ATI PN ADULT MED SURG PRACTICE
CERTIFICATION EVALUATION SCRIPT 2026
FULL QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ A nurse is planning care for a client who has acute gastritis. Which of
the following interventions should the nurse include in the plan of care.
Select all that apply. Answer: 1. Evaluate intake and output.
2. Observe stool characteristics.
3. Monitor laboratory reports of electrolytes.
⩥ A nurse is assessing a client in an extended care facility. The nurse
should recognize which of the following findings is a manifestation of
an obstruction of the large intestine due to a fecal impaction? Answer:
The client is having small, frequent stools.
⩥ A nurse is caring for a client who has a small bowel obstruction.
Which of the following findings are consistent with this diagnosis?
Select all that apply. Answer: 1. Emesis with a fecal odor
2. Obstipation
3. Metabolic alkalosis
4. Visible peristaltic waves in upper abdomen
,⩥ A nurse is caring for a client who has a nasogastric tube attached to
low suction due to an intestinal obstruction. Which of the following
actions should the nurse take? Answer: Irrigate the NG tube every 4 hrs.
⩥ A nurse is reviewing the laboratory data for a client who has an acute
exacerbation of Crohn's disease. Which of the following serum
laboratory results should the nurse expect to be elevated?. Answer:
Erythrocyte sedimentation rate (ESR)
⩥ A nurse is assessing a client who has an infection. Which of following
findings is the key feature of peritonitis?. Answer: Board-like abdomen
⩥ A nurse is providing nutritional instructions for a client who has a
fistula due to an acute exacerbation of Crohn's disease. Which of the
following instructions should the nurse include?. Answer: Consume
3000 calories per day.
⩥ A nurse is reviewing a client's medical history for risk factors for
cholecystitis. The nurse should identify which of the following findings
is a risk factor?. Answer: Obesity
⩥ A nurse in a clinic is reviewing the laboratory reports of a client who
has suspected cholelithiasis. Which of the following is an expected
finding?. Answer: Direct bilirubin 2.1 mg/dL
,⩥ A nurse is teaching about a new prescription for chenodiol with a
client who has cholelithiasis. Which of the following information should
the nurse include in the teaching?. Answer: This medication dissolves
gallstones gradually over a period of up to 2 years.
⩥ A nurse is providing discharge teaching to a client who is
postoperative following a laparoscopic cholecystectomy. Which of the
following instructions should the nurse include in the teaching?
Select all that apply.. Answer: 1. Cleanse the puncture site using mild
soap and water.
2. Report nausea and vomiting to the surgeon.
3. Resume a diet of choice.
⩥ A nurse is completing preoperative teaching for a client who is
scheduled for a laparoscopic cholecystectomy. Which of the following
should be included in the teaching?. Answer: "You might have shoulder
pain after surgery."
⩥ A nurse is completing an admission assessment of a client who has
pancreatitis. Which of the following findings should the nurse expect?.
Answer: Epigastric pain radiating to the left shoulder
⩥ A nurse is assessing a client who has pancreatitis. Which of the
following findings should the nurse identify as a manifestation of
pancreatitis?. Answer: Gray-blue discoloration of the skin around the
umbilicus
, ⩥ A nurse is reviewing the admission laboratory results of a client who
has acute pancreatitis. Which of the following findings should the nurse
expect?. Answer: Increased blood glucose level
⩥ A nurse is preparing to administer pancrelipase to a client who has
pancreatitis. Which of the following actions should the nurse take?.
Answer: Offer a glass of water following medication administration.
⩥ A nurse is completing nutrition teaching for a client who has
pancreatitis. Which of the following statements by the client indicates an
understanding of the teaching?
Select all that apply.. Answer: 1. "I plan to eat small, frequent meals."
2. "I will use skim milk when cooking."
3. "I will eat easy-to-digest foods with limited spice."
⩥ A nurse is reviewing the route of transmission for hepatitis with a
group of assistive personnel. The nurse should inform the group that
which of the following types of hepatitis is transmitted primarily by the
fecal-oral route?
