ATI RN ADULT MEDICAL SURGICAL 2026 –
2027 EXAM QUESTIONS WITH ACTUAL
RIGHT ANSWERS .
Seizure precautions - Correct Answer -Ensure client has IV access for seizure medication
administration.
Postoperative lab values - Correct Answer -Report Hgb level of 8 g/dL to provider as an
indicator of postoperative hemorrhage or anemia.
ESWL procedure - Correct Answer -Expect stone fragments in the urine after extracorporeal
shock wave lithotripsy.
Airborne precautions - Correct Answer -Initiate airborne precautions for a client with
anorexia, low-grade fever, night sweats, and productive cough, as these are manifestations of
tuberculosis.
TPN administration - Correct Answer -Administer dextrose 10% in water until new TPN bag
arrives to avoid drop in blood glucose level.
Levothyroxine interaction - Correct Answer -Instruct client to avoid taking calcium within 4
hr of levothyroxine administration, as calcium can interfere with the effectiveness of the
medication.
Mechanical ventilation anxiety - Correct Answer -Instruct client to allow the machine to
breathe for them to reduce anxiety and restlessness associated with fighting the ventilator.
Adverse effect of enalapril - Correct Answer -Identify orthostatic hypotension as an adverse
effect of enalapril.
Delayed wound healing - Correct Answer -Identify urine output of 25 mL/hr as a finding that
contributes to delayed wound healing.
1
, Hypothyroidism and opioid analgesic - Correct Answer -Instruct client to void every 4 hours
to decrease the risk of urinary retention, which is an adverse effect of opioid analgesics.
Portal hypertension - Correct Answer -Obtain vital signs first when caring for a client who is
vomiting blood mixed with food after a meal, as this indicates a potential rupture of
esophageal varices.
Gastrectomy postoperative instructions - Correct Answer -Instruct client to avoid drinking
fluids with meals, eat several small meals per day, consume high-protein snacks, and avoid
highly seasoned foods.
Cushing's triad - Correct Answer -Identify bradycardia as a component of Cushing's triad in
a client with increased intracranial pressure from a traumatic brain injury.
Client coping with diabetes diagnosis - Correct Answer -Recognize the client's change in
behavior of inspecting feet daily as an indication of successful coping with the diagnosis.
Inguinal hernia assessment - Correct Answer -Palpate location C to verify the presence of an
inguinal hernia.
Rattlesnake bite treatment - Correct Answer -Expect a prescription for an opioid analgesic to
promote comfort following a rattlesnake bite.
Hemodialysis treatment - Correct Answer -Perform a 12-lead ECG, place the client in
Trendelenburg position, administer a 0.9% sodium chloride 200 mL IV bolus, apply oxygen
at 2 L/min via nasal cannula, and notify the provider immediately.
Client rights - Correct Answer -Ensure a client signs informed consent before receiving a
placebo during a research trial.
Omeprazole action - Correct Answer -Instruct the client that omeprazole provides relief by
suppressing gastric acid production.
2
2027 EXAM QUESTIONS WITH ACTUAL
RIGHT ANSWERS .
Seizure precautions - Correct Answer -Ensure client has IV access for seizure medication
administration.
Postoperative lab values - Correct Answer -Report Hgb level of 8 g/dL to provider as an
indicator of postoperative hemorrhage or anemia.
ESWL procedure - Correct Answer -Expect stone fragments in the urine after extracorporeal
shock wave lithotripsy.
Airborne precautions - Correct Answer -Initiate airborne precautions for a client with
anorexia, low-grade fever, night sweats, and productive cough, as these are manifestations of
tuberculosis.
TPN administration - Correct Answer -Administer dextrose 10% in water until new TPN bag
arrives to avoid drop in blood glucose level.
Levothyroxine interaction - Correct Answer -Instruct client to avoid taking calcium within 4
hr of levothyroxine administration, as calcium can interfere with the effectiveness of the
medication.
Mechanical ventilation anxiety - Correct Answer -Instruct client to allow the machine to
breathe for them to reduce anxiety and restlessness associated with fighting the ventilator.
Adverse effect of enalapril - Correct Answer -Identify orthostatic hypotension as an adverse
effect of enalapril.
Delayed wound healing - Correct Answer -Identify urine output of 25 mL/hr as a finding that
contributes to delayed wound healing.
1
, Hypothyroidism and opioid analgesic - Correct Answer -Instruct client to void every 4 hours
to decrease the risk of urinary retention, which is an adverse effect of opioid analgesics.
Portal hypertension - Correct Answer -Obtain vital signs first when caring for a client who is
vomiting blood mixed with food after a meal, as this indicates a potential rupture of
esophageal varices.
Gastrectomy postoperative instructions - Correct Answer -Instruct client to avoid drinking
fluids with meals, eat several small meals per day, consume high-protein snacks, and avoid
highly seasoned foods.
Cushing's triad - Correct Answer -Identify bradycardia as a component of Cushing's triad in
a client with increased intracranial pressure from a traumatic brain injury.
Client coping with diabetes diagnosis - Correct Answer -Recognize the client's change in
behavior of inspecting feet daily as an indication of successful coping with the diagnosis.
Inguinal hernia assessment - Correct Answer -Palpate location C to verify the presence of an
inguinal hernia.
Rattlesnake bite treatment - Correct Answer -Expect a prescription for an opioid analgesic to
promote comfort following a rattlesnake bite.
Hemodialysis treatment - Correct Answer -Perform a 12-lead ECG, place the client in
Trendelenburg position, administer a 0.9% sodium chloride 200 mL IV bolus, apply oxygen
at 2 L/min via nasal cannula, and notify the provider immediately.
Client rights - Correct Answer -Ensure a client signs informed consent before receiving a
placebo during a research trial.
Omeprazole action - Correct Answer -Instruct the client that omeprazole provides relief by
suppressing gastric acid production.
2
