1|Page
ATI NUR 265 Exam 1 Advanced Concepts of
Medical-Surgical Nursing (2026 Updated) |
Questions & Accurate Answers | Grade A
Subject: Nursing (NUR 265) - Exam 1 Practice Questions (ATI Style)
Source: "ATI NUR 265 EXAM 1 VERIFIED QUESTIONS & 100% ACCURATE
ANSWERS" (2026 Edition)
Format: Multiple-choice, Select-all-that-apply, and sequencing exam
questions with verified answers, covering topics including post-operative
care, respiratory procedures, medication safety, diabetes, cardiac and
respiratory conditions, and infection control.
1. A nurse is caring for a client who is 24 hours postop following a
total hip arthroplasty. Which of the following action should the nurse
take?
A. Maintain abduction of the affected extremity
B. Encourage early ambulation without assistance
, 2|Page
C. Place the client in a prone position
D. Apply heat to the surgical site
Correct Answer: A
Rationale:
1. After a total hip arthroplasty (THA), maintaining the affected leg in
abduction is a critical nursing intervention.
2. This position helps prevent dislocation of the new hip prosthesis by
keeping the femoral head securely within the acetabular cup.
3. Other positions or early unassisted ambulation could increase the
risk of dislocation, a serious postoperative complication.
2. A nurse is providing teaching to a client who is scheduled for a
bronchoscopy. Which of the following statements should the nurse
include in the teaching?
A. "You will need to fast for 12 hours before the procedure."
B. "You will not be able to eat or drink after the procedure until you are able
to cough."
C. "You can resume your normal diet immediately after the procedure."
D. "You should increase your fluid intake before the procedure."
Correct Answer: B
Rationale:
, 3|Page
1. A bronchoscopy involves the use of a local anesthetic to suppress the
gag and cough reflexes.
2. The cough reflex is essential for protecting the airway from
aspiration.
3. Therefore, the client must remain NPO (nothing by mouth) after the
procedure until the cough reflex returns, which is typically tested by
the nurse before allowing oral intake.
3. A nurse is assessing a clients understanding of a surgical
procedure prior to witnessing their signature on the informed
consent form. The nurse determines that the client does not
understand what the procedure will involve. Which of the following
action should the nurse take?
A. Explain the procedure to the client in simple terms.
B. Witness the signature as the client appears competent.
C. Contact the provider who will be performing the procedure.
D. Have a family member sign the consent form instead.
Correct Answer: C
Rationale:
, 4|Page
1. The nurse's role in informed consent is to witness the client's
signature, verifying that the client is signing voluntarily and appears
competent.
2. It is the provider's responsibility to ensure the client understands the
procedure, risks, benefits, and alternatives.
3. If the nurse identifies a lack of understanding, the correct action is to
notify the provider so they can re-educate the client. The nurse
should not obtain the consent themselves.
4. A nurse is providing discharge teaching to a client who has
COPD. Which of the following instruction should the nurse include in
the teaching?
A. Limit fluid intake to reduce mucous production.
B. Consume a diet that is high in calories.
C. Use oxygen only when feeling short of breath.
D. Avoid all physical activity to conserve energy.
Correct Answer: B
Rationale:
1. Clients with COPD often have increased energy expenditure due to
the work of breathing.
ATI NUR 265 Exam 1 Advanced Concepts of
Medical-Surgical Nursing (2026 Updated) |
Questions & Accurate Answers | Grade A
Subject: Nursing (NUR 265) - Exam 1 Practice Questions (ATI Style)
Source: "ATI NUR 265 EXAM 1 VERIFIED QUESTIONS & 100% ACCURATE
ANSWERS" (2026 Edition)
Format: Multiple-choice, Select-all-that-apply, and sequencing exam
questions with verified answers, covering topics including post-operative
care, respiratory procedures, medication safety, diabetes, cardiac and
respiratory conditions, and infection control.
1. A nurse is caring for a client who is 24 hours postop following a
total hip arthroplasty. Which of the following action should the nurse
take?
A. Maintain abduction of the affected extremity
B. Encourage early ambulation without assistance
, 2|Page
C. Place the client in a prone position
D. Apply heat to the surgical site
Correct Answer: A
Rationale:
1. After a total hip arthroplasty (THA), maintaining the affected leg in
abduction is a critical nursing intervention.
2. This position helps prevent dislocation of the new hip prosthesis by
keeping the femoral head securely within the acetabular cup.
3. Other positions or early unassisted ambulation could increase the
risk of dislocation, a serious postoperative complication.
2. A nurse is providing teaching to a client who is scheduled for a
bronchoscopy. Which of the following statements should the nurse
include in the teaching?
A. "You will need to fast for 12 hours before the procedure."
B. "You will not be able to eat or drink after the procedure until you are able
to cough."
C. "You can resume your normal diet immediately after the procedure."
D. "You should increase your fluid intake before the procedure."
Correct Answer: B
Rationale:
, 3|Page
1. A bronchoscopy involves the use of a local anesthetic to suppress the
gag and cough reflexes.
2. The cough reflex is essential for protecting the airway from
aspiration.
3. Therefore, the client must remain NPO (nothing by mouth) after the
procedure until the cough reflex returns, which is typically tested by
the nurse before allowing oral intake.
3. A nurse is assessing a clients understanding of a surgical
procedure prior to witnessing their signature on the informed
consent form. The nurse determines that the client does not
understand what the procedure will involve. Which of the following
action should the nurse take?
A. Explain the procedure to the client in simple terms.
B. Witness the signature as the client appears competent.
C. Contact the provider who will be performing the procedure.
D. Have a family member sign the consent form instead.
Correct Answer: C
Rationale:
, 4|Page
1. The nurse's role in informed consent is to witness the client's
signature, verifying that the client is signing voluntarily and appears
competent.
2. It is the provider's responsibility to ensure the client understands the
procedure, risks, benefits, and alternatives.
3. If the nurse identifies a lack of understanding, the correct action is to
notify the provider so they can re-educate the client. The nurse
should not obtain the consent themselves.
4. A nurse is providing discharge teaching to a client who has
COPD. Which of the following instruction should the nurse include in
the teaching?
A. Limit fluid intake to reduce mucous production.
B. Consume a diet that is high in calories.
C. Use oxygen only when feeling short of breath.
D. Avoid all physical activity to conserve energy.
Correct Answer: B
Rationale:
1. Clients with COPD often have increased energy expenditure due to
the work of breathing.
