ATI MED SURG PROCTORED EXAM
STUDY GUIDE 2026 PRACTICE
QUESTIONS ANSWERS INCLUDED
◉ A nurse is provi�ing e�ucation to a client who is to un�ergo an EEG
the next �ay. Which of the following info shoul� the nurse inclu�e in
the teaching?
a. "Do not wash your hair the morning of the proce�ure."
b. "Try an� stay awake most of the night prior to the proce�ure." c.
"The proce�ure will take approximately 15 mins."
�. "You will nee� to lie flat for 4 hours after the proce�ure.". Answer:
b.
"Try an� stay awake most of the night prior to the proce�ure."
Tell the client to remain awake to provi�e cranial stress an� increase
the possibility of abnormal electrical activity
◉ A nurse is caring for a client who is postproce�ural following a
lumbar puncture an� reports a throbbing hea�ache when sitting upright.
Which of the following actions shoul� the nurse take? SATA.
a. Use the GCS scale to assess the client
b. Assist the client into a supine position
c. A�minister an opioi� analgesic
,�. Encourage the client to increase PO flui� intake
e. Instruct the client to perform coughing an� �eep breathing.
Answer: B, D
◉ A nurse is caring for a client who has continuous bla��er irrigation
following a transurethral resection of the prostate (TURP). Which of the
following fin�ings shoul� the nurse report to the provi�er?
a Output equal to the instille� irrigate
b. Client reports bla��er spasms
c. Viscous urinary output with clots
�. Reports of strong urge to urinate. Answer: c. Viscous urinary output
with clots
Urine that is bright re� with clots is an in�ication of arterial blee�ing.
◉ A nurse is monitoring the ECG of a client who has hypocalcemia.
Which of the following fin�ings shoul� the nurse expect?
a. Flattene� T waves
b. Prolonge� QT intervals
c. Shortene� QT intervals
� Wi�ene� QRS complexes. Answer: b. Prolonge� QT
intervals
,Manifestations of hypocalcemia inclu�e tingling, numbness, tetany,
seizures, prolonge� QT intervals, an� laryngospasm.
◉ A nurse is preparing a client who has a brain tumor for a CT scan.
Which of the following factors affects the manner in which the nurse
will prepare the client for the scan?
a. No foo� or flui�s consume� for 4 hours
b. Difficulty recalling recent events
c. Development of hives while eating shrimp
�. Paresthesia in both han�s. Answer: c. Development of hives while
eating shrimp
Shellfish allergy is contrain�ication of use of contrast me�ia �uring a
CT scan.
◉ A nurse is preparing an in-service program about the stages of acute
ki�ney injury. Which of the following pieces of info shoul� the nurse
inclu�e about prerenal azotemia?
a. Prerenal azotemia begins prior to the onset of symptoms
b. Interference with renal perfusion causes renal azotemia
c. Prerenal azotemia is irreversible, even in early stages
�. Infections an� tumors cause prerenal azotemia. Answer: b.
Interference with renal perfusion causes prerenal azotemia.
, Prerenal = interference with renal perfusion, such as from heart failure
or hypovolemic shock.
◉ A nurse is teaching a client who has CAD about the �ifference
between angina pectoris an� MI. Which of the following shoul�
the nurse i�entify as in�ications of MI? SATA.
a. N/V
b. Diaphoresis an� �izziness
c. Chest an� left arm pain that subsi�es with rest
�. Anxiety an� feelings of �oom
e. Boun�ing pulse an� bra�ypnea. Answer: A, B,
D
◉ A nurse is reviewing the lab results of a lumbar puncture for a client
who has manifestations of bacterial meningitis. Which of the following
fin�ings shoul� the nurse expect?
a. Elevate� glucose
b. Elevate� protein
c. Presence of RBCs
�. Presence of D-�imer. Answer: b. Elevate�
protein
STUDY GUIDE 2026 PRACTICE
QUESTIONS ANSWERS INCLUDED
◉ A nurse is provi�ing e�ucation to a client who is to un�ergo an EEG
the next �ay. Which of the following info shoul� the nurse inclu�e in
the teaching?
a. "Do not wash your hair the morning of the proce�ure."
b. "Try an� stay awake most of the night prior to the proce�ure." c.
"The proce�ure will take approximately 15 mins."
�. "You will nee� to lie flat for 4 hours after the proce�ure.". Answer:
b.
"Try an� stay awake most of the night prior to the proce�ure."
Tell the client to remain awake to provi�e cranial stress an� increase
the possibility of abnormal electrical activity
◉ A nurse is caring for a client who is postproce�ural following a
lumbar puncture an� reports a throbbing hea�ache when sitting upright.
Which of the following actions shoul� the nurse take? SATA.
a. Use the GCS scale to assess the client
b. Assist the client into a supine position
c. A�minister an opioi� analgesic
,�. Encourage the client to increase PO flui� intake
e. Instruct the client to perform coughing an� �eep breathing.
Answer: B, D
◉ A nurse is caring for a client who has continuous bla��er irrigation
following a transurethral resection of the prostate (TURP). Which of the
following fin�ings shoul� the nurse report to the provi�er?
a Output equal to the instille� irrigate
b. Client reports bla��er spasms
c. Viscous urinary output with clots
�. Reports of strong urge to urinate. Answer: c. Viscous urinary output
with clots
Urine that is bright re� with clots is an in�ication of arterial blee�ing.
◉ A nurse is monitoring the ECG of a client who has hypocalcemia.
Which of the following fin�ings shoul� the nurse expect?
a. Flattene� T waves
b. Prolonge� QT intervals
c. Shortene� QT intervals
� Wi�ene� QRS complexes. Answer: b. Prolonge� QT
intervals
,Manifestations of hypocalcemia inclu�e tingling, numbness, tetany,
seizures, prolonge� QT intervals, an� laryngospasm.
◉ A nurse is preparing a client who has a brain tumor for a CT scan.
Which of the following factors affects the manner in which the nurse
will prepare the client for the scan?
a. No foo� or flui�s consume� for 4 hours
b. Difficulty recalling recent events
c. Development of hives while eating shrimp
�. Paresthesia in both han�s. Answer: c. Development of hives while
eating shrimp
Shellfish allergy is contrain�ication of use of contrast me�ia �uring a
CT scan.
◉ A nurse is preparing an in-service program about the stages of acute
ki�ney injury. Which of the following pieces of info shoul� the nurse
inclu�e about prerenal azotemia?
a. Prerenal azotemia begins prior to the onset of symptoms
b. Interference with renal perfusion causes renal azotemia
c. Prerenal azotemia is irreversible, even in early stages
�. Infections an� tumors cause prerenal azotemia. Answer: b.
Interference with renal perfusion causes prerenal azotemia.
, Prerenal = interference with renal perfusion, such as from heart failure
or hypovolemic shock.
◉ A nurse is teaching a client who has CAD about the �ifference
between angina pectoris an� MI. Which of the following shoul�
the nurse i�entify as in�ications of MI? SATA.
a. N/V
b. Diaphoresis an� �izziness
c. Chest an� left arm pain that subsi�es with rest
�. Anxiety an� feelings of �oom
e. Boun�ing pulse an� bra�ypnea. Answer: A, B,
D
◉ A nurse is reviewing the lab results of a lumbar puncture for a client
who has manifestations of bacterial meningitis. Which of the following
fin�ings shoul� the nurse expect?
a. Elevate� glucose
b. Elevate� protein
c. Presence of RBCs
�. Presence of D-�imer. Answer: b. Elevate�
protein
