ATI PN ADULT MEDICAL SURGICAL 2026 (MEDSURG) PROCTORED EXAM PRACTICE QUESTION BANK

ATI PN ADULT MEDICAL SURGICAL 2026 (MEDSURG) PROCTORED EXAM PRACTICE QUESTION BANKATI PN ADULT MEDICAL SURGICAL 2026 (MEDSURG) PROCTORED EXAM PRACTICE QUESTION BANK 1. A nurse is caring for a patient with a new colostomy. Which of the following stoma appearances should the nurse report immediately? A. Beefy red and moist B. Pale pink and dry C. Dark purple and dusky D. Slightly edematous Answer: C. Dark purple and dusky 2. Which medication is considered the first-line treatment for an acute gout attack? A. Allopurinol B. Colchicine C. Probenecid D. Febuxostat Answer: B. Colchicine 3. A patient is prescribed warfarin. Which lab value should the nurse monitor to evaluate therapeutic effectiveness? A. aPTT B. INR C. Platelet count D. Bleeding time Answer: B. INR 4. What is the primary sign of increased intracranial pressure (ICP) in an infant? A. Sunken fontanelles B. Bulging fontanelles C. Decreased head circumference D. Hypertension Answer: B. Bulging fontanelles 5. Which of the following is a classic symptom of hypoglycemia? A. Polyuria B. Polydipsia C. Diaphoresis D. Kussmaul respirations Answer: C. Diaphoresis 6. A patient with a history of heart failure is prescribed furosemide. Which electrolyte imbalance is the patient at highest risk for? A. Hyperkalemia B. Hypokalemia C. Hypernatremia D. Hypercalcemia Answer: B. Hypokalemia 7. What is the most effective method for preventing the spread of infection? A. Wearing gloves B. Hand hygiene C. Isolating the patient D. Administering antibiotics Answer: B. Hand hygiene 8. Which vaccine is contraindicated in a patient who is severely immunocompromised? A. Inactivated influenza vaccine B. Tetanus, diphtheria, pertussis (Tdap) vaccine C. Measles, mumps, rubella (MMR) vaccine D. Hepatitis B vaccine Answer: C. Measles, mumps, rubella (MMR) vaccine 9. A patient is admitted with a diagnosis of diabetic ketoacidosis (DKA). Which of the following is an expected finding? A. Blood pH of 7.5 B. Blood glucose of 150 mg/dL C. Kussmaul respirations D. Bradypnea Answer: C. Kussmaul respirations 10. What is the priority nursing action for a patient experiencing anaphylaxis? A. Administer epinephrine B. Establish an IV line C. Administer diphenhydramine D. Obtain a blood pressure reading Answer: A. Administer epinephrine 11. A nurse is assessing a patient with a suspected peptic ulcer. Which of the following findings is most indicative of a duodenal ulcer? A. Pain that occurs 1 to 2 hours after meals B. Pain that worsens with food intake C. Pain that occurs 2 to 3 hours after meals D. Pain that is relieved by vomiting Answer: C. Pain that occurs 2 to 3 hours after meals 12. A patient is receiving a blood transfusion and develops fever, chills, and low back pain. What is the nurse's priority action? A. Slow the transfusion rate B. Administer antipyretics C. Stop the transfusion immediately D. Obtain a urine specimen Answer: C. Stop the transfusion immediately 1. A nurse is caring for a patient with a new colostomy. Which of the following stoma appearances should the nurse report immediately? A. Beefy red and moist B. Pale pink and dry C. Dark purple and dusky D. Slightly edematous Answer: C. Dark purple and dusky 2. Which medication is considered the first-line treatment for an acute gout attack? A. Allopurinol B. Colchicine C. Probenecid D. Febuxostat Answer: B. Colchicine 3. A patient is prescribed warfarin. Which lab value should the nurse monitor to evaluate therapeutic effectiveness? A. aPTT B. INR C. Platelet count D. Bleeding time Answer: B. INR 4. What is the primary sign of increased intracranial pressure (ICP) in an infant? A. Sunken fontanelles B. Bulging fontanelles C. Decreased head circumference D. Hypertension Answer: B. Bulging fontanelles 5. Which of the following is a classic symptom of hypoglycemia? A. Polyuria B. Polydipsia C. Diaphoresis D. Kussmaul respirations Answer: C. Diaphoresis 6. A patient with a history of heart failure is prescribed furosemide. Which electrolyte imbalance is the patient at highest risk for? A. Hyperkalemia B. Hypokalemia C. Hypernatremia D. Hypercalcemia Answer: B. Hypokalemia 7. What is the most effective method for preventing the spread of infection? A. Wearing gloves B. Hand hygiene C. Isolating the patient D. Administering antibiotics Answer: B. Hand hygiene 8. Which vaccine is contraindicated in a patient who is severely immunocompromised? A. Inactivated influenza vaccine B. Tetanus, diphtheria, pertussis (Tdap) vaccine C. Measles, mumps, rubella (MMR) vaccine D. Hepatitis B vaccine Answer: C. Measles, mumps, rubella (MMR) vaccine 9. A patient is admitted with a diagnosis of diabetic ketoacidosis (DKA). Which of the following is an expected finding? A. Blood pH of 7.5 B. Blood glucose of 150 mg/dL C. Kussmaul respirations D. Bradypnea Answer: C. Kussmaul respirations 10. What is the priority nursing action for a patient experiencing anaphylaxis? A. Administer epinephrine B. Establish an IV line C. Administer diphenhydramine D. Obtain a blood pressure reading Answer: A. Administer epinephrine 11. A nurse is assessing a patient with a suspected peptic ulcer. Which of the following findings is most indicative of a duodenal ulcer? A. Pain that occurs 1 to 2 hours after meals B. Pain that worsens with food intake C. Pain that occurs 2 to 3 hours after meals D. Pain that is relieved by vomiting Answer: C. Pain that occurs 2 to 3 hours after meals 12. A patient is receiving a blood transfusion and develops fever, chills, and low back pain. What is the nurse's priority action? A. Slow the transfusion rate B. Administer antipyretics C. Stop the transfusion immediately D. Obtain a urine specimen Answer: C. Stop the transfusion immediately