MED SURG ATI PROCTORED EXAM 2019
|100 QUESTIONS AND CORRECT
ANSWERS| GRADED A+| ATI MED SURG
PROCTORED EXAM 2026
1. A nurse is preparing to administer furosemide to a client who has acute heart failure. Which of
the following laboratory results should the nurse identify as contraindications for receiving the
medications?
a. BUN 18 mg/dl
b. Creatinine 0.8 mg/dl
c. Potassium 3.2 mEq/l
d. Sodium 136 meEq/l
2. A nurse is caring for a client admitted with a skull fracture. Which of the following assessment
findings should be of greatest concern to the nurse?
a. Bilateral pupil diameter changes from 4 to 2 mm
b. WBC count changes from 9,000 to 16,000/mm3
c. Pulse pressure changes from 30 to 20 mm Hg
d. Glasgow Coma Scale score changes from 14 to 9
3. A nurse is assessing a client who has myasthenia gravis. Which of the following client
statements should indicate to the nurse that the client needs a referral for occupational
therapy?
a. “I have a hard time with brushing my hair”
b. “I would rather be in a wheelchair than use a walker to get around”
c. “I’ve been having problems with bladder control”
d. “I have difficulty swallowing food
4. A nurse in an emergency department is preparing to perform an ocular irrigation for a client.
Which of the following actions should the nurse plan to take?
a. Assess the client’s visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation
5. A nurse is preparing to administer lactated ringer’s via continuous IV infusion at 200 ml/hr. The
IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the nurse set the IV pump
to administer? Round to near whole number
a. 33 gtt/min
6. A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the
teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
d. I can take up to five tablets in 15 minutes before seeking medical attention
7. A nurse is providing discharge teaching to an older adult client following a left total hip
arthroplasty. Which of the following instructions should the nurse include in the teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
, c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom
8. A nurse is planning care for a client following a cardiac catheterization. Which of the following
actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client’s fluid intake to 1 l per day
c. Maintain the client’s affected extremity in extension
d. Change the client’s dressing every 8 hour
9. A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches.
Which of the following client statements indicates that the client is adapting to their role
change?
a. I will need to have my partner take over shopping for groceries and cooking the meals
for us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. Its going to be difficult to tell my parents I cant take them to their appointments
anymore
10. A nurse is caring for a client who has gastroenteritis. Which of the following assessment
findings should the nurse recognize as an indication that the client is experiencing dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP
11. A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The
client’s urinary output was 4,000 ml over the past 24 hour. The nurse should anticipate a
prescription for which of the following IV medication?
a. Desmopressin
|100 QUESTIONS AND CORRECT
ANSWERS| GRADED A+| ATI MED SURG
PROCTORED EXAM 2026
1. A nurse is preparing to administer furosemide to a client who has acute heart failure. Which of
the following laboratory results should the nurse identify as contraindications for receiving the
medications?
a. BUN 18 mg/dl
b. Creatinine 0.8 mg/dl
c. Potassium 3.2 mEq/l
d. Sodium 136 meEq/l
2. A nurse is caring for a client admitted with a skull fracture. Which of the following assessment
findings should be of greatest concern to the nurse?
a. Bilateral pupil diameter changes from 4 to 2 mm
b. WBC count changes from 9,000 to 16,000/mm3
c. Pulse pressure changes from 30 to 20 mm Hg
d. Glasgow Coma Scale score changes from 14 to 9
3. A nurse is assessing a client who has myasthenia gravis. Which of the following client
statements should indicate to the nurse that the client needs a referral for occupational
therapy?
a. “I have a hard time with brushing my hair”
b. “I would rather be in a wheelchair than use a walker to get around”
c. “I’ve been having problems with bladder control”
d. “I have difficulty swallowing food
4. A nurse in an emergency department is preparing to perform an ocular irrigation for a client.
Which of the following actions should the nurse plan to take?
a. Assess the client’s visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation
5. A nurse is preparing to administer lactated ringer’s via continuous IV infusion at 200 ml/hr. The
IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the nurse set the IV pump
to administer? Round to near whole number
a. 33 gtt/min
6. A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the
teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
d. I can take up to five tablets in 15 minutes before seeking medical attention
7. A nurse is providing discharge teaching to an older adult client following a left total hip
arthroplasty. Which of the following instructions should the nurse include in the teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
, c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom
8. A nurse is planning care for a client following a cardiac catheterization. Which of the following
actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client’s fluid intake to 1 l per day
c. Maintain the client’s affected extremity in extension
d. Change the client’s dressing every 8 hour
9. A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches.
Which of the following client statements indicates that the client is adapting to their role
change?
a. I will need to have my partner take over shopping for groceries and cooking the meals
for us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. Its going to be difficult to tell my parents I cant take them to their appointments
anymore
10. A nurse is caring for a client who has gastroenteritis. Which of the following assessment
findings should the nurse recognize as an indication that the client is experiencing dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP
11. A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The
client’s urinary output was 4,000 ml over the past 24 hour. The nurse should anticipate a
prescription for which of the following IV medication?
a. Desmopressin
