ATI MEDICAL-SURGICAL NURSING PROCTORED EXAM
2025-2026 COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
1. A nurse is caring for a client with heart failure who is prescribed
furosemide. Which finding indicates the medication is effective?
A. Decreased urine output
B. Increased blood pressure
C. Crackles in lungs
D. ✔ Decreased peripheral edema
Rationale: Furosemide is a loop diuretic that reduces fluid overload, leading
to decreased edema.
2. A client with chronic obstructive pulmonary disease (COPD) is receiving
oxygen therapy. Which action by the nurse is appropriate?
A. Administer oxygen at 10 L/min via nonrebreather
B. ✔ Maintain oxygen flow at 1–2 L/min via nasal cannula
C. Encourage rapid deep breathing
D. Discontinue oxygen when saturation improves
Rationale: COPD clients rely on hypoxic drive; low-flow oxygen prevents
respiratory depression.
3. A nurse is teaching a client with diabetes mellitus about hypoglycemia.
Which symptom should the nurse include?
A. Polyuria
B. Polydipsia
C. ✔ Diaphoresis
D. Fruity breath
Rationale: Hypoglycemia causes adrenergic symptoms such as sweating and
tremors.
,4. A client with a nasogastric tube reports nausea. What is the nurse’s first
action?
A. Administer an antiemetic
B. Irrigate the tube
C. ✔ Check tube placement
D. Increase suction
Rationale: Incorrect tube placement can cause nausea and must be assessed
first.
5. A nurse is caring for a client after a thyroidectomy. Which finding requires
immediate intervention?
A. Hoarseness
B. Mild neck swelling
C. ✔ Stridor
D. Pain at incision site
Rationale: Stridor indicates airway obstruction, a life-threatening
complication.
6. A client with renal failure is prescribed a diet low in potassium. Which food
should the nurse recommend?
A. Bananas
B. Oranges
C. ✔ Apples
D. Tomatoes
Rationale: Apples are low in potassium compared to the other options.
7. A nurse is assessing a client with deep vein thrombosis (DVT). Which finding
is expected?
A. Cool extremity
B. ✔ Unilateral leg swelling
C. Weak pulses
D. Pallor
Rationale: DVT commonly presents with unilateral swelling and pain.
, 8. A nurse is caring for a client receiving a blood transfusion. Which finding
indicates a transfusion reaction?
A. Slight temperature increase
B. ✔ Chills and fever
C. Increased appetite
D. Decreased heart rate
Rationale: Fever and chills suggest an acute transfusion reaction.
9. A client with cirrhosis has ascites. Which intervention is most appropriate?
A. High-protein diet
B. ✔ Sodium restriction
C. Increased fluid intake
D. Bed rest only
Rationale: Sodium restriction helps reduce fluid retention and ascites.
10.A nurse is caring for a client with pancreatitis. Which laboratory value is
expected?
A. Decreased amylase
B. ✔ Increased lipase
C. Decreased glucose
D. Increased calcium
Rationale: Lipase levels rise significantly in pancreatitis.
11.A client with a new colostomy is anxious. What is the nurse’s best response?
A. Ignore the concern
B. Provide written instructions only
C. ✔ Encourage the client to express feelings
D. Focus only on stoma care
Rationale: Therapeutic communication helps reduce anxiety and promotes
coping.
12.A nurse is administering morphine IV. Which assessment is priority?
A. Bowel sounds
B. ✔ Respiratory rate
2025-2026 COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
1. A nurse is caring for a client with heart failure who is prescribed
furosemide. Which finding indicates the medication is effective?
A. Decreased urine output
B. Increased blood pressure
C. Crackles in lungs
D. ✔ Decreased peripheral edema
Rationale: Furosemide is a loop diuretic that reduces fluid overload, leading
to decreased edema.
2. A client with chronic obstructive pulmonary disease (COPD) is receiving
oxygen therapy. Which action by the nurse is appropriate?
A. Administer oxygen at 10 L/min via nonrebreather
B. ✔ Maintain oxygen flow at 1–2 L/min via nasal cannula
C. Encourage rapid deep breathing
D. Discontinue oxygen when saturation improves
Rationale: COPD clients rely on hypoxic drive; low-flow oxygen prevents
respiratory depression.
3. A nurse is teaching a client with diabetes mellitus about hypoglycemia.
Which symptom should the nurse include?
A. Polyuria
B. Polydipsia
C. ✔ Diaphoresis
D. Fruity breath
Rationale: Hypoglycemia causes adrenergic symptoms such as sweating and
tremors.
,4. A client with a nasogastric tube reports nausea. What is the nurse’s first
action?
A. Administer an antiemetic
B. Irrigate the tube
C. ✔ Check tube placement
D. Increase suction
Rationale: Incorrect tube placement can cause nausea and must be assessed
first.
5. A nurse is caring for a client after a thyroidectomy. Which finding requires
immediate intervention?
A. Hoarseness
B. Mild neck swelling
C. ✔ Stridor
D. Pain at incision site
Rationale: Stridor indicates airway obstruction, a life-threatening
complication.
6. A client with renal failure is prescribed a diet low in potassium. Which food
should the nurse recommend?
A. Bananas
B. Oranges
C. ✔ Apples
D. Tomatoes
Rationale: Apples are low in potassium compared to the other options.
7. A nurse is assessing a client with deep vein thrombosis (DVT). Which finding
is expected?
A. Cool extremity
B. ✔ Unilateral leg swelling
C. Weak pulses
D. Pallor
Rationale: DVT commonly presents with unilateral swelling and pain.
, 8. A nurse is caring for a client receiving a blood transfusion. Which finding
indicates a transfusion reaction?
A. Slight temperature increase
B. ✔ Chills and fever
C. Increased appetite
D. Decreased heart rate
Rationale: Fever and chills suggest an acute transfusion reaction.
9. A client with cirrhosis has ascites. Which intervention is most appropriate?
A. High-protein diet
B. ✔ Sodium restriction
C. Increased fluid intake
D. Bed rest only
Rationale: Sodium restriction helps reduce fluid retention and ascites.
10.A nurse is caring for a client with pancreatitis. Which laboratory value is
expected?
A. Decreased amylase
B. ✔ Increased lipase
C. Decreased glucose
D. Increased calcium
Rationale: Lipase levels rise significantly in pancreatitis.
11.A client with a new colostomy is anxious. What is the nurse’s best response?
A. Ignore the concern
B. Provide written instructions only
C. ✔ Encourage the client to express feelings
D. Focus only on stoma care
Rationale: Therapeutic communication helps reduce anxiety and promotes
coping.
12.A nurse is administering morphine IV. Which assessment is priority?
A. Bowel sounds
B. ✔ Respiratory rate
