Medical Surgical ATI Proctored Exam REVIEW
2026/2027 MOST RECENT QUESTIONS AND
SOLUTIONS
• What dietary recommendation should a nurse include in the care plan for a client with
AIDS and malnutrition? -✓✓ Provide a high-calorie diet.
• What action should a nurse take for a client with a distal radius fracture and a short
arm cast? -✓✓ Perform neurovascular checks of the affected extremity every 2 hours.
• What action should a nurse include in the care plan for a client with
thrombocytopenia? -✓✓ Check the client for ecchymosis.
• Which prescription should a nurse clarify with the provider for a client with a sulfa
allergy? -✓✓ Celecoxib.
• What should a nurse do for a client receiving peritoneal dialysis? -✓✓ Weigh the client
before and after the treatment.
• What risk factor for osteoporosis should a nurse identify in a client's medical history? -
✓✓ Smokes cigarettes.
• Which interdisciplinary team member should a nurse refer a client with dysphagia to? -
✓✓ Speech therapist.
• What action should a nurse take for an older adult client with dementia at risk for falls?
-✓✓ Apply a motion sensor mat to the client's bed.
• What intervention should a nurse implement for a client with Alzheimer's disease who
is agitated? -✓✓ Administer a prescribed oral dose of trazodone.
• Which food has the highest iron content for a client with iron-deficiency anemia? -✓✓ 3
oz ground beef.
• What statement should a nurse provide to a client who had a cerebrovascular accident
(CVA) and needs assistance with ADLs? -✓✓ "Install grab bars in your shower to assist
with your balance."
• What is the correct order of actions for a nurse performing a blood glucose test? -✓✓
1. Cleanse the site with an antiseptic swab. 2. Allow the site to dry. 3. Pierce the
puncture site quickly. 4. Squeeze the site gently to obtain a blood droplet. 5. Apply
blood to the test strip.
, • What action should a nurse take when performing a sterile dressing change for a client
with a stage III pressure ulcer? -✓✓ Offer the client pain medication before the
procedure.
• What action should a nurse take when assisting a client with dysphagia at mealtime? -
✓✓ Provide oral care before meals.
• What finding should a nurse report immediately for a client who had a long arm cast
applied 2 hours ago? -✓✓ The client's fingers are cool to the touch.
• What statement indicates a client understands the teaching for a new ileostomy? -✓✓
"I will use a skin sealant before I apply the bag."
• What statement indicates a client understands teaching for gastroesophageal reflux
(GERD)? -✓✓ "I will eat six small meals each day."
• What statement indicates a client understands the teaching for a bronchoscopy? -✓✓
"I might have blood-tinged sputum after the procedure."
• What finding indicates a client with a subdural hematoma is experiencing increased
intracranial pressure? -✓✓ The client has a delayed response to verbal commands.
• What complication of IV therapy should a nurse suspect for a client with an
edematous, cool, and tender arm at the catheter insertion site? -✓✓ Infiltration.
• What instruction should a nurse include for a client scheduled for a bronchoscopy? -
✓✓ NPO (nothing by mouth) for 6-8 hours before the procedure.
• What teaching should a nurse provide for a client with an exacerbation of COPD? -✓✓
"You should consume small, frequent meals each day."
• What statement indicates understanding of contact precautions for MRSA by a client's
partner? -✓✓ "I will wash my hands as soon as I leave the room."
• What is the correct sequence for obtaining a sterile urine specimen from a client with
an indwelling urinary catheter? -✓✓ 1. Clamp the catheter tubing distal to the sampling
port for 15 min. 2. Wipe the sample port with an alcohol wipe and let the alcohol dry. 3.
Attach a sterile needleless syringe to the sample port and aspirate the specimen. 4.
Empty the urine into a sterile container labeled with the client identifiers.
• What should a nurse do with urine specimens? -✓✓ Empty the urine into a sterile
container labeled with the client identifiers and document in the client's electronic
medical record that the specimen was sent to the laboratory.
