ATI RN Medical-Surgical Proctored
Exam (Exam 1 & Exam 2) | Exam-
Style Questions with Verified Correct
Answers | A-Grade Study Resource
Contents
ATI MED-SURG PROCTORED EXAM 1 ................................. 2
MEDICAL-SURGICAL PROCTORED ATI EXAM 2 ..... Error!
Bookmark not defined.
2026/2027 Frequently Most Tested
Questions and 100% Accurate From
,Past papers | Graded A+ , Reviewed
and Updated | 100% Guarantee Pass |
Latest Exam and Newest Version!!!
ATI MED-SURG PROCTORED EXAM 1
A nurse is reviewing the medical record of an older adult client who is
experiencing nausea and vomiting. Based on the client data provided, which of
the following actions should the nurse take?
a. Encourage the client to ambulate.
b. Administer an antipyretic medication.
c. Notify the charge nurse of the client's BUN level.
d. Keep the temperature in the client's room warm.
✔️ Correct Answer: C
Rationale: The client's BUN level is 36 mg/dL, which is above the expected
reference range of 10 to 20 mg/dL. This elevation indicates dehydration and
impaired renal function. The nurse should notify the charge nurse of this finding
and anticipate interventions to restore the client's fluid volume. The other findings
are not as critical.
A nurse is preparing to insert a double-lumen gastric (Salem) sump tube for a
client who has peptic disease and has developed gastrointestinal bleeding. Which
of the following images indicates the tube that the nurse should select?
a. An image showing a clear portion and a blue "pig tail" portion.
b. An image showing a percutaneous endoscopic gastrostomy (PEG) tube.
c. An image showing a Levin tube.
d. An image showing a Sengstaken-Blakemore tube.
✔️ Correct Answer: A
Rationale: In a double-lumen gastric (Salem) sump tube, the clear portion of the
tube allows for aspiration of stomach contents. The blue portion of the tube, or
the "pig tail," vents the tube to the atmosphere, which prevents the tube from
becoming lodged against the wall of the stomach and protects the stomach from
damage. A PEG tube is for long-term feeding, a Levin tube is a single-lumen tube
for decompression, and a Sengstaken-Blakemore tube is used for esophageal
varices.
,A nurse is reinforcing teaching with an older adult client who has osteoporosis.
Which of the following instructions should the nurse include in the teaching?
a. "Place throw rugs on wooden floors at home."
b. "Supplement your diet with vitamin E."
c. "Swim laps for 20 minutes twice per week."
d. "Take calcium supplements with meals."
✔️ Correct Answer: D
Rationale: The nurse should instruct the client to take calcium carbonate
supplements with or following meals to increase absorption and effectiveness.
Throw rugs increase fall risk, vitamin E is not specific to bone health, and
swimming is not a weight-bearing exercise. Weight-bearing exercises are more
beneficial for osteoporosis.
A nurse is reviewing the medication record of a client who is taking digoxin.
Which of the following medications should the nurse identify as increasing the risk
for the client to develop digoxin toxicity?
a. Potassium chloride
b. Famotidine
c. Levothyroxine
d. Furosemide
✔️ Correct Answer: D
Rationale: The nurse should identify that loop diuretics, such as furosemide,
increase the urinary excretion of potassium, which can lead to hypokalemia.
Hypokalemia increases the risk for the development of digoxin toxicity. Potassium
chloride would help prevent hypokalemia, and famotidine and levothyroxine do
not typically interact with digoxin in this way.
A nurse is reinforcing teaching about insulin injections with an adult client who
weighs 45.4 kg (100 lb). Which of the following statements by the client indicates
an understanding of the teaching?
a. "I should insert the needle at a 90-degree angle."
b. "I should give my shot in my belly tissue."
c. "I will pull back on the syringe plunger to look for blood before I push the
medication in."
d. "I will use the side of my hand to pull my skin to the side prior to administering
the insulin."
