ATI PROCTORED MED SURG TRIER COMPLETE
QUESTIONS AND ANSWERS 2026 STUDY
GUIDE SUMMARY WITH 100% CORRECT
RATIONALES
◉A nurse in a community clinic is caring for a client who reports an
increase in the frequency of migraine headaches. To help reduce the risk
for migraine headaches, which of the following foods should the nurse
recommend the client avoid? Answer: Aged cheese
Foods that contain tyramine, such as aged cheese and sausage, can
trigger migraine headaches.
◉A nurse is planning teaching for a client who has bladder cancer and is
to undergo a cutaneous diversion procedure to establish a ureterostomy.
Which of the following statements should the nurse include in the
teaching? Answer: "You should cut the opening of the skin barrier one-
eight inch wider than the stoma."
The client should cut the opening of the skin barrier 0.3 cm (1/8in) wider
than the stoma to minimize irritation of the skin from exposure to urine.
,◉A nurse is providing teaching to a client who has hypothyroidism and
is receiving levothyroxine. The nurse should instruct the client that
which of the following supplements can interfere with the effectiveness
of the medication? Answer: Calcium
Calcium limits the development of osteoporosis in clients who are
postmenopausal and works as an antacid. Calcium supplements can
interfere with the metabolism of a number of medications, including
levothyroxine. The nurse should instruct the client to avoid taking
calcium within 4 hr of levothyroxine administration.
◉A nurse is conducting an admission history for a client who is to
undergo a CT scan with an IV contrast agent. The nurse should identify
that which of the following findings requires further assessment?
Answer: History of asthma
A client who has a history of asthma has a greater risk of reacting to the
contrast dye used during the procedure. Other conditions that can result
in a reaction to contrast media include allergies to foods, such as
shellfish, eggs, milk, and chocolate.
◉A nurse in an ICU is assessing a client who has a traumatic brain
injury. Which of the following findings should the nurse identify as a
component of Cushing's triad? Answer: Bradycardia
,A client who has increased intracranial pressure from a traumatic brain
injury can develop bradycardia, which is one component of Cushing's
triad. The other components of Cushing's triad are severe hypertension
and a widened pulse pressure.
◉A nurse is planning to irrigate and dress a clean, granulating wound for
a client who has a pressure injury. Which of the following actions should
the nurse take? Answer: Use a 30-mL syringe
The nurse should use a 30-mL to 60-mL syringe with an 18- or 19-
gauge catheter to deliver the ideal pressure of 8 pounds per square inch
(psi) when irrigating a wound. To maintain healthy granulation tissue,
the wound irrigation should be delivered at between 4 and 15 psi.
◉A nurse in an emergency department is reviewing the provider's
prescriptions for a client who sustained a rattlesnake bite to the lower
leg. Which of the following prescriptions should the expect? Answer:
Administer an opioid analgesic to the client.
The nurse should expect a prescription for an opioid analgesic to
promote comfort following a rattlesnake bite.
◉A nurse is reviewing the health record of a client who is scheduled for
allergy skin testing. The nurse should postpone the testing and report to
the provider which of the following findings? (Click on the "Exhibit"
, button for additional information about the client). Answer: Current
medications
The nurse should review the client's medication record and identify
medications, including ACE inhibitors, beta blockers, theophylline,
nifedipine, and glucocorticoids, such as prednisone, that can alter the
allergy skin test results. These medications can diminish the client's
reaction to the allergens. The nurse should notify the provider and
instruct the client to discontinue prednisone for 2 weeks before allergy
skin testing.
◉A nurse is a caring for a client who is on bed rest and has a new
prescription for enoxaparin subcutaneous. Which of the following
actions should the nurse take? Answer: Inject the medication into the
anterolateral abdominal wall.
The nurse should inject the medication into the anterolateral or
posterolateral abdominal wall to enhance medication absorption and
prevent hematoma formation.
◉A nurse is caring for a client who has a stage III pressure injury.
Which if the following findings contribute to delayed wound healing?
Answer: Urine output 25 mL/hr
Urinary output reflects fluid status. Inadequate urine output can indicate
dehydration, which can delay wound healing.
