ATI MED SURG PROCTORED ACTUAL EXAM
PAPER 2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ meds if choice for chronic gout and gout attack?.
Answer: allopurinol and colchicine
◍ T/F: Antihistamines are used to treat vertigo, as in the treatment of
Ménière's disease. However, vertigo is not a manifestation of histamine
release..
Answer: true
◍ What are some signs of adrenal insufficiency, an adverse effect of long-term
use of inhaled corticosteroids like fluticasone?.
Answer: anorexia, weakness, nausea, hypotension, hypoglycemia
◍ expected reference range for aPPT? what to do if giving heparin and aPPT
prolonged?.
Answer: expected: 60-80 secondsprolonged: slow down the rate, contact
provide, monitor for bleeding
◍ Which is the only statin okay to have with grapefruit?.
Answer: pravastatin
◍ The nurse should instruct the client with stomatitis to rinse the mouth out
with_______, _______, or _________ solution every 2 to 3 hr to promote
comfort and healing..
Answer: hydrogen peroxide solution, baking soda solution or warm saline
◍ bronchoscopy-sedation?-NPO?-consent?-head position?-sputum specimen?.
Answer: -pt will receive sedation and not remember procedure-NPO 4-8 hrs
prior-informed consent required-neck hyperextended-provider can obtain
, sputum specimens during it
◍ The nurse should initiate CPR for a client who what?.
Answer: is pulseless or not breathing
◍ The client who has what condition will have a plethoric (dark, flushed)
manifestation of the facial skin and mucous membranes?.
Answer: polycythemia vera
◍ The nurse should recognize that the effort of atorvastatin is decreased by
what herb?.
Answer: St. John's Wort
◍ cefotetan can affect what, resulting in bleeding and epitaxis?.
Answer: vitamin K levels
◍ Post-op total hip arthroplasty.
Answer: -maintain ABduction of the legs-encourage ROM of the leg up to
90 degrees (do not flex the hip past 90 degrees)-place a pillow between the
legs-avoid internally rotating the hips
◍ T/F Acute confusion is a symptom of MI in adults 65+.
Answer: true
◍ what antidysrhythmic has the adverse effect of cinchonism (tinnitis,
headache, vertigo, visual disturbances)?.
Answer: quinidine
◍ A nurse is conducting an admission history for a client who is to undergo a
CT scan with an IV contrast agent. The nurse should identify that which of
the following findings requires further assessment? A. History of asthma B.
Appendectomy 1 year agoC. Penicillin allergy D. Total knee arthroplasty 6
months ago.
Answer: A. History of asthma A client who has a history of asthma has a
greater risk of reacting to the contrast dye used during the procedure. Other
conditions that can result in a reaction to contrast media include allergies to
foods, such as shellfish, eggs, milk, and chocolate.
,◍ alosetron treats what? what is a related AE? notify provider if doesn't work
within how long? what special thing does patient have to do?AE on HR?.
Answer: treats IBS-Dset the aloeAE - constipationtherapeutic response =
less abdominal pain and diarrheanotify provider if still diarrhea after a
monthsign risk management program agreementcan cause tachycardia
◍ Post-TURP, the nurse should report urine output that is bright red/viscous
with clots or urine that resembles ketchup to the provider because this is an
indication of _________..
Answer: arterial bleeding
◍ ectropion.
Answer: the eversion of the edge of an eyelid
◍ Fulminant hepatic failure, most often caused by ___ __, is characterized by
the development of hepatic encephalopathy within weeks of the onset of
disease in a client without prior evidence of hepatic dysfunction. Mortality
remains high, even with treatment modalities such as blood or plasma
exchanges, charcoal hemoperfusion, and corticosteroids. Consequently, ___
___ has become the treatment of choice for these clients..
Answer: viral hepatitisliver transplantation
◍ brachytherapy-what position during treatment?-avoid contact with people
between treatments?-treatment how often?-is blood in urine expected?.
Answer: -bed rest with limited movement (lie still in bed)-no need to avoid
contact with people between treatments-treatment usually 1-2 times per
week-blood in urine not expected - report to the provider
◍ What is the effect of hyperkalemia and hypokalemia on an EKG?.
