ATI RN ADULT MEDICAL SURGICAL PRACTICE
EXAM SCRIPT 2026 FORMS A B C ALL
QUESTIONS WITH CORRECT ANSWERS
◉ Postoperative lab values. Answer: Report Hgb level of 8 g/dL to
provider as an indicator of postoperative hemorrhage or anemia.
◉ ESWL procedure. Answer: Expect stone fragments in the urine
after extracorporeal shock wave lithotripsy.
◉ Airborne precautions. Answer: Initiate airborne precautions for a
client with anorexia, low-grade fever, night sweats, and productive
cough, as these are manifestations of tuberculosis.
◉ TPN administration. Answer: Administer dextrose 10% in water
until new TPN bag arrives to avoid drop in blood glucose level.
◉ Levothyroxine interaction. Answer: Instruct client to avoid taking
calcium within 4 hr of levothyroxine administration, as calcium can
interfere with the effectiveness of the medication.
, ◉ Mechanical ventilation anxiety. Answer: Instruct client to allow
the machine to breathe for them to reduce anxiety and restlessness
associated with fighting the ventilator.
◉ Adverse effect of enalapril. Answer: Identify orthostatic
hypotension as an adverse effect of enalapril.
◉ Delayed wound healing. Answer: Identify urine output of 25
mL/hr as a finding that contributes to delayed wound healing.
◉ Hypothyroidism and opioid analgesic. Answer: Instruct client to
void every 4 hours to decrease the risk of urinary retention, which is
an adverse effect of opioid analgesics.
◉ Portal hypertension. Answer: Obtain vital signs first when caring
for a client who is vomiting blood mixed with food after a meal, as
this indicates a potential rupture of esophageal varices.
◉ Gastrectomy postoperative instructions. Answer: Instruct client to
avoid drinking fluids with meals, eat several small meals per day,
consume high-protein snacks, and avoid highly seasoned foods.
◉ Cushing's triad. Answer: Identify bradycardia as a component of
Cushing's triad in a client with increased intracranial pressure from
a traumatic brain injury.
EXAM SCRIPT 2026 FORMS A B C ALL
QUESTIONS WITH CORRECT ANSWERS
◉ Postoperative lab values. Answer: Report Hgb level of 8 g/dL to
provider as an indicator of postoperative hemorrhage or anemia.
◉ ESWL procedure. Answer: Expect stone fragments in the urine
after extracorporeal shock wave lithotripsy.
◉ Airborne precautions. Answer: Initiate airborne precautions for a
client with anorexia, low-grade fever, night sweats, and productive
cough, as these are manifestations of tuberculosis.
◉ TPN administration. Answer: Administer dextrose 10% in water
until new TPN bag arrives to avoid drop in blood glucose level.
◉ Levothyroxine interaction. Answer: Instruct client to avoid taking
calcium within 4 hr of levothyroxine administration, as calcium can
interfere with the effectiveness of the medication.
, ◉ Mechanical ventilation anxiety. Answer: Instruct client to allow
the machine to breathe for them to reduce anxiety and restlessness
associated with fighting the ventilator.
◉ Adverse effect of enalapril. Answer: Identify orthostatic
hypotension as an adverse effect of enalapril.
◉ Delayed wound healing. Answer: Identify urine output of 25
mL/hr as a finding that contributes to delayed wound healing.
◉ Hypothyroidism and opioid analgesic. Answer: Instruct client to
void every 4 hours to decrease the risk of urinary retention, which is
an adverse effect of opioid analgesics.
◉ Portal hypertension. Answer: Obtain vital signs first when caring
for a client who is vomiting blood mixed with food after a meal, as
this indicates a potential rupture of esophageal varices.
◉ Gastrectomy postoperative instructions. Answer: Instruct client to
avoid drinking fluids with meals, eat several small meals per day,
consume high-protein snacks, and avoid highly seasoned foods.
◉ Cushing's triad. Answer: Identify bradycardia as a component of
Cushing's triad in a client with increased intracranial pressure from
a traumatic brain injury.
