ATI Proctored Med SurgActual Exam 6 (2025) comprehensive questions and verified
answers ( detailed & elaborated) 2025-2026 TEST
A nurse is providing teaching to a client who has anemia and a new
prescription for an oral iron supplement. Which of the following statements by
the client indicates an understanding of the teaching?
A. I will take my iron with a glass of milk
B. I will take an antacid with my iron
C. I will limit my intake of red meat
D. I will eat more high-fiber foods
D
High-fiber foods to prevent constipation, which is a common adverse effect of oral
iron supplements. Dairy products and antacids inhibit the absorption of iron. Should
increase intake of red meat because it is high in iron and will supplement this
medication.
A nurse is caring for a client who has a positive culture for MRSA. Which of
the following actions should the nurse take?
A. Obtain a sputum specimen to determine if there is colonization
B. Bathe the client using chlorhexidine solution
C. Place the client in a droplet isolation
D. Restrict visits from the client's friends and family
B
Bathe the client using chlorhexidine solution because it reduces the risk of
transmission of MRSA to other areas of the body. Obtain a nasal specimen to
determine if there is colonization. Place client in contact isolation. Do not need to
restrict client's visitors, but they should wear gowns and gloves.
A PACU nurse is assessing a client who is postoperative following a right
nephrectomy. The client's initial vital signs were HR 80/min, BP 130/70mmHg,
RR 16/min, and temperature 36ºC (96.8ºF). Which of the following vital sign
changes should alert the nurse that the client might be hemorrhaging?
A. HR 110/min
B. BP 160/70mmHg
C. RR 14/min
D. Temperature 38.4ºC (101.1ºF)
,A
One of the first signs of hemorrhage is an increase in HR from the client's baseline to
compensate for blood loss. Early sign of hemorrhage is a slight increase in diastolic
BP, but as bleeding progresses, the systolic BP will decrease. An increase in BP
postoperatively can indicate that the client is in pain. Increase in RR indicates
hemorrhage. Increase in temperature indicates infection.
A nurse is updating the plan of care for a client who is receiving
chemotherapy. Which of the following findings should the nurse identify as the
priority?
A. Report of sore throat
B. Report of memory loss
C. Alopecia
D. Mucositis
A
Could be a manifestation of an infection. The client is at risk for neutropenia due to
myelosuppression, and therefore an infection could lead to sepsis. Memory loss,
alopecia, and mucositis are expected findings.
A nurse is preparing to administer a blood transfusion to a client who has
anemia. Which of the following actions should the nurse take first?
A. Obtain the client's vital signs
B. Describe the blood transfusion procedure to the client
C. Check for the type and number of units of blood to administer
D. Initiate a peripheral IV line
C
Should first confirm the type and number of units of blood to administer matches
what is indicated in the client's chart. Vital signs, description of procedure, and large-
bore IV access to prevent hemolysis after confirmation.
A nurse is checking the ECG rhythm strip for a client who has a temporary
pacemaker. The nurse notes a pacemaker artifact followed by a QRS complex.
Which of the following actions should the nurse take?
A. Document that depolarization has occurred
B. Increase the pacemaker's voltage
C. Decrease the pacemaker's sensitivity
D. Check the placement of the ECG leads
, A
Spike followed by a QRS complex indicates pacing stimulus was delivered to the
ventricle and caused depolarization. Pacemaker is firing correctly and has adequate
voltage.
A nurse is planning care for a client who is postoperative following a
parathyroidectomy. Which of the following actions should the nurse identify as
the priority?
A. Use pillows to support the client's head and neck
B. Offer opioid medication
C. Place a tracheostomy tray at the bedside
D. Place the client in semi-Fowler's position
C
Priority following ABC, in case of airway obstruction. Should use pillows, offer opioid
medication, and place in semi-Fowler's, but they are not the priority.
A nurse is planning care for a client who is scheduled for a thoracentesis.
Which of the following interventions should the nurse include in the plan?
A. Encourage the client to take deep breaths after the procedure
B. Assist the client to hold arms up during the procedure
C. Instruct the client to remain NPO after midnight prior to the procedure
D. Keep the client on bed rest for 8 hr following the procedure
A
Should deep breath to re-expand the lung. Should be placed in an upright position
with arms resting on an overhead table to widen the intercostal space and spread
the ribs for tube insertion. Should assist a client who cannot sit up into a side-lying
position with the affected side up. Received local anesthetic so will not require NPO.
Can resume activity within 1 hr following the procedure.
A nurse is assessing a client who is postoperative following a thyroidectomy.
Which of the following findings is the nurse's priority?
