MEDSURG 2 ATI QUESTIONS ACTUAL TESTBANK QUESTIONS ALREADY AND 100% VERIFIED ANSWERS ALREADY GRADED A+

Pass your Medical-Surgical Nursing 2 ATI exam with confidence using the most current and comprehensive test bank available for the 2026 academic year. This resource features actual ATI-style exam questions with verified correct answers—already graded 100% A+ by successful nursing students. Covering over 500 high-yield questions, this guide mirrors the exact content domains tested on MEDSURG 2 ATI: Cancer & Oncology Nursing: Seven warning signs of cancer (nonhealing sore, change in bowel pattern, change in moles, nagging cough), CA-125 test (monitors ovarian cancer treatment, not diagnostic), BRCA1 gene mutation (increased breast cancer risk), cisplatin adverse effects (tinnitus), tamoxifen adverse effects (hot flashes), anastrozole adverse effects (musculoskeletal pain), ondansetron (headache as adverse effect), chemotherapy side effects (hair loss includes eyebrows/eyelashes, nausea management with room temperature foods, avoid liquids 1 hour before treatment), neutropenic precautions (avoid crowds, fresh flowers, potted plants, raw fruits/vegetables; bottled water safe; cooked fruit with meals), radiation therapy (fatigue as adverse effect, apply hydrating lotions to skin within markings, do not apply heat), TPN monitoring (shakiness/diaphoresis indicates hypoglycemia from non-infusing pump; albumin 4.2 indicates treatment effectiveness), thrombocytopenia (lubricate lips with water-soluble ointment, soft toothbrush, blow nose gently), anemia (spoon-shaped nails, fatigue, pallor), blood transfusion reactions (hemolytic reaction: apprehension, tachycardia, headache, low back pain, red-tinged urine; febrile reaction; priority action – stop infusion). Cardiovascular Nursing: Cardiac catheterization (check peripheral pulses, keep hip/leg extended, bed rest up to 6 hours; metformin interacts with contrast → acute kidney injury risk), acute MI manifestations (nausea, tachycardia, diaphoresis; cardiac enzymes determine degree of heart tissue damage; troponin I elevated 3 hours post-MI; 12-lead ECG priority action), pacemaker (MRI contraindicated), digoxin (assess apical pulse before administration; anorexia indicates toxicity), atrial fibrillation (digoxin daily; instruct client not to talk during ECG), heparin (protamine sulfate reversal; does NOT dissolve clots – prevents new clots; warfarin overlap for 3-4 days until therapeutic; HIT → platelet drop, chest pain, restlessness, skin lesions), warfarin (INR 5.2 → vitamin K), aspirin (antiplatelet aggregate for MI history), clopidogrel (avoid grapefruit juice, monitor black/tarry stools), propranolol (contraindicated in bronchial asthma), Raynaud's disease (stress management class, wear extra-warm clothing), PAD (pallor on elevation, rubor when dependent; claudication; antiplatelet medication; walk daily 30 minutes; numbness/tingling warrants immediate intervention), PVD (venous stasis ulcer on medial ankle; compression stockings; elevate legs; limit standing/sitting), DVT (priority assessment for post-op calf pain; bed rest 5-7 days; fluids/high-fiber diet; heparin drip monitoring; Homan's sign assessment), chronic venous insufficiency (thick, tough skin, brown pigmentation; venous ulcerations most serious complication), Buerger's disease (young adult male smoker with claudication and superficial thrombophlebitis). Neurologic Nursing: Stroke (right hemisphere → inability to recognize family members; left hemisphere → aphasia, establish ability to communicate; dysphagia → small bites, monitor for coughing, voice change, pocketing food; homonymous hemianopsia → remind client to look for food on affected side; expressive aphasia → self-report pain scale first; footdrop prevention → protective boot to ankle), seizure documentation (condition immediately following seizure), myxedema (facial edema). Respiratory Nursing: Post-op abdominal surgery (sudden pulling sensation and pain with pulling sensation and pain → cover with saline-soaked sterile dressings for wound dehiscence), incentive spirometry, cough/deep breathe. Gastrointestinal Nursing: GERD (avoid eating within 3 hours of bedtime, avoid chocolate, eat 4 small meals daily, sleep with head of bed elevated, left side sleeping), PUD (hematemesis priority; NSAID use risk factor; sucralfate 1 hour before meals and at bedtime; ranitidine with or without