ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2025/2026 BANK COMPLETE 200 QUESTIONS AND ANSWERS ACCURATE ACTUAL EXAM WITH FREQUENTLY TESTED QUESTIONS AND STUDY GUIDE / EXPERT VERIFIED FOR GUARANTEED PASS/ALREADY GRADED A+

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ATI RN ADULT MEDICAL SURGICAL PROCTORED
EXAM 2025/2026 BANK COMPLETE 200 QUESTIONS
AND ANSWERS ACCURATE ACTUAL EXAM WITH
FREQUENTLY TESTED QUESTIONS AND STUDY
GUIDE / EXPERT VERIFIED FOR GUARANTEED
PASS/ALREADY GRADED A+


A nurse is providing postoperative teaching for a client who had a tota
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l knee arthroplasty. Which of the following instructions should the n
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urse include? - v v




..........ANSWER.......Flex the foot every hour when awake.
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Rationale: The nurse should instruct the client to flex the foot every h
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our to reduce the risk for thromboembolism and promote venous ret
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urn.



A nurse is caring for a client who has a pneumothorax and a closed-
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chest drainage system. Which of the following findings is an indicatio
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n of lung re-expansion? -
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v ..........ANSWER.......Bubbling in the water seal chamber has cea v v v v v v v




sed.

Rationale: Bubbling in the water seal chamber ceases when the lung r
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e-expands.

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A nurse is reviewing the medical record of a client who is taking warfa
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rin for chronic atrial fibrillation. Which of the following values shoul
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d the nurse identify as a desired outcome for this therapy? -
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..........ANSWER.......INR 2.5
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Rationale: Clients receive warfarin therapy to decrease the risk of stro
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ke, myocardial infarction (MI), or pulmonary emboli (PE) from blood
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clots. Since warfarin is an anticoagulant, the medication must be mo
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nitored to ensure the anticoagulation is within the therapeutic range
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and prevent hemorrhage (high levels of anticoagulation) or stroke, M
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I, or PE (low levels of anticoagulation). An INR of 2.5 is within the targ
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eted therapeutic range of 2 to 3 for a client who has atrial fibrillation.
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A home health nurse is providing teaching to a client who has a stage 1
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pressure injury on the greater trochanter of his left hip. Which of the f
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ollowing instructions should the nurse include in the teaching? -
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v ..........ANSWER.......Change position every hour v v v




Rationale: Changing position every 1 to 2 hr decreases pressure on bo
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ny prominences. The nurse should also instruct the client to limit the
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angle of the hips when in a lateral position to no more than 30°. This p
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ositioning prevents direct pressure on the trochanter.
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A nurse is assessing a client following the completion of hemodialysis
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. Which of the following findings is the nurse's priority to report to th
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e provider? - ..........ANSWER.......Restlessness
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Rationale: Using the urgent vs. nonurgent approach to client care, th
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e nurse should determine that the priority finding to report to the pro
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vider is restlessness, which can be an indication the client is experien
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cing disequilibrium syndrome. Disequilibrium syndrome is caused b
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y the rapid removal of electrolytes from the client's blood and can lea
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d to dysrhythmias or seizures. Other manifestations include nausea,
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vomiting, fatigue, and headache. v v v




A nurse is caring for a client who is 8 hr postoperative following a total
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hip arthroplasty. The client is unable to void on the bedpan. Which of
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the following actions should the nurse take first? -
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..........ANSWER.......Scan the bladder with a portable ultrasoun
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d.

Rationale: The first action the nurse should take using the nursing pr
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ocess is to assess the client. Scanning the bladder with a portable ultra
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sound device will determine the amount of urine in the bladder
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A nurse is planning a health promotional presentation for a group of
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African American clients at a community center. Which of the followi
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ng disorders presents the greatest risk to this group of clients? -
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v ..........ANSWER.......Hypertension

Rationale: When using the safety/risk reduction approach to client ca
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re, the nurse should determine that the disorder with the greatest risk
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for this group of clients is hypertension. The prevalence of hypertensi
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on is highest among African American clients, followed by Caucasian
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clients, and then Hispanic clients. v v v v




A nurse is caring for a client who has DKA. Which of the following fin
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dings should indicate to the nurse that the client's condition is impro
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ving? - ..........ANSWER.......Glucose 272 mg/dL
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Rationale: A glucose reading less than 300 mg/dL indicates improve
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ment in the client's status.
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A nurse is caring for a client following extubation of an endotracheal t
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ube 10 min. ago. Which of the following findings should the nurse rep
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ort to the provider immediately? - ..........ANSWER.......Stridor
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