ATI Med surg- proctored 2026
Certification Prep with Practice
Questions, Real Exam Insights, and
Proven Pass Strategies
An older adult is brought to an emergency department
by a family member. Which of the following assessment
findings should cause the nurse to suspect that the client
has hypertonic dehydration? - ✔✔ANSWER ✔✔-Urine
Specific gravity 1.045
Rationale: A urine specific gravity greater than 1.030
indicates a decrease in urine volume and an increase in
,osmolarity, which is a manifestation of hypertonic
dehydration.
A nurse is planning teaching for a client who has bladder
cancer and is to undergo a cutaneous diversion
procedure to establish a ureterostomy. Which of the
following statements should the nurse include in the
teaching? - ✔✔ANSWER ✔✔-"You should cut the
opening of the skin barrier one-eight inch wider than the
stoma."
Rationale: The client should cut the opening of the skin
barrier 0.3 cm (1/8in) wider than the stoma to minimize
irritation of the skin from exposure to urine.
A nurse is providing teaching to a client who has
hypothyroidism and is receiving levothyroxine. The nurse
should instruct the client that which of the following
supplements can interfere with the effectiveness of the
medication? - ✔✔ANSWER ✔✔-Calcium
,Rationale: Calcium limits the development of
osteoporosis in clients who are postmenopausal and
works as an antacid. Calcium supplements can interfere
with the metabolism of a number of medications,
including levothyroxine. The nurse should instruct the
client to avoid taking calcium within 4 hr of levothyroxine
administration.
A nurse is conducting an admission history for a client
who is to undergo a CT scan with an IV contrast agent.
The nurse should identify that which of the following
findings requires further assessment? - ✔✔ANSWER ✔✔-
History of asthma
Rationale: A client who has a history of asthma has a
greater risk of reacting to the contrast dye used during
the procedure. Other conditions that can result in a
reaction to contrast media include allergies to foods,
such as shellfish, eggs, milk, and chocolate.
A nurse in an ICU is assessing a client who has a
traumatic brain injury. Which of the following findings
, should the nurse identify as a component of Cushing's
triad? - ✔✔ANSWER ✔✔-Bradycardia
Rationale: A client who has increased intracranial
pressure from a traumatic brain injury can develop
bradycardia, which is one component of Cushing's triad.
The other components of Cushing's triad are severe
hypertension and a widened pulse pressure.
A nurse is planning to irrigate and dress a clean,
granulating wound for a client who has a pressure injury.
Which of the following actions should the nurse take? -
✔✔ANSWER ✔✔-Use a 30-mL syringe
Rationale: The nurse should use a 30-mL to 60-mL
syringe with an 18- or 19- gauge catheter to deliver the
ideal pressure of 8 pounds per square inch (psi) when
irrigating a wound. To maintain healthy granulation
tissue, the wound irrigation should be delivered at
between 4 and 15 psi.
Certification Prep with Practice
Questions, Real Exam Insights, and
Proven Pass Strategies
An older adult is brought to an emergency department
by a family member. Which of the following assessment
findings should cause the nurse to suspect that the client
has hypertonic dehydration? - ✔✔ANSWER ✔✔-Urine
Specific gravity 1.045
Rationale: A urine specific gravity greater than 1.030
indicates a decrease in urine volume and an increase in
,osmolarity, which is a manifestation of hypertonic
dehydration.
A nurse is planning teaching for a client who has bladder
cancer and is to undergo a cutaneous diversion
procedure to establish a ureterostomy. Which of the
following statements should the nurse include in the
teaching? - ✔✔ANSWER ✔✔-"You should cut the
opening of the skin barrier one-eight inch wider than the
stoma."
Rationale: The client should cut the opening of the skin
barrier 0.3 cm (1/8in) wider than the stoma to minimize
irritation of the skin from exposure to urine.
A nurse is providing teaching to a client who has
hypothyroidism and is receiving levothyroxine. The nurse
should instruct the client that which of the following
supplements can interfere with the effectiveness of the
medication? - ✔✔ANSWER ✔✔-Calcium
,Rationale: Calcium limits the development of
osteoporosis in clients who are postmenopausal and
works as an antacid. Calcium supplements can interfere
with the metabolism of a number of medications,
including levothyroxine. The nurse should instruct the
client to avoid taking calcium within 4 hr of levothyroxine
administration.
A nurse is conducting an admission history for a client
who is to undergo a CT scan with an IV contrast agent.
The nurse should identify that which of the following
findings requires further assessment? - ✔✔ANSWER ✔✔-
History of asthma
Rationale: A client who has a history of asthma has a
greater risk of reacting to the contrast dye used during
the procedure. Other conditions that can result in a
reaction to contrast media include allergies to foods,
such as shellfish, eggs, milk, and chocolate.
A nurse in an ICU is assessing a client who has a
traumatic brain injury. Which of the following findings
, should the nurse identify as a component of Cushing's
triad? - ✔✔ANSWER ✔✔-Bradycardia
Rationale: A client who has increased intracranial
pressure from a traumatic brain injury can develop
bradycardia, which is one component of Cushing's triad.
The other components of Cushing's triad are severe
hypertension and a widened pulse pressure.
A nurse is planning to irrigate and dress a clean,
granulating wound for a client who has a pressure injury.
Which of the following actions should the nurse take? -
✔✔ANSWER ✔✔-Use a 30-mL syringe
Rationale: The nurse should use a 30-mL to 60-mL
syringe with an 18- or 19- gauge catheter to deliver the
ideal pressure of 8 pounds per square inch (psi) when
irrigating a wound. To maintain healthy granulation
tissue, the wound irrigation should be delivered at
between 4 and 15 psi.