A. Moderate serosanguinous drainage on the dressing
B. Calcium 9.5 mg/dL
C. Temperature 38.9ºC (102ºF)
D. Decreased bowel sounds
C
Elevated temperature is a manifestation of excessive thyroid hormone release, or
answers ( detailed & elaborated) 2025-2026 TEST
A nurse is providing teaching to a client who has anemia and a new
prescription for an oral iron supplement. Which of the following statements by
the client indicates an understanding of the teaching?
A. I will take my iron with a glass of milk
B. I will take an antacid with my iron
C. I will limit my intake of red meat
D. I will eat more high-fiber foods
D
High-fiber foods to prevent constipation, which is a common adverse effect of oral
iron supplements. Dairy products and antacids inhibit the absorption of iron. Should
increase intake of red meat because it is high in iron and will supplement this
medication.
A nurse is caring for a client who has a positive culture for MRSA. Which of
the following actions should the nurse take?
A. Obtain a sputum specimen to determine if there is colonization
B. Bathe the client using chlorhexidine solution
C. Place the client in a droplet isolation
D. Restrict visits from the client's friends and family
B
Bathe the client using chlorhexidine solution because it reduces the risk of
transmission of MRSA to other areas of the body. Obtain a nasal specimen to
determine if there is colonization. Place client in contact isolation. Do not need to
restrict client's visitors, but they should wear gowns and gloves.
A PACU nurse is assessing a client who is postoperative following a right
nephrectomy. The client's initial vital signs were HR 80/min, BP 130/70mmHg,
RR 16/min, and temperature 36ºC (96.8ºF). Which of the following vital sign
changes should alert the nurse that the client might be hemorrhaging?
A. HR 110/min
B. BP 160/70mmHg
C. RR 14/min
D. Temperature 38.4ºC (101.1ºF)
,A
One of the first signs of hemorrhage is an increase in HR from the client's baseline to
compensate for blood loss. Early sign of hemorrhage is a slight increase in diastolic
BP, but as bleeding progresses, the systolic BP will decrease. An increase in BP
postoperatively can indicate that the client is in pain. Increase in RR indicates
hemorrhage. Increase in temperature indicates infection.
A nurse is updating the plan of care for a client who is receiving
chemotherapy. Which of the following findings should the nurse identify as the
priority?
A. Report of sore throat
B. Report of memory loss
C. Alopecia
D. Mucositis
A
Could be a manifestation of an infection. The client is at risk for neutropenia due to
myelosuppression, and therefore an infection could lead to sepsis. Memory loss,
alopecia, and mucositis are expected findings.
A nurse is preparing to administer a blood transfusion to a client who has
anemia. Which of the following actions should the nurse take first?
A. Obtain the client's vital signs
B. Describe the blood transfusion procedure to the client
C. Check for the type and number of units of blood to administer
D. Initiate a peripheral IV line
C
Should first confirm the type and number of units of blood to administer matches
what is indicated in the client's chart. Vital signs, description of procedure, and large-
bore IV access to prevent hemolysis after confirmation.
A nurse is checking the ECG rhythm strip for a client who has a temporary
pacemaker. The nurse notes a pacemaker artifact followed by a QRS complex.
Which of the following actions should the nurse take?
A. Document that depolarization has occurred
B. Increase the pacemaker's voltage
C. Decrease the pacemaker's sensitivity
D. Check the placement of the ECG leads
, A
Spike followed by a QRS complex indicates pacing stimulus was delivered to the
ventricle and caused depolarization. Pacemaker is firing correctly and has adequate
voltage.
A nurse is planning care for a client who is postoperative following a
parathyroidectomy. Which of the following actions should the nurse identify as
the priority?
A. Use pillows to support the client's head and neck
B. Offer opioid medication
C. Place a tracheostomy tray at the bedside
D. Place the client in semi-Fowler's position
C
Priority following ABC, in case of airway obstruction. Should use pillows, offer opioid
medication, and place in semi-Fowler's, but they are not the priority.
A nurse is planning care for a client who is scheduled for a thoracentesis.
Which of the following interventions should the nurse include in the plan?
A. Encourage the client to take deep breaths after the procedure
B. Assist the client to hold arms up during the procedure
C. Instruct the client to remain NPO after midnight prior to the procedure
D. Keep the client on bed rest for 8 hr following the procedure
A
Should deep breath to re-expand the lung. Should be placed in an upright position
with arms resting on an overhead table to widen the intercostal space and spread
the ribs for tube insertion. Should assist a client who cannot sit up into a side-lying
position with the affected side up. Received local anesthetic so will not require NPO.
Can resume activity within 1 hr following the procedure.
A nurse is assessing a client who is postoperative following a thyroidectomy.
Which of the following findings is the nurse's priority?
A. Moderate serosanguinous drainage on the dressing
B. Calcium 9.5 mg/dL
C. Temperature 38.9ºC (102ºF)
D. Decreased bowel sounds
C
Elevated temperature is a manifestation of excessive thyroid hormone release, or