✔️ Correct Answer: B
Rationale: Clients who have low body weights can have very little subcutaneous
tissue. Therefore, the nurse should instruct the client to administer the medication
, in the upper abdomen for proper absorption. A 45-degree angle may be more
appropriate for thin clients. Aspiration is not recommended for subcutaneous
insulin injections.
A nurse is reinforcing discharge teaching for a client who had a mechanical mitral
valve replacement. Which of the following statements by the client indicates an
understanding of the teaching?
a. "I will notify my dentist about this procedure."
b. "I will take an enteric-coated aspirin daily."
c. "I will use a firm-bristled toothbrush."
d. "I will weigh myself once a week."
✔️ Correct Answer: A
Rationale: The nurse should instruct the client to notify his dentist about the
mechanical mitral valve replacement before any procedures so antibiotic therapy
can be initiated to reduce the risk of endocardial infection. Anticoagulation with
warfarin is typically required, not aspirin. A soft-bristled toothbrush should be
used to prevent bleeding, and daily weights are more important to monitor for
fluid retention.
A nurse is providing information regarding transmission-based precautions for a
client who has Clostridium difficile to an assistive personnel (AP). Which of the
following instructions should the nurse include? (Select all that apply.)
a. "Provide the client with disposable utensils and dishes for meals."
b. "Leave blood pressure equipment in the client's room."
c. "Clean contaminated surfaces with a bleach solution."
d. "Use an alcohol-based hand sanitizer after client care."
e. "Wear a face mask when in the client's room."
✔️ Correct Answer: A, B, C
Rationale: Clients who have C. difficile require contact precautions. Disposable
utensils and dishes prevent exposure to contaminants. Equipment should be
dedicated to single-client use. A bleach solution is effective against C. difficile
spores. Alcohol-based hand sanitizers are not effective against C. difficile;
handwashing with soap and water is required. A face mask is not indicated for
contact precautions.
A nurse is admitting a client who is suspected of having active tuberculosis (TB).
Which of the following actions should the nurse take first?
a. Administer antituberculosis medication.
b. Institute airborne precautions.
Exam (Exam 1 & Exam 2) | Exam-
Style Questions with Verified Correct
Answers | A-Grade Study Resource
Contents
ATI MED-SURG PROCTORED EXAM 1 ................................. 2
MEDICAL-SURGICAL PROCTORED ATI EXAM 2 ..... Error!
Bookmark not defined.
2026/2027 Frequently Most Tested
Questions and 100% Accurate From
,Past papers | Graded A+ , Reviewed
and Updated | 100% Guarantee Pass |
Latest Exam and Newest Version!!!
ATI MED-SURG PROCTORED EXAM 1
A nurse is reviewing the medical record of an older adult client who is
experiencing nausea and vomiting. Based on the client data provided, which of
the following actions should the nurse take?
a. Encourage the client to ambulate.
b. Administer an antipyretic medication.
c. Notify the charge nurse of the client's BUN level.
d. Keep the temperature in the client's room warm.
✔️ Correct Answer: C
Rationale: The client's BUN level is 36 mg/dL, which is above the expected
reference range of 10 to 20 mg/dL. This elevation indicates dehydration and
impaired renal function. The nurse should notify the charge nurse of this finding
and anticipate interventions to restore the client's fluid volume. The other findings
are not as critical.
A nurse is preparing to insert a double-lumen gastric (Salem) sump tube for a
client who has peptic disease and has developed gastrointestinal bleeding. Which
of the following images indicates the tube that the nurse should select?
a. An image showing a clear portion and a blue "pig tail" portion.
b. An image showing a percutaneous endoscopic gastrostomy (PEG) tube.
c. An image showing a Levin tube.
d. An image showing a Sengstaken-Blakemore tube.
✔️ Correct Answer: A
Rationale: In a double-lumen gastric (Salem) sump tube, the clear portion of the
tube allows for aspiration of stomach contents. The blue portion of the tube, or
the "pig tail," vents the tube to the atmosphere, which prevents the tube from
becoming lodged against the wall of the stomach and protects the stomach from
damage. A PEG tube is for long-term feeding, a Levin tube is a single-lumen tube
for decompression, and a Sengstaken-Blakemore tube is used for esophageal
varices.
