ATI PN Adult Medical-Surgical (Med-Surg)
Proctored Exam 2026–2027 | Comprehensive
Practice Questions with Detailed Answer
Rationales | Complete Practical Nursing Study
Guide
A nurse is evaluating a client's repeat laboratory results 4 hr after administering fresh
frozen plasma. Which of the following laboratory test should the nurse review?
Prothrombin time
A nurse is caring for a client who has hemophilia. The client reports pain and swelling in
a joint following an injury. Which of the following actions should the nurse take? –
Prepare for replacement of the missing clotting factor
A nurse is assisting in collecting data from a client who has a history of unstable angina.
Which of the following findings should the nurse expect?
The client reports chest pain when at rest
A nurse is reinforcing teaching about lifestyle changes with a client who had a MI and
has a new prescription for a beta blocker. Which of the following client statements
indicates an understanding of the teaching?
pg. 1
, Before taking my medication, I will check my blood pressure and radial pulse rate
A nurse is collecting data from a client who has right sided heart failure. Which of the
following findings should the nurse expect? –
Dependent edema
A nurse is reinforcing teaching with a client who had type 1 DM about hypoglycemia.
Which of the following manifestations should the nurse include in the teachings? –
irritability, fatigue, headaches, sweating, nausea, diff thinking
A nurse reviewed the laboratory values for a client who had the hyperglycemic
hyperosmolar nonketotic syndrome. The nurse should expect that which of the following
laboratory values is consistent with hyperglycemic hyperosmolar nonketotic syndrome?
blood glucose 320 mg/dL
A nurse is reinforcing teaching with a client who has Addison's disease about healthy
snack foods. Which of the following food choices by the client indicates an
understanding of the teaching?
turkey and cheese sandwich
A nurse is reinforcing teaching with a client who had type 2 DM about pathophysiology
of the disease. Which of the following statements by the clients indicates an
understanding of the teaching? –
my cells are resistant to the effects of insulin
A nurse is caring for a client who has type 2 DM and is displaying manifestations of
hyperglycemia. Which of the following findings should indicate to the nurse that the
client has hyperglycemia?
increased urination
pg. 2
,A nurse is monitoring a client who has syndrome of inappropriate antiluetic hormone
secretion. Which of the following should the nurse expect? –
hyponatremia
A nurse is checking laboratory values for an adult client who has sickle cell anemia and
is in crisis. For which of the following complications should the nurse monitor? –
elevated bilirubin
A nurse is assisting in the plan of care for a client who is having a percutaneous
transluminal coronary angioplasty with stent placement. Which of the following actions
should the nurse anticipate in the postoperative plan of care?
Initiate an aspirin regimen
A nurse is collecting data from a client who reports using fish oil as a dietary
supplement. Which of the following substance in fish oil should the nurse recognize as a
health benefit to the client?
Omega 3 fatty acids
A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery.
The client reports itching and has hives 30 min after the infusion begins. Which of the
following actions should the nurse take first?
Stop the infusion of blood
A nurse is assisting in monitoring a client who had a myocardial infarction. For which of
the following complications should the nurse monitor in the first 24 hour?
Ventricular dysrhythmias
A nurse if checking for cardia tamponade on a client who has pericarditis. Which of the
following actions should the nurse take first?
Auscultate blood pressure for pulsus paradoxes
pg. 3
, A nurse is caring for a client who had a MI 5 days ago. The client has a sudden onset of
SOB and begins coughing frothy, pink sputum. The nurse auscultates loud, bubbly
sounds on inspiration. Which of the following adventitious breath sounds should the
nurse document?
Coarse crackles.
A nurse is collecting data from a client who has pericarditis. Which of the following
manifestations should the nurse expect?
dyspnea
A nurse is assisting with the development of a program to educate clients about
measures to reduce the risk of skin cancer. Which of the following instructions should
the nurse include?
