITH FREQUENTLY TESTED QUESTIONS
AND STUDY GUIDE / EXPERT VERIFIED FOR
GUARANTEED PASS/ALREADY GRADED A+
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 - ANSWER//D 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 - ANSWER//C, D, E 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 -
ANSWER//B, C, D TB is suspected, what precautionary
actions to do? - 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 TB interventions: - ANSWER//-
family members should be screened -4 meds taken for 6-
12 months -not contagious when they have 3 negative
sputum cultures What to watch for when on Isoniazid: -
,ANSWER//numb/tingling in the hands & feet What to
watch for when on Rifampin: - ANSWER//-orange
secretions normal -watch for jaundice -interferes with birth
control What to watch for when on Ethambutol: -
ANSWER//vision changes Client teaching for genital
herpes: - ANSWER//-can be transmitted with or w/out
blisters -sexual partners should be informed & screened -
no cure, just meds to help w/symptoms -abstain from
intercourse until lesions are completely healed -gently
clean areas w/mild soap & water Caring for a client
following a stroke of the right side with left-sided
hemipalegia: - ANSWER//-thicken liquids/foods -high
fowlers -speech therapist for helping w/eating & speech -
monitor gag reflex/swallowing abilities -have suction
equipment available -occupational therapy -support left
arm with pillows, slings, etc High sodium foods clients with
HF & Pulmonary edema should avoid: - ANSWER//-
cheese -soups -bread -cold cuts/cured meats -pizza -eggs
& omelets -hot dogs -baked ham Which non-opioid drug
decreases the effect of aspirin? - ANSWER//ibuprofen
Ketorolac should not be used concurrently with... -
ANSWER//other NSAIDS Glucocorticoids increase the risk
of gastric bleeding when taken with... - ANSWER//non-
opioid analgesics To access an implanted port, you must
use a... - ANSWER//noncoring (Huber) needle When done
accessing an implanted port... - ANSWER//flush with 10
mL 0.9% sodium chloride Therapeutic effects of
furosemide (Lasix) - ANSWER//-decreases preload of the
heart -decreases potassium levels -increases urine output
-decrease BP -decrease edema Valsartan for HF
expected outcomes/findings: - ANSWER//-vasodilation -
excretion of sodium & water -reduces BP -reduces risk of
mortality in post-MI pts left w/vent dysfunction Expected
findings of meds that increase urinary output (diuretics): -
ANSWER//-decreased potassium -weight loss -decrease
in edema -decreased calcium -increased urine output -
decreased BP -decrease in ICP & IOP Client teaching for
,Nitroglycerin: - ANSWER//1. stop activity & rest 2. place
nitro tab under tongue 3. if pain is unrelieved in 5 min, call
911 or go to ED 4. take 2 or more doses at 5 min intervals
-headache is a common side effect of nitro Which foods
should the client on Warfarin avoid? - ANSWER//dark
leafy green veggies Client teaching for anticoagulant
therapy: - ANSWER//-bleeding precautions -no added
meds that increase bleeding -on it for 6-8 weeks prior to
hematologic dx procedure -must have blood levels
checked often -monitor vitamin K in their diet Expected
prescriptions for Hypertension: - ANSWER//-furosemide
(Lasix) -aldactone (potassium sparing diuretic) -
hydrochlorothiazide (diuretic) -verapamil, dilitiazem (CCB)
-captopril, lisinopril (ACE inhibitors) -losartan, telmisartan
(ARBs) -eplerenone -atenolol, metoprolol (Beta blockers) -
clonidine -prazosin (minipress) Contraindications for
Nadolol: - ANSWER//-asthma -sinus bradycardia -
cardiogenic shock -cardiac failure -diabetes -pregnancy -
right side HF -emphysema -severe COPD Treatment for
diabetes insipidus: - ANSWER//-daily weights -no caffeine
or alcohol -desmopressin acetate/DDVAP -aqueous
vasopressin/Pitressin -carbamazepine (tegretol) -high fiber
diet Meds for DI, what to look out for/do: - ANSWER//-
adjust based on urine output -daily weights -inform of
weight gain of 2 lb in 24 hr -notify if headaches or
confusion occur -monitor for infection -monitor for
dizziness/drowsiness Protein requirement of an adult:
_____g of protein per kg - ANSWER//0.8 g Caring for a
client who has pancreatitis: - ANSWER//-keep NPO -NG
tube to suction gastric contents -low fat, high protein, high
carb diet Risk factors: -high fat diet -excessive alcohol
consumption -age Expected lab findings for a client with
pancreatitis: - ANSWER//-increased amylase & lipase -
increased WBC -decreased platelets -increased glucose -
increased liver enzymes & bilirubin -elevated ESR -
decreased calcium & magnesium What med do you give
for symptomatic bradycardia? What electrical
, management? - ANSWER//med=atropine elec=
pacemaker insertion What med/meds do you give for AFib?
