ATI MED SURG EXAM 2026 BRAND NEW!! ACTUAL
EXAM ALL 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS)
1. Describe the importance of performing a testicular self-examination regularly.
Performing self-examinations can lead to unnecessary anxiety.
Testicular self-examinations are only necessary if symptoms are
present.
Regular testicular self-examinations help in early detection of
abnormalities such as lumps or changes in size.
Self-examinations are not effective for detecting testicular cancer.
2. If the nurse determines that the client is at risk for tuberculosis based on the
symptoms, what should be the next step in the nursing process?
Schedule a follow-up appointment for the client.
Initiate airborne precautions and notify the healthcare provider.
Administer antibiotics immediately.
Perform a physical assessment without any precautions.
3. If a client with irritable bowel syndrome (IBS) reports increased stress levels,
what teaching strategy should the nurse implement?
Encourage stress management techniques.
Suggest increasing fiber intake without guidance.
Advise the client to avoid all dietary changes.
Recommend immediate medication adjustments.
,4. A nurse is monitoring a patient with a severe traumatic brain injury. If the
patient begins to exhibit signs of Cushing's triad, what immediate action
should the nurse take?
Notify the healthcare provider and prepare for potential
interventions.
Increase the patient's fluid intake to manage blood pressure.
Reassess the patient's neurological status every hour.
Administer pain medication to alleviate discomfort.
5. The nurse is providing discharge education for a client newly diagnosed with
irritable bowel syndrome. Which of the following would the nurse include in
the treatment instructions?
"Limit fluid intake to prevent diarrhea."
"There are no medications for IBS, only symptomatic treatment."
"Bedrest is encouraged on days you are symptomatic."
"Increase your daily fiber intake."
6. Why is it important for a nurse to implement safety precautions for a client at
risk for seizures?
To encourage social interaction.
To promote medication adherence.
To prevent injury during a seizure episode.
To enhance the client's mobility.
7. While caring for a patient who has just been admitted with meningococcal
meningitis, the RN observes all of the following. Which one requires action by
the RN?
, The patient receives a regular diet from the dietary department.
The lights in the patient's room are turned off and the blinds are shut.
The nursing assistant goes into the patient's room without a mask.
The bedrails at the head and foot of the bed are both elevated.
8. A nurse enters the room of a client and notices supraventricular tachycardia
(SVT) on the telemetry monitor. After assessing the client, it is determined the
client is unstable and symptomatic with a blood pressure of 60/40, altered
level of consciousness, and a heart rate of 245 bpm. Which of the following
should the nurse do first?
Administer a beta blocker
Prepare for synchronized cardioversion
Continue to monitor
Administer atropine
9. A patient presents with a partial thickness burn to his hand. You should:
separate the burned fingers with dry, sterile gauze.
bandage the hand in dry, sterile gauze.
cover the wound with Vaseline gauze.
cool the burn with water.
10. If a nurse is unable to obtain a new bag of TPN and the current infusion is
about to end, what immediate action should the nurse take to prevent
complications?
Increase the infusion rate of the current TPN
Administer dextrose solution
Switch to oral nutrition
, Stop the infusion immediately
11. If a nurse finds that the client's vital signs indicate hypotension after assessing
a client with portal hypertension who is vomiting blood, what should be the
next step?
Encourage the client to rest.
Schedule a follow-up appointment.
Administer oral medications.
Initiate IV fluid resuscitation.
12. The nurse is in the process of irrigating a wound for a client who has a large
pressure injury on his buttocks. How should the nurse proceed?
Irrigate so the solution flows from the least contaminated to the
most contaminated
Cleanse in the direction for most contaminated to lease
Use irrigation pressure of less than 4 psi
Irrigate with clean irrigation solution as opposed to a sterile solution
13. The nurse is caring for a client with amyotrophic lateral sclerosis (ALS, Lou
Gehrig's disease). The nurse should give priority to:
C. Referring the client and family to community support groups
B. Providing an alternate means of communication
D. Instituting a routine of active range-of-motion exercises
A. Assessing the client's respiratory status
14. A nurse is planning the care for a client who has a new prescription to
receive continuous infusion of total parenteral nutrition (TPN). Which of the
following interventions should the nurse implement?
