ATI RN MEDICAL SURGICAL NURSING
PROCTORED EXAM REVIEW HIGH YIELD
PRACTICE QUESTIONS AND DETAILED
ANSWERS (2026-2027) EDITION
A nurse is assessing a group of clients for indications of role changes. The nurse
should identify that which of the following clients is at risk for experiencing a role
change?
A client who has multiple sclerosis and is experiencing progressive difficulty
ambulating.
A nurse is providing follow-up care for a client who sustained a compound fracture
3 weeks ago. The nurse should recognize that an unexpected finding for which of
the following laboratory values is a manifestation of osteomyelitis and should be
reported to the provider?
Sedimentation rate
A nurse is assessing a client while suctioning the client's tracheostomy tube. Which
of the following findings should indicate to the nurse the client is experiencing
hypoxia?
The client's heart rate increases.
A nurse is providing teaching to a client who is receiving chemotherapy and has a
new prescription for epoetin alfa. Which of the following client statements
indicates an understanding of the teaching?
"I will monitor my blood pressure while taking this medication."
,A nurse is caring for a client who has portal hypertension. The client is vomiting
blood mixed with food after a meal. Which of the following actions should the
nurse take first?
Obtain vital signs.
A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the
following assessment findings should the nurse expect?
Hypoactive bowel sounds
A nurse in the emergency department is caring for a client. Drag 1 condition and 1
client finding to fill in each blank in the following sentence.
The client is experiencing manifestations of PANCREATITIS as evidenced by the
AMYLASE AND LIPASE.
A nurse is assessing a client who is postoperative following a thyroidectomy.
Which of the following findings is the nurse's priority?
Temperature 38.9° C (102° F)
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and
a productive cough. Which of the following actions should the nurse take first?
Initiate airborne precautions.
A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect?
Constipation
, A nurse is providing discharge teaching to a client who is postoperative following
a modified radical mastectomy. Which of the following instructions should the
nurse include?
Numbness can occur along the inside of the affected arm.
A nurse is caring for a client who has an arterial line. Which of the following
actions should the nurse take?
Place a pressure bag around the flush solution.
A nurse is caring for a client who has amyotrophic lateral sclerosis (ALS) and is
being admitted to the hospital with pneumonia. Which of the following assessment
findings is the nurse's priority?
Increased respiratory secretions
A nurse is administering packed RBCs to a client. Which of the following
assessment findings indicates a hemolytic transfusion reaction?
Low back pain and apprehension
A nurse is providing postoperative teaching for a client who had a total knee
arthroplasty. Which of the following instructions should the nurse include?
Flex the foot every hour when awake.
PROCTORED EXAM REVIEW HIGH YIELD
PRACTICE QUESTIONS AND DETAILED
ANSWERS (2026-2027) EDITION
A nurse is assessing a group of clients for indications of role changes. The nurse
should identify that which of the following clients is at risk for experiencing a role
change?
A client who has multiple sclerosis and is experiencing progressive difficulty
ambulating.
A nurse is providing follow-up care for a client who sustained a compound fracture
3 weeks ago. The nurse should recognize that an unexpected finding for which of
the following laboratory values is a manifestation of osteomyelitis and should be
reported to the provider?
Sedimentation rate
A nurse is assessing a client while suctioning the client's tracheostomy tube. Which
of the following findings should indicate to the nurse the client is experiencing
hypoxia?
The client's heart rate increases.
A nurse is providing teaching to a client who is receiving chemotherapy and has a
new prescription for epoetin alfa. Which of the following client statements
indicates an understanding of the teaching?
"I will monitor my blood pressure while taking this medication."
,A nurse is caring for a client who has portal hypertension. The client is vomiting
blood mixed with food after a meal. Which of the following actions should the
nurse take first?
Obtain vital signs.
A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the
following assessment findings should the nurse expect?
Hypoactive bowel sounds
A nurse in the emergency department is caring for a client. Drag 1 condition and 1
client finding to fill in each blank in the following sentence.
The client is experiencing manifestations of PANCREATITIS as evidenced by the
AMYLASE AND LIPASE.
A nurse is assessing a client who is postoperative following a thyroidectomy.
Which of the following findings is the nurse's priority?
Temperature 38.9° C (102° F)
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and
a productive cough. Which of the following actions should the nurse take first?
Initiate airborne precautions.
A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect?
Constipation
, A nurse is providing discharge teaching to a client who is postoperative following
a modified radical mastectomy. Which of the following instructions should the
nurse include?
Numbness can occur along the inside of the affected arm.
A nurse is caring for a client who has an arterial line. Which of the following
actions should the nurse take?
Place a pressure bag around the flush solution.
A nurse is caring for a client who has amyotrophic lateral sclerosis (ALS) and is
being admitted to the hospital with pneumonia. Which of the following assessment
findings is the nurse's priority?
Increased respiratory secretions
A nurse is administering packed RBCs to a client. Which of the following
assessment findings indicates a hemolytic transfusion reaction?
Low back pain and apprehension
A nurse is providing postoperative teaching for a client who had a total knee
arthroplasty. Which of the following instructions should the nurse include?
Flex the foot every hour when awake.
