ATI RN ADVANCED MED-
SURG PROCTORED EXAM
CONCEPTS
🩺 Comprehensive Nursing MCQs
1. When teaching a patient how to use crutches on stairs, which sequence should the nurse
describe?
✅ A. Place weight on crutches, move the unaffected leg first, then bring the crutches and
affected leg up.
B. Move the affected leg first.
C. Hold both crutches on one side.
D. Step up with both legs together.
2. Which statement describes proper care for a closed-suction drain?
✅ A. Compress the reservoir after emptying to maintain negative pressure.
B. Attach to wall suction.
C. Keep drain above the level of the wound.
D. Empty only once a day.
3. What should the nurse teach about an external fixation device?
✅ A. It stabilizes bone fractures and is worn continuously for 4–6 weeks.
B. It can be removed daily for cleaning.
C. It replaces the need for casting.
D. It should be loosened for comfort.
4. Which is a possible complication of long-term mechanical ventilation?
✅ A. Decreased cardiac output and hypotension.
B. Increased venous return.
1
,C. Hypertension.
D. Hypoglycemia.
5. After a mastectomy, when is the surgical drain typically removed?
✅ A. When drainage is ≤25 mL in 24 hours (1–3 weeks post-op).
B. After 48 hours.
C. When the wound heals completely.
D. After the first dressing change.
6. How long is a patient with active tuberculosis considered infectious?
✅ A. Until three negative sputum cultures (collected 2–4 weeks apart).
B. One week after starting antibiotics.
C. Until the cough resolves.
D. Until fever subsides.
7. Following a total hip arthroplasty, which movement should the patient avoid?
✅ A. Flexing the hip more than 90 degrees.
B. Keeping legs abducted.
C. Lying supine.
D. Performing ankle pumps.
8. Which teaching should be provided to a kidney transplant recipient?
✅ A. Lifelong immunosuppressive therapy is required.
B. Immunosuppressants are stopped after 6 months.
C. Avoid all protein foods.
D. Double medication dose if fever develops.
9. To prevent atherosclerosis, which lifestyle change should the nurse reinforce?
✅ A. Quit smoking and eat a low-fat diet.
B. Limit exercise.
C. Increase alcohol intake.
D. Avoid fruits and vegetables.
2
, 10. Which precaution must a healthcare worker follow for a patient with MRSA?
✅ A. Wear a gown and perform hand hygiene during transport.
B. Use gloves only.
C. No isolation needed once antibiotics start.
D. Keep patient NPO before movement.
11. What is an expected finding after nephrostomy tube placement?
✅ A. Red-tinged urine during the first 12–24 hours.
B. No urine drainage.
C. Cloudy urine for 3 days.
D. Dark brown urine for a week.
12. What is the priority intervention for a patient in ventricular fibrillation?
✅ A. Begin CPR and defibrillation immediately.
B. Increase IV fluids.
C. Administer diuretics.
D. Check blood sugar.
13. Which teaching helps prevent seizure triggers?
✅ A. Avoid alcohol, caffeine, and fatigue.
B. Take hot baths.
C. Skip meals.
D. Sleep less.
14. Before administering a blood transfusion, what is the nurse’s first action?
✅ A. Verify the blood type and number of units.
B. Start the transfusion immediately.
C. Administer acetaminophen prophylactically.
D. Check urine output.
15. Which statement about insulin lispro is correct?
✅ A. It is a rapid-acting insulin used with intermediate or long-acting insulin.
B. Administer once daily at bedtime.
C. Take after meals.
D. Replace long-acting insulin.
3
SURG PROCTORED EXAM
CONCEPTS
🩺 Comprehensive Nursing MCQs
1. When teaching a patient how to use crutches on stairs, which sequence should the nurse
describe?
✅ A. Place weight on crutches, move the unaffected leg first, then bring the crutches and
affected leg up.
B. Move the affected leg first.
C. Hold both crutches on one side.
D. Step up with both legs together.
2. Which statement describes proper care for a closed-suction drain?
✅ A. Compress the reservoir after emptying to maintain negative pressure.
B. Attach to wall suction.
C. Keep drain above the level of the wound.
D. Empty only once a day.
3. What should the nurse teach about an external fixation device?
✅ A. It stabilizes bone fractures and is worn continuously for 4–6 weeks.
B. It can be removed daily for cleaning.
C. It replaces the need for casting.
D. It should be loosened for comfort.
4. Which is a possible complication of long-term mechanical ventilation?
✅ A. Decreased cardiac output and hypotension.
B. Increased venous return.
1
,C. Hypertension.
D. Hypoglycemia.
5. After a mastectomy, when is the surgical drain typically removed?
✅ A. When drainage is ≤25 mL in 24 hours (1–3 weeks post-op).
B. After 48 hours.
C. When the wound heals completely.
D. After the first dressing change.
6. How long is a patient with active tuberculosis considered infectious?
✅ A. Until three negative sputum cultures (collected 2–4 weeks apart).
B. One week after starting antibiotics.
C. Until the cough resolves.
D. Until fever subsides.
7. Following a total hip arthroplasty, which movement should the patient avoid?
✅ A. Flexing the hip more than 90 degrees.
B. Keeping legs abducted.
C. Lying supine.
D. Performing ankle pumps.
8. Which teaching should be provided to a kidney transplant recipient?
✅ A. Lifelong immunosuppressive therapy is required.
B. Immunosuppressants are stopped after 6 months.
C. Avoid all protein foods.
D. Double medication dose if fever develops.
9. To prevent atherosclerosis, which lifestyle change should the nurse reinforce?
✅ A. Quit smoking and eat a low-fat diet.
B. Limit exercise.
C. Increase alcohol intake.
D. Avoid fruits and vegetables.
2
, 10. Which precaution must a healthcare worker follow for a patient with MRSA?
✅ A. Wear a gown and perform hand hygiene during transport.
B. Use gloves only.
C. No isolation needed once antibiotics start.
D. Keep patient NPO before movement.
11. What is an expected finding after nephrostomy tube placement?
✅ A. Red-tinged urine during the first 12–24 hours.
B. No urine drainage.
C. Cloudy urine for 3 days.
D. Dark brown urine for a week.
12. What is the priority intervention for a patient in ventricular fibrillation?
✅ A. Begin CPR and defibrillation immediately.
B. Increase IV fluids.
C. Administer diuretics.
D. Check blood sugar.
13. Which teaching helps prevent seizure triggers?
✅ A. Avoid alcohol, caffeine, and fatigue.
B. Take hot baths.
C. Skip meals.
D. Sleep less.
14. Before administering a blood transfusion, what is the nurse’s first action?
✅ A. Verify the blood type and number of units.
B. Start the transfusion immediately.
C. Administer acetaminophen prophylactically.
D. Check urine output.
15. Which statement about insulin lispro is correct?
✅ A. It is a rapid-acting insulin used with intermediate or long-acting insulin.
B. Administer once daily at bedtime.
C. Take after meals.
D. Replace long-acting insulin.
3