EXAM ALL 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS)
1. Describe the importance of performing a testicular self-examination regularly.
Performing self-examinations can lead to unnecessary anxiety.
Testicular self-examinations are only necessary if symptoms are
present.
Regular testicular self-examinations help in early detection of
abnormalities such as lumps or changes in size.
Self-examinations are not effective for detecting testicular cancer.
2. If the nurse determines that the client is at risk for tuberculosis based on the
symptoms, what should be the next step in the nursing process?
Schedule a follow-up appointment for the client.
Initiate airborne precautions and notify the healthcare provider.
Administer antibiotics immediately.
Perform a physical assessment without any precautions.
3. If a client with irritable bowel syndrome (IBS) reports increased stress levels,
what teaching strategy should the nurse implement?
Encourage stress management techniques.
Suggest increasing fiber intake without guidance.
Advise the client to avoid all dietary changes.
Recommend immediate medication adjustments.
,4. A nurse is monitoring a patient with a severe traumatic brain injury. If the
patient begins to exhibit signs of Cushing's triad, what immediate action
should the nurse take?
Notify the healthcare provider and prepare for potential
interventions.
Increase the patient's fluid intake to manage blood pressure.
Reassess the patient's neurological status every hour.
Administer pain medication to alleviate discomfort.
5. The nurse is providing discharge education for a client newly diagnosed with
irritable bowel syndrome. Which of the following would the nurse include in
the treatment instructions?
"Limit fluid intake to prevent diarrhea."
"There are no medications for IBS, only symptomatic treatment."
"Bedrest is encouraged on days you are symptomatic."
"Increase your daily fiber intake."
6. Why is it important for a nurse to implement safety precautions for a client at
risk for seizures?
To encourage social interaction.
To promote medication adherence.
To prevent injury during a seizure episode.
To enhance the client's mobility.
7. While caring for a patient who has just been admitted with meningococcal
meningitis, the RN observes all of the following. Which one requires action by
the RN?
, The patient receives a regular diet from the dietary department.
The lights in the patient's room are turned off and the blinds are shut.
The nursing assistant goes into the patient's room without a mask.
The bedrails at the head and foot of the bed are both elevated.
8. A nurse enters the room of a client and notices supraventricular tachycardia
(SVT) on the telemetry monitor. After assessing the client, it is determined the
client is unstable and symptomatic with a blood pressure of 60/40, altered
level of consciousness, and a heart rate of 245 bpm. Which of the following
should the nurse do first?
Administer a beta blocker
Prepare for synchronized cardioversion
Continue to monitor
Administer atropine
9. A patient presents with a partial thickness burn to his hand. You should:
separate the burned fingers with dry, sterile gauze.
bandage the hand in dry, sterile gauze.
cover the wound with Vaseline gauze.
cool the burn with water.
10. If a nurse is unable to obtain a new bag of TPN and the current infusion is
about to end, what immediate action should the nurse take to prevent
complications?
Increase the infusion rate of the current TPN
Administer dextrose solution
Switch to oral nutrition
, Stop the infusion immediately
11. If a nurse finds that the client's vital signs indicate hypotension after assessing
a client with portal hypertension who is vomiting blood, what should be the
next step?
Encourage the client to rest.
Schedule a follow-up appointment.
Administer oral medications.
Initiate IV fluid resuscitation.
12. The nurse is in the process of irrigating a wound for a client who has a large
pressure injury on his buttocks. How should the nurse proceed?
Irrigate so the solution flows from the least contaminated to the
most contaminated
Cleanse in the direction for most contaminated to lease
Use irrigation pressure of less than 4 psi
Irrigate with clean irrigation solution as opposed to a sterile solution
13. The nurse is caring for a client with amyotrophic lateral sclerosis (ALS, Lou
Gehrig's disease). The nurse should give priority to:
C. Referring the client and family to community support groups
B. Providing an alternate means of communication
D. Instituting a routine of active range-of-motion exercises
A. Assessing the client's respiratory status
14. A nurse is planning the care for a client who has a new prescription to
receive continuous infusion of total parenteral nutrition (TPN). Which of the
following interventions should the nurse implement?
