ATI RN MEDICAL-SURGICAL PROCTORED EXAM COMPLETE STUDY GUIDE WITH VERIFIED ANSWERS
AND RATIONALES 2025-2026
1. Endoscopy (EGD) positioning: left side lying
2. Before an Endoscopy (EGD):: -NPO 6-8 hr
-remove dentures
3. Gastroenteritis care plan:: -restrict dairy, catteine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
4. In what order do you open the sterile package?: flap furthest from body, side flaps, then
closest
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: D
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: C, D, E
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
, ATI RN MEDICAL-SURGICAL PROCTORED EXAM COMPLETE STUDY GUIDE WITH VERIFIED ANSWERS
AND RATIONALES 2025-2026
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: B, C, D
8. TB is suspected, what precautionary actions to do?: -negative airflow room, airborne
precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
9. TB interventions:: -family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
10. What to watch for when on Isoniazid:: numb/tingling in the hands & feet
11. What to watch for when on Rifampin:: -orange secretions normal
-watch for jaundice
-interferes with birth control
12. What to watch for when on Ethambutol:: vision changes
13. Client teaching for genital herpes:: -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
14. Caring for a client following a stroke of the right side with left-sided hemi-
palegia:: -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
15. High sodium foods clients with HF & Pulmonary edema should avoid:: -
-cheese
, ATI RN MEDICAL-SURGICAL PROCTORED EXAM COMPLETE STUDY GUIDE WITH VERIFIED ANSWERS
AND RATIONALES 2025-2026
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
16. Which non-opioid drug decreases the effect of aspirin?: ibuprofen
17. Ketorolac should not be used concurrently with...: other NSAIDS
18. Glucocorticoids increase the risk of gastric bleeding when taken with...: -
non-opioid analgesics
19. To access an implanted port, you must use a...: noncoring (Huber) needle
20. When done accessing an implanted port...: flush with 10 mL 0.9% sodium chloride
21. Therapeutic effects of furosemide (Lasix): -decreases preload of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
22. Valsartan for HF expected outcomes/findings:: -vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
23. Expected findings of meds that increase urinary output (diuretics):: -decreased
potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
24. Client teaching for Nitroglycerin:: 1. stop activity & rest
2. place nitro tab under tongue
AND RATIONALES 2025-2026
1. Endoscopy (EGD) positioning: left side lying
2. Before an Endoscopy (EGD):: -NPO 6-8 hr
-remove dentures
3. Gastroenteritis care plan:: -restrict dairy, catteine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
4. In what order do you open the sterile package?: flap furthest from body, side flaps, then
closest
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: D
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: C, D, E
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
, ATI RN MEDICAL-SURGICAL PROCTORED EXAM COMPLETE STUDY GUIDE WITH VERIFIED ANSWERS
AND RATIONALES 2025-2026
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: B, C, D
8. TB is suspected, what precautionary actions to do?: -negative airflow room, airborne
precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
9. TB interventions:: -family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
10. What to watch for when on Isoniazid:: numb/tingling in the hands & feet
11. What to watch for when on Rifampin:: -orange secretions normal
-watch for jaundice
-interferes with birth control
12. What to watch for when on Ethambutol:: vision changes
13. Client teaching for genital herpes:: -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
14. Caring for a client following a stroke of the right side with left-sided hemi-
palegia:: -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
15. High sodium foods clients with HF & Pulmonary edema should avoid:: -
-cheese
, ATI RN MEDICAL-SURGICAL PROCTORED EXAM COMPLETE STUDY GUIDE WITH VERIFIED ANSWERS
AND RATIONALES 2025-2026
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
16. Which non-opioid drug decreases the effect of aspirin?: ibuprofen
17. Ketorolac should not be used concurrently with...: other NSAIDS
18. Glucocorticoids increase the risk of gastric bleeding when taken with...: -
non-opioid analgesics
19. To access an implanted port, you must use a...: noncoring (Huber) needle
20. When done accessing an implanted port...: flush with 10 mL 0.9% sodium chloride
21. Therapeutic effects of furosemide (Lasix): -decreases preload of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
22. Valsartan for HF expected outcomes/findings:: -vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
23. Expected findings of meds that increase urinary output (diuretics):: -decreased
potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
24. Client teaching for Nitroglycerin:: 1. stop activity & rest
2. place nitro tab under tongue
