ATI RN MEDICAL SURGICAL EXIT
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH ANSWERS GRADED A+
⩥ 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?
Answer: Sedimentation rate
⩥ A nurse is caring for a client who is postoperative. Complete the
diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, two actions the nurse should take
to address that condition, and two parameters the nurse should monitor
to assess the client's progress. Answer: - Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge
because the client is most likely experiencing hypovolemia as evidenced
by the client's restlessness, tachycardia, hypotension, decreased pulses,
cool extremities, and decreased urine output. The nurse should monitor
the client's urine output and blood pressure to evaluate the effectiveness
of treatment.
,⩥ A nurse is providing teaching to a client who has stage II cervical
cancer and is scheduled for brachytherapy. Which of the following
instructions should the nurse include? Answer: "You will need to stay
still in the bed during each treatment session."
⩥ A nurse is caring for a client who is receiving dialysis treatment. For
each potential nursing intervention, click to specify if the intervention is
indicated or not indicated. Answer: Indicated:
- Place the client in Trendelenburg position.
- Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.
⩥ A nurse is assessing a client who has had a suspected stroke. The
nurse should place the priority on which of the following findings?
Answer: Dysphagia
⩥ A nurse is caring for a client who is 12 hr postoperative following a
total hip arthroplasty. Which of the following actions should the nurse
take? Answer: Place a pillow between the client's legs.
, ⩥ A nurse is providing teaching to a client who takes ginkgo biloba as an
herbal supplement. Which of the following statements should the nurse
make? Answer: "Ginkgo biloba can cause an increased risk for
bleeding."
⩥ A nurse is providing preoperative teaching for a client who is
scheduled for an open cholecystectomy. Which of the following actions
should the nurse take? Answer: Demonstrate ways to deep breathe and
cough.
⩥ A nurse is assessing a client who has advanced lung cancer and is
receiving palliative care. The client has just undergone thoracentesis.
The nurse should expect a reduction in which of the following common
manifestations of advanced cancer? Answer: Dyspnea
⩥ 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? Answer: The client's heart rate increases.
⩥ 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. Answer: The client is experiencing manifestations of
PANCREATITIS as evidenced by the AMYLASE AND LIPASE.
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH ANSWERS GRADED A+
⩥ 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?
Answer: Sedimentation rate
⩥ A nurse is caring for a client who is postoperative. Complete the
diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, two actions the nurse should take
to address that condition, and two parameters the nurse should monitor
to assess the client's progress. Answer: - Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge
because the client is most likely experiencing hypovolemia as evidenced
by the client's restlessness, tachycardia, hypotension, decreased pulses,
cool extremities, and decreased urine output. The nurse should monitor
the client's urine output and blood pressure to evaluate the effectiveness
of treatment.
,⩥ A nurse is providing teaching to a client who has stage II cervical
cancer and is scheduled for brachytherapy. Which of the following
instructions should the nurse include? Answer: "You will need to stay
still in the bed during each treatment session."
⩥ A nurse is caring for a client who is receiving dialysis treatment. For
each potential nursing intervention, click to specify if the intervention is
indicated or not indicated. Answer: Indicated:
- Place the client in Trendelenburg position.
- Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.
⩥ A nurse is assessing a client who has had a suspected stroke. The
nurse should place the priority on which of the following findings?
Answer: Dysphagia
⩥ A nurse is caring for a client who is 12 hr postoperative following a
total hip arthroplasty. Which of the following actions should the nurse
take? Answer: Place a pillow between the client's legs.
, ⩥ A nurse is providing teaching to a client who takes ginkgo biloba as an
herbal supplement. Which of the following statements should the nurse
make? Answer: "Ginkgo biloba can cause an increased risk for
bleeding."
⩥ A nurse is providing preoperative teaching for a client who is
scheduled for an open cholecystectomy. Which of the following actions
should the nurse take? Answer: Demonstrate ways to deep breathe and
cough.
⩥ A nurse is assessing a client who has advanced lung cancer and is
receiving palliative care. The client has just undergone thoracentesis.
The nurse should expect a reduction in which of the following common
manifestations of advanced cancer? Answer: Dyspnea
⩥ 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? Answer: The client's heart rate increases.
⩥ 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. Answer: The client is experiencing manifestations of
PANCREATITIS as evidenced by the AMYLASE AND LIPASE.
