ATI RN MEDICAL SURGICAL PROCTORED
EXAM STUDY GUIDE 2026
COMPREHENSIVE QUESTIONS AND
SOLUTIONS
◉ Which assessment findings would you expect in a pt who is 24hr
post op receiving an ostomy?
Answer: The stoma is bright red, smooth and moist (turns pink after
2-3 weeks)
◉ Appropriate oropharyngeal suctioning; select all:
Answer: -encourage pt to deep breath & cough prior
-monitor O2 sats
-store catheter in clean dry place for use
-perform care 3 times a day (Q 8hrs)
◉ How would you promote healing in an elderly pt?
Answer: increased fluids
◉ which of the following is an expected outcome of a pt receiving
KCL?
,Answer: doesn't experience any dysrrhythmias
◉ Which of the following is an indication of a pt at risk of developing
a sodium imbalance?
Answer: -vomiting
-diarrhea
-enemas
-diuretics
◉ which of the following lab values indicates a pt suffers from
hypovolemia?
Answer: increased urine specific gravity
◉ what's a complication from an av graft?
Answer: Weak pulses in the leg or feet (capillary filling in the toe 6)
◉ What position would you place a client for an ART line?
Answer: supine or trendelenburg
◉ What education would you give a pt suffering from COPD?
Answer: pursed lip breathing
,◉ What would you teach a pt about exercise when they suffer from
diabetes?
Answer: eat a snack during unexpected activity
◉ which pt is most at risk of developing an infection?
Answer: low WBC
◉ Expected finding of drainage postop?
Answer: sanguinous to serosanguinous, pink wound edges, slight
swelling under sutures/staples, slight crusting of drainage
◉ Which of the following diseases would warrant airborne
precautions?
Answer: measles
◉ A pt has a positive TB skin test what would your first action be?
Answer: put a mask on either the pt or yourself
◉ What precautions would you take with a person diagnosed with
TB?
Answer: negative airflow room
N95 mask on the nurse & the pt only when leaving the room
, ◉ What complaint would lead you to believe the pt is suffering from
an aneurysm?
Answer: pain in the abd, back, arm, or leg
sudden onset
◉ If a pt suffered 18% burns what lab values would you expect to
increase after 24 hrs?
Answer: WBC decrease
Hgb & Hct decrease
Sodium decrease
◉ Internal radiation:
Answer: -visitors limited to 30 min a day at distance of 6 ft
-healthcare staff must wear dosimeter
-sign on door
-client gets private room & bath
-no pregnant visitors or kids
-lead container for disposal of stuff in clients room
◉ Internal radiation, which indicates client understanding?
Answer: I will wash area with mild soap and water daily
EXAM STUDY GUIDE 2026
COMPREHENSIVE QUESTIONS AND
SOLUTIONS
◉ Which assessment findings would you expect in a pt who is 24hr
post op receiving an ostomy?
Answer: The stoma is bright red, smooth and moist (turns pink after
2-3 weeks)
◉ Appropriate oropharyngeal suctioning; select all:
Answer: -encourage pt to deep breath & cough prior
-monitor O2 sats
-store catheter in clean dry place for use
-perform care 3 times a day (Q 8hrs)
◉ How would you promote healing in an elderly pt?
Answer: increased fluids
◉ which of the following is an expected outcome of a pt receiving
KCL?
,Answer: doesn't experience any dysrrhythmias
◉ Which of the following is an indication of a pt at risk of developing
a sodium imbalance?
Answer: -vomiting
-diarrhea
-enemas
-diuretics
◉ which of the following lab values indicates a pt suffers from
hypovolemia?
Answer: increased urine specific gravity
◉ what's a complication from an av graft?
Answer: Weak pulses in the leg or feet (capillary filling in the toe 6)
◉ What position would you place a client for an ART line?
Answer: supine or trendelenburg
◉ What education would you give a pt suffering from COPD?
Answer: pursed lip breathing
,◉ What would you teach a pt about exercise when they suffer from
diabetes?
Answer: eat a snack during unexpected activity
◉ which pt is most at risk of developing an infection?
Answer: low WBC
◉ Expected finding of drainage postop?
Answer: sanguinous to serosanguinous, pink wound edges, slight
swelling under sutures/staples, slight crusting of drainage
◉ Which of the following diseases would warrant airborne
precautions?
Answer: measles
◉ A pt has a positive TB skin test what would your first action be?
Answer: put a mask on either the pt or yourself
◉ What precautions would you take with a person diagnosed with
TB?
Answer: negative airflow room
N95 mask on the nurse & the pt only when leaving the room
, ◉ What complaint would lead you to believe the pt is suffering from
an aneurysm?
Answer: pain in the abd, back, arm, or leg
sudden onset
◉ If a pt suffered 18% burns what lab values would you expect to
increase after 24 hrs?
Answer: WBC decrease
Hgb & Hct decrease
Sodium decrease
◉ Internal radiation:
Answer: -visitors limited to 30 min a day at distance of 6 ft
-healthcare staff must wear dosimeter
-sign on door
-client gets private room & bath
-no pregnant visitors or kids
-lead container for disposal of stuff in clients room
◉ Internal radiation, which indicates client understanding?
Answer: I will wash area with mild soap and water daily
