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ATI RN Med-Surg Proctored Exam | 200 Q&A Testbank & Detailed Answers

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Ace your nursing exams with this comprehensive ATI RN Med-Surg Proctored Exam study guide! Updated for the academic year, this test bank features 200 actual exam questions with 100% correct, detailed answers. Already graded A+, this resource covers critical care, shock, burns, cardiac, respiratory, and gastrointestinal nursing concepts. Perfect for nursing students preparing for their ATI proctored exams and the NCLEX. Study smarter and pass with confidence!

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ATI RN MED SURG PROCTORED EXAM 2026/ACTU
b b b b b b



AL EXAM WITH 200 QUESTIONS AND CORRECT DE
b b b b b b b



TAILED ANSWERS/RN MED SURG PROCTORED EX b b b b b



AM TESTBANK 2026- b b



2027/LATEST UPDATE/ALREADY GRADED A+ b b b




While talking with a patient with a diagnosis of end stage liver
b b b b b b b b b b b b b



disease. The caregiver b b



notices the patient is unable to stay awake and seems to fall asle
b b b b b b b b b b b b



ep in the middle of a
b b b b b



sentence. The caregiver recognizes these symptoms to be indic
b b b b b b b b



ative of what condition?
b b b



A. Hyperglycemia
B. Increased Bile production b b



C. Increased blood ammonia levels b b b



D. Hypocalcaemia - b



...SOLUTION:...C. Increased blood ammonia levels
b b b b b




A caregiver is about to administer warfarin (Coumadin) to a pa
b b b b b b b b b b



tient who has atrial
b b b



fibrillation. When the patient asks what his medication will do,
b b b b b b b b b b



which of the b b



following is an appropriate nursing response? b b b b b



a. It helps convert atrial fibrillation to sinus rhythm
b b b b b b b



b. Is dissolves clots in the bloodstream
b b b b b



c. It slows the response of the ventricles to the fast atrial im
b b b b b b b b b b b



pulses

,d. It prevents strokes in patients who have atrial fibrillation -
b b b b b b b b b



...SOLUTION:...d. It prevents strokes in patients who have atr b b b b b b b b



ial fibrillationb




A caregiver in a cardiac care unit is caring for a patient with acut
b b b b b b b b b b b b b



e heart failure. Which
b b b



of the following findings should the caregiver expect?
b b b b b b b



a. Decreased brain natriuretic peptide (BNP) b b b b



b. Elevated central venous pressure (CVP) b b b b



c. Decreased pulmonary pressure b b



d. Increases urinary outpu - b b b



...SOLUTION:...b. Elevated central venous pressure (
b b b b b b



CVP)

A patient comes into the ED reporting nausea and vomiting tha
b b b b b b b b b b



t worsens when
b b



lying down and without relief from antacids. The provider susp
b b b b b b b b b



ects acute b



pancreatitis. Which of the following lab test results should theb b b b b b b b b b



caregiver expect to see if b b b b



the patient has acute pancreatitis?
b b b b



a. Decreased WBC b



b. Increased serum amylase b b



c. Decreased serum lipase b b



d. Increased serum calcium - b b b



...SOLUTION:...b. Increased serum amylase
b b b b




A caregiver in the ICU is caring for a patient who has acute resp
b b b b b b b b b b b b b



iratory distress b



syndrome (ARDS) and is receiving mechanical via an endotra
b b b b b b b b



cheal tube. The b b



provider plans to extubate her within the next 24 hour. Which o
b b b b b b b b b b b



f the following is
b b b

,an important criterion for extubating the patient?
b b b b b b



a. Ability to cough effectively b b b



b. Adequate tidal volume without manually assisted breaths b b b b b b



c. No indication of infection
b b b



d. No need for supplemental oxygen -
b b b b b



...SOLUTION:...b. Adequate tidal volume without manua
b b b b b b



lly assisted breaths
b b




A patient with massive trauma and possible spinal cord injury i
b b b b b b b b b b



s admitted to the
b b b



emergency department (ED). Which finding by the caregiver
b b b b b b b b



will help confirm a diagnosis
b b b b



of neurogenic shock?
b b



a. cool clammy skin b b



b. inspiratory crackles b



c. apical heart rate of 48 beats/min
b b b b b



d. temperature 101.2* F - b b b



...SOLUTION:...c. apical heart rate of 48 beats/min
b b b b b b b




A patient with septic shock has a urine output of 20 mL/hr for t
b b b b b b b b b b b b b



he past 3 hours.
b b b



The pulse rate is 120 and the central venous and pulmonary art
b b b b b b b b b b b



ery wedge pressure
b b



are 4. Which of these orders by the health care provider will the
b b b b b b b b b b b b b



caregiver question? b



a. Give furosemide (Lasix) 40 mg IV
b b b b b



b. increase normal saline infusion to 150 mL/hr b b b b b b



c. Administer hydrocortisone (SoluCortef) 100 mg IV b b b b b



d. Prepare to give drotrecogin alpha (Xigris) 24 mcg/kg/hr -
b b b b b b b b



...SOLUTION:...a.Give furosemide (Lasix) 40 mg IV b b b b b

, After receiving 1000 mL of normal saline, the central venous p
b b b b b b b b b b



ressure for a b b



patient who has septic shock is 10 mm Hg, but the blood pressu
b b b b b b b b b b b b



re is still 82/40 mm
b b b b



Hg. The caregiver will anticipate the administration of which o
b b b b b b b b b



f the following?
b b



a. Nitroglycerin (Tridil) b



b. Sodium nitroprusside (Nipride) b b



c. Drotrecogin alpha (Xigris) b b



d. Norepinephrine (Levophed) - b b



...SOLUTION:...d. Norepinephrine (Levophed)
b b b




Which of these findings is the best indicators that the fluid resu
b b b b b b b b b b b



scitation for a b b



patient with hypovolemic shock has been successful?
b b b b b b



a. hemoglobin is within normal limits b b b b



b. Urine output is 60 mL over the last hour
b b b b b b b b



c. Pulmonary artery wedge pressure (PAWP) is 10 mmHg b b b b b b b



d. Mean arterial pressure (MAP) is 55 mm Hg -
b b b b b b b b



...SOLUTION:...b. Urine output is 60 mL over the last hour b b b b b b b b b




41. Which interventions will the caregiver include in the plan
b b b b b b b b b



of the care for a patient
b b b b b



who has cardiogenic shock?
b b b



a. Avoid elevating head of bed b b b b



b. Check temperature every 2 hours b b b b



c. Monitor breath sounds frequently b b b



d. Assess skin for flushing and itching - b b b b b b



...SOLUTION:...c. Monitor breath sounds frequently
b b b b b




Which assessment is most important for the caregiver to make in
b b b b b b b b b b



order to evaluate
b b b

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