ATI MEDICAL-SURG PROCTORED EXAM TEST
BANK LATEST 2023 (NEW) WITH REVISED AND
FULL QUESTIONS AND CORRECT DETAILED
ANSWERS | GRADED A+ 220 Q&A WITH
RATIONALES
SECTION 1: PERIOPERATIVE & POSTOPERATIVE CARE (Questions 1-25)
1. A nurse is assessing a client who is 12 hours postoperative following a colon
resection. Which of the following findings should the nurse report to the
surgeon?
• A) Heart rate 90/min
• B) Absent bowel sounds
• C) Hgb 8.2 g/dL
• D) Gastric pH of 3.0
,☑ CORRECT ANSWER: C
Rationale: A hemoglobin level of 8.2 g/dL is significantly low (normal is 13-18 g/dL
for males and 12-16 g/dL for females) and may indicate postoperative
hemorrhage. This finding requires immediate reporting to the surgeon. Absent
bowel sounds are an expected finding immediately after major bowel surgery and
can take several days to return to normal .
2. A nurse is assessing a client who is 12 hours postoperative following a colon
resection. Which of the following findings should the nurse report to the
surgeon?
• A) Temperature of 37.2°C (99.0°F)
• B) Heart rate of 88/min
, • C) Blood pressure 88/52 mm Hg
• D) Respiratory rate of 18/min
☑ CORRECT ANSWER: C
Rationale: Hypotension (systolic BP <90 mm Hg) in a postoperative patient may
indicate internal bleeding, hypovolemia, or sepsis. This finding requires immediate
notification of the surgeon. The other vital signs are within normal limits .
3. A nurse is assessing a patient who is 24 hours postoperative following
abdominal surgery. Which finding is most concerning?
• A) Pain rated 4 on a 0-10 scale
• B) Temperature 38.5°C (101.3°F)
, • C) Serosanguineous drainage on the dressing
• D) Urine output 40 mL/hr
☑ CORRECT ANSWER: B
Rationale: A temperature of 38.5°C (101.3°F) in a postoperative patient may
indicate infection. Pain rated 4, serosanguineous drainage, and urine output of 40
mL/hr are expected findings in the postoperative period .
4. A nurse is caring for a patient who has a nasogastric tube set to continuous
suction. Which finding indicates the tube is functioning properly?
• A) The client reports nausea
• B) The abdomen is distended
BANK LATEST 2023 (NEW) WITH REVISED AND
FULL QUESTIONS AND CORRECT DETAILED
ANSWERS | GRADED A+ 220 Q&A WITH
RATIONALES
SECTION 1: PERIOPERATIVE & POSTOPERATIVE CARE (Questions 1-25)
1. A nurse is assessing a client who is 12 hours postoperative following a colon
resection. Which of the following findings should the nurse report to the
surgeon?
• A) Heart rate 90/min
• B) Absent bowel sounds
• C) Hgb 8.2 g/dL
• D) Gastric pH of 3.0
,☑ CORRECT ANSWER: C
Rationale: A hemoglobin level of 8.2 g/dL is significantly low (normal is 13-18 g/dL
for males and 12-16 g/dL for females) and may indicate postoperative
hemorrhage. This finding requires immediate reporting to the surgeon. Absent
bowel sounds are an expected finding immediately after major bowel surgery and
can take several days to return to normal .
2. A nurse is assessing a client who is 12 hours postoperative following a colon
resection. Which of the following findings should the nurse report to the
surgeon?
• A) Temperature of 37.2°C (99.0°F)
• B) Heart rate of 88/min
, • C) Blood pressure 88/52 mm Hg
• D) Respiratory rate of 18/min
☑ CORRECT ANSWER: C
Rationale: Hypotension (systolic BP <90 mm Hg) in a postoperative patient may
indicate internal bleeding, hypovolemia, or sepsis. This finding requires immediate
notification of the surgeon. The other vital signs are within normal limits .
3. A nurse is assessing a patient who is 24 hours postoperative following
abdominal surgery. Which finding is most concerning?
• A) Pain rated 4 on a 0-10 scale
• B) Temperature 38.5°C (101.3°F)
, • C) Serosanguineous drainage on the dressing
• D) Urine output 40 mL/hr
☑ CORRECT ANSWER: B
Rationale: A temperature of 38.5°C (101.3°F) in a postoperative patient may
indicate infection. Pain rated 4, serosanguineous drainage, and urine output of 40
mL/hr are expected findings in the postoperative period .
4. A nurse is caring for a patient who has a nasogastric tube set to continuous
suction. Which finding indicates the tube is functioning properly?
• A) The client reports nausea
• B) The abdomen is distended
