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Med-Surg Part A Fluid Regulation & Perioperative Nursing Systems 2026

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Dominate your mid-curricular nursing milestones and secure your program's benchmark achievements with this definitive, expert-verified study guide featuring 255 actual exam questions and answers for the ATI Medical-Surgical Proctored Exam Part A. Fully updated for the newest 2026 Next Generation NCLEX (NGN) testing blueprints, this massive premium question vault leaves zero margin for error. It delivers rigorous, line-by-line coverage of perioperative nursing care, fluid and electrolyte regulations, advanced oncology parameters, and critical multi-system disease tracking. Packed with multi-stage clinical judgment case studies, select-all-that-apply breakdowns, and worked pharmacological calculations, this comprehensive guide guarantees you will master complex medical-surgical assessment paths, defeat tricky proctored distractors, and secure a 100% guaranteed pass with an A+ grade on your very first try!

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Page 1 of 65


ATI MED SURG PROCTORED EXAM PART A
EXAM NEWEST 2026 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {255 Q & A} ALREADY GRADED A+ |
BRAND NEW! | 100% GUARANTEED PASS



A nurse is caring for client who is experiencing supraventricular
tachycardia. Upon assessing the client, the nurse observes the
following findings: heart rate 200/min, blood pressure 78/40 mm
Hg, and respiratory rate 30/min. Which of the following actions
should then nurse take?
a. Defibrillate the client's heart.
b. Perform synchronized cardioversion.
c. Begin cardiopulmonary resuscitation.
d. Administer lidocaine IV bolus. - ✔✔✔ Correct Answer > b. Perform
synchronized cardioversion.


A nurse is preparing a client who has supraventricular
tachycardia for elective cardioversion. Which of the following
medications should the nurse instruct the client to withhold for
48 hr prior to cardioversion?
A. Enoxaparin

,Page 2 of 65


B. Metformin
C. Diazepam
D. Digoxin - ✔✔✔ Correct Answer > D. digoxin


Cardiac glycosides, such as digoxin, are withheld prior to
cardioversion. These medications can increase ventricular
irritability and put the client at risk for ventricular fibrillation
after the synchronized countershock of cardioversion


A nurse is caring for a client who has emphysema and is
receiving mechanical ventilation. The client appears anxious and
restless, and the high-pressure alarm is sounding. Which of the
following actions should the nurse take first?
A. Obtain ABGs.
B. Administer propofol to the client.
C. Instruct the client to allow the machine to breathe for them.
D. Disconnect the machine and manually ventilate the client. -
✔✔✔ Correct Answer > C. Instruct the client to allow the machine to
breathe for them. When providing client care, the nurse should
first use the least restrictive intervention. Therefore, the first
action the nurse should take is to provide verbal instructions and
emotional support to help the client relax and allow the
ventilator to work. Clients can exhibit anxiety and restlessness
when trying to "fight the ventilator."

,Page 3 of 65


A nurse is caring for a client who is 12 hr post op following a total
hip arthroplasty. Which of the following actions should the nurse
take?
a. Maintain adduction of the client's legs.
b. Encourage range of motion of the hip up to a 120° angle.
c. Place a pillow between the client's legs.
d. Keep the client's hip internally rotated. - ✔✔✔ Correct Answer > c.
Place a pillow between the client's legs


A nurse is caring for a client who has a potassium level of 3.
Which of the following assessment findings should the nurse
expect?
A. Positive Trousseau's sign
B. 4+ deep tendon reflexes
C. Deep respirations
D. Hypoactive bowel sounds - ✔✔✔ Correct Answer > D. Hypoactive
bowel sounds


The nurse should perform synchronized cardioversion for a
client who has supraventricular tachycardia.


A nurse is providing discharge teaching to a client who has heart
failure and a new prescription for a potassium-sparing diuretic.

, Page 4 of 65


Which of the following information should the nurse include in
the teaching?
a. Try to walk at least three times per week for exercise.
b. To increase stamina, walk for 5 min after fatigue begins.
c. Take over-the-counter cough medicine for persistent cough.
d. Use a salt substitute to reduce sodium intake. - ✔✔✔ Correct
Answer > a. Try to walk at least 3 times a week for exercise.




The development of a regular exercise routine can improve
outcomes in clients who have heart failure.


What rhythms are shockable? (defibrillation) - ✔✔✔ Correct Answer >
ventricular fibrillation and pulseless ventricular tachycarida


What dysrhythmia are amiodarone and lidocaine indicated for? -
✔✔✔ Correct Answer > ventricular arrhythmias




The nurse should initiate CPR for a client who what? - ✔✔✔ Correct
Answer > is pulseless or not breathing




_______ are usually given prior to cardioversion to reduce anxiety
and minimize discomfort with the procedure. - ✔✔✔ Correct Answer >
Sedatives like diazepam

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