• RN Adult Medical 09/09/2026
Surgical 2026
ATI RN Adult Medical Surgical 2026 Proctored
Exam 2 Actual and Retake Versions
100 NGN Questions and Answers| 2026/2027
Latest Update | Complete Chapter Questions
& Answers with Rationales | Verified Questions
& Answers | Graded A+
The nurse is caring for a client receiving tamoxifen (Nolvadex) for the treatment of breast cancer. Which action
should the nurse include in the client's plan of care?
A) Increase fluid intake.
B) Monitor sodium chloride intake.
C) Assist the client in coping with hot flashes.
P 1
, • RN Adult Medical 09/09/2026
Surgical 2026
D) Encourage milk products to increase calcium intake. - Correct Answer :Correct Answer(s): C
* Tamoxifen, an estrogen receptor blocking agent, can cause hot flashes, so (C) should be included in the plan of
care. Increasing fluid intake (A), monitoring sodium intake (B), and encouraging milk products to increase
calcium intake (D) are not related to the care of a client receiving tamoxifen.
A client in the preoperative holding area receives a prescription for midazolam (Versed) IV. The nurse determines
that the surgical consent form needs to be signed by the client. Which action should the nurse implement?
A) Give the drug and allow the client to read and sign the consent form.
B) Counter-sign the client's initials on the consent form after giving the drug.
C) Withhold the drug until the client validates understanding of the surgical procedure and signs the consent
form.
D) Call the healthcare provider to explain the surgical procedure before the client signs the consent. - Correct
Answer :Correct Answer(s): C
* Midazolam, a benzodiazepine sedative, is commonly used for conscious-sedation intraoperatively and
interferes with the client's cognition and level of consciousness, so the consent form should be signed before
the drug is administered (C). The validity of legal documents will be in question if a client signs them while under
the influence of any central nervous system-depressant drug (A and B). If indicated, (D) may need to be
implemented but should be determined before the client arrives to the preoperative area.
A client who is receiving the sixth unit of packed red blood cell transfusion is demonstrating signs and symptoms
of a febrile, nonhemolytic reaction. What assessment finding is most important for the nurse to identify?
A) Increased anxiety since the transfusion began.
B) Drowsiness after receiving diphenhydramine (Benadryl).
C) Complaints of feeling cold.
D) Flushed skin and headache. - Correct Answer :Correct Answer(s): D
P 2
, • RN Adult Medical 09/09/2026
Surgical 2026
* The most common type of reaction is a febrile, nonhemolytic blood transfusion reaction related to leukocyte
incompatibility, which causes chills, fever, headache, and flushing (D). Some clients are anxious (A) about the risk
of blood-borne infections, but the client's response to the release of inflammatory and immunologic mediators
can potentially lead to bronchospasm and circulatory collapse. Drowsiness (B) is an expected symptom after
diphenhydramine administration. (C) is often a sensory response to environmental temperatures or the
administration of cold blood.
A 48-year-old client with endometrial cancer is being discharged after a total hysterectomy and bilateral salpingo-
oophorectomy. Which client statement indicates that further teaching is needed?
A) Well, I don't have to worry about getting pregnant anymore.
B) I can't wait to go on the cruise that I have planned for this summer.
C) I know I will miss having sexual intercourse with my husband.
D) I have asked my daughter to stay with me next week after I am discharged. - Correct Answer :Correct
Answer(s): C
* Further teaching is needed in response to the client's misunderstanding of sexuality after a hysterectomy that
is reflected in statement (C). The client's knowledge about reproduction (A), a positive outlook with plans for
the future (B), and her anticipated need for assistance and support during recovery (D) indicate she understands
the present status of her recovery.
A client with a fractured right radius reports severe, diffuse pain that has not responded to the prescribed
analgesics. The pain is greater with passive movement of the limb than with active movement by the client. The
nurse recognizes that the client is most likely exhibiting symptoms of which condition?
A) Acute compartment syndrome.
B) Fat embolism syndrome.
C) Venous thromboembolism.
