PN MED SURG PROCTORED ATI PN
MEDICAL SURGICAL EXAM 2025-2026
ACTUAL EXAM
A nurse is reinforcing teaching about GERd with a client. Which of the following statements by
the client indicates an understanding of the teaching? answer - I should wait at least 2 hours
after eating before going to bed
A nurse is assisting with the care of a care who is reconciled 0.9 % sodium chloride by
continuous IV infusion. The client report pain and swelling at the IV site. In which order should
the nurse perform that following steps? answer - Check the IV site, stop the infusion, withdraw
the IV catheter, elevate the affected arm, notify the charge nurse
A nurse is contributing to the plan of care for an older adult client who is at risk for
osteoporosis. Which of the following interventions should the nurse include to prevent bone
loss? answer - Encourage weight bearing exercises
A nurse is assisting with the care of a client who has a cardiac catheterization via the right
femoral artery. Which of the following actions should the nurse take to prevent lost procedure
complications? answer - Monitor the insertion site for bleeding is correct, maintain the
pressure dressing, check the clients peripheral pulses
A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The client is
exhibiting hypotension,tachycardia, and tachypnea. The nurse should recognize these findings
indicate which of the following complications? answer - Pulmonary embolism
,A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of the
following actions should the nurse take when communication with the client? answer -
Rephrase client instructions when not understood
A nurse is caring for a client who is postoperative and has an epidural infusion. Which of the
following findings should the nurse recognize as the priority? answer - Dyspnea
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an
INR of 4. Available is phytonadione 10 mg/ml. How many ml should the nurse administer?
answer - 0.7
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription
for baclofen. Which of the following instructions should the nurse include in the teaching?
answer - Avoid stopping this medication suddenly
A nurse is planning to implement droplet precautions for a client who has manifestation of
pertussis. Which of the following interventions should the nurse include when contributing?
answer - Apply a mask on the client of transport is needed
A nurse is caring for an older adult client who has a reddened area over the sacrum. Which of
the following actions should the nurse take? answer - Minimize the time the head of the bed is
elevated
A nurse is collecting data from a client and noticed several skin lesions. Which of the following
findings should the nurse report as possible melanoma? answer - Irregular borders
A nurse is reinforcing teaching with a client who is in a low sodium diet and asks about how to
improve the taste of bland food. Which of the following should the nurse recommend? answer
- Lemon juice
, A nurse is assisting with the discharge planning for a client who is postoperative following a
total hip arthroplasty. Which of the following instructions should the nurse include in the
discharge plan? answer - Obtain a raised toilet seat
A nurse is caring for a client who has meningococcal pneumonia. Which of the following
personal protective equipment should the nurse use? answer - Mask
A nurse is reinforcing teaching with a client who has asthma. Which of the following client
statements indicates an understanding of the use of budensonide and albuterol inhalers?
answer - I never forget to rinse my mouth after using my budesonide , between office visits I
keep a record of how many times I use my albiterol inhaler, I use my albuterol inhaler before I
go swimming.
A nurse is care for for a client who has a compound fracture of the femur and was placed in
balanced suspension skeletal traction 4 days ago. Which of the following actions should the
nurse take? answer - Perform pin site care daily
A nurse is preparing to auscultate the bowel sounds of a client who has a mechanical bowel
obstruction in the descending colon. When listening in the upper left upper quadrant, the nurse
should identify this sound as which of the following? answer - Hyperactive bowel sounds
A nurse is contributing to the plan of care for a client who was admitted to the neurological unit
following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the
priority? answer - Keep the client in a side lying position
A nurse is collecting data from a client who has hypokalemia. Which of the following findings
should the identify as the priority? answer - Dysrthymia
A nurse is reinforcing teaching about dietary changes with a client who has cardiovascular
disease. Which of the following images indicates the type of cooking fat the nurse recommend
the client use when preparing meals? answer - Olive oil
MEDICAL SURGICAL EXAM 2025-2026
ACTUAL EXAM
A nurse is reinforcing teaching about GERd with a client. Which of the following statements by
the client indicates an understanding of the teaching? answer - I should wait at least 2 hours
after eating before going to bed
A nurse is assisting with the care of a care who is reconciled 0.9 % sodium chloride by
continuous IV infusion. The client report pain and swelling at the IV site. In which order should
the nurse perform that following steps? answer - Check the IV site, stop the infusion, withdraw
the IV catheter, elevate the affected arm, notify the charge nurse
A nurse is contributing to the plan of care for an older adult client who is at risk for
osteoporosis. Which of the following interventions should the nurse include to prevent bone
loss? answer - Encourage weight bearing exercises
A nurse is assisting with the care of a client who has a cardiac catheterization via the right
femoral artery. Which of the following actions should the nurse take to prevent lost procedure
complications? answer - Monitor the insertion site for bleeding is correct, maintain the
pressure dressing, check the clients peripheral pulses
A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The client is
exhibiting hypotension,tachycardia, and tachypnea. The nurse should recognize these findings
indicate which of the following complications? answer - Pulmonary embolism
,A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of the
following actions should the nurse take when communication with the client? answer -
Rephrase client instructions when not understood
A nurse is caring for a client who is postoperative and has an epidural infusion. Which of the
following findings should the nurse recognize as the priority? answer - Dyspnea
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an
INR of 4. Available is phytonadione 10 mg/ml. How many ml should the nurse administer?
answer - 0.7
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription
for baclofen. Which of the following instructions should the nurse include in the teaching?
answer - Avoid stopping this medication suddenly
A nurse is planning to implement droplet precautions for a client who has manifestation of
pertussis. Which of the following interventions should the nurse include when contributing?
answer - Apply a mask on the client of transport is needed
A nurse is caring for an older adult client who has a reddened area over the sacrum. Which of
the following actions should the nurse take? answer - Minimize the time the head of the bed is
elevated
A nurse is collecting data from a client and noticed several skin lesions. Which of the following
findings should the nurse report as possible melanoma? answer - Irregular borders
A nurse is reinforcing teaching with a client who is in a low sodium diet and asks about how to
improve the taste of bland food. Which of the following should the nurse recommend? answer
- Lemon juice
, A nurse is assisting with the discharge planning for a client who is postoperative following a
total hip arthroplasty. Which of the following instructions should the nurse include in the
discharge plan? answer - Obtain a raised toilet seat
A nurse is caring for a client who has meningococcal pneumonia. Which of the following
personal protective equipment should the nurse use? answer - Mask
A nurse is reinforcing teaching with a client who has asthma. Which of the following client
statements indicates an understanding of the use of budensonide and albuterol inhalers?
answer - I never forget to rinse my mouth after using my budesonide , between office visits I
keep a record of how many times I use my albiterol inhaler, I use my albuterol inhaler before I
go swimming.
A nurse is care for for a client who has a compound fracture of the femur and was placed in
balanced suspension skeletal traction 4 days ago. Which of the following actions should the
nurse take? answer - Perform pin site care daily
A nurse is preparing to auscultate the bowel sounds of a client who has a mechanical bowel
obstruction in the descending colon. When listening in the upper left upper quadrant, the nurse
should identify this sound as which of the following? answer - Hyperactive bowel sounds
A nurse is contributing to the plan of care for a client who was admitted to the neurological unit
following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the
priority? answer - Keep the client in a side lying position
A nurse is collecting data from a client who has hypokalemia. Which of the following findings
should the identify as the priority? answer - Dysrthymia
A nurse is reinforcing teaching about dietary changes with a client who has cardiovascular
disease. Which of the following images indicates the type of cooking fat the nurse recommend
the client use when preparing meals? answer - Olive oil
