MED-SURG ATI
Latest Updated Exam
Questions With Complete Correct Answers
2026/2027
1. Tpn nutrition -Answer--tpn solutions contain a high concentration of dextrose
-if a tpn solution is temporarily unavailable the nurse should administer dextrose 10%
in water to avoid a drop in blood glucose levels
- Never abruptly stop tpn. Speeding up/slowing down the rate is contraindicated.
An abrupt rate change can alter blood glucose levels significantly
-check vitals q 4-8
2. Sedimentation rate -Answer-an increased sedimentation rate occurs whenever a client has
any type of inflammatory response
3. Ciprofloxacin -Answer--*avoid calcium containing foods* (decrease the absorption)
-*do not take with antacids* (administer ciprofloxacin 2 hrs before antacid of 6 hrs after
taking an antacid) (decrease absorption)
4. Enoxaparin -Answer--Lovenox, blood thinner, given subcutaneously
-should administer medication at the same time every day
-should not massage after giving,
5. Order of using crutches while climbing stairs -Answer-1-place body weight on crutches
2- advance unaffected leg onto stairs
3- shift weight from the crutches to the unaffected leg
4- bring the crutches and unaffected leg up to the step
6. Oral iron supplementation -Answer--*do not take with dairy* (inhibits absorption)
-*do not take with antacids*
-can cause gastrointestinal issues
-client should eat high fiber foods to prevent constipation
7. 12 hrs. post op for a hip arthroplasty -Answer--*place a pillow b/w legs* to prevent hip
dislocation
-assist client to maintain legs in abduction
-should not flex hip greater than 90 degrees
8. Erythropoietin -Answer--goal= to decrease fatigue and improve activity tolerance
-increases the level of hematocrit and rbc
-can result in hypertension
, 9. Discovered pt has a murmur, next action is to.. -Answer-place client on the left side and
listen to the heart again
10. When a pt has a pace maker and a pacing stimulus is delivered to the ventricle... -
Answer-a spike appears on the ecg rhythm strip followed by a qrs complex (indicates
pacemaker capture or depolarization)
-When the nurse sees this spike followed by a qrs complex, should document that
depolarization has occurred
11. Caring for a pt with seizures -Answer--limit intake of alcohol and caffeine, minimize
stress, fever, and fatigue to prevent triggering a seizure
-keep 2-3 side rails up
-keep bed in lowest position
-ensure client has patent iv in the event the client requires meds to stop seizure activity
12. If a pt is to undergo allergy testing, which med should be discontinued before? -Answer--
prednisone (glucocorticoids can result in false neg test results)
-discontinue antihistamine medications several weeks prior to testing
13. Arterial line -Answer--arterial lines are used to obtain abg samples and monitor
hemodynamic pressures
-pt should be supine with the head of the bed elevated up to 60 degrees
-*place a pressure bag around the flush solution* (0.9% sodium chloride) b/c the pressure
from an artery is greater than that of a line
14. Omeprazole -Answer--ppi
-relieves manifestations of gastric ulcers by suppressing gastric acid production
15. Nephrostomy tube- when to notify provider -Answer--should report if the client
complains of back pain (could indicate the tube is dislodged or clogged)
-should report if there is a decrease in urinary output
-RED-tinged urine is an expected finding for the first 12-24 hrs
16. Manifestations of chronic glomerulonephritis -Answer--*metabolic acidosis* (bicarb loss
and retention of hydrogen ions)
-*hyperkalemia* (kidney failure results in decreased excretion of potassium)
-*can experience anemia* (a result of decreased rbc production.. B/c erythropoietin is
made in the kidneys)
-*hyperphosphatemia* (decreased excretion of phosphorus)
17. Client with aids -Answer--take temp daily (to identify a temp greater than 37.8 c or 100 f)
-clean toothbrush weekly in dishwasher or with bleach solution
-avoid eating raw fruits and veggies (eat a low-bacteria diet)
-avoid drinking a glass of liquid that stands for 60 min or longer
Latest Updated Exam
Questions With Complete Correct Answers
2026/2027
1. Tpn nutrition -Answer--tpn solutions contain a high concentration of dextrose
-if a tpn solution is temporarily unavailable the nurse should administer dextrose 10%
in water to avoid a drop in blood glucose levels
- Never abruptly stop tpn. Speeding up/slowing down the rate is contraindicated.
