ATI RN ADULT MEDICAL-SURGICAL
PROCTORED ACTUAL EXAMINATION TEST
PAPER 2026 QUESTIONS AND SOLUTIONS
◉ If the pt has had their prostate removed and the irrigating 3 way
catheter shows bright red clotted blood being released from the end
what should you do?
Answer: increase the flow rate
◉ What assessment finding would be a cause for concern in an
immobile pt?
Answer: diminished pedal pulses
redness/edema in legs
◉ How would you care for a pt with a stage III pressure ulcer?
Answer: Apply proteolytic enzymes
◉ What would be an appropriate nursing intervention for a stage II
pressure ulcer in the heel?
Answer: increase IV fluids
pillow/sheet under ankle
,◉ What foods would you teach a pt suffering from cholescystitis to
eliminate from their diet at home?
Answer: fried eggs
◉ What assessment finding would lead you to believe a pt suffers
from Hypovolemia?
Answer: increased blood osmolarity
◉ What lab finding would you expect in a pt receiving
chemotherapy?
Answer: decreased WBC
◉ Which of the following would lead you to believe that a client
understands his teachings about using his ACE inhibitors?
Answer: decrease potassium and salt intake
◉ What would you include in your education of a client receiving
opioids?
Answer: increased fiber in the diet
◉ What nursing interventions would you implement to address
adverse effects of opioids?
,Answer: laxatives and enemas
◉ Which symptoms indicate adverse effects from the blood
transfusion?
Answer: chills
fever
lower back pain
tachycardia
flushing
hypotension
chest tightening
tachypnea
nausea
anxiety
◉ What would be your first intervention for a pt who has an adverse
effect from a blood transfusion?
Answer: Initiate saline infusion (separate line)
◉ What type of needle would you use to access an implanted port?
Answer: noncoring needle
, ◉ How would you confirm the placement of a PICC line?
Answer: chest xray
◉ What lab value is an indicator that the diabetic pt isn't compliant
with their treatment plan?
Answer: A1c is at 8%
◉ What would you include in your education to a client receiving
vasopressin?
Answer: expect lesser urine output
◉ What s/s would you expect a pt with digoxin toxicity to exhibit?
Answer: muscle fatigue & confusion
◉ Which of the following indicates client understanding of their
digoxin prescription?
Answer: I will not take antacids at the same time as my digoxin
◉ Which assessment finding indicates fluid overload?
Answer: crackles in the lungs upon auscultation
◉ What education would you give a pt with HF?
PROCTORED ACTUAL EXAMINATION TEST
PAPER 2026 QUESTIONS AND SOLUTIONS
◉ If the pt has had their prostate removed and the irrigating 3 way
catheter shows bright red clotted blood being released from the end
what should you do?
Answer: increase the flow rate
◉ What assessment finding would be a cause for concern in an
immobile pt?
Answer: diminished pedal pulses
redness/edema in legs
◉ How would you care for a pt with a stage III pressure ulcer?
Answer: Apply proteolytic enzymes
◉ What would be an appropriate nursing intervention for a stage II
pressure ulcer in the heel?
Answer: increase IV fluids
pillow/sheet under ankle
,◉ What foods would you teach a pt suffering from cholescystitis to
eliminate from their diet at home?
Answer: fried eggs
◉ What assessment finding would lead you to believe a pt suffers
from Hypovolemia?
Answer: increased blood osmolarity
◉ What lab finding would you expect in a pt receiving
chemotherapy?
Answer: decreased WBC
◉ Which of the following would lead you to believe that a client
understands his teachings about using his ACE inhibitors?
Answer: decrease potassium and salt intake
◉ What would you include in your education of a client receiving
opioids?
Answer: increased fiber in the diet
◉ What nursing interventions would you implement to address
adverse effects of opioids?
,Answer: laxatives and enemas
◉ Which symptoms indicate adverse effects from the blood
transfusion?
Answer: chills
fever
lower back pain
tachycardia
flushing
hypotension
chest tightening
tachypnea
nausea
anxiety
◉ What would be your first intervention for a pt who has an adverse
effect from a blood transfusion?
Answer: Initiate saline infusion (separate line)
◉ What type of needle would you use to access an implanted port?
Answer: noncoring needle
, ◉ How would you confirm the placement of a PICC line?
Answer: chest xray
◉ What lab value is an indicator that the diabetic pt isn't compliant
with their treatment plan?
Answer: A1c is at 8%
◉ What would you include in your education to a client receiving
vasopressin?
Answer: expect lesser urine output
◉ What s/s would you expect a pt with digoxin toxicity to exhibit?
Answer: muscle fatigue & confusion
◉ Which of the following indicates client understanding of their
digoxin prescription?
Answer: I will not take antacids at the same time as my digoxin
◉ Which assessment finding indicates fluid overload?
Answer: crackles in the lungs upon auscultation
◉ What education would you give a pt with HF?
