• ATI PN Adult 09/18/2026
Medical Exam
ATI PN Adult Medical Surgical 2026 Bundle
(Medsurg) Proctored Exam Comprising NGN
and All Questions and Answers| Detailed
Rationales
Two days postoperative, a male client reports aching pain in his left leg. The nurse assesses redness and warmth
on the lower left calf. What intervention would be most helpful to this client?
a. Apply sequential compression devices (SCDs) bilaterally.
b. Assess for a positive Homan's sign in each leg.
c. Pad all bony prominences on the affected leg.
d. Advise the client to remain in bed with the leg elevated. - Correct Answer :D
Rationale
P 1
, • ATI PN Adult 09/18/2026
Medical Exam
The client is exhibiting symptoms of deep vein thrombosis (DVT), a complication of immobility. The initial care
includes bedrest and elevation of the extremity.
62. A female client is brought to the clinic by her daughter for a flu shot. She has lost significant weight since the
last visit. She has poor personal hygiene and inadequate clothing for the weather. The client states that she lives
alone and denies problems or concerns. What action should the nurse implement?
a. Notify social services immediately of suspected elderly abuse.
b. Discuss the need for mental health counseling with the daughter.
c. Explain to the client that she needs to take better care of herself.
d. Collect further data to determine whether self-neglect is occurring. - Correct Answer :D
Rationale
Changes in weight and hygiene may be indicators of self-neglect or neglect by family members. Further
assessment is needed before notifying social services or discussing a need for counseling.
63. Which client should the nurse recognize as most likely to experience sleep apnea?
a. Middle-aged female who takes a diuretic nightly.
b. Obese older male client with a short, thick neck.
c. Adolescent female with a history of tonsillectomy.
d. School-aged male with a history of hyperactivity disorder. - Correct Answer :B
Rationale
Sleep apnea is characterized by lack of respirations for 10 seconds or more during sleep and is due to the loss of
pharyngeal tone which allows the pharynx to collapse during inspiration and obstructs air flow through the nose
and mouth. Risk factors which increase the condition of sleep apnea include: excessive weight, increases the risk
P 2
, • ATI PN Adult 09/18/2026
Medical Exam
4Xs more than normal weighing individuals; neck circumference, thicker necks have narrower airways; individuals
with inherited narrower airways; males in general are more prone to sleep apnea; females risk increase with
being overweight and post-menopausal; increased age (geriatrics); family history; use of alcohol, sedatives or
tranquilizers; smokers and those who suffer from nasal allergies.
64. The nurse is planning to initiate a socialization group for older residents of a long-term facility. Which
information would be most useful to the nurse when planning activities for the group?
a. The length of time each group member has resided at the nursing home.
b. A brief description of each resident's family life.
c. The age of each group member.
d. The usual activity patterns of each member of the group. - Correct Answer :D
Rationale
An older person's level of activity is a determining factor in adjustment to aging as described by the Activity
Theory of Aging. The most useful information initially would be an assessment of each individual's adjustment to
the aging process.
65. A client with heart disease is on a continuous telemetry monitor and has developed sinus bradycardia. In
determining the possible cause of the bradycardia, the nurse assesses the client's medication record. Which
medication is most likely the cause of the bradycardia?
a. Propanolol (Inderal).
b. Captopril (Capoten).
c. Furosemide (Lasix).
d. Dobutamine (Dobutrex). - Correct Answer :A
Rationale
P 3
, • ATI PN Adult 09/18/2026
Medical Exam
Inderal is a beta adrenergic blocking agent, which causes decreased heart rate and decreased contractility.
66. A client who is fully awake after a gastroscopy asks the nurse for something to drink. After confirming that
liquids are allowed, which assessment action should the nurse consider a priority?
a. Listen to bilateral lung and bowel sounds.
b. Obtain the client's pulse and blood pressure.
c. Assist the client to the bathroom to void.
d. Check the client's gag and swallow reflexes. - Correct Answer :D
Rationale
Following gastroscopy, a client should remain nothing by mouth until the effects of local anesthesia have
dissipated and the airway's protective reflexes, gag and swallow reflexes have returned.
67. What instruction should the nurse give a client who is diagnosed with fibrocystic changes of the breast?
a. Observe cyst size fluctuations as a sign of malignancy.
b. Use estrogen supplements to reduce breast discomfort.
c. Notify the healthcare provider if whitish nipple discharge occurs.
d. Perform a breast self-exam (BSE) procedure monthly. - Correct Answer :D
Rationale
Fibrocystic changes in the breast are related to excess fibrous tissue, proliferation of mammary ducts and cyst
formation that cause edema and nerve irritation. These changes obscure typical diagnostic tests, such as
mammography, due to an increased breast density. Women with fibrocystic breasts should be instructed to
carefully perform monthly BSE and consider changes in any previous "lumpiness." Fibrocystic disease does not
increase the risk of breast cancer. Cyst size fluctuates with the menstrual cycle, and typically lessens after
menopause, and responds with a heightened sensitivity to circulating estrogen.
