ATI MEDICAL SURGICAL PROCTORED EXAM A
VIEW AHEAD PAPER 2026 QUESTIONS WITH
FULL ANSWERS GRADED A+
◉ A nurse is reinforcing teaching with a client who has mitral valve
disease. Which of the following statements by the client indicates an
understanding of the disease process?
1) I may develop excessive bruising
2) I should call my doctor if I get a headache
3) I may develop gastric reflux
4) I should call my doctor if my ankles swell. Answer: 4) I should call
my doctor if my ankles swell.
Swelling of the ankles can indicate heart failure. The client should
report this finding to the provider.
- A provider may prescribe anticoagulants to prevent thrombus
formation on the valve, which can cause excessive bruising for a
,client who has mitral valve disease. However, excessive bruising is
not a direct result of the disease.
- Headaches are not a complication of mitral valve disease.
- Mitral valve disease does not cause gastric reflux.
◉ A nurse is monitoring an older adult client who has a history of
enlarged prostate and is experiencing suprapubic discomfort. Which
of the following actions should the nurse take first?
1) Administer doxazosin
2) Palpate the abdomen
3) Insert an indwelling urinary catheter
4) Notify the primary care provider. Answer: 2) Palpate the
abdomen
When providing client care, the nurse should first use the least
restrictive intervention. Therefore, the nurse should palpate the
abdomen to determine if the client has a distended bladder from
urinary retention.
,- The nurse may need to administer doxazosin to relax the smooth
muscle of the bladder to increase urine flow. However, the nurse
should use a less restrictive intervention first.
- The nurse may need to insert an indwelling urinary catheter for a
distended bladder. However, the nurse should use a less restrictive
intervention first.
- The nurse may need to notify the primary care provider if the
client has a distended bladder. However, the nurse should use a less
restrictive intervention first.
◉ A nurse is contributing to the plan of care for a client who has
chronic obstructive pulmonary disease ( COPD) and is dyspneic.
Which of the following interventions should the nurse include in the
plan?
1) Direct the client to inhale with pursed lips
2) Instruct the client to lean back when coughing
3) Set the oxygen level at 5 L/min
, 4) Encourage abdominal breathing. Answer: 4) Encourage
abdominal breathing.
- The nurse should encourage abdominal breathing, which reduces
the workload on the accessory muscles of respiration during
dyspneic episodes.
- The nurse should direct the client to exhale using pursed-lip
breathing during dyspneic episodes to maintain positive airway
pressure.
- The nurse should instruct the client to lean forward and repeatedly
"huff" followed by relaxed breathing to clear secretions during
dyspneic episodes.
- The nurse should set the oxygen therapy between 1 to 3 L/min to
prevent the client's urge to breathe from decreasing during dyspneic
episodes.
◉ A nurse is assisting in the care of a client who has manifestations
of sepsis. Which of the following provider prescriptions should the
nurse implement first?
1) Collect a sputum specimen
VIEW AHEAD PAPER 2026 QUESTIONS WITH
FULL ANSWERS GRADED A+
◉ A nurse is reinforcing teaching with a client who has mitral valve
disease. Which of the following statements by the client indicates an
understanding of the disease process?
1) I may develop excessive bruising
2) I should call my doctor if I get a headache
3) I may develop gastric reflux
4) I should call my doctor if my ankles swell. Answer: 4) I should call
my doctor if my ankles swell.
Swelling of the ankles can indicate heart failure. The client should
report this finding to the provider.
- A provider may prescribe anticoagulants to prevent thrombus
formation on the valve, which can cause excessive bruising for a
,client who has mitral valve disease. However, excessive bruising is
not a direct result of the disease.
- Headaches are not a complication of mitral valve disease.
- Mitral valve disease does not cause gastric reflux.
◉ A nurse is monitoring an older adult client who has a history of
enlarged prostate and is experiencing suprapubic discomfort. Which
of the following actions should the nurse take first?
1) Administer doxazosin
2) Palpate the abdomen
3) Insert an indwelling urinary catheter
4) Notify the primary care provider. Answer: 2) Palpate the
abdomen
When providing client care, the nurse should first use the least
restrictive intervention. Therefore, the nurse should palpate the
abdomen to determine if the client has a distended bladder from
urinary retention.
,- The nurse may need to administer doxazosin to relax the smooth
muscle of the bladder to increase urine flow. However, the nurse
should use a less restrictive intervention first.
- The nurse may need to insert an indwelling urinary catheter for a
distended bladder. However, the nurse should use a less restrictive
intervention first.
- The nurse may need to notify the primary care provider if the
client has a distended bladder. However, the nurse should use a less
restrictive intervention first.
◉ A nurse is contributing to the plan of care for a client who has
chronic obstructive pulmonary disease ( COPD) and is dyspneic.
Which of the following interventions should the nurse include in the
plan?
1) Direct the client to inhale with pursed lips
2) Instruct the client to lean back when coughing
3) Set the oxygen level at 5 L/min
, 4) Encourage abdominal breathing. Answer: 4) Encourage
abdominal breathing.
- The nurse should encourage abdominal breathing, which reduces
the workload on the accessory muscles of respiration during
dyspneic episodes.
- The nurse should direct the client to exhale using pursed-lip
breathing during dyspneic episodes to maintain positive airway
pressure.
- The nurse should instruct the client to lean forward and repeatedly
"huff" followed by relaxed breathing to clear secretions during
dyspneic episodes.
- The nurse should set the oxygen therapy between 1 to 3 L/min to
prevent the client's urge to breathe from decreasing during dyspneic
episodes.
◉ A nurse is assisting in the care of a client who has manifestations
of sepsis. Which of the following provider prescriptions should the
nurse implement first?
1) Collect a sputum specimen