D) Aseptic ischemic necrosis. - Correct Answer :Correct Answer(s): A
* These signs are specific indications of Acute Compartment Syndrome (A), and should be treated as an
emergency situation. The signs do not indicate (B, C, or D).
P 3
, • RN Adult Medical 09/09/2026
Surgical 2026
A client who had abdominal surgery two days ago has prescriptions for intravenous morphine sulfate 4 mg every
2 hours and a clear liquid diet. The client complains of feeling distended and has sharp, cramping gas pains. What
nursing intervention should be implemented?
A) Obtain a prescription for a laxative.
B) Withhold all oral fluid and food.
C) Assist the client to ambulate in the hall.
D) Administer the prescribed morphine sulfate. - Correct Answer :Correct Answer(s): C
* Postoperative abdominal distention is caused by decreased peristalsis as a result of handling the intestine
during surgery, limited dietary intake before and after surgery, and anesthetic and analgesic agents. Peristalsis is
stimulated and distention minimized by implementing early and frequent ambulation (C). Based on the client's
status, laxatives (A) or withholding dietary progression (B) are not indicated at this time. Although pain
management should be implemented (D), another analgesic prescription may be needed because morphine
reduces intestinal motility and contributes to the client's gas pains.
The nurse is caring for a male client who had an inguinal herniorrhaphy 3 hours ago. The nurse determines the
client's lower abdomen is distended and assesses dullness to percussion. What is the priority nursing action?
A) Assessment of the client's vital signs.
B) Document the finding as the only action.
C) Determine the time the client last voided.
D) Insert a rectal tube for the passage of flatus. - Correct Answer :Correct Answer(s): C
* Swelling at the surgical site in the immediate postoperative period can impact the bladder and prostate area
causing the client to experience difficulty voiding due to pressure on the urethra. To provide additional data
supporting bladder distention, the last time the client voided (C) should be determined next. Documentation (B)
should be made, but the client's distended bladder requires additional intervention. (A and D) are not priority
actions based on the client's abdominal findings.
P 4
Surgical 2026
ATI RN Adult Medical Surgical 2026 Proctored
Exam 2 Actual and Retake Versions
100 NGN Questions and Answers| 2026/2027
Latest Update | Complete Chapter Questions
& Answers with Rationales | Verified Questions
& Answers | Graded A+
The nurse is caring for a client receiving tamoxifen (Nolvadex) for the treatment of breast cancer. Which action
should the nurse include in the client's plan of care?
A) Increase fluid intake.
B) Monitor sodium chloride intake.
C) Assist the client in coping with hot flashes.
P 1
, • RN Adult Medical 09/09/2026
Surgical 2026
D) Encourage milk products to increase calcium intake. - Correct Answer :Correct Answer(s): C
* Tamoxifen, an estrogen receptor blocking agent, can cause hot flashes, so (C) should be included in the plan of
care. Increasing fluid intake (A), monitoring sodium intake (B), and encouraging milk products to increase
calcium intake (D) are not related to the care of a client receiving tamoxifen.
A client in the preoperative holding area receives a prescription for midazolam (Versed) IV. The nurse determines
that the surgical consent form needs to be signed by the client. Which action should the nurse implement?
A) Give the drug and allow the client to read and sign the consent form.
B) Counter-sign the client's initials on the consent form after giving the drug.
C) Withhold the drug until the client validates understanding of the surgical procedure and signs the consent
form.
D) Call the healthcare provider to explain the surgical procedure before the client signs the consent. - Correct
Answer :Correct Answer(s): C
* Midazolam, a benzodiazepine sedative, is commonly used for conscious-sedation intraoperatively and
interferes with the client's cognition and level of consciousness, so the consent form should be signed before
the drug is administered (C). The validity of legal documents will be in question if a client signs them while under
the influence of any central nervous system-depressant drug (A and B). If indicated, (D) may need to be
implemented but should be determined before the client arrives to the preoperative area.
