ATI MED SURG
PROCTORED EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
100 Qs & Ans
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case Scenario
Expert-Verified Explanations & Solutions
,#### Question 1 (NGN Style – Clinical Judgment)
A nurse is caring for a client who is receiving dialysis treatment. At 0530,
the nurse notes the client is awake and alert. During assessment of the
arteriovenous fistula (AVF) in the right forearm, the nurse identifies loss of
thrill and bruit. Whic7h of the following interventions should the nurse
perform first?
A. Notify the provider immediately.
B. Administer 0.9% sodium chloride 200 mL IV bolus.
C. Apply oxygen at 2 L/min via nasal cannula.
D. Position the client’s legs elevated.
Answer: A. Notify the provider immediately.
Explanation: The absence of a thrill and bruit over an AVF indicates potential
AVF thrombosis or occlusion, an emergent complication that requires
immediate provider notification. Administering fluids (Option B) or oxygen
(Option C) would not directly address the underlying issue of thrombosis.
Elevating the legs (Option D) is not indicated for an AVF-related emergency.
The priority nursing action aligns with SBAR communication and immediate
escalation.
---
#### Question 2 (NGN Style – Postoperative Care)
A nurse is caring for a client who is postoperative following abdominal
surgery. At 1100, the client is received from PACU with the following initial
vital signs:
- Temperature: 98.8°F (37.1°C)
- Pulse: 92/min
- Respirations: 16/min
,- Blood pressure: 132/84 mmHg
- Urine output: 50 mL/hr
Which of the following interventions should the nurse include in the client’s
care plan? (Select all that apply.)
A. Instruct the client to splint the abdomen with a pillow for coughing.
B. Plan to ambulate the client as soon as possible.
C. Report urinary output to the provider.
D. Ask the client to rate their pain on a 0 to 10 pain scale.
Answer: A, B, D.
Explanation:
- Option A: Splinting the abdomen reduces pain and minimizes the risk of
dehiscence when coughing.
- Option B: Early ambulation promotes circulation, prevents venous
thromboembolism (VTE), and expedites recovery.
- Option D: Assessing pain levels using a validated pain scale aids in
effective pain management.
- Option C is incorrect, as urinary output of 50 mL/hr is within the expected
range postoperatively.
---
#### Question 3 (Medication Management)
A nurse is caring for a client who is receiving total parenteral nutrition (TPN).
A new TPN bag is not yet available, and the current infusion is nearly
complete. What action should the nurse take?
A. Stop the infusion until the new TPN bag is available.
B. Administer 0.9% sodium chloride instead until the TPN is available.
, C. Administer dextrose 10% in water until the new bag arrives.
D. Notify the provider immediately and document the incident.
Answer: C. Administer dextrose 10% in water until the new bag arrives.
Explanation: Discontinuing TPN abruptly (Option A) risks hypoglycemia due
to the body's reliance on continuous glucose infusion. Dextrose 10% (Option
C) maintains adequate glucose levels to prevent complications. Option B
isn't appropriate replacement therapy. Option D does not address immediate
client safety.
---
#### Question 4 (NGN Style – Assessment and Intervention)
A nurse is caring for a client who had a nephrostomy tube inserted 12 hours
ago. The client reports severe back pain. Which of the following scenarios
best reflects the nurse's priority action?
A. Remove the nephrostomy tube and notify the provider.
B. Administer prescribed analgesics and reassess.
C. Flush the nephrostomy tube with sterile saline to check for obstruction.
D. Notify the provider immediately and assess tube function.
Answer: D. Notify the provider immediately and assess tube function.
Explanation: Severe back pain following nephrostomy tube insertion could
indicate obstruction or infection, both of which require immediate provider
intervention. Flushing the tube (Option C) should be done only after provider
direction. Removing the tube (Option A) is not within the nurse’s scope.
Analgesics (Option B) do not resolve the underlying complication.