P 4
Medical Exam
ATI PN Adult Medical Surgical 2026 Bundle
(Medsurg) Proctored Exam Comprising NGN
and All Questions and Answers| Detailed
Rationales
Two days postoperative, a male client reports aching pain in his left leg. The nurse assesses redness and warmth
on the lower left calf. What intervention would be most helpful to this client?
a. Apply sequential compression devices (SCDs) bilaterally.
b. Assess for a positive Homan's sign in each leg.
c. Pad all bony prominences on the affected leg.
d. Advise the client to remain in bed with the leg elevated. - Correct Answer :D
Rationale
P 1
, • ATI PN Adult 09/18/2026
Medical Exam
The client is exhibiting symptoms of deep vein thrombosis (DVT), a complication of immobility. The initial care
includes bedrest and elevation of the extremity.
62. A female client is brought to the clinic by her daughter for a flu shot. She has lost significant weight since the
last visit. She has poor personal hygiene and inadequate clothing for the weather. The client states that she lives
alone and denies problems or concerns. What action should the nurse implement?
a. Notify social services immediately of suspected elderly abuse.
b. Discuss the need for mental health counseling with the daughter.
c. Explain to the client that she needs to take better care of herself.
d. Collect further data to determine whether self-neglect is occurring. - Correct Answer :D
Rationale
Changes in weight and hygiene may be indicators of self-neglect or neglect by family members. Further
assessment is needed before notifying social services or discussing a need for counseling.
63. Which client should the nurse recognize as most likely to experience sleep apnea?
a. Middle-aged female who takes a diuretic nightly.
b. Obese older male client with a short, thick neck.
c. Adolescent female with a history of tonsillectomy.
d. School-aged male with a history of hyperactivity disorder. - Correct Answer :B
Rationale
Sleep apnea is characterized by lack of respirations for 10 seconds or more during sleep and is due to the loss of
pharyngeal tone which allows the pharynx to collapse during inspiration and obstructs air flow through the nose
and mouth. Risk factors which increase the condition of sleep apnea include: excessive weight, increases the risk
P 2
, • ATI PN Adult 09/18/2026
Medical Exam
4Xs more than normal weighing individuals; neck circumference, thicker necks have narrower airways; individuals
with inherited narrower airways; males in general are more prone to sleep apnea; females risk increase with
being overweight and post-menopausal; increased age (geriatrics); family history; use of alcohol, sedatives or
tranquilizers; smokers and those who suffer from nasal allergies.
64. The nurse is planning to initiate a socialization group for older residents of a long-term facility. Which
information would be most useful to the nurse when planning activities for the group?
a. The length of time each group member has resided at the nursing home.
b. A brief description of each resident's family life.
c. The age of each group member.
d. The usual activity patterns of each member of the group. - Correct Answer :D
Rationale
An older person's level of activity is a determining factor in adjustment to aging as described by the Activity
Theory of Aging. The most useful information initially would be an assessment of each individual's adjustment to
the aging process.
65. A client with heart disease is on a continuous telemetry monitor and has developed sinus bradycardia. In
determining the possible cause of the bradycardia, the nurse assesses the client's medication record. Which
medication is most likely the cause of the bradycardia?
a. Propanolol (Inderal).
b. Captopril (Capoten).
c. Furosemide (Lasix).
d. Dobutamine (Dobutrex). - Correct Answer :A
Rationale
P 3
, • ATI PN Adult 09/18/2026
Medical Exam
Inderal is a beta adrenergic blocking agent, which causes decreased heart rate and decreased contractility.
66. A client who is fully awake after a gastroscopy asks the nurse for something to drink. After confirming that
liquids are allowed, which assessment action should the nurse consider a priority?
a. Listen to bilateral lung and bowel sounds.
b. Obtain the client's pulse and blood pressure.
c. Assist the client to the bathroom to void.
d. Check the client's gag and swallow reflexes. - Correct Answer :D
Rationale
Following gastroscopy, a client should remain nothing by mouth until the effects of local anesthesia have
dissipated and the airway's protective reflexes, gag and swallow reflexes have returned.
67. What instruction should the nurse give a client who is diagnosed with fibrocystic changes of the breast?
a. Observe cyst size fluctuations as a sign of malignancy.
b. Use estrogen supplements to reduce breast discomfort.
c. Notify the healthcare provider if whitish nipple discharge occurs.
d. Perform a breast self-exam (BSE) procedure monthly. - Correct Answer :D
Rationale
Fibrocystic changes in the breast are related to excess fibrous tissue, proliferation of mammary ducts and cyst
formation that cause edema and nerve irritation. These changes obscure typical diagnostic tests, such as
mammography, due to an increased breast density. Women with fibrocystic breasts should be instructed to
carefully perform monthly BSE and consider changes in any previous "lumpiness." Fibrocystic disease does not
increase the risk of breast cancer. Cyst size fluctuates with the menstrual cycle, and typically lessens after
menopause, and responds with a heightened sensitivity to circulating estrogen.
P 4
