ATI MED SURGE PROCTORED EXAM 2025/2026 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
A nurse is assisting with the care of a client who has a femur fracture and is in
skeletal traction. Which of the following actions should the nurse take
Ensure the client's weights are hanging freely from the bed.
A nurse in a provider's office is reinforcing teaching with a client who has anemia
and has been taking ferrous gluconate for several weeks. Which of the following
instructions should the nurse include?
Take this medication between meals
A nurse is assisting with the care of a client who has diabetes insipidus. The nurse
should monitor the client for which of the following manifestations?
Hypotension
A nurse is caring for a client who has Cushing's syndrome. Which of the following
clinical manifestations should the nurse expect to observe? (Select all that apply.)
1) Buffalo hump
2) Purple striations
3) Moon face
A nurse is reviewing the laboratory results of a client who is postoperative and has
a respiratory rate of 7/min. The arterial blood gas (ABG) values include:
pH 7.22 PaCO2 68 mm Hg Base excess -2 PaO2 78 mm Hg Oxygen saturation
80% Bicarbonate 28 mEq/L
Which of the following interpretations of the ABG values should the nurse make
Respiratory acidosis
A nurse is reinforcing teaching with a client who has HIV and is being discharged
to home. Which of the following instructions should the nurse include in the
teaching?
Take temperature once a day
A nurse is caring for a client who is postoperative following a tracheostomy, and
has copious and tenacious secretions. Which of the following is an acceptable
method for the nurse to use to thin this client's secretions?
Provide humidified oxygen.
,A nurse in a provider's office is reinforcing teaching with a client who has anemia
and has been taking ferrous gluconate for several weeks. Which of the following
instructions should the nurse include?
Take this medication between meals.
A nurse is reviewing the plan of care for a client who has cellulitis of the leg.
Which of the following interventions should the nurse recommend?
Wash daily with an antibacterial soap.
A nurse is reinforcing teaching with a client who is postoperative after having an
ileostomy established. Which of the following instructions should the nurse include
in the teaching?
Avoid medications in capsule or enteric form
A nurse is caring for a client with severe burns to both lower extremities. The
client is scheduled for an escharotomy and wants to know what the procedure
involves. Which of the following statements is appropriate for the nurse to make?
"Large incisions will be made in the burned tissue to improve circulation."
A nurse is collecting data from a client who has a possible cataract. Which of the
following manifestations should the nurse expect the client to report?
Decreased color perception
A nurse is contributing to the plan of care for a client who has an intestinal
obstruction and is receiving continuous gastrointestinal decompression using a
nasogastric tube. Which of the following interventions should the nurse include in
the plan of care?
Maintain the client in Fowler's position.
A nurse is caring for a client who is in the oliguric phase of acute kidney injury.
Which of the following actions should the nurse take?
Monitor intake and output hourly
A nurse is reinforcing teaching about an esophagogastroduodenoscopy with a
client who has upper gastric pain. Which of the following statements should the
nurse include in the teaching?
"You will remain NPO for 8 hours before the procedure."
A nurse is caring for a client who is difficult to arouse and very sleepy for several
hours following a generalized tonic-clonic seizure. Which of the following
, descriptions should the nurse use when documenting this finding in the medical
record?
Postictal phase
A nurse is reinforcing teaching with a client who reports right shoulder pain
following a laparoscopic cholecystectomy. Which of the following statements
should the nurse make?
"The pain will dissipate if you ambulate frequently."
A nurse is checking the suction control chamber of a client's chest tube and notes
that there is no bubbling in the suction control chamber. Which of the following
actions should the nurse take?
Verify that the suction regulator is on.
A nurse is assisting with the care of a client immediately following a lumbar
puncture. Which of the following actions should the nurse take? (Select all that
apply.)
Encourage fluid intake.
2) Monitor the puncture site for hematoma.
A nurse is assisting with the care of a client who is postoperative following
surgical repair of a fractured mandible. The client's jaw is wired shut to repair and
stabilize the fracture. The nurse should recognize which of the following is the
priority action?
Prevent aspiration.
A nurse is collecting data from a client who has scleroderma. Which of the
following findings should the nurse expect?
Hardened skin
A nurse is caring for an older adult client who has dysphagia and left-sided
weakness following a stroke. Which of the following actions should the nurse
take?
Add thickener to fluids
.
A nurse is caring for a client who has partial-thickness and full-thickness burns of
his head, neck, and chest. The nurse should recognize which of the following is the
priority risk to the client?