QUESTIONS AND ANSWERS 2026 STUDY
GUIDE SUMMARY WITH 100% CORRECT
RATIONALES
◉A nurse in a community clinic is caring for a client who reports an
increase in the frequency of migraine headaches. To help reduce the risk
for migraine headaches, which of the following foods should the nurse
recommend the client avoid? Answer: Aged cheese
Foods that contain tyramine, such as aged cheese and sausage, can
trigger migraine headaches.
◉A nurse is planning teaching for a client who has bladder cancer and is
to undergo a cutaneous diversion procedure to establish a ureterostomy.
Which of the following statements should the nurse include in the
teaching? Answer: "You should cut the opening of the skin barrier one-
eight inch wider than the stoma."
The client should cut the opening of the skin barrier 0.3 cm (1/8in) wider
than the stoma to minimize irritation of the skin from exposure to urine.
,◉A nurse is providing teaching to a client who has hypothyroidism and
is receiving levothyroxine. The nurse should instruct the client that
which of the following supplements can interfere with the effectiveness
of the medication? Answer: Calcium
Calcium limits the development of osteoporosis in clients who are
postmenopausal and works as an antacid. Calcium supplements can
interfere with the metabolism of a number of medications, including
levothyroxine. The nurse should instruct the client to avoid taking
calcium within 4 hr of levothyroxine administration.
◉A nurse is conducting an admission history for a client who is to
undergo a CT scan with an IV contrast agent. The nurse should identify
that which of the following findings requires further assessment?
Answer: History of asthma
A client who has a history of asthma has a greater risk of reacting to the
contrast dye used during the procedure. Other conditions that can result
in a reaction to contrast media include allergies to foods, such as
shellfish, eggs, milk, and chocolate.
◉A nurse in an ICU is assessing a client who has a traumatic brain
injury. Which of the following findings should the nurse identify as a
component of Cushing's triad? Answer: Bradycardia
,A client who has increased intracranial pressure from a traumatic brain
injury can develop bradycardia, which is one component of Cushing's
triad. The other components of Cushing's triad are severe hypertension
and a widened pulse pressure.
◉A nurse is planning to irrigate and dress a clean, granulating wound for
a client who has a pressure injury. Which of the following actions should
the nurse take? Answer: Use a 30-mL syringe
The nurse should use a 30-mL to 60-mL syringe with an 18- or 19-
gauge catheter to deliver the ideal pressure of 8 pounds per square inch
(psi) when irrigating a wound. To maintain healthy granulation tissue,
the wound irrigation should be delivered at between 4 and 15 psi.
◉A nurse in an emergency department is reviewing the provider's
prescriptions for a client who sustained a rattlesnake bite to the lower
leg. Which of the following prescriptions should the expect? Answer:
Administer an opioid analgesic to the client.
The nurse should expect a prescription for an opioid analgesic to
promote comfort following a rattlesnake bite.
◉A nurse is reviewing the health record of a client who is scheduled for
allergy skin testing. The nurse should postpone the testing and report to
the provider which of the following findings? (Click on the "Exhibit"
, button for additional information about the client). Answer: Current
medications
The nurse should review the client's medication record and identify
medications, including ACE inhibitors, beta blockers, theophylline,
nifedipine, and glucocorticoids, such as prednisone, that can alter the
allergy skin test results. These medications can diminish the client's
reaction to the allergens. The nurse should notify the provider and
instruct the client to discontinue prednisone for 2 weeks before allergy
skin testing.
◉A nurse is a caring for a client who is on bed rest and has a new
prescription for enoxaparin subcutaneous. Which of the following
actions should the nurse take? Answer: Inject the medication into the
anterolateral abdominal wall.
The nurse should inject the medication into the anterolateral or
posterolateral abdominal wall to enhance medication absorption and
prevent hematoma formation.
◉A nurse is caring for a client who has a stage III pressure injury.
Which if the following findings contribute to delayed wound healing?
Answer: Urine output 25 mL/hr
Urinary output reflects fluid status. Inadequate urine output can indicate
dehydration, which can delay wound healing.