Select all that apply.. Answer: 1. Hepatitis A
2. Hepatitis E
CERTIFICATION EVALUATION SCRIPT 2026
FULL QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ A nurse is planning care for a client who has acute gastritis. Which of
the following interventions should the nurse include in the plan of care.
Select all that apply. Answer: 1. Evaluate intake and output.
2. Observe stool characteristics.
3. Monitor laboratory reports of electrolytes.
⩥ A nurse is assessing a client in an extended care facility. The nurse
should recognize which of the following findings is a manifestation of
an obstruction of the large intestine due to a fecal impaction? Answer:
The client is having small, frequent stools.
⩥ A nurse is caring for a client who has a small bowel obstruction.
Which of the following findings are consistent with this diagnosis?
Select all that apply. Answer: 1. Emesis with a fecal odor
2. Obstipation
3. Metabolic alkalosis
4. Visible peristaltic waves in upper abdomen
,⩥ A nurse is caring for a client who has a nasogastric tube attached to
low suction due to an intestinal obstruction. Which of the following
actions should the nurse take? Answer: Irrigate the NG tube every 4 hrs.
⩥ A nurse is reviewing the laboratory data for a client who has an acute
exacerbation of Crohn's disease. Which of the following serum
laboratory results should the nurse expect to be elevated?. Answer:
Erythrocyte sedimentation rate (ESR)
⩥ A nurse is assessing a client who has an infection. Which of following
findings is the key feature of peritonitis?. Answer: Board-like abdomen
⩥ A nurse is providing nutritional instructions for a client who has a
fistula due to an acute exacerbation of Crohn's disease. Which of the
following instructions should the nurse include?. Answer: Consume
3000 calories per day.
⩥ A nurse is reviewing a client's medical history for risk factors for
cholecystitis. The nurse should identify which of the following findings
is a risk factor?. Answer: Obesity
⩥ A nurse in a clinic is reviewing the laboratory reports of a client who
has suspected cholelithiasis. Which of the following is an expected
finding?. Answer: Direct bilirubin 2.1 mg/dL
,⩥ A nurse is teaching about a new prescription for chenodiol with a
client who has cholelithiasis. Which of the following information should
the nurse include in the teaching?. Answer: This medication dissolves
gallstones gradually over a period of up to 2 years.
⩥ A nurse is providing discharge teaching to a client who is
postoperative following a laparoscopic cholecystectomy. Which of the
following instructions should the nurse include in the teaching?
Select all that apply.. Answer: 1. Cleanse the puncture site using mild
soap and water.
2. Report nausea and vomiting to the surgeon.
3. Resume a diet of choice.
⩥ A nurse is completing preoperative teaching for a client who is
scheduled for a laparoscopic cholecystectomy. Which of the following
should be included in the teaching?. Answer: "You might have shoulder
pain after surgery."
⩥ A nurse is completing an admission assessment of a client who has
pancreatitis. Which of the following findings should the nurse expect?.
Answer: Epigastric pain radiating to the left shoulder
⩥ A nurse is assessing a client who has pancreatitis. Which of the
following findings should the nurse identify as a manifestation of
pancreatitis?. Answer: Gray-blue discoloration of the skin around the
umbilicus
, ⩥ A nurse is reviewing the admission laboratory results of a client who
has acute pancreatitis. Which of the following findings should the nurse
expect?. Answer: Increased blood glucose level
⩥ A nurse is preparing to administer pancrelipase to a client who has
pancreatitis. Which of the following actions should the nurse take?.
Answer: Offer a glass of water following medication administration.
⩥ A nurse is completing nutrition teaching for a client who has
pancreatitis. Which of the following statements by the client indicates an
understanding of the teaching?
Select all that apply.. Answer: 1. "I plan to eat small, frequent meals."
2. "I will use skim milk when cooking."
3. "I will eat easy-to-digest foods with limited spice."
⩥ A nurse is reviewing the route of transmission for hepatitis with a
group of assistive personnel. The nurse should inform the group that
which of the following types of hepatitis is transmitted primarily by the
fecal-oral route?
Select all that apply.. Answer: 1. Hepatitis A
2. Hepatitis E
