ATI RN Med-Surg Proctored Exam –
Question AND ANSWERS VERIFIED LATEST UPDATE
A + GRADED
1. A patient with pneumonia has SpO₂ 88% on room air. First nursing
action?
A. Encourage ambulation
B. Apply supplemental oxygen and reassess
C. Document only
D. Notify dietary
Answer: B
Rationale: Hypoxia requires immediate intervention to improve oxygenation.
2. The nurse is preparing to administer a new oral medication. First step:
A. Verify patient identity
B. Prepare the medication
C. Document administration
D. Encourage fluids
Answer: A
Rationale: Patient safety requires confirming identity before giving any medication.
3. Patient with IV complains of redness and swelling at insertion site.
Nursing action?
A. Flush IV
B. Remove IV and restart elsewhere
C. Apply heat
D. Document only
,Answer: B
Rationale: Pain, redness, and swelling indicate infiltration or phlebitis; IV must be removed.
4. A patient has a urinary catheter. To prevent infection, nurse should:
A. Disconnect tubing daily
B. Maintain a closed drainage system
C. Empty bag only when full
D. Clean insertion site weekly
Answer: B
Rationale: Maintaining a closed system prevents introduction of pathogens.
5. Patient post-chemotherapy reports nausea. Nursing action:
A. Administer prescribed antiemetic
B. Encourage fluids only
C. Document only
D. Notify dietary
Answer: A
6. Patient reports chest pain and dyspnea post-op. Priority nursing action?
A. Document only
B. Administer analgesic
C. Assess ABCs and apply oxygen
D. Encourage ambulation
Answer: C
7. Lab: K⁺ 6.2 mEq/L with ECG peaked T waves. First action?
A. Encourage potassium-rich foods
B. Notify provider and prepare treatment
C. Recheck labs tomorrow
D. Document only
, Answer: B
8. Delegation: Which task can a CNA safely perform?
A. Administer oral medications
B. Assist with feeding and hygiene
C. Assess IV site
D. Start IV
Answer: B
9. Patient post-op dizziness when standing. Nursing action?
A. Encourage ambulation
B. Assist to sit/lie down and monitor BP
C. Document only
D. Give fluids
Answer: B
10. When performing sterile dressing change, the nurse should:
A. Use sterile gloves
B. Avoid touching sterile field with non-sterile items
C. Open sterile package carefully
D. All of the above
Answer: D
11. Patient with dysphagia. Oral medication administration:
A. Crush tablets if safe and mix with soft food
B. Give full glass of water regardless
C. Skip dose
D. Document only
Answer: A
Question AND ANSWERS VERIFIED LATEST UPDATE
A + GRADED
1. A patient with pneumonia has SpO₂ 88% on room air. First nursing
action?
A. Encourage ambulation
B. Apply supplemental oxygen and reassess
C. Document only
D. Notify dietary
Answer: B
Rationale: Hypoxia requires immediate intervention to improve oxygenation.
2. The nurse is preparing to administer a new oral medication. First step:
A. Verify patient identity
B. Prepare the medication
C. Document administration
D. Encourage fluids
Answer: A
Rationale: Patient safety requires confirming identity before giving any medication.
3. Patient with IV complains of redness and swelling at insertion site.
Nursing action?
A. Flush IV
B. Remove IV and restart elsewhere
C. Apply heat
D. Document only
,Answer: B
Rationale: Pain, redness, and swelling indicate infiltration or phlebitis; IV must be removed.
4. A patient has a urinary catheter. To prevent infection, nurse should:
A. Disconnect tubing daily
B. Maintain a closed drainage system
C. Empty bag only when full
D. Clean insertion site weekly
Answer: B
Rationale: Maintaining a closed system prevents introduction of pathogens.
5. Patient post-chemotherapy reports nausea. Nursing action:
A. Administer prescribed antiemetic
B. Encourage fluids only
C. Document only
D. Notify dietary
Answer: A
6. Patient reports chest pain and dyspnea post-op. Priority nursing action?
A. Document only
B. Administer analgesic
C. Assess ABCs and apply oxygen
D. Encourage ambulation
Answer: C
7. Lab: K⁺ 6.2 mEq/L with ECG peaked T waves. First action?
A. Encourage potassium-rich foods
B. Notify provider and prepare treatment
C. Recheck labs tomorrow
D. Document only
, Answer: B
8. Delegation: Which task can a CNA safely perform?
A. Administer oral medications
B. Assist with feeding and hygiene
C. Assess IV site
D. Start IV
Answer: B
9. Patient post-op dizziness when standing. Nursing action?
A. Encourage ambulation
B. Assist to sit/lie down and monitor BP
C. Document only
D. Give fluids
Answer: B
10. When performing sterile dressing change, the nurse should:
A. Use sterile gloves
B. Avoid touching sterile field with non-sterile items
C. Open sterile package carefully
D. All of the above
Answer: D
11. Patient with dysphagia. Oral medication administration:
A. Crush tablets if safe and mix with soft food
B. Give full glass of water regardless
C. Skip dose
D. Document only
Answer: A