What electrical management? - ANSWER//meds=
amiodarone, adenosine, verapamil elec= synchronized
cardioversion What med/meds do you give for SVT? What
electrical management? - ANSWER//meds= amiodarone,
adenosine, verapamil elec= synchronized cardioversion
What med/meds do you give for V-tach w/a pulse? What
electrical management? - ANSWER//meds= amiodarone,
adenosine, verapamil elec= synchronized cardioversion
What med/meds do you give for V-tach w/out a pulse or V-
fib? What electrical management? - ANSWER//meds=
amiodarone, lidocaine, & epi elec= defibrillation V-tach -
ANSWER//V-tach V-fib - ANSWER//V-fib SVT -
ANSWER//SVT brady - ANSWER//brady AV block -
ANSWER//AV block If a pt is complaining of pain and
there is no irrigation fluid coming out of the catheter what
will the priority nursing action be? - ANSWER//irrigate
catheter with saline solution If the pt has had their prostate
removed and the irrigating 3 way catheter shows bright
red clotted blood being released from the end what should
you do? - ANSWER//increase the flow rate What
assessment finding would be a cause for concern in an
immobile pt? - ANSWER//diminished pedal pulses
redness/edema in legs How would you care for a pt with a
stage III pressure ulcer? - ANSWER//Apply proteolytic
enzymes What would be an appropriate nursing
intervention for a stage II pressure ulcer in the heel? -
ANSWER//increase IV fluids pillow/sheet under ankle
What foods would you teach a pt suffering from
cholescystitis to eliminate from their diet at home? -
ANSWER//fried eggs What assessment finding would lead
you to believe a pt suffers from Hypovolemia? -
ANSWER//increased blood osmolarity What lab finding
would you expect in a pt receiving chemotherapy? -
ANSWER//decreased WBC Which of the following would
lead you to believe that a client understands his teachings
EXAM 2026/2027 BANK COMPLETE 200
QUESTIONS AND ANSWERS ACCURATE ACTUAL
EXAM WITH FREQUENTLY TESTED QUESTIONS
AND STUDY GUIDE / EXPERT VERIFIED FOR
GUARANTEED PASS/ALREADY GRADED A+
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 - ANSWER//D 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 - ANSWER//C, D, E 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 -
ANSWER//B, C, D TB is suspected, what precautionary
actions to do? - 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 TB interventions: - ANSWER//-
family members should be screened -4 meds taken for 6-
12 months -not contagious when they have 3 negative
sputum cultures What to watch for when on Isoniazid: -
,ANSWER//numb/tingling in the hands & feet What to
watch for when on Rifampin: - ANSWER//-orange
secretions normal -watch for jaundice -interferes with birth
control What to watch for when on Ethambutol: -
ANSWER//vision changes Client teaching for genital
herpes: - ANSWER//-can be transmitted with or w/out
blisters -sexual partners should be informed & screened -
no cure, just meds to help w/symptoms -abstain from
intercourse until lesions are completely healed -gently
clean areas w/mild soap & water Caring for a client
following a stroke of the right side with left-sided
hemipalegia: - ANSWER//-thicken liquids/foods -high
fowlers -speech therapist for helping w/eating & speech -
monitor gag reflex/swallowing abilities -have suction
equipment available -occupational therapy -support left
arm with pillows, slings, etc High sodium foods clients with
HF & Pulmonary edema should avoid: - ANSWER//-
cheese -soups -bread -cold cuts/cured meats -pizza -eggs
& omelets -hot dogs -baked ham Which non-opioid drug
decreases the effect of aspirin? - ANSWER//ibuprofen
Ketorolac should not be used concurrently with... -
ANSWER//other NSAIDS Glucocorticoids increase the risk
of gastric bleeding when taken with... - ANSWER//non-
opioid analgesics To access an implanted port, you must
use a... - ANSWER//noncoring (Huber) needle When done
accessing an implanted port... - ANSWER//flush with 10
mL 0.9% sodium chloride Therapeutic effects of
furosemide (Lasix) - ANSWER//-decreases preload of the
heart -decreases potassium levels -increases urine output
-decrease BP -decrease edema Valsartan for HF
expected outcomes/findings: - ANSWER//-vasodilation -
excretion of sodium & water -reduces BP -reduces risk of
