PN MED SURG PROCTORED /ATI PN
MEDICAL SURGICAL EXAM 2025-2026
ACTUAL EXAM
A nurse is reviewing the medical record of a client who has a prescription for morphine.
Which of the following findings should the nurse report to the provider? - correct
answerUrinary retention
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the
following actions should the nurse take? - correct answerPosition pillows between the
bony prominences
A nurse is caring for a client who is postoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take first? - correct answerStop the
medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following
information should the nurse include? - correct answerYou are at risk for infertility with
this infection, regardless of treatment
A nurse is examining a clients IV site and notes a red line up his arm. The client reliant
a throbbing, burning pain at the IV site. The nurse should identify that the clients
manifestations indicate which of the following complications? - correct
answerThrombophlebitis
A nurse is reinforcing teaching with an adolescent client regarding testicular self
examination. Which of the following statements by the client demonstrates an
undertsmdibg of the teaching? - correct answerI understand that testicular cancer is
painless
A nurse in a long term care facility is collecting data from a client who reports fullness in
the rectum and abdominal cramping. Which of the following findings should indicate to
the nurse that the client might have a fecal impaction? - correct answerSmall liquid
stools
A nurse in an oncology is reinforcing teaching about Mohs surgery with a client who has
skin cancer. Which of the following information should the nurse include in the
teaching? - correct answerMohs surgery is a horizontal shaving of thin layers of the
tumor
,A nurse is reinforcing teaching about GERd with a client. Which of the following
statements by the client indicates an understanding of the teaching? - correct answerI
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? - correct answerCheck 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? - correct answerEncourage 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? - correct answerMonitor 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? - correct answerPulmonary
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? -
correct answerRephrase 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? - correct
answerDyspnea
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? - correct answer0.7
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? - correct answerAvoid 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? - correct answerApply 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? - correct answerMinimize 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? - correct
answerIrregular 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? - correct answerLemon 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? - correct answerObtain 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? - correct answerMask
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? - correct answerI 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? - correct answerPerform 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? - correct
answerHyperactive 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? - correct answerKeep 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? - correct answerDysrthymia
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? - correct answerOlive oil
A nurse is reviewing the laboratory results of a client who has chronic kidney failure and
is receiving epoetin alfa. The nurse should identify that which of the following laboratory
values indicates the treatment is effective? - correct answerHgb 11 g/dL
MEDICAL SURGICAL EXAM 2025-2026
ACTUAL EXAM
A nurse is reviewing the medical record of a client who has a prescription for morphine.
Which of the following findings should the nurse report to the provider? - correct
answerUrinary retention
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the
following actions should the nurse take? - correct answerPosition pillows between the
bony prominences
A nurse is caring for a client who is postoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take first? - correct answerStop the
medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following
information should the nurse include? - correct answerYou are at risk for infertility with
this infection, regardless of treatment
A nurse is examining a clients IV site and notes a red line up his arm. The client reliant
a throbbing, burning pain at the IV site. The nurse should identify that the clients
manifestations indicate which of the following complications? - correct
answerThrombophlebitis
A nurse is reinforcing teaching with an adolescent client regarding testicular self
examination. Which of the following statements by the client demonstrates an
undertsmdibg of the teaching? - correct answerI understand that testicular cancer is
painless
A nurse in a long term care facility is collecting data from a client who reports fullness in
the rectum and abdominal cramping. Which of the following findings should indicate to
the nurse that the client might have a fecal impaction? - correct answerSmall liquid
stools
A nurse in an oncology is reinforcing teaching about Mohs surgery with a client who has
skin cancer. Which of the following information should the nurse include in the
teaching? - correct answerMohs surgery is a horizontal shaving of thin layers of the
tumor
,A nurse is reinforcing teaching about GERd with a client. Which of the following
statements by the client indicates an understanding of the teaching? - correct answerI
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? - correct answerCheck 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? - correct answerEncourage 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? - correct answerMonitor 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? - correct answerPulmonary
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? -
correct answerRephrase 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? - correct
answerDyspnea
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? - correct answer0.7
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? - correct answerAvoid 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? - correct answerApply 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? - correct answerMinimize 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? - correct
answerIrregular 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? - correct answerLemon 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? - correct answerObtain 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? - correct answerMask
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? - correct answerI 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? - correct answerPerform 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? - correct
answerHyperactive 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? - correct answerKeep 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? - correct answerDysrthymia
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? - correct answerOlive oil
A nurse is reviewing the laboratory results of a client who has chronic kidney failure and
is receiving epoetin alfa. The nurse should identify that which of the following laboratory
values indicates the treatment is effective? - correct answerHgb 11 g/dL