Avoid exposure to the midday sun.
pg. 4
Proctored Exam 2026–2027 | Comprehensive
Practice Questions with Detailed Answer
Rationales | Complete Practical Nursing Study
Guide
A nurse is evaluating a client's repeat laboratory results 4 hr after administering fresh
frozen plasma. Which of the following laboratory test should the nurse review?
Prothrombin time
A nurse is caring for a client who has hemophilia. The client reports pain and swelling in
a joint following an injury. Which of the following actions should the nurse take? –
Prepare for replacement of the missing clotting factor
A nurse is assisting in collecting data from a client who has a history of unstable angina.
Which of the following findings should the nurse expect?
The client reports chest pain when at rest
A nurse is reinforcing teaching about lifestyle changes with a client who had a MI and
has a new prescription for a beta blocker. Which of the following client statements
indicates an understanding of the teaching?
pg. 1
, Before taking my medication, I will check my blood pressure and radial pulse rate
A nurse is collecting data from a client who has right sided heart failure. Which of the
following findings should the nurse expect? –
Dependent edema
A nurse is reinforcing teaching with a client who had type 1 DM about hypoglycemia.
Which of the following manifestations should the nurse include in the teachings? –
irritability, fatigue, headaches, sweating, nausea, diff thinking
A nurse reviewed the laboratory values for a client who had the hyperglycemic
hyperosmolar nonketotic syndrome. The nurse should expect that which of the following
laboratory values is consistent with hyperglycemic hyperosmolar nonketotic syndrome?
blood glucose 320 mg/dL
A nurse is reinforcing teaching with a client who has Addison's disease about healthy
snack foods. Which of the following food choices by the client indicates an
understanding of the teaching?
turkey and cheese sandwich
A nurse is reinforcing teaching with a client who had type 2 DM about pathophysiology
of the disease. Which of the following statements by the clients indicates an
understanding of the teaching? –
my cells are resistant to the effects of insulin
A nurse is caring for a client who has type 2 DM and is displaying manifestations of
hyperglycemia. Which of the following findings should indicate to the nurse that the
client has hyperglycemia?
increased urination
pg. 2
,A nurse is monitoring a client who has syndrome of inappropriate antiluetic hormone
secretion. Which of the following should the nurse expect? –
hyponatremia
A nurse is checking laboratory values for an adult client who has sickle cell anemia and
is in crisis. For which of the following complications should the nurse monitor? –
elevated bilirubin
A nurse is assisting in the plan of care for a client who is having a percutaneous
transluminal coronary angioplasty with stent placement. Which of the following actions
should the nurse anticipate in the postoperative plan of care?
Initiate an aspirin regimen
A nurse is collecting data from a client who reports using fish oil as a dietary
supplement. Which of the following substance in fish oil should the nurse recognize as a
health benefit to the client?
Omega 3 fatty acids
A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery.
The client reports itching and has hives 30 min after the infusion begins. Which of the
following actions should the nurse take first?
Stop the infusion of blood
A nurse is assisting in monitoring a client who had a myocardial infarction. For which of
the following complications should the nurse monitor in the first 24 hour?
Ventricular dysrhythmias
A nurse if checking for cardia tamponade on a client who has pericarditis. Which of the
following actions should the nurse take first?
Auscultate blood pressure for pulsus paradoxes
pg. 3
, A nurse is caring for a client who had a MI 5 days ago. The client has a sudden onset of
SOB and begins coughing frothy, pink sputum. The nurse auscultates loud, bubbly
sounds on inspiration. Which of the following adventitious breath sounds should the
nurse document?
Coarse crackles.
A nurse is collecting data from a client who has pericarditis. Which of the following
manifestations should the nurse expect?
dyspnea
A nurse is assisting with the development of a program to educate clients about
measures to reduce the risk of skin cancer. Which of the following instructions should
the nurse include?
Avoid exposure to the midday sun.
pg. 4
