ATI MEDICAL SURGICAL PROCTORED
EXAM 2025 RETAKE Questions and Answers
with Explanations
The ATI Medical Surgical Proctored Exam Retake is a comprehensive assessment designed for
nursing students to evaluate their knowledge and clinical decision-making skills in medical-
surgical nursing. The exam covers a wide range of topics, including patient care for conditions
like heart failure, pulmonary edema, diabetes, and infections, as well as procedures such as TPN
administration, tracheostomy care, and cardiac catheterization. It tests critical thinking through
scenario-based questions, focusing on nursing interventions, patient education, assessment
prioritization, and medication management. The exam emphasizes evidence-based practice,
safety, and understanding of laboratory values, pathophysiology, and complications, preparing
students for real-world clinical settings.
,1. The nurse is preparing to discontinue long-term TPN therapy for a client. The nurse
should plan to discontinue the TPN gradually to reduce the risk of which of the
following adverse effects?
◦ Answer: Hypoglycemia
◦ Explanation: Gradually tapering TPN prevents rebound hypoglycemia due to
abrupt cessation, which can signi cantly alter blood glucose levels (PDE p.298,
PDF nutrition p.58). Hyperglycemia, diarrhea, and constipation are not directly
associated with abrupt TPN discontinuation.
2. A nurse is preparing a client for an ECG. The client is anxious and says that he is
afraid the equipment will give him an electric shock. Which of the following is an
appropriate response by the nurse?
◦ Answer: The machine only senses and records electrical currents coming from
your heart
◦ Explanation: An ECG records the heart’s electrical activity without delivering
electricity, addressing the client’s fear (pg. 170). Other options are less accurate or
irrelevant to the concern.
3. A nurse is caring for a client who has hypertension and has a new prescription for
lisinopril. The nurse should consult with the provider about which of the following
medications in the client's medication administration record?
◦ Answer: Potassium chloride
fi
, ◦ Explanation: Lisinopril, an ACE inhibitor, can cause hyperkalemia. Potassium
chloride supplements increase this risk, necessitating consultation. Levothyroxine,
acetaminophen, and metformin do not interact signi cantly with lisinopril.
4. A nurse is administering furosemide 80 mg PO twice daily to a client who has
pulmonary edema. Which of the following assessment ndings indicates to the nurse
that the medication is effective?
◦ Answer: Weight loss of 1.8 kg (4 lb) in the past 24 hr
◦ Explanation: Furosemide, a diuretic, reduces uid overload in pulmonary edema,
leading to weight loss from uid elimination. Elevated blood pressure,
adventitious breath sounds, or high respiratory rate suggest ineffective treatment.
5. Where can you hear pericardial friction rub the best?
◦ Answer: Erb’s Point (3rd Intercostal, Central)
◦ Explanation: Pericardial friction rub is best heard at Erb’s Point due to its
proximity to the heart’s pericardial surfaces.
6. A nurse is completing discharge teaching with a client who has a new diagnosis of
AIDS. Which of the following statements by the client indicates an understanding of
the teaching?
◦ Answer: I will be sure to wear gloves and wash my hands when I change my cat’s
litter box
fl fl fi fi
EXAM 2025 RETAKE Questions and Answers
with Explanations
The ATI Medical Surgical Proctored Exam Retake is a comprehensive assessment designed for
nursing students to evaluate their knowledge and clinical decision-making skills in medical-
surgical nursing. The exam covers a wide range of topics, including patient care for conditions
like heart failure, pulmonary edema, diabetes, and infections, as well as procedures such as TPN
administration, tracheostomy care, and cardiac catheterization. It tests critical thinking through
scenario-based questions, focusing on nursing interventions, patient education, assessment
prioritization, and medication management. The exam emphasizes evidence-based practice,
safety, and understanding of laboratory values, pathophysiology, and complications, preparing
students for real-world clinical settings.
,1. The nurse is preparing to discontinue long-term TPN therapy for a client. The nurse
should plan to discontinue the TPN gradually to reduce the risk of which of the
following adverse effects?
◦ Answer: Hypoglycemia
◦ Explanation: Gradually tapering TPN prevents rebound hypoglycemia due to
abrupt cessation, which can signi cantly alter blood glucose levels (PDE p.298,
PDF nutrition p.58). Hyperglycemia, diarrhea, and constipation are not directly
associated with abrupt TPN discontinuation.
2. A nurse is preparing a client for an ECG. The client is anxious and says that he is
afraid the equipment will give him an electric shock. Which of the following is an
appropriate response by the nurse?
◦ Answer: The machine only senses and records electrical currents coming from
your heart
◦ Explanation: An ECG records the heart’s electrical activity without delivering
electricity, addressing the client’s fear (pg. 170). Other options are less accurate or
irrelevant to the concern.
3. A nurse is caring for a client who has hypertension and has a new prescription for
lisinopril. The nurse should consult with the provider about which of the following
medications in the client's medication administration record?
◦ Answer: Potassium chloride
fi
, ◦ Explanation: Lisinopril, an ACE inhibitor, can cause hyperkalemia. Potassium
chloride supplements increase this risk, necessitating consultation. Levothyroxine,
acetaminophen, and metformin do not interact signi cantly with lisinopril.
4. A nurse is administering furosemide 80 mg PO twice daily to a client who has
pulmonary edema. Which of the following assessment ndings indicates to the nurse
that the medication is effective?
◦ Answer: Weight loss of 1.8 kg (4 lb) in the past 24 hr
◦ Explanation: Furosemide, a diuretic, reduces uid overload in pulmonary edema,
leading to weight loss from uid elimination. Elevated blood pressure,
adventitious breath sounds, or high respiratory rate suggest ineffective treatment.
5. Where can you hear pericardial friction rub the best?
◦ Answer: Erb’s Point (3rd Intercostal, Central)
◦ Explanation: Pericardial friction rub is best heard at Erb’s Point due to its
proximity to the heart’s pericardial surfaces.
6. A nurse is completing discharge teaching with a client who has a new diagnosis of
AIDS. Which of the following statements by the client indicates an understanding of
the teaching?
◦ Answer: I will be sure to wear gloves and wash my hands when I change my cat’s
litter box
fl fl fi fi