Answer: hyperkalemia = widened QRS and peaked T waveshypokalemia =
flatted T wave and cardiac dysrhythmias
◍ antibiotic class that causes ototoxicity.
Answer: aminoglycosides
◍ What procedure is used to identify an obstruction in the biliary tract?.
, Answer: an ERCP
◍ A nurse is caring for a group of clients. The nurse should plan to make a
referral to physical therapy for which of the following clients?a. A client
who is receiving preoperative teaching for a right knee arthroplasty.b. A
client who states they will have difficulty obtaining a walker for home use.c.
A client who reports an increase in pain following a left hip arthroplasty.d.
A client who is having emotional difficulty accepting that they have a
prosthetic leg..
Answer: a. A client who is receiving preoperative teaching for a right knee
arthroplasty.The nurse should make a referral to physical therapy for a client
who is receiving PREoperative teaching for a knee arthroplasty so the client
can begin understanding postoperative exercises and physical restrictions.)
◍ A nurse is providing discharge teaching to a client who has heart failure and
a new prescription for a potassium-sparing diuretic. Which of the following
information should the nurse include in the teaching?a. Try to walk at least
three times per week for exercise.b. To increase stamina, walk for 5 min
after fatigue begins.c. Take over-the-counter cough medicine for persistent
cough.d. Use a salt substitute to reduce sodium intake..
Answer: a. Try to walk at least 3 times a week for exercise.The development
of a regular exercise routine can improve outcomes in clients who have
heart failure.
◍ serious adverse effect of imipenem.
Answer: seizures
◍ what are expected findings in mild preeclampsia? what would signify a
progression to severe preeclampsia?.
Answer: proteinuria +2, elevated BUN (over 20), platelets <100,000 all
expectedmore severe - +4 deep tendon reflexes - patient needs to be
hospitalized and get magnesium to prevent seizures
◍ A nurse is caring for a client who is 12 hr post op following a total hip
arthroplasty. Which of the following actions should the nurse take?a.
Maintain adduction of the client's legs.b. Encourage range of motion of the
PAPER 2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ meds if choice for chronic gout and gout attack?.
Answer: allopurinol and colchicine
◍ T/F: Antihistamines are used to treat vertigo, as in the treatment of
Ménière's disease. However, vertigo is not a manifestation of histamine
release..
Answer: true
◍ What are some signs of adrenal insufficiency, an adverse effect of long-term
use of inhaled corticosteroids like fluticasone?.
Answer: anorexia, weakness, nausea, hypotension, hypoglycemia
◍ expected reference range for aPPT? what to do if giving heparin and aPPT
prolonged?.
Answer: expected: 60-80 secondsprolonged: slow down the rate, contact
provide, monitor for bleeding
◍ Which is the only statin okay to have with grapefruit?.
Answer: pravastatin
◍ The nurse should instruct the client with stomatitis to rinse the mouth out
with_______, _______, or _________ solution every 2 to 3 hr to promote
comfort and healing..
Answer: hydrogen peroxide solution, baking soda solution or warm saline
◍ bronchoscopy-sedation?-NPO?-consent?-head position?-sputum specimen?.
Answer: -pt will receive sedation and not remember procedure-NPO 4-8 hrs
prior-informed consent required-neck hyperextended-provider can obtain
, sputum specimens during it
◍ The nurse should initiate CPR for a client who what?.
Answer: is pulseless or not breathing
◍ The client who has what condition will have a plethoric (dark, flushed)
manifestation of the facial skin and mucous membranes?.
Answer: polycythemia vera
◍ The nurse should recognize that the effort of atorvastatin is decreased by
what herb?.
Answer: St. John's Wort
◍ cefotetan can affect what, resulting in bleeding and epitaxis?.
Answer: vitamin K levels
◍ Post-op total hip arthroplasty.
Answer: -maintain ABduction of the legs-encourage ROM of the leg up to
90 degrees (do not flex the hip past 90 degrees)-place a pillow between the
legs-avoid internally rotating the hips
◍ T/F Acute confusion is a symptom of MI in adults 65+.