A client who is receiving the sixth unit of packed red blood cell transfusion is demonstrating signs and symptoms
of a febrile, nonhemolytic reaction. What assessment finding is most important for the nurse to identify?
A) Increased anxiety since the transfusion began.
B) Drowsiness after receiving diphenhydramine (Benadryl).
C) Complaints of feeling cold.
D) Flushed skin and headache. - Correct Answer :Correct Answer(s): D
P 2
, • RN Adult Medical 09/09/2026
Surgical 2026
* The most common type of reaction is a febrile, nonhemolytic blood transfusion reaction related to leukocyte
incompatibility, which causes chills, fever, headache, and flushing (D). Some clients are anxious (A) about the risk
of blood-borne infections, but the client's response to the release of inflammatory and immunologic mediators
can potentially lead to bronchospasm and circulatory collapse. Drowsiness (B) is an expected symptom after
diphenhydramine administration. (C) is often a sensory response to environmental temperatures or the
administration of cold blood.
A 48-year-old client with endometrial cancer is being discharged after a total hysterectomy and bilateral salpingo-
oophorectomy. Which client statement indicates that further teaching is needed?
A) Well, I don't have to worry about getting pregnant anymore.
B) I can't wait to go on the cruise that I have planned for this summer.
C) I know I will miss having sexual intercourse with my husband.
D) I have asked my daughter to stay with me next week after I am discharged. - Correct Answer :Correct
Answer(s): C
* Further teaching is needed in response to the client's misunderstanding of sexuality after a hysterectomy that
is reflected in statement (C). The client's knowledge about reproduction (A), a positive outlook with plans for
the future (B), and her anticipated need for assistance and support during recovery (D) indicate she understands
the present status of her recovery.
A client with a fractured right radius reports severe, diffuse pain that has not responded to the prescribed
analgesics. The pain is greater with passive movement of the limb than with active movement by the client. The
nurse recognizes that the client is most likely exhibiting symptoms of which condition?
A) Acute compartment syndrome.
B) Fat embolism syndrome.
C) Venous thromboembolism.
D) Aseptic ischemic necrosis. - Correct Answer :Correct Answer(s): A
* These signs are specific indications of Acute Compartment Syndrome (A), and should be treated as an
emergency situation. The signs do not indicate (B, C, or D).
P 3
, • RN Adult Medical 09/09/2026
Surgical 2026
A client who had abdominal surgery two days ago has prescriptions for intravenous morphine sulfate 4 mg every
2 hours and a clear liquid diet. The client complains of feeling distended and has sharp, cramping gas pains. What
nursing intervention should be implemented?
A) Obtain a prescription for a laxative.
B) Withhold all oral fluid and food.
C) Assist the client to ambulate in the hall.
D) Administer the prescribed morphine sulfate. - Correct Answer :Correct Answer(s): C
* Postoperative abdominal distention is caused by decreased peristalsis as a result of handling the intestine
during surgery, limited dietary intake before and after surgery, and anesthetic and analgesic agents. Peristalsis is
stimulated and distention minimized by implementing early and frequent ambulation (C). Based on the client's
status, laxatives (A) or withholding dietary progression (B) are not indicated at this time. Although pain
management should be implemented (D), another analgesic prescription may be needed because morphine
reduces intestinal motility and contributes to the client's gas pains.
The nurse is caring for a male client who had an inguinal herniorrhaphy 3 hours ago. The nurse determines the
client's lower abdomen is distended and assesses dullness to percussion. What is the priority nursing action?
A) Assessment of the client's vital signs.
B) Document the finding as the only action.
C) Determine the time the client last voided.
D) Insert a rectal tube for the passage of flatus. - Correct Answer :Correct Answer(s): C
* Swelling at the surgical site in the immediate postoperative period can impact the bladder and prostate area
causing the client to experience difficulty voiding due to pressure on the urethra. To provide additional data
supporting bladder distention, the last time the client voided (C) should be determined next. Documentation (B)
should be made, but the client's distended bladder requires additional intervention. (A and D) are not priority
actions based on the client's abdominal findings.
P 4
