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ATI MED SURG PROCTORED EXAM (2026) UPDATE Verified
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,1. Skeletal traction - infection indication
Question: A nurse is collecting data from a client who has skeletal traction. Which
of the following findings should the nurse identify as an indication of infection at
the pin sites?
A. Headache
B. Bruising
C. Fever
D. Pain
Correct Answer: C. Fever
Rationale: Fever is a systemic sign of infection. Local signs at pin sites include
redness, warmth, swelling, and purulent drainage. Pain and bruising are expected
after pin insertion, not specific to infection.
2. TURP postoperative - no urinary output
Question: A nurse is caring for a client who is 12 hours postoperative following a
transurethral resection of the prostate (TURP) and has a 3-way urinary catheter
with continuous irrigation. The nurse notes there has not been any urinary output
in the last hour. Which of the following actions should the nurse perform first?
A. Monitor intake and output hourly
, B. Verify that the suction regulator is on
C. Notify the provider
D. Determine the patency of the tubing
Correct Answer: D. Determine the patency of the tubing
Rationale: The priority is to assess for catheter obstruction (e.g., blood clots),
which is the most common cause of no output after TURP with continuous
irrigation.
3. Thoracentesis - positioning
Question: A nurse is assisting with the care of a client who is scheduled for a
thoracentesis. Which of the following interventions should the nurse plan to take?
A. Inform the client that they must empty their bladder before the procedure.
B. Weigh the client before and after the procedure.
C. Place the client leaning forward over the bedside table for the procedure.
D. Keep the client on bed rest after the procedure.
Correct Answer: C. Place the client leaning forward over the bedside table for the
procedure.
Rationale: This position expands the intercostal spaces, allowing the provider
better access to the pleural space.
4. Hyperkalemia - ECG change
Question: A nurse is reviewing an ECG for a client with hyperkalemia. Which of
the following findings should the nurse expect?
A. Flattened T waves
B. Prominent U waves
C. Peaked T waves
D. Prolonged QT interval
, Correct Answer: C. Peaked T waves
Rationale: Hyperkalemia causes tall, peaked T waves, flat or absent P waves,
wide QRS, and prolonged PR intervals.
5. Cushing's syndrome - manifestations (Select all that apply)
Question: A nurse is caring for a client who has Cushing's syndrome. Which of
the following clinical manifestations should the nurse expect to observe? (Select
all that apply)
A. Buffalo hump
B. Purple striations
C. Moon face
D. Weight loss
E. Hypotension
Correct Answers: A. Buffalo hump, B. Purple striations, C. Moon face
Rationale: Cushing's syndrome causes central obesity, moon face, buffalo hump,
purple striae, hypertension, and hyperglycemia due to excess cortisol.
6. Postoperative - clear liquids prescription
Question: A nurse is caring for a client who is postoperative and requesting
something to drink. The nurse reads the client's postoperative prescriptions,
which include, "Clear liquids, advance diet as tolerated." Which of the following
actions should the nurse take first?
A. Request a diet prescription from the provider.
B. Encourage the client to drink 8 glasses of water a day.
C. Auscultate the client's abdomen.
D. Encourage the client to drink a carbonated beverage 1 hr before meals.
ATI MED SURG PROCTORED EXAM (2026) UPDATE Verified
Questions And Answers | With 100% Correct Answers graded A+
Guaranteed Success!!
Testbankscove
➢
➢
➢
➢
,1. Skeletal traction - infection indication
Question: A nurse is collecting data from a client who has skeletal traction. Which
of the following findings should the nurse identify as an indication of infection at
the pin sites?
A. Headache
B. Bruising
C. Fever
D. Pain
Correct Answer: C. Fever
Rationale: Fever is a systemic sign of infection. Local signs at pin sites include
redness, warmth, swelling, and purulent drainage. Pain and bruising are expected
after pin insertion, not specific to infection.
2. TURP postoperative - no urinary output
Question: A nurse is caring for a client who is 12 hours postoperative following a
transurethral resection of the prostate (TURP) and has a 3-way urinary catheter
with continuous irrigation. The nurse notes there has not been any urinary output
in the last hour. Which of the following actions should the nurse perform first?
A. Monitor intake and output hourly
, B. Verify that the suction regulator is on
C. Notify the provider
D. Determine the patency of the tubing
Correct Answer: D. Determine the patency of the tubing
Rationale: The priority is to assess for catheter obstruction (e.g., blood clots),
which is the most common cause of no output after TURP with continuous
irrigation.
3. Thoracentesis - positioning
Question: A nurse is assisting with the care of a client who is scheduled for a
thoracentesis. Which of the following interventions should the nurse plan to take?
A. Inform the client that they must empty their bladder before the procedure.
B. Weigh the client before and after the procedure.
C. Place the client leaning forward over the bedside table for the procedure.
D. Keep the client on bed rest after the procedure.
Correct Answer: C. Place the client leaning forward over the bedside table for the
procedure.
Rationale: This position expands the intercostal spaces, allowing the provider
better access to the pleural space.
4. Hyperkalemia - ECG change
Question: A nurse is reviewing an ECG for a client with hyperkalemia. Which of
the following findings should the nurse expect?
A. Flattened T waves
B. Prominent U waves
C. Peaked T waves
D. Prolonged QT interval
, Correct Answer: C. Peaked T waves
Rationale: Hyperkalemia causes tall, peaked T waves, flat or absent P waves,
wide QRS, and prolonged PR intervals.
5. Cushing's syndrome - manifestations (Select all that apply)
Question: A nurse is caring for a client who has Cushing's syndrome. Which of
the following clinical manifestations should the nurse expect to observe? (Select
all that apply)
A. Buffalo hump
B. Purple striations
C. Moon face
D. Weight loss
E. Hypotension
Correct Answers: A. Buffalo hump, B. Purple striations, C. Moon face
Rationale: Cushing's syndrome causes central obesity, moon face, buffalo hump,
purple striae, hypertension, and hyperglycemia due to excess cortisol.
6. Postoperative - clear liquids prescription
Question: A nurse is caring for a client who is postoperative and requesting
something to drink. The nurse reads the client's postoperative prescriptions,
which include, "Clear liquids, advance diet as tolerated." Which of the following
actions should the nurse take first?
A. Request a diet prescription from the provider.
B. Encourage the client to drink 8 glasses of water a day.
C. Auscultate the client's abdomen.
D. Encourage the client to drink a carbonated beverage 1 hr before meals.
