ATI PROCTORED MEDICAL-SURGICAL FINAL
PAPER EXAM FORMS A & B 2026 FULL
QUESTIONS AND CORRECT ANSWERS
GRADED A+
◉ A nurse is caring for a client who had a left lower lobectomy to
treat lung cancer. Which of the following factors will have a
significant impact on the plan of care for this client?
A. The client will need intensive smoking-cessation education.
B. After surgery, the prognosis for clients with lung cancer is usually
good.
C. Lung cancer usually has metastasized before the client presents
with symptoms.
D. Oxygen therapy is ineffective following a lobectomy.. Answer: C.
Lung cancer usually has metastasized before the client presents with
symptoms.
The nurse should be aware that lung cancer is usually at an
advanced stage before the client has any manifestations. This has
implications for both short-term and long-term care options for the
client.
,◉ A nurse is examining the ECG of a client who has hyperkalemia.
Which of the following ECG changes should the nurse expect?
A. Elevated ST segments
B. Absent P waves
C. Depressed ST segments
D. Varying PP intervals. Answer: A. Elevated ST segments
Elevated ST segments can indicate hyperkalemia and pericarditis.
◉ A nurse is caring for a client during the first 72 hr following a
cerebrovascular accident (CVA). Which of the following actions
should the nurse take?
A. Turn the client's head to the side with the head of the bed
elevated 60°
B. Place the head of the bed flat with pillows under the client's neck
and feet
C. Elevate the head of the bed 25° to 30° with the client in a neutral
midline position
D. Position the client in a dorsal recumbent position with pillows
under the head and knees. Answer:
,◉ A nurse is caring for a client who is taking streptomycin. Which of
the following medications increases the client's risk of developing
ototoxicity when taken with streptomycin?
A. Cefoxitin
B. Furosemide
C. Naproxen
D. Amphotericin B. Answer: B. Furosemide
Furosemide, a high-ceiling (loop) diuretic, increases the risk of
developing ototoxicity when taken with streptomycin, an
aminoglycoside.
◉ A nurse is preparing to administer an IM injection for a client.
Which of the following factors should the nurse identify as a
potential contraindication to administering the medication via the
IM route?
A. The medication is a depot preparation.
B. The client is taking an anticoagulant.
C. The medication is a particulate suspension.
D. The client has been vomiting.. Answer: B. The client is taking an
anticoagulant.
, Because of the risk of bleeding from the injection site, anticoagulant
therapy (e.g. warfarin) is a contraindication to receiving medications
via the IM route.
◉ A nurse is caring for a client with Clostridium difficile who has
contact-isolation precautions in place. Which of the following
actions should the nurse perform?
A. Instruct visitors to maintain a distance of at least 1 m (3 ft) from
the client.
B . Wash hands with antimicrobial soap after leaving the client's
room.
C. Use dedicated equipment for the client.
D. Keep the doors to the client's room closed at all times.. Answer: C.
Use dedicated equipment for the client.
The nurse should use dedicated equipment that is left in the room
for a client who has contact-isolation precautions in place.
Incorrect Answers:
A. The nurse should instruct visitors to maintain a distance of at
least 1 m (3 ft) from a client who has droplet-isolation precautions
in place.
PAPER EXAM FORMS A & B 2026 FULL
QUESTIONS AND CORRECT ANSWERS
GRADED A+
◉ A nurse is caring for a client who had a left lower lobectomy to
treat lung cancer. Which of the following factors will have a
significant impact on the plan of care for this client?
A. The client will need intensive smoking-cessation education.
B. After surgery, the prognosis for clients with lung cancer is usually
good.
C. Lung cancer usually has metastasized before the client presents
with symptoms.
D. Oxygen therapy is ineffective following a lobectomy.. Answer: C.
Lung cancer usually has metastasized before the client presents with
symptoms.
The nurse should be aware that lung cancer is usually at an
advanced stage before the client has any manifestations. This has
implications for both short-term and long-term care options for the
client.
,◉ A nurse is examining the ECG of a client who has hyperkalemia.
Which of the following ECG changes should the nurse expect?
A. Elevated ST segments
B. Absent P waves
C. Depressed ST segments
D. Varying PP intervals. Answer: A. Elevated ST segments
Elevated ST segments can indicate hyperkalemia and pericarditis.
◉ A nurse is caring for a client during the first 72 hr following a
cerebrovascular accident (CVA). Which of the following actions
should the nurse take?
A. Turn the client's head to the side with the head of the bed
elevated 60°
B. Place the head of the bed flat with pillows under the client's neck
and feet
C. Elevate the head of the bed 25° to 30° with the client in a neutral
midline position
D. Position the client in a dorsal recumbent position with pillows
under the head and knees. Answer:
,◉ A nurse is caring for a client who is taking streptomycin. Which of
the following medications increases the client's risk of developing
ototoxicity when taken with streptomycin?
A. Cefoxitin
B. Furosemide
C. Naproxen
D. Amphotericin B. Answer: B. Furosemide
Furosemide, a high-ceiling (loop) diuretic, increases the risk of
developing ototoxicity when taken with streptomycin, an
aminoglycoside.
◉ A nurse is preparing to administer an IM injection for a client.
Which of the following factors should the nurse identify as a
potential contraindication to administering the medication via the
IM route?
A. The medication is a depot preparation.
B. The client is taking an anticoagulant.
C. The medication is a particulate suspension.
D. The client has been vomiting.. Answer: B. The client is taking an
anticoagulant.
, Because of the risk of bleeding from the injection site, anticoagulant
therapy (e.g. warfarin) is a contraindication to receiving medications
via the IM route.
◉ A nurse is caring for a client with Clostridium difficile who has
contact-isolation precautions in place. Which of the following
actions should the nurse perform?
A. Instruct visitors to maintain a distance of at least 1 m (3 ft) from
the client.
B . Wash hands with antimicrobial soap after leaving the client's
room.
C. Use dedicated equipment for the client.
D. Keep the doors to the client's room closed at all times.. Answer: C.
Use dedicated equipment for the client.
The nurse should use dedicated equipment that is left in the room
for a client who has contact-isolation precautions in place.
Incorrect Answers:
A. The nurse should instruct visitors to maintain a distance of at
least 1 m (3 ft) from a client who has droplet-isolation precautions
in place.