mortality in post-MI pts left w/vent dysfunction Expected
findings of meds that increase urinary output (diuretics): -
ANSWER//-decreased potassium -weight loss -decrease
in edema -decreased calcium -increased urine output -
decreased BP -decrease in ICP & IOP Client teaching for
,Nitroglycerin: - ANSWER//1. stop activity & rest 2. place
nitro tab under tongue 3. if pain is unrelieved in 5 min, call
911 or go to ED 4. take 2 or more doses at 5 min intervals
-headache is a common side effect of nitro Which foods
should the client on Warfarin avoid? - ANSWER//dark
leafy green veggies Client teaching for anticoagulant
therapy: - ANSWER//-bleeding precautions -no added
meds that increase bleeding -on it for 6-8 weeks prior to
hematologic dx procedure -must have blood levels
checked often -monitor vitamin K in their diet Expected
prescriptions for Hypertension: - ANSWER//-furosemide
(Lasix) -aldactone (potassium sparing diuretic) -
hydrochlorothiazide (diuretic) -verapamil, dilitiazem (CCB)
-captopril, lisinopril (ACE inhibitors) -losartan, telmisartan
(ARBs) -eplerenone -atenolol, metoprolol (Beta blockers) -
clonidine -prazosin (minipress) Contraindications for
Nadolol: - ANSWER//-asthma -sinus bradycardia -
cardiogenic shock -cardiac failure -diabetes -pregnancy -
right side HF -emphysema -severe COPD Treatment for
diabetes insipidus: - ANSWER//-daily weights -no caffeine
or alcohol -desmopressin acetate/DDVAP -aqueous
vasopressin/Pitressin -carbamazepine (tegretol) -high fiber
diet Meds for DI, what to look out for/do: - ANSWER//-
adjust based on urine output -daily weights -inform of
weight gain of 2 lb in 24 hr -notify if headaches or
confusion occur -monitor for infection -monitor for
dizziness/drowsiness Protein requirement of an adult:
_____g of protein per kg - ANSWER//0.8 g Caring for a
client who has pancreatitis: - ANSWER//-keep NPO -NG
tube to suction gastric contents -low fat, high protein, high
carb diet Risk factors: -high fat diet -excessive alcohol
consumption -age Expected lab findings for a client with
pancreatitis: - ANSWER//-increased amylase & lipase -
increased WBC -decreased platelets -increased glucose -
increased liver enzymes & bilirubin -elevated ESR -
decreased calcium & magnesium What med do you give
for symptomatic bradycardia? What electrical
, management? - ANSWER//med=atropine elec=
pacemaker insertion What med/meds do you give for AFib?
What electrical management? - ANSWER//meds=
amiodarone, adenosine, verapamil elec= synchronized
cardioversion What med/meds do you give for SVT? What
electrical management? - ANSWER//meds= amiodarone,
adenosine, verapamil elec= synchronized cardioversion
What med/meds do you give for V-tach w/a pulse? What
electrical management? - ANSWER//meds= amiodarone,
adenosine, verapamil elec= synchronized cardioversion
What med/meds do you give for V-tach w/out a pulse or V-
fib? What electrical management? - ANSWER//meds=
amiodarone, lidocaine, & epi elec= defibrillation V-tach -
ANSWER//V-tach V-fib - ANSWER//V-fib SVT -
ANSWER//SVT brady - ANSWER//brady AV block -
ANSWER//AV block If a pt is complaining of pain and
there is no irrigation fluid coming out of the catheter what
will the priority nursing action be? - ANSWER//irrigate
catheter with saline solution If the pt has had their prostate
removed and the irrigating 3 way catheter shows bright
red clotted blood being released from the end what should
you do? - ANSWER//increase the flow rate What
assessment finding would be a cause for concern in an
immobile pt? - ANSWER//diminished pedal pulses
redness/edema in legs How would you care for a pt with a
stage III pressure ulcer? - ANSWER//Apply proteolytic
enzymes What would be an appropriate nursing
intervention for a stage II pressure ulcer in the heel? -
ANSWER//increase IV fluids pillow/sheet under ankle
What foods would you teach a pt suffering from
cholescystitis to eliminate from their diet at home? -
ANSWER//fried eggs What assessment finding would lead
you to believe a pt suffers from Hypovolemia? -
ANSWER//increased blood osmolarity What lab finding
would you expect in a pt receiving chemotherapy? -
ANSWER//decreased WBC Which of the following would
lead you to believe that a client understands his teachings
