1
ADULT MEDICAL SURGICAL PROCTORED RN ATI EXAM / ATI
RN ADULT MEDICAL SURGICAL
PROCTORED EXAM FINAL 2025/2026
NOTE: THIS STUDY GUIDE IS SPECIFIC TO ACTUAL EXAM SAT @ 2025/26
A nurse is caring for a client who has atopic dermatitis and a prescription for
triamcinolone ointment. The nurse should assess the client to monitor for which
of the following adverse effects?
A. Increased pigmentation
B. Localized hair loss
C. Thinning of the skin
D. Increased sensitivity to the sun
C. Thinning of the skin
,2
Thinning of the skin and delayed healing are adverse effects of topical
glucocorticoid
preparations. The client should only apply the ointment to dry patches of the skin
because
topical steroids can cause atrophy of the dermis and epidermis, which can result
in thinning
of the skin.
A nurse is assessing a client who has left-sided heart failure. Which of the
following findings should the nurse identify as a manifestation of left-sided heart
failure?
A. Dependent edema
B. Jugular distention
C. Weight gain
D. Frothy sputum
D. Frothy sputum
The nurse should identify that frothy sputum, dyspnea, and wheezing are
manifestations of
left-sided heart failure. Treatment includes fluid restriction and diuretics to
decrease
preload and reduce pulmonary congestion. Pink-tinged frothy sputum can be
an early indication of pulmonary edema and can be life-threatening.
Therefore, the nurse should
notify the provider immediately.
A nurse is caring for a client who is experiencing anxiety as well as numbness
and tingling of the lips and fingers.
,3
The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85 mm
Hg. Which of the following acid-base imbalances should the nurse identify that
the client is experiencing?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Metabolic acidosis
A. Respiratory alkalosis
This pH is alkaline (increased) and the PCO2 is decreased, representing alveolar
hyperventilation and resultant respiratory alkalosis.
A nurse is assessing a client who has Cushing's syndrome. Which of the following
findings should the nurse expect?
A. Vitiligo
B. Osteoporosis
C. Myxedema
D. Heat intolerance
B. Osteoporosis
Osteoporosis is a common finding with Cushing's syndrome. Bones become
thinner as a
result of mineral loss and nitrogen depletion, and the risk for fractures increases.
, 4
A nurse is inspecting the skin of a client who has basal cell carcinoma. The
nurse should identify which of the following lesion characteristics on the
client's skin?
A. A pearly, waxy nodule
B. An irregular border on a variegated-colored lesion
C. A firm, nodular, crusty, or ulcerated lesion
D. A weeping vesicle
A. A pearly, waxy nodule
A client who has basal cell carcinoma has a nodular lesion with well-defined borders
and a
pearly or waxy appearance, resulting from overexposure to the sun, especially on
the face,
head, and neck.
A nurse is assessing a client who has hypocalcemia. In which of the following
areas should the nurse tap on the client's face to detect the presence of
Chvostek's sign?
A is correct.
The nurse should tap the client's cheek just in front of the ear and below the
zygomatic arch. The client who has hypocalcemia will display a Ckvostek's sign,
which is a twitching of the facial muscle.
A nurse in an emergency department is assessing a client who is overusing
prescribed diuretics and has a sodium level of 127 mEq/L. Which of the following
laboratory findings should the
ADULT MEDICAL SURGICAL PROCTORED RN ATI EXAM / ATI
RN ADULT MEDICAL SURGICAL
PROCTORED EXAM FINAL 2025/2026
NOTE: THIS STUDY GUIDE IS SPECIFIC TO ACTUAL EXAM SAT @ 2025/26
A nurse is caring for a client who has atopic dermatitis and a prescription for
triamcinolone ointment. The nurse should assess the client to monitor for which
of the following adverse effects?
A. Increased pigmentation
B. Localized hair loss
C. Thinning of the skin
D. Increased sensitivity to the sun
C. Thinning of the skin
,2
Thinning of the skin and delayed healing are adverse effects of topical
glucocorticoid
preparations. The client should only apply the ointment to dry patches of the skin
because
topical steroids can cause atrophy of the dermis and epidermis, which can result
in thinning
of the skin.
A nurse is assessing a client who has left-sided heart failure. Which of the
following findings should the nurse identify as a manifestation of left-sided heart
failure?
A. Dependent edema
B. Jugular distention
C. Weight gain
D. Frothy sputum
D. Frothy sputum
The nurse should identify that frothy sputum, dyspnea, and wheezing are
manifestations of
left-sided heart failure. Treatment includes fluid restriction and diuretics to
decrease
preload and reduce pulmonary congestion. Pink-tinged frothy sputum can be
an early indication of pulmonary edema and can be life-threatening.
Therefore, the nurse should
notify the provider immediately.
A nurse is caring for a client who is experiencing anxiety as well as numbness
and tingling of the lips and fingers.
,3
The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85 mm
Hg. Which of the following acid-base imbalances should the nurse identify that
the client is experiencing?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Metabolic acidosis
A. Respiratory alkalosis
This pH is alkaline (increased) and the PCO2 is decreased, representing alveolar
hyperventilation and resultant respiratory alkalosis.
A nurse is assessing a client who has Cushing's syndrome. Which of the following
findings should the nurse expect?
A. Vitiligo
B. Osteoporosis
C. Myxedema
D. Heat intolerance
B. Osteoporosis
Osteoporosis is a common finding with Cushing's syndrome. Bones become
thinner as a
result of mineral loss and nitrogen depletion, and the risk for fractures increases.
, 4
A nurse is inspecting the skin of a client who has basal cell carcinoma. The
nurse should identify which of the following lesion characteristics on the
client's skin?
A. A pearly, waxy nodule
B. An irregular border on a variegated-colored lesion
C. A firm, nodular, crusty, or ulcerated lesion
D. A weeping vesicle
A. A pearly, waxy nodule
A client who has basal cell carcinoma has a nodular lesion with well-defined borders
and a
pearly or waxy appearance, resulting from overexposure to the sun, especially on
the face,
head, and neck.
A nurse is assessing a client who has hypocalcemia. In which of the following
areas should the nurse tap on the client's face to detect the presence of
Chvostek's sign?
A is correct.
The nurse should tap the client's cheek just in front of the ear and below the
zygomatic arch. The client who has hypocalcemia will display a Ckvostek's sign,
which is a twitching of the facial muscle.
A nurse in an emergency department is assessing a client who is overusing
prescribed diuretics and has a sodium level of 127 mEq/L. Which of the following
laboratory findings should the