An abrupt rate change can alter blood glucose levels significantly
-check vitals q 4-8
2. Sedimentation rate -Answer-an increased sedimentation rate occurs whenever a client has
any type of inflammatory response
3. Ciprofloxacin -Answer--*avoid calcium containing foods* (decrease the absorption)
-*do not take with antacids* (administer ciprofloxacin 2 hrs before antacid of 6 hrs after
taking an antacid) (decrease absorption)
4. Enoxaparin -Answer--Lovenox, blood thinner, given subcutaneously
-should administer medication at the same time every day
-should not massage after giving,
5. Order of using crutches while climbing stairs -Answer-1-place body weight on crutches
2- advance unaffected leg onto stairs
3- shift weight from the crutches to the unaffected leg
4- bring the crutches and unaffected leg up to the step
6. Oral iron supplementation -Answer--*do not take with dairy* (inhibits absorption)
-*do not take with antacids*
-can cause gastrointestinal issues
-client should eat high fiber foods to prevent constipation
7. 12 hrs. post op for a hip arthroplasty -Answer--*place a pillow b/w legs* to prevent hip
dislocation
-assist client to maintain legs in abduction
-should not flex hip greater than 90 degrees
8. Erythropoietin -Answer--goal= to decrease fatigue and improve activity tolerance
-increases the level of hematocrit and rbc
-can result in hypertension
, 9. Discovered pt has a murmur, next action is to.. -Answer-place client on the left side and
listen to the heart again
10. When a pt has a pace maker and a pacing stimulus is delivered to the ventricle... -
Answer-a spike appears on the ecg rhythm strip followed by a qrs complex (indicates
pacemaker capture or depolarization)
-When the nurse sees this spike followed by a qrs complex, should document that
depolarization has occurred
11. Caring for a pt with seizures -Answer--limit intake of alcohol and caffeine, minimize
stress, fever, and fatigue to prevent triggering a seizure
-keep 2-3 side rails up
-keep bed in lowest position
-ensure client has patent iv in the event the client requires meds to stop seizure activity
12. If a pt is to undergo allergy testing, which med should be discontinued before? -Answer--
prednisone (glucocorticoids can result in false neg test results)
-discontinue antihistamine medications several weeks prior to testing
13. Arterial line -Answer--arterial lines are used to obtain abg samples and monitor
hemodynamic pressures
-pt should be supine with the head of the bed elevated up to 60 degrees
-*place a pressure bag around the flush solution* (0.9% sodium chloride) b/c the pressure
from an artery is greater than that of a line
14. Omeprazole -Answer--ppi
-relieves manifestations of gastric ulcers by suppressing gastric acid production
15. Nephrostomy tube- when to notify provider -Answer--should report if the client
complains of back pain (could indicate the tube is dislodged or clogged)
-should report if there is a decrease in urinary output
-RED-tinged urine is an expected finding for the first 12-24 hrs
16. Manifestations of chronic glomerulonephritis -Answer--*metabolic acidosis* (bicarb loss
and retention of hydrogen ions)
-*hyperkalemia* (kidney failure results in decreased excretion of potassium)
-*can experience anemia* (a result of decreased rbc production.. B/c erythropoietin is
made in the kidneys)
-*hyperphosphatemia* (decreased excretion of phosphorus)
17. Client with aids -Answer--take temp daily (to identify a temp greater than 37.8 c or 100 f)
-clean toothbrush weekly in dishwasher or with bleach solution
-avoid eating raw fruits and veggies (eat a low-bacteria diet)
-avoid drinking a glass of liquid that stands for 60 min or longer
