ATI RN MED SURG EXAM WITH 70 ACTUAL EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS AND
RATIONALS – NEW
UPDATE 2026 FINAL EXAM WITH 100% VERIFIED
ANSWERS GRADED A
SECTION A
A nurse is caring for a client who has an arterial line. Which of the following actions should the
nurse take?
A. Flush the line before administering antibiotics
B. Position the client in Trendelenburg to obtain measurements
C. Have the client bear down when readings are obtained
D. Place a pressure bag around the flush solution
ANSWER - D
Place a pressure bag around the flush solution of NS because the pressure from an artery is
greater than that of the line. Antibiotics are not administered through an arterial line. They are
used for ABGs and monitoring hemodynamic pressures. Bearing down temporarily increases
arterial pressure, making the reading inaccurate.
A nurse is planning care for an older adult who has dementia. Which of the following
interventions should the nurse include in the plan of care?
A. Explain procedures as they occur to the client
B. Place personal items, such as pictures, at the client's bedside
C. Orient the client to their location once a sift
D. Encourage the family members to remain home until the client had adjusted
,- ANSWER - B
For cognitive support. Explain all procedures and routines to the client before they occur to
Decrease confusion and anxiety. Orient client to person, place, and time frequently during a
shift.
Family and friends should visit often to decrease confusion an anxiety and reinforce cognitive
support.
A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for
gentamicin. Which of the following findings from the client's medical record should indicate to
the nurse the need to withhold the medication and notify the provider?
A. WBC count 13,700/mm3
B. Temperature 38.4ºC (101.1ºF)
C. BP 155/98mmHg
D. Serum creatinine 2.1mg/dL
ANSWER - D
Client with elevated serum creatinine level should not receive gentamicin because it is
A nurse is teaching a newly licensed nurse about preventing a catheter-associated urinary tract
infection for a client who has an indwelling urinary catheter
Which of the following instructions Should the nurse include?
A. Ensure the urinary catheter tubing is not kinked
B. Rest the catheter bag on the floor when the client is sitting in a chair
C. Clean the perineal area with an antiseptic solution
D. Empty the collection bag for the client every 12 hr.
ANSWER - A Kinks can cause blockage of urinary flow and result in a UTI
, A nurse is planning wound management for a client who has a stage 3 pressure injury. Which of
the following interventions should the nurse include in the plan?
A. Measure the depth of the wound with a cotton-tipped applicator
B. Measure the wound using a reusable tape measure
C. Cover the wound bed with dry gauze dressings
D. Cleanse the wound with soap and water –
ANSWER - A Check wound for tunneling
A nurse is planning care for four clients following chase-of-shift report. Which of the following
clients is the nurse's priority?
A. A client who had a stroke and has expressive aphasia
B. A client who has a hemoglobin of 11g/dL and requires 1 unit of blood
C. A client who has asthma and a peak expiratory flow rate in the green zone
D. A client who has peptic ulcer disease and a rigid abdomen
ANSWER - D The client is unstable and a rigid abdomen is a manifestation of a perforated peptic
ulcer and could lead to
septicemia and shock.
A nurse is planning care for four clients following chase-of-shift report. Which of the following
clients should the nurse see first?
A. A client who is receiving propranolol and has a HR of 55/min
B. A client who is receiving warfarin and has an INR of 2.5
C. A client who has a pacemaker and has persistent hiccupping
D. A client who has cholecystitis and reports rebound tenderness
ANSWER - C Hiccupping is a manifestation of a dislocation of the pacemaker lead and could lead
to bradycardia and
decreased
QUESTIONS WITH DETAILED VERIFIED ANSWERS AND
RATIONALS – NEW
UPDATE 2026 FINAL EXAM WITH 100% VERIFIED
ANSWERS GRADED A
SECTION A
A nurse is caring for a client who has an arterial line. Which of the following actions should the
nurse take?
A. Flush the line before administering antibiotics
B. Position the client in Trendelenburg to obtain measurements
C. Have the client bear down when readings are obtained
D. Place a pressure bag around the flush solution
ANSWER - D
Place a pressure bag around the flush solution of NS because the pressure from an artery is
greater than that of the line. Antibiotics are not administered through an arterial line. They are
used for ABGs and monitoring hemodynamic pressures. Bearing down temporarily increases
arterial pressure, making the reading inaccurate.
A nurse is planning care for an older adult who has dementia. Which of the following
interventions should the nurse include in the plan of care?
A. Explain procedures as they occur to the client
B. Place personal items, such as pictures, at the client's bedside
C. Orient the client to their location once a sift
D. Encourage the family members to remain home until the client had adjusted
,- ANSWER - B
For cognitive support. Explain all procedures and routines to the client before they occur to
Decrease confusion and anxiety. Orient client to person, place, and time frequently during a
shift.
Family and friends should visit often to decrease confusion an anxiety and reinforce cognitive
support.
A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for
gentamicin. Which of the following findings from the client's medical record should indicate to
the nurse the need to withhold the medication and notify the provider?
A. WBC count 13,700/mm3
B. Temperature 38.4ºC (101.1ºF)
C. BP 155/98mmHg
D. Serum creatinine 2.1mg/dL
ANSWER - D
Client with elevated serum creatinine level should not receive gentamicin because it is
A nurse is teaching a newly licensed nurse about preventing a catheter-associated urinary tract
infection for a client who has an indwelling urinary catheter
Which of the following instructions Should the nurse include?
A. Ensure the urinary catheter tubing is not kinked
B. Rest the catheter bag on the floor when the client is sitting in a chair
C. Clean the perineal area with an antiseptic solution
D. Empty the collection bag for the client every 12 hr.
ANSWER - A Kinks can cause blockage of urinary flow and result in a UTI
, A nurse is planning wound management for a client who has a stage 3 pressure injury. Which of
the following interventions should the nurse include in the plan?
A. Measure the depth of the wound with a cotton-tipped applicator
B. Measure the wound using a reusable tape measure
C. Cover the wound bed with dry gauze dressings
D. Cleanse the wound with soap and water –
ANSWER - A Check wound for tunneling
A nurse is planning care for four clients following chase-of-shift report. Which of the following
clients is the nurse's priority?
A. A client who had a stroke and has expressive aphasia
B. A client who has a hemoglobin of 11g/dL and requires 1 unit of blood
C. A client who has asthma and a peak expiratory flow rate in the green zone
D. A client who has peptic ulcer disease and a rigid abdomen
ANSWER - D The client is unstable and a rigid abdomen is a manifestation of a perforated peptic
ulcer and could lead to
septicemia and shock.
A nurse is planning care for four clients following chase-of-shift report. Which of the following
clients should the nurse see first?
A. A client who is receiving propranolol and has a HR of 55/min
B. A client who is receiving warfarin and has an INR of 2.5
C. A client who has a pacemaker and has persistent hiccupping
D. A client who has cholecystitis and reports rebound tenderness
ANSWER - C Hiccupping is a manifestation of a dislocation of the pacemaker lead and could lead
to bradycardia and
decreased