Airway obstruction
QUESTIONS AND CORRECT ANSWERS
A nurse is assisting with the care of a client who has a femur fracture and is in
skeletal traction. Which of the following actions should the nurse take
Ensure the client's weights are hanging freely from the bed.
A nurse in a provider's office is reinforcing teaching with a client who has anemia
and has been taking ferrous gluconate for several weeks. Which of the following
instructions should the nurse include?
Take this medication between meals
A nurse is assisting with the care of a client who has diabetes insipidus. The nurse
should monitor the client for which of the following manifestations?
Hypotension
A nurse is caring for a client who has Cushing's syndrome. Which of the following
clinical manifestations should the nurse expect to observe? (Select all that apply.)
1) Buffalo hump
2) Purple striations
3) Moon face
A nurse is reviewing the laboratory results of a client who is postoperative and has
a respiratory rate of 7/min. The arterial blood gas (ABG) values include:
pH 7.22 PaCO2 68 mm Hg Base excess -2 PaO2 78 mm Hg Oxygen saturation
80% Bicarbonate 28 mEq/L
Which of the following interpretations of the ABG values should the nurse make
Respiratory acidosis
A nurse is reinforcing teaching with a client who has HIV and is being discharged
to home. Which of the following instructions should the nurse include in the
teaching?
Take temperature once a day
A nurse is caring for a client who is postoperative following a tracheostomy, and
has copious and tenacious secretions. Which of the following is an acceptable
method for the nurse to use to thin this client's secretions?
Provide humidified oxygen.
,A nurse in a provider's office is reinforcing teaching with a client who has anemia
and has been taking ferrous gluconate for several weeks. Which of the following
instructions should the nurse include?
Take this medication between meals.
A nurse is reviewing the plan of care for a client who has cellulitis of the leg.
Which of the following interventions should the nurse recommend?
Wash daily with an antibacterial soap.
A nurse is reinforcing teaching with a client who is postoperative after having an
ileostomy established. Which of the following instructions should the nurse include
in the teaching?
Avoid medications in capsule or enteric form
A nurse is caring for a client with severe burns to both lower extremities. The
client is scheduled for an escharotomy and wants to know what the procedure
involves. Which of the following statements is appropriate for the nurse to make?
"Large incisions will be made in the burned tissue to improve circulation."
A nurse is collecting data from a client who has a possible cataract. Which of the
following manifestations should the nurse expect the client to report?
Decreased color perception
A nurse is contributing to the plan of care for a client who has an intestinal
obstruction and is receiving continuous gastrointestinal decompression using a
nasogastric tube. Which of the following interventions should the nurse include in
the plan of care?
Maintain the client in Fowler's position.
A nurse is caring for a client who is in the oliguric phase of acute kidney injury.
Which of the following actions should the nurse take?
Monitor intake and output hourly
A nurse is reinforcing teaching about an esophagogastroduodenoscopy with a
client who has upper gastric pain. Which of the following statements should the
nurse include in the teaching?
"You will remain NPO for 8 hours before the procedure."
A nurse is caring for a client who is difficult to arouse and very sleepy for several
hours following a generalized tonic-clonic seizure. Which of the following
, descriptions should the nurse use when documenting this finding in the medical
record?
Postictal phase
A nurse is reinforcing teaching with a client who reports right shoulder pain
following a laparoscopic cholecystectomy. Which of the following statements
should the nurse make?
"The pain will dissipate if you ambulate frequently."
A nurse is checking the suction control chamber of a client's chest tube and notes
that there is no bubbling in the suction control chamber. Which of the following
actions should the nurse take?
Verify that the suction regulator is on.
A nurse is assisting with the care of a client immediately following a lumbar
puncture. Which of the following actions should the nurse take? (Select all that
apply.)
Encourage fluid intake.
2) Monitor the puncture site for hematoma.
A nurse is assisting with the care of a client who is postoperative following
surgical repair of a fractured mandible. The client's jaw is wired shut to repair and
stabilize the fracture. The nurse should recognize which of the following is the
priority action?
Prevent aspiration.
A nurse is collecting data from a client who has scleroderma. Which of the
following findings should the nurse expect?
Hardened skin
A nurse is caring for an older adult client who has dysphagia and left-sided
weakness following a stroke. Which of the following actions should the nurse
take?
Add thickener to fluids
.
A nurse is caring for a client who has partial-thickness and full-thickness burns of
his head, neck, and chest. The nurse should recognize which of the following is the
priority risk to the client?
Airway obstruction