2026/2027 MOST RECENT QUESTIONS AND
SOLUTIONS
• What dietary recommendation should a nurse include in the care plan for a client with
AIDS and malnutrition? -✓✓ Provide a high-calorie diet.
• What action should a nurse take for a client with a distal radius fracture and a short
arm cast? -✓✓ Perform neurovascular checks of the affected extremity every 2 hours.
• What action should a nurse include in the care plan for a client with
thrombocytopenia? -✓✓ Check the client for ecchymosis.
• Which prescription should a nurse clarify with the provider for a client with a sulfa
allergy? -✓✓ Celecoxib.
• What should a nurse do for a client receiving peritoneal dialysis? -✓✓ Weigh the client
before and after the treatment.
• What risk factor for osteoporosis should a nurse identify in a client's medical history? -
✓✓ Smokes cigarettes.
• Which interdisciplinary team member should a nurse refer a client with dysphagia to? -
✓✓ Speech therapist.
• What action should a nurse take for an older adult client with dementia at risk for falls?
-✓✓ Apply a motion sensor mat to the client's bed.
• What intervention should a nurse implement for a client with Alzheimer's disease who
is agitated? -✓✓ Administer a prescribed oral dose of trazodone.
• Which food has the highest iron content for a client with iron-deficiency anemia? -✓✓ 3
oz ground beef.
• What statement should a nurse provide to a client who had a cerebrovascular accident
(CVA) and needs assistance with ADLs? -✓✓ "Install grab bars in your shower to assist
with your balance."
• What is the correct order of actions for a nurse performing a blood glucose test? -✓✓
1. Cleanse the site with an antiseptic swab. 2. Allow the site to dry. 3. Pierce the
puncture site quickly. 4. Squeeze the site gently to obtain a blood droplet. 5. Apply
blood to the test strip.
, • What action should a nurse take when performing a sterile dressing change for a client
with a stage III pressure ulcer? -✓✓ Offer the client pain medication before the
procedure.
• What action should a nurse take when assisting a client with dysphagia at mealtime? -
✓✓ Provide oral care before meals.
• What finding should a nurse report immediately for a client who had a long arm cast
applied 2 hours ago? -✓✓ The client's fingers are cool to the touch.
• What statement indicates a client understands the teaching for a new ileostomy? -✓✓
"I will use a skin sealant before I apply the bag."
• What statement indicates a client understands teaching for gastroesophageal reflux
(GERD)? -✓✓ "I will eat six small meals each day."
• What statement indicates a client understands the teaching for a bronchoscopy? -✓✓
"I might have blood-tinged sputum after the procedure."
• What finding indicates a client with a subdural hematoma is experiencing increased
intracranial pressure? -✓✓ The client has a delayed response to verbal commands.
• What complication of IV therapy should a nurse suspect for a client with an
edematous, cool, and tender arm at the catheter insertion site? -✓✓ Infiltration.
• What instruction should a nurse include for a client scheduled for a bronchoscopy? -
✓✓ NPO (nothing by mouth) for 6-8 hours before the procedure.
• What teaching should a nurse provide for a client with an exacerbation of COPD? -✓✓
"You should consume small, frequent meals each day."
• What statement indicates understanding of contact precautions for MRSA by a client's
partner? -✓✓ "I will wash my hands as soon as I leave the room."
• What is the correct sequence for obtaining a sterile urine specimen from a client with
an indwelling urinary catheter? -✓✓ 1. Clamp the catheter tubing distal to the sampling
port for 15 min. 2. Wipe the sample port with an alcohol wipe and let the alcohol dry. 3.
Attach a sterile needleless syringe to the sample port and aspirate the specimen. 4.
Empty the urine into a sterile container labeled with the client identifiers.
• What should a nurse do with urine specimens? -✓✓ Empty the urine into a sterile
container labeled with the client identifiers and document in the client's electronic
medical record that the specimen was sent to the laboratory.