food, 5 small meals daily), ulcerative colitis (low-fiber diet – eliminate dried apricots; chronic blood loss leads to anemia; both UC and Crohn's are inflammatory; electrolyte assessment priority for acute exacerbation), Crohn's disease (parenteral nutrition, monitor daily labs), pancreatitis (fat-soluble vitamin supplements – Vitamin A), hepatitis (high-carb diet, rest frequently; hepatitis A – practice effective hand hygiene; hepatitis C – standard precautions, semiprivate room), esophageal cancer, gastric resection (pain control – call before previous dose wears off), colon resection (oliguria 400 mL/24hr), ostomy care. Genitourinary Nursing: BPH (finasteride – decreased libido adverse effect; tamsulosin – relaxes smooth muscle in prostate to facilitate urine flow; TURP – continuous bladder irrigation, pale pink urine expected post-catheter removal, dark red urine with clots → increase CBI flow, bladder spasms → belladonna and opium suppository, retrograde ejaculation most common long-term side effect; post-op priority complication – hemorrhage), UTI (prevention – empty bladder regularly, wipe front to back, drink 8 cups liquid daily; ciprofloxacin – report tendon discomfort), pyelonephritis (increases pregnant woman's risk for preterm labor), kidney stones (calcium oxalate – drink 3 L fluid daily, avoid tree nuts/almonds, bananas safe; family history risk factor; urolithiasis), renal calculi, IVP (drink plenty fluids after procedure; shellfish allergy contraindication), prostate cancer (PSA elevation), testicular cancer (orchiectomy – consider cryopreservation of sperm before treatment), prostatitis (acute – avoid indwelling catheter; chronic – pain with ejaculation). Endocrine Nursing: Hyperthyroidism/Graves' disease (decreased TSH, increased T3/T4, frequent mood changes, weight loss, heat intolerance, tachycardia, exophthalmos; prevent thyroid crisis – provide quiet, low-stimulus environment), hypothyroidism (weight gain, facial edema, cold intolerance, constipation, bradycardia, lethargy; TSH elevation in primary hypothyroidism), Cushing's syndrome (moon face, purple striations, buffalo hump; restrict sodium intake), thyroidectomy (check voice every 2 hours post-op; semi-Fowler's position), levothyroxine (therapeutic response – decreased TSH; overdose – insomnia), prednisone (take with calcium and vitamin D supplements for long-term therapy), diabetes mellitus (type 2 – cellulitis foot infection; elevate foot first), DKA, HHNKS. Hematologic Nursing: Anemia (hgb 7.1, hct 21.5% → provide assistance with ambulation, monitor O2, stool for occult blood, daily rest periods; iron deficiency – spoon-shaped nails, smooth red tongue, angular cheilosis; pernicious anemia – vitamin B12 for vegetarians; hemolytic anemia – scleral jaundice; sickle cell crisis – blood cultures priority due to fever indicating bacteremia), neutropenia (WBC 1700 report to provider; neutropenic precautions – no fresh flowers/potted plants, no raw fruits/vegetables, cooked fruit only, hand hygiene, limit visitors), thrombocytopenia (petechiae, bleeding risk; avoid aspirin), hemophilia A (factor concentrates for self-administration; hemorrhrosis – apply cold packs), blood transfusion (hemolytic reaction signs; O- universal donor, B- and O- can donate to B-), erythropoietin (Epogen – check hemoglobin twice weekly), HIT (platelet drop by 50% from baseline), DIC (consumptive coagulopathy). Immune & HIV Nursing: HIV (western blot and indirect immunofluorescence assay confirm diagnosis; stage 3 – cook vegetables before eating; stage 2 – add high-protein foods to maintain weight; risk factors – perinatal exposure, older adult, occupational exposure; community-based HIV clinic provides most support for newly diagnosed with financial/social concerns), organ transplantation. Ophthalmic Nursing: Cataracts (blurred vision worsening at night, change in color perception; surgery not emergent; post-op – avoid bending/stooping, no coughing, avoid lying on affected side; prevention – UV-blocking sunglasses, eye protection from injury, Vitamin C foods), glaucoma (open-angle – chronic, annual eye exams; closed-angle – increased intraocular pressure, sudden eye pain, N/V; pilocarpine increases outflow of aqueous humor; brimonidine side effects: blurred vision, itching, stinging, conjunctivitis), macular degeneration (wet type – abnormal blood vessel growth in macula; advanced stage – difficulty