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RN Med-Surg Final Exam Study Guide | Practice Questions & Answers | Complete Nursing Review | Latest Update 2026

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Prepare for an RN Medical-Surgical Nursing final with a comprehensive 2026 study and practice resource covering essential adult health concepts. Review cardiovascular, respiratory, neurological, gastrointestinal, renal, endocrine, hematologic, immune, musculoskeletal, and infectious disorders, along with pharmacology, patient safety, prioritization, delegation, assessment, nursing interventions, and clinical judgment. Includes exam-style practice questions with answers and rationales to strengthen critical thinking and reinforce key nursing concepts. Designed for RN students preparing for medical-surgical nursing finals, course assessments, and NCLEX-style review. Current med-surg study resources emphasize multiple-choice, prioritization, delegation, alternate-format, and NGN-style practice.

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ATI RN MED SURG FINAL EXAM 2026 /2 LATEST j j j j j j j j




j VERSIONS WITH 250 ACTUAL EXAM QUESTIONS AND j j j j j j




CORRECT DETAILED ANSWERS/LATEST |ALREADY
j j j j




GRADED A+ (WITH NGN) j j j j




VERSION 1 j




A caregiver is completing a preoperative teaching plan for a patient who is to have a
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j total hip arthroplasty. Which of the following should the caregiver include in the
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j teaching plan? Select all that apply
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Select one or more:
j j j




a. Having the patient roll onto the operative hip j j j j j j j




b. Possible useof an abductor deviceor pillow betweenthe legs when turning
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c. Sitting in a low reclining chair j j j j j




d. Performing isometricexercises -...SOLUTION:>>>...B -possible use of an j j j j j j j j j




j abductor device or pillow between the legs when turning, D - performing isometric
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j exercises



A caregiver is presenting g information to patients at a health fair on measures to
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j reduce the risk of amputation. Which of the following information should the
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j caregiver provide j




Select one or more:
j j j




a. Unplug electrical equipment when having repairs j j j j j




b. encouragepatientswho havediabetes mellitustomaintain blood glucose j j j j j j j j j




j within the reference ranges
j j j

,c. Encouragepatientswhosmoketoconsidersmoking cessation j j j j j j j




j programs.

d. Advise patients to wait 2 hrs after taking pin medication before driving -
j j j j j j j j j j j j




...SOLUTION:>>>...B - encourage patients who have
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diabetes mellitus to maintain blood glucose within the reference ranges, C -
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encourage patients who smoke to consider smoking cessation programs
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A patient who had an above the knee amputation reports having sharp, stabbing type
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j of phantom pain. Which of the following is an appropriate action by the caregiver. ?
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Select one: j




a. Facilitate counseling services j j




b. Administer an antiepileptic medication j j j




c. Question rather the pain is real j j j j j




d. Encouragecoldtherapy treatments -...SOLUTION:>>>...B- administer
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j antiepileptic medication j




A caregiver is assessing a patient who has a casted compound fracture of the right
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forearm Which of the following finds is an early indication of neurovascular
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j compromise?

Select one: j




a. Pallor

,b. Pulselessness

c. Paralysis
d. Paresthesia - ...SOLUTION:>>>...D - paresthesia j j j j




A caregiver is caring for a patient who has a laboratory finding of serum potassium of
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j 5.4 mEq/L, The caregiver should assess for which of the following clinical
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j manifestations?

Select one: j




a. Constipation

b. EKG changes j




c. Hypotension

d. Polyuria - ...SOLUTION:>>>...B - EKG changes
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The caregiver is caring for a patient who has a peripheral IV in place for fluid
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replacement. When caring for the patient's IV site, the caregiver should
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Select one: j




a. ensure that the tubing is firmly anchored to the patient's skin.
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b. ensurethat anticoagulants are placed onhold for the duration of IV
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j therapy

c. periodically remove hair from 2 cm around the IV site. j j j j j j j j j




d. replace the IV dressing with anew, clean dressing if it is soiled. -
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j ...SOLUTION:>>>...A - ensure that the tubing is firmly anchored to the patients j j j j j j j j j j j

, j skin



When planning the care of a patient with a fluid imbalance, the caregiver understands
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j that in the human body, water and electrolytes move from the arterial capillary bed to
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j the interstitial fluid. What causes this to occur?
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Select one: j




a. Hydrostatic pressure resultingfromthe pumping action of the heart j j j j j j j j j




b. Pressure of the blood in the renal capillaries j j j j j j j




c. Active transport of hydrogen ions across the capillary walls
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d. Action of the dissolved particles contained in a unit of blood -
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...SOLUTION:>>>...A - hydrostatic pressure resulting from the pumping action
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j of the heart
j j




The caregiver is caring for a patient who is being treated on the oncology unit with a
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j diagnosis of lung cancer with bone metastases. The patient reports a new onset of
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j weakness with abdominal pain and further assessment suggests that the patient likely
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j has a fluid volume deficit. The caregiver should recognize that this patient may be
j j j j j j j j j j j j j




j experiencing what electrolyte imbalance? j j j




Select one: j




a. Hypomagnesemia

b. Hypomagnesemia

c. Hypercalcemia
d. Hypernatremia -...SOLUTION:>>>...C - hypercalcemia j j j j

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