,A nurse is reinforcing teaching with an older adult client who has osteoporosis.
Which of the following instructions should the nurse include in the teaching?
a. "Place throw rugs on wooden floors at home."
b. "Supplement your diet with vitamin E."
c. "Swim laps for 20 minutes twice per week."
d. "Take calcium supplements with meals."
✔️ Correct Answer: D
Rationale: The nurse should instruct the client to take calcium carbonate
supplements with or following meals to increase absorption and effectiveness.
Throw rugs increase fall risk, vitamin E is not specific to bone health, and
swimming is not a weight-bearing exercise. Weight-bearing exercises are more
beneficial for osteoporosis.
A nurse is reviewing the medication record of a client who is taking digoxin.
Which of the following medications should the nurse identify as increasing the risk
for the client to develop digoxin toxicity?
a. Potassium chloride
b. Famotidine
c. Levothyroxine
d. Furosemide
✔️ Correct Answer: D
Rationale: The nurse should identify that loop diuretics, such as furosemide,
increase the urinary excretion of potassium, which can lead to hypokalemia.
Hypokalemia increases the risk for the development of digoxin toxicity. Potassium
chloride would help prevent hypokalemia, and famotidine and levothyroxine do
not typically interact with digoxin in this way.
A nurse is reinforcing teaching about insulin injections with an adult client who
weighs 45.4 kg (100 lb). Which of the following statements by the client indicates
an understanding of the teaching?
a. "I should insert the needle at a 90-degree angle."
b. "I should give my shot in my belly tissue."
c. "I will pull back on the syringe plunger to look for blood before I push the
medication in."
d. "I will use the side of my hand to pull my skin to the side prior to administering
the insulin."
✔️ Correct Answer: B
Rationale: Clients who have low body weights can have very little subcutaneous
tissue. Therefore, the nurse should instruct the client to administer the medication
, in the upper abdomen for proper absorption. A 45-degree angle may be more
appropriate for thin clients. Aspiration is not recommended for subcutaneous
insulin injections.
A nurse is reinforcing discharge teaching for a client who had a mechanical mitral
valve replacement. Which of the following statements by the client indicates an
understanding of the teaching?
a. "I will notify my dentist about this procedure."
b. "I will take an enteric-coated aspirin daily."
c. "I will use a firm-bristled toothbrush."
d. "I will weigh myself once a week."
✔️ Correct Answer: A
Rationale: The nurse should instruct the client to notify his dentist about the
mechanical mitral valve replacement before any procedures so antibiotic therapy
can be initiated to reduce the risk of endocardial infection. Anticoagulation with
warfarin is typically required, not aspirin. A soft-bristled toothbrush should be
used to prevent bleeding, and daily weights are more important to monitor for
fluid retention.
A nurse is providing information regarding transmission-based precautions for a
client who has Clostridium difficile to an assistive personnel (AP). Which of the
following instructions should the nurse include? (Select all that apply.)
a. "Provide the client with disposable utensils and dishes for meals."
b. "Leave blood pressure equipment in the client's room."
c. "Clean contaminated surfaces with a bleach solution."
d. "Use an alcohol-based hand sanitizer after client care."
e. "Wear a face mask when in the client's room."
✔️ Correct Answer: A, B, C
Rationale: Clients who have C. difficile require contact precautions. Disposable
utensils and dishes prevent exposure to contaminants. Equipment should be
dedicated to single-client use. A bleach solution is effective against C. difficile
spores. Alcohol-based hand sanitizers are not effective against C. difficile;
handwashing with soap and water is required. A face mask is not indicated for
contact precautions.
A nurse is admitting a client who is suspected of having active tuberculosis (TB).
Which of the following actions should the nurse take first?
a. Administer antituberculosis medication.
b. Institute airborne precautions.
