1
ATI RN ADULT MED SURG PROCTORED EXAM
2019 [2025-2026 UPDATED VERSION]
THIS STUDY GUIDE PROVIDE ACTUAL EXAM TIPS SAT ON 2025
• A nurse in the emergency department is assessing a client. Which of the
following actions should the nurse take first? (Click on the “Exhibit” button for
additional information about the client. There are three tabs that contain
separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansetron
• A nurse is contacting the provider of a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions
should the nurse anticipate?
a. Intravenous dexamethasone
b. Transmucosal fentanyl
c. Oral acetaminophen
d. Intramuscular meperidine
• A nurse is admitting a client who reports chest pain and has been placed on
a telemetry monitor. Which of the following should the nurse analyze to
determine whether the client is experiencing a myocardial infarction?
a. QRS duration
b. ST segment
c. T wave
d. PR interval
,2
• A nurse is teaching a client who has ovarian cancer about skin care
following radiation treatment. Which of the following instructions should
the nurse include?
a. Apply over-the-counter moisturizer to the radiation site
b. Cover the radiation site loosely with a gauze wrap before dressing
c. Use a soft washcloth to clean the area around the radiation site
d. Pat the skin on the radiation site to dry it
• A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and
distended jugular veins. The nurse should anticipate administering which of the
following prescribed medications?
a. Acetaminophen
b. Furosemide
c. Diphenhydramine
d. Pantoprazole
,3
• A nurse is assessing a client who is receiving magnesium sulfate IV for the
treatment of hypomagnesemia. Which of the following findings indicates
effectiveness of the medication?
a. Lungs clear
b. Hyperactive bowel sounds
c. Blood pressure 90/50 mm Hg
d. Apical pulse 82/min
• A nurse is preparing a client for a lumbar puncture. Which of the following
images indicates the position the nurse should assist the client into for this
procedure?
Answer is exhibit “C” – picture shows pt lying in side-lying left position
• A nurse is reviewing a client’s ABG results: pH 7.42, PaCO2 30 mm Hg, and
HCO3- 21 mEq/L. The nurse should recognize these findings as an indication of
which of the following conditions?
a. Compensated respiratory alkalosis
b. Uncompensated respiratory acidosis
c. Metabolic acidosis
d. Metabolic alkalosis
• A nurse is preparing to administer daily medications to a client who is
undergoing a procedure at 1000 that requires IV contrast dye. Which of the
following routine medications to give at 0800 should the nurse withhold?
a. Metoprolol
b. Metformin
c. Fluticasone
d. Valproic acid
• A nurse is planning care for a client who is experiencing seizures secondary
to meningitis. Which of the following interventions should the nurse include in
the plan of care? (Select all that apply.)
a. Assist the client to ambulate every 4 hr
b. Place a tongue blade at the bedside
, 4
c. Have suction equipment at the bedside
d. Dim the overhead lights
e. Apply a warming blanket
• A nurse is caring for a client who has a pressure ulcer with necrotic tissue and
requires wet- to-damp dressing changes daily. Which of the following types of
debridement should the nurse
ATI RN ADULT MED SURG PROCTORED EXAM
2019 [2025-2026 UPDATED VERSION]
THIS STUDY GUIDE PROVIDE ACTUAL EXAM TIPS SAT ON 2025
• A nurse in the emergency department is assessing a client. Which of the
following actions should the nurse take first? (Click on the “Exhibit” button for
additional information about the client. There are three tabs that contain
separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare the client for a chest x-ray
c. Initiate airborne precautions
d. Administer ondansetron
• A nurse is contacting the provider of a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions
should the nurse anticipate?
a. Intravenous dexamethasone
b. Transmucosal fentanyl
c. Oral acetaminophen
d. Intramuscular meperidine
• A nurse is admitting a client who reports chest pain and has been placed on
a telemetry monitor. Which of the following should the nurse analyze to
determine whether the client is experiencing a myocardial infarction?
a. QRS duration
b. ST segment
c. T wave
d. PR interval
,2
• A nurse is teaching a client who has ovarian cancer about skin care
following radiation treatment. Which of the following instructions should
the nurse include?
a. Apply over-the-counter moisturizer to the radiation site
b. Cover the radiation site loosely with a gauze wrap before dressing
c. Use a soft washcloth to clean the area around the radiation site
d. Pat the skin on the radiation site to dry it
• A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and
distended jugular veins. The nurse should anticipate administering which of the
following prescribed medications?
a. Acetaminophen
b. Furosemide
c. Diphenhydramine
d. Pantoprazole
,3
• A nurse is assessing a client who is receiving magnesium sulfate IV for the
treatment of hypomagnesemia. Which of the following findings indicates
effectiveness of the medication?
a. Lungs clear
b. Hyperactive bowel sounds
c. Blood pressure 90/50 mm Hg
d. Apical pulse 82/min
• A nurse is preparing a client for a lumbar puncture. Which of the following
images indicates the position the nurse should assist the client into for this
procedure?
Answer is exhibit “C” – picture shows pt lying in side-lying left position
• A nurse is reviewing a client’s ABG results: pH 7.42, PaCO2 30 mm Hg, and
HCO3- 21 mEq/L. The nurse should recognize these findings as an indication of
which of the following conditions?
a. Compensated respiratory alkalosis
b. Uncompensated respiratory acidosis
c. Metabolic acidosis
d. Metabolic alkalosis
• A nurse is preparing to administer daily medications to a client who is
undergoing a procedure at 1000 that requires IV contrast dye. Which of the
following routine medications to give at 0800 should the nurse withhold?
a. Metoprolol
b. Metformin
c. Fluticasone
d. Valproic acid
• A nurse is planning care for a client who is experiencing seizures secondary
to meningitis. Which of the following interventions should the nurse include in
the plan of care? (Select all that apply.)
a. Assist the client to ambulate every 4 hr
b. Place a tongue blade at the bedside
, 4
c. Have suction equipment at the bedside
d. Dim the overhead lights
e. Apply a warming blanket
• A nurse is caring for a client who has a pressure ulcer with necrotic tissue and
requires wet- to-damp dressing changes daily. Which of the following types of
debridement should the nurse