---
PROCTORED EXAM
(NGN-Style Questions & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI test contains:
100 Qs & Ans
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case Scenario
Expert-Verified Explanations & Solutions
,#### Question 1 (NGN Style – Clinical Judgment)
A nurse is caring for a client who is receiving dialysis treatment. At 0530,
the nurse notes the client is awake and alert. During assessment of the
arteriovenous fistula (AVF) in the right forearm, the nurse identifies loss of
thrill and bruit. Whic7h of the following interventions should the nurse
perform first?
A. Notify the provider immediately.
B. Administer 0.9% sodium chloride 200 mL IV bolus.
C. Apply oxygen at 2 L/min via nasal cannula.
D. Position the client’s legs elevated.
Answer: A. Notify the provider immediately.
Explanation: The absence of a thrill and bruit over an AVF indicates potential
AVF thrombosis or occlusion, an emergent complication that requires
immediate provider notification. Administering fluids (Option B) or oxygen
(Option C) would not directly address the underlying issue of thrombosis.
Elevating the legs (Option D) is not indicated for an AVF-related emergency.
The priority nursing action aligns with SBAR communication and immediate
escalation.
---
#### Question 2 (NGN Style – Postoperative Care)
A nurse is caring for a client who is postoperative following abdominal
surgery. At 1100, the client is received from PACU with the following initial
vital signs:
- Temperature: 98.8°F (37.1°C)
- Pulse: 92/min
- Respirations: 16/min
,- Blood pressure: 132/84 mmHg
- Urine output: 50 mL/hr
Which of the following interventions should the nurse include in the client’s
care plan? (Select all that apply.)
A. Instruct the client to splint the abdomen with a pillow for coughing.
B. Plan to ambulate the client as soon as possible.
C. Report urinary output to the provider.
D. Ask the client to rate their pain on a 0 to 10 pain scale.
Answer: A, B, D.
Explanation:
- Option A: Splinting the abdomen reduces pain and minimizes the risk of
dehiscence when coughing.
- Option B: Early ambulation promotes circulation, prevents venous
thromboembolism (VTE), and expedites recovery.
- Option D: Assessing pain levels using a validated pain scale aids in
effective pain management.
- Option C is incorrect, as urinary output of 50 mL/hr is within the expected
range postoperatively.
---
#### Question 3 (Medication Management)
A nurse is caring for a client who is receiving total parenteral nutrition (TPN).
A new TPN bag is not yet available, and the current infusion is nearly
complete. What action should the nurse take?
A. Stop the infusion until the new TPN bag is available.
B. Administer 0.9% sodium chloride instead until the TPN is available.
, C. Administer dextrose 10% in water until the new bag arrives.
D. Notify the provider immediately and document the incident.
Answer: C. Administer dextrose 10% in water until the new bag arrives.
Explanation: Discontinuing TPN abruptly (Option A) risks hypoglycemia due
to the body's reliance on continuous glucose infusion. Dextrose 10% (Option
C) maintains adequate glucose levels to prevent complications. Option B
isn't appropriate replacement therapy. Option D does not address immediate
client safety.
---
#### Question 4 (NGN Style – Assessment and Intervention)
A nurse is caring for a client who had a nephrostomy tube inserted 12 hours
ago. The client reports severe back pain. Which of the following scenarios
best reflects the nurse's priority action?
A. Remove the nephrostomy tube and notify the provider.
B. Administer prescribed analgesics and reassess.
C. Flush the nephrostomy tube with sterile saline to check for obstruction.
D. Notify the provider immediately and assess tube function.
Answer: D. Notify the provider immediately and assess tube function.
Explanation: Severe back pain following nephrostomy tube insertion could
indicate obstruction or infection, both of which require immediate provider
intervention. Flushing the tube (Option C) should be done only after provider
direction. Removing the tube (Option A) is not within the nurse’s scope.
Analgesics (Option B) do not resolve the underlying complication.
---
