ATI RN MED SURG ACTUAL EXAM SCRIPT
2026 FULL QUESTIONS AND CORRECT
ANSWERS
◉ Contact precaution.
Answer: - leave equipment in room
◉ Fluid volume overload.
Answer: - assess: distended neck veins, full bounding pulse,
hypertension, restlessness, cool clammy skin, pallor, edema
◉ Gout.
Answer: - decrease intake of purine; increase foods that elevate
urine pH
- avoid aspirin, diuretics
- tx: colchicine, allopurinol
◉ TB.
Answer: - assessment: anorexia, low grade fever, night sweats,
persistent cough, purulent sputum (possible blood streak)
- airborne precautions
,- have family members tested; intradermal TB test 2-10 weeks of
exposure (mantoux)
- no longer contagious after 2-3 cont medication; 3 consequtive
sputum cultures (Q2-4wk)
- tx: isoniazid, rifampin, pyrazinamide, ethambutol
◉ Hypokalemia.
Answer: - assess: hypoactive bowel sounds, shallow resp, orthostatic
hypotension, thready weak pulse, reduce DTR
- monitor EKG: vtach, inverted T waves, ST depression
- do not give potassium IM, subQ, bolus
- increases risk of dig toxicity
- complications: cardiac arrest, resp failure
◉ Shock.
Answer: - assessment: tachycardia, decrease systolic
pressure/increase diastolic, increase resp, hypoactive bowel sounds
- metabolic acidosis
- treatment priorities airway/breathing, circulation
◉ Lyme Disease.
Answer: - assessment: joint/muscle pain, memory problems, fatigue,
carditis, dysrhythmias
, - tx: 30 day abx; penacillin, cephalosporin, tetracycline
◉ Open reduction.
Answer: - monitor: neuro, decrease circulation, pain
- pin care
- monitor skin breakdown, fat/pulmonary embolism, infection
◉ Cushing's disease.
Answer: - assessment: muscle atrophy, bruising, striae, electrolyte
imbalances, weight gain, hypertension, full bounding pulses
- positive outcomes of therapy: decreased Na, urine cortisol, BG;
increased Ca
◉ Magnesium sulfate.
Answer: - use: cardiac dysrhytmias (torsades des pointes, refractory
vfib)
- complications: resp paralysis, decreased reflexes, hypotension,
decreased cardiac function (heart block)
◉ Pneumonia.
Answer: - inflammation of airways leading to hypoxia; maintain
SaO2 at 95% to prevent
- use IS Q1h
2026 FULL QUESTIONS AND CORRECT
ANSWERS
◉ Contact precaution.
Answer: - leave equipment in room
◉ Fluid volume overload.
Answer: - assess: distended neck veins, full bounding pulse,
hypertension, restlessness, cool clammy skin, pallor, edema
◉ Gout.
Answer: - decrease intake of purine; increase foods that elevate
urine pH
- avoid aspirin, diuretics
- tx: colchicine, allopurinol
◉ TB.
Answer: - assessment: anorexia, low grade fever, night sweats,
persistent cough, purulent sputum (possible blood streak)
- airborne precautions
,- have family members tested; intradermal TB test 2-10 weeks of
exposure (mantoux)
- no longer contagious after 2-3 cont medication; 3 consequtive
sputum cultures (Q2-4wk)
- tx: isoniazid, rifampin, pyrazinamide, ethambutol
◉ Hypokalemia.
Answer: - assess: hypoactive bowel sounds, shallow resp, orthostatic
hypotension, thready weak pulse, reduce DTR
- monitor EKG: vtach, inverted T waves, ST depression
- do not give potassium IM, subQ, bolus
- increases risk of dig toxicity
- complications: cardiac arrest, resp failure
◉ Shock.
Answer: - assessment: tachycardia, decrease systolic
pressure/increase diastolic, increase resp, hypoactive bowel sounds
- metabolic acidosis
- treatment priorities airway/breathing, circulation
◉ Lyme Disease.
Answer: - assessment: joint/muscle pain, memory problems, fatigue,
carditis, dysrhythmias
, - tx: 30 day abx; penacillin, cephalosporin, tetracycline
◉ Open reduction.
Answer: - monitor: neuro, decrease circulation, pain
- pin care
- monitor skin breakdown, fat/pulmonary embolism, infection
◉ Cushing's disease.
Answer: - assessment: muscle atrophy, bruising, striae, electrolyte
imbalances, weight gain, hypertension, full bounding pulses
- positive outcomes of therapy: decreased Na, urine cortisol, BG;
increased Ca
◉ Magnesium sulfate.
Answer: - use: cardiac dysrhytmias (torsades des pointes, refractory
vfib)
- complications: resp paralysis, decreased reflexes, hypotension,
decreased cardiac function (heart block)
◉ Pneumonia.
Answer: - inflammation of airways leading to hypoxia; maintain
SaO2 at 95% to prevent
- use IS Q1h