Answer: true
◍ what antidysrhythmic has the adverse effect of cinchonism (tinnitis,
headache, vertigo, visual disturbances)?.
Answer: quinidine
◍ A nurse is conducting an admission history for a client who is to undergo a
CT scan with an IV contrast agent. The nurse should identify that which of
the following findings requires further assessment? A. History of asthma B.
Appendectomy 1 year agoC. Penicillin allergy D. Total knee arthroplasty 6
months ago.
Answer: A. History of asthma A client who has a history of asthma has a
greater risk of reacting to the contrast dye used during the procedure. Other
conditions that can result in a reaction to contrast media include allergies to
foods, such as shellfish, eggs, milk, and chocolate.
,◍ alosetron treats what? what is a related AE? notify provider if doesn't work
within how long? what special thing does patient have to do?AE on HR?.
Answer: treats IBS-Dset the aloeAE - constipationtherapeutic response =
less abdominal pain and diarrheanotify provider if still diarrhea after a
monthsign risk management program agreementcan cause tachycardia
◍ Post-TURP, the nurse should report urine output that is bright red/viscous
with clots or urine that resembles ketchup to the provider because this is an
indication of _________..
Answer: arterial bleeding
◍ ectropion.
Answer: the eversion of the edge of an eyelid
◍ Fulminant hepatic failure, most often caused by ___ __, is characterized by
the development of hepatic encephalopathy within weeks of the onset of
disease in a client without prior evidence of hepatic dysfunction. Mortality
remains high, even with treatment modalities such as blood or plasma
exchanges, charcoal hemoperfusion, and corticosteroids. Consequently, ___
___ has become the treatment of choice for these clients..
Answer: viral hepatitisliver transplantation
◍ brachytherapy-what position during treatment?-avoid contact with people
between treatments?-treatment how often?-is blood in urine expected?.
Answer: -bed rest with limited movement (lie still in bed)-no need to avoid
contact with people between treatments-treatment usually 1-2 times per
week-blood in urine not expected - report to the provider
◍ What is the effect of hyperkalemia and hypokalemia on an EKG?.
Answer: hyperkalemia = widened QRS and peaked T waveshypokalemia =
flatted T wave and cardiac dysrhythmias
◍ antibiotic class that causes ototoxicity.
Answer: aminoglycosides
◍ What procedure is used to identify an obstruction in the biliary tract?.
, Answer: an ERCP
◍ A nurse is caring for a group of clients. The nurse should plan to make a
referral to physical therapy for which of the following clients?a. A client
who is receiving preoperative teaching for a right knee arthroplasty.b. A
client who states they will have difficulty obtaining a walker for home use.c.
A client who reports an increase in pain following a left hip arthroplasty.d.
A client who is having emotional difficulty accepting that they have a
prosthetic leg..
Answer: a. A client who is receiving preoperative teaching for a right knee
arthroplasty.The nurse should make a referral to physical therapy for a client
who is receiving PREoperative teaching for a knee arthroplasty so the client
can begin understanding postoperative exercises and physical restrictions.)
◍ A nurse is providing discharge teaching to a client who has heart failure and
a new prescription for a potassium-sparing diuretic. Which of the following
information should the nurse include in the teaching?a. Try to walk at least
three times per week for exercise.b. To increase stamina, walk for 5 min
after fatigue begins.c. Take over-the-counter cough medicine for persistent
cough.d. Use a salt substitute to reduce sodium intake..
Answer: a. Try to walk at least 3 times a week for exercise.The development
of a regular exercise routine can improve outcomes in clients who have
heart failure.
◍ serious adverse effect of imipenem.
Answer: seizures
◍ what are expected findings in mild preeclampsia? what would signify a
progression to severe preeclampsia?.
Answer: proteinuria +2, elevated BUN (over 20), platelets <100,000 all
expectedmore severe - +4 deep tendon reflexes - patient needs to be
hospitalized and get magnesium to prevent seizures
◍ A nurse is caring for a client who is 12 hr post op following a total hip
arthroplasty. Which of the following actions should the nurse take?a.
Maintain adduction of the client's legs.b. Encourage range of motion of the
