ATI RN ADULT MED SURG PROCTORED EXAM
FINAL PAPER 2026 TESTED QUESTIONS WITH
FULL SOLUTION GRADED A+
◉ A nurse in a provider's office is collecting data for a 45-year-old
client who is having manifestations associated with perimenopause.
Which of the following findings should the nurse expect? Answer:
Report of dryness with vaginal intercourse
◉ A nurse is reinforcing teaching about breast self-examination
(BSE) with a client who has a regular menstrual cycle. The nurse
should instruct the client to perform BSE at which of the following
times? Answer: Three to seven days after menses stops
◉ A nurse is caring for a client who has second- and third-degree
burns and a prescription for a high-calorie, high-protein diet. Which
of the following menu choices should the nurse recommend?
Answer: Turkey and cheese sandwich with scalloped potatoes
◉ A nurse is reinforcing teaching to a client who is scheduled for an
intravenous pyelogram. Which of the following should the nurse
include in the teaching? Answer: Take a laxative the evening before
the procedure.
,◉ A nurse is collecting data from a client in the health clinic who is
reporting epigastric pain. Which of the following statements made
by the client should the nurse identify as being consistent with
peptic ulcer disease? Answer: "I feel so much better after eating."
◉ A nurse is contributing to the plan of care for a client who has a
terminal illness. Which of the following interventions should the
nurse identify as the priority? Answer: Schedule pain medication on
a routine basis.
◉ A nurse is reinforcing teaching with a client who has been newly
diagnosed with chronic open angle glaucoma. Which of the following
statements by the client indicates an understanding of the teaching?
Answer: "I should call the clinic before taking any over-the-counter
medications."
◉ A nurse is caring for a client who has atopic dermatitis and a
prescription for triamcinolone ointment. The nurse should assess
the client to monitor for which of the following adverse effects?
A. Increased pigmentation
B. Localized hair loss
C. Thinning of the skin
D. Increased sensitivity to the sun Answer: C. Thinning of the skin
,Thinning of the skin and delayed healing are adverse effects of
topical glucocorticoid
preparations. The client should only apply the ointment to dry
patches of the skin because
topical steroids can cause atrophy of the dermis and epidermis,
which can result in thinning
of the skin.
◉ A nurse is assessing a client who has left-sided heart failure.
Which of the following findings should the nurse identify as a
manifestation of left-sided heart failure?
A. Dependent edema
B. Jugular distention
C. Weight gain
D. Frothy sputum Answer: D. Frothy sputum
The nurse should identify that frothy sputum, dyspnea, and
wheezing are manifestations of
left-sided heart failure. Treatment includes fluid restriction and
diuretics to decrease
preload and reduce pulmonary congestion. Pink-tinged frothy
sputum can be an early indication of pulmonary edema and can be
life-threatening. Therefore, the nurse should
, notify the provider immediately.
◉ A nurse is caring for a client who is experiencing anxiety as well
as numbness and tingling of the lips and fingers. The client's ABGs
are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85 mm Hg.
Which of the following acid-base imbalances should the nurse
identify that the client is experiencing?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Metabolic acidosis Answer: A. Respiratory alkalosis
This pH is alkaline (increased) and the PCO2 is decreased,
representing alveolar
hyperventilation and resultant respiratory alkalosis.
◉ A nurse is assessing a client who has Cushing's syndrome. Which
of the following findings should the nurse expect?
A. Vitiligo
B. Osteoporosis
C. Myxedema
FINAL PAPER 2026 TESTED QUESTIONS WITH
FULL SOLUTION GRADED A+
◉ A nurse in a provider's office is collecting data for a 45-year-old
client who is having manifestations associated with perimenopause.
Which of the following findings should the nurse expect? Answer:
Report of dryness with vaginal intercourse
◉ A nurse is reinforcing teaching about breast self-examination
(BSE) with a client who has a regular menstrual cycle. The nurse
should instruct the client to perform BSE at which of the following
times? Answer: Three to seven days after menses stops
◉ A nurse is caring for a client who has second- and third-degree
burns and a prescription for a high-calorie, high-protein diet. Which
of the following menu choices should the nurse recommend?
Answer: Turkey and cheese sandwich with scalloped potatoes
◉ A nurse is reinforcing teaching to a client who is scheduled for an
intravenous pyelogram. Which of the following should the nurse
include in the teaching? Answer: Take a laxative the evening before
the procedure.
,◉ A nurse is collecting data from a client in the health clinic who is
reporting epigastric pain. Which of the following statements made
by the client should the nurse identify as being consistent with
peptic ulcer disease? Answer: "I feel so much better after eating."
◉ A nurse is contributing to the plan of care for a client who has a
terminal illness. Which of the following interventions should the
nurse identify as the priority? Answer: Schedule pain medication on
a routine basis.
◉ A nurse is reinforcing teaching with a client who has been newly
diagnosed with chronic open angle glaucoma. Which of the following
statements by the client indicates an understanding of the teaching?
Answer: "I should call the clinic before taking any over-the-counter
medications."
◉ A nurse is caring for a client who has atopic dermatitis and a
prescription for triamcinolone ointment. The nurse should assess
the client to monitor for which of the following adverse effects?
A. Increased pigmentation
B. Localized hair loss
C. Thinning of the skin
D. Increased sensitivity to the sun Answer: C. Thinning of the skin
,Thinning of the skin and delayed healing are adverse effects of
topical glucocorticoid
preparations. The client should only apply the ointment to dry
patches of the skin because
topical steroids can cause atrophy of the dermis and epidermis,
which can result in thinning
of the skin.
◉ A nurse is assessing a client who has left-sided heart failure.
Which of the following findings should the nurse identify as a
manifestation of left-sided heart failure?
A. Dependent edema
B. Jugular distention
C. Weight gain
D. Frothy sputum Answer: D. Frothy sputum
The nurse should identify that frothy sputum, dyspnea, and
wheezing are manifestations of
left-sided heart failure. Treatment includes fluid restriction and
diuretics to decrease
preload and reduce pulmonary congestion. Pink-tinged frothy
sputum can be an early indication of pulmonary edema and can be
life-threatening. Therefore, the nurse should
, notify the provider immediately.
◉ A nurse is caring for a client who is experiencing anxiety as well
as numbness and tingling of the lips and fingers. The client's ABGs
are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85 mm Hg.
Which of the following acid-base imbalances should the nurse
identify that the client is experiencing?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Metabolic acidosis Answer: A. Respiratory alkalosis
This pH is alkaline (increased) and the PCO2 is decreased,
representing alveolar
hyperventilation and resultant respiratory alkalosis.
◉ A nurse is assessing a client who has Cushing's syndrome. Which
of the following findings should the nurse expect?
A. Vitiligo
B. Osteoporosis
C. Myxedema