seeing in dim light, visual distortions in central vision; assess for depression; Amsler grid, bright lighting, magnification devices for home safety), retinal detachment (flashes of light, floating dark spots, diminished visual acuity – "curtain being drawn"; urgent ophthalmologic evaluation), visual deficit nursing interventions (greet client by name; avoid touching without warning; magnifying devices for reading; black on white for writing; contrasting colors for doorknobs; velcro tabs on light switches; sunglasses/hats for glare). Otic Nursing: Meniere's disease (otolaryngologist consultation; meclizine for vertigo), otitis media (pneumococcal vaccine to reduce recurrence), sensorineural hearing loss (cochlear implant for bilateral profound loss), hearing deficit (nods agreement, speaks loudly, leans toward speaker). Fluid & Electrolyte Nursing: Hypokalemia (weak irregular pulse, prominent U wave on EKG from prolonged vomiting; monitor for cardiac dysrhythmias in furosemide-treated patient with K+ 3.3), hyperkalemia (T-wave changes), dehydration (poor skin turgor, hypotension, flat neck veins, decreased intake/output, furrowed tongue, mental confusion), oliguria (400 mL/24hr), NG tube output (2500 mL in 6 hr → monitor for decreased potassium). Medication-Specific Nursing: Cisplatin (tinnitus), ondansetron (headache), metoclopramide (promotes gastric emptying to relieve nausea), sucralfate (take 1 hour before meals and bedtime), ranitidine (can take with or without food, 5 small meals daily), omeprazole (reduced dyspepsia indicates effectiveness), pancreaticase (decreased fat in stools), betamethasone (take with milk), ferrous sulfate (Vitamin C promotes absorption; stools dark green/black not dark red), furosemide (best potassium source – bananas), hydrochlorothiazide, spironolactone, lisinopril (therapeutic effect – decreased BP), clopidogrel (avoid grapefruit juice, monitor for bleeding), epoetin alfa (hemoglobin monitoring), filgrastim (Neupogen), hydroxyurea (sickle cell), methotrexate (drink 2 L water daily), hydroxychloroquine (wear sunglasses in bright sunshine), tamoxifen (hot flashes), anastrozole (musculoskeletal pain), sildenafil (requires sexual stimuli; ineffective without arousal), finasteride (decreased libido), tamsulosin (relaxes prostatic smooth muscle). Post-Operative & Procedural Nursing: Thyroidectomy (check voice q2hr, semi-Fowler's), mastectomy (affected side exercises: squeezing washcloth, hand flexion/extension, elbow flexion; no BP on affected arm; refusal to look at dressing indicates difficulty adjusting), TURP (priority complication – hemorrhage; CBI – dark red urine with clots → increase flow; bladder spasms → belladonna and opium suppository; retrograde ejaculation), cardiac catheterization (check peripheral pulses, keep hip/leg extended, bed rest up to 6 hr), colonoscopy (provider gives sedative that makes you sleepy), EGD (priority assessment – gag reflex), TPN (monitor for hypoglycemia if infusion interrupted), blood transfusion (stop infusion first for reaction). Emergency & Priority Nursing: Hemorrhage (PUD vomiting blood – assess first), wound dehiscence (cover with saline-soaked sterile dressings), anaphylaxis, status epilepticus, chest pain (12-lead ECG priority), respiratory status (priority post-subdural hematoma evacuation), airway (suction saliva for unconscious cerebral hemorrhage patient), pain (administer pain medicine first for renal colic/flank pain), confusion (older adult with UTI – atypical presentation), increased ICP, stroke (notify EMS immediately for collapsed person with right-sided weakness/slurred speech). Patient Education & Health Promotion: Breast self-exam (can be done in shower with soapy hands), testicular self-exam (target males 15-34 years old), smoking cessation (modifiable risk factor for atherosclerosis, CAD, stroke), low-cholesterol diet (beans good choice; avoid eggs), calcium oxalate kidney stones prevention (drink 3 L fluid daily, avoid almonds/tree nuts, limit animal protein, no vitamin C supplements), Raynaud's prevention (stress management, keep warm, avoid smoking), macular degeneration home safety (bright lighting, Amsler grid, magnification, black on white writing, contrasting colors). Perfect for nursing students preparing for ATI Med-Surg Proctored Exams, NCLEX-RN, HESI, and course finals. Each answer includes the verified correct response to ensure exam readiness.