ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM
2026/2027 BANK COMPLETE 300 QUESTIONS AND
ANSWERS ACCURATE ACTUAL EXAM WITH
FREQUENTLY TESTED QUESTIONS AND STUDY GUIDE /
EXPERT VERIFIED FOR GUARANTEED PASS/ALREADY
GRADED A+
A nurse on a Medical Surgical unit is caring for a group of clients. The nurse should notify the
rapid response team for which of the following clients?
A. Client who has a pressure injury of the right heel whose blood glucose is 300mg/dL
B. Client who reports right calf pain and shortness of breath
C. Client who has blood on a pressure dressing in the femoral area following a cardiac
catheterization
D. Client who has dark red coloration of left toes and absent pedal pulse - Correct Answer-B.
Client who reports right calf pain and shortness of breath
Rational: SOB could be from a PE
A nurse is caring for a client who has ingested a toxic agent. Which of the following actions
should the nurse plan to take? (Select all that apply)
A. Induce vomitting
B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
D. Administer syrup of ipecac
D. Infuse IV fluids - Correct Answer-B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
D. administer IV fluids
A nurse in the emergency department is caring for a client who fell through the ice on a pond
and is unresponsive and breathing slowly. Which of the following actions should the nurse
take? (Select all that apply)
A. Remove wet clothing
B. Maintain normal room temperature
C. Apply warm blankets
D. Use a rapid rewarming water of 40 to 42
E. Infuse warmed IV fluids - Correct Answer-A. Remove wet clothing
C. Apply warm blankets
D. Use a rapid rewarming water of 40 to 42
E. Infuse warmed IV fluids
1
,A nurse in the emergency department is assessing a client who is unresponsive. The clients
partner states, "He was pulling weeds in the yard and slumped to the ground." Which of the
following techniques should the nurse use to open the clients airway?
A. Head tilt, chin lift
B. Modified Jaw thrust
C. Hyperextension of the head
D. Flexion of the head - Correct Answer-A. Head tilt, chin lift
A nurse is reviewing the common emergency management protocol for clients who have
asystole. Which of the following actions should the nurse plan to take during this cardiac
emergency?
A. Perform Defibrillation
B. Prepare for transcutaneous pacing
C. Administer epinephrine
D. Elevate the clients lower extremities - Correct Answer-C. Administer epinephrine
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and reports
difficulty following the diet and remembering to take the prescribed medication. Which of the
following actions should the nurse take to promote client compliance? Select all that apply
A. Ask the dietitian to assist with meal planning
B. Contact the clients support system
C. Assess for age related cognitive awareness
D. Encourage the use of daily medication dispenser
E. Provide educational materials for home use - Correct Answer-A. Ask the dietitian to assist
with meal planning
B. Contact the clients support system
D. Encourage the use of daily medication dispenser
E. Provide educational materials for home use
A nurse in a health care clinic is evaluating the level of wellness for clients using the illness
wellness continuum tool. The nurse should identify which of the following clients as being at
the center of the continuum?
A. A college student who has influenza
B. An older adult who has a new diagnosis of type 2 diabetes mellitus
C. A new mother who has a urinary tract infection
D. A young male client who has a long history of well controlled rheumatoid arthritis - Correct
Answer-D. A young male client who has a long history of well controlled rheumatoid arthritis
Rational: the center of the continuum is the clients normal state of health
A nurse is evaluating clients at a health fair for modifiable variables affecting health and
wellness. The nurse should identify which of the following variables as modifiable? Select all
that apply
2
,A. Smoking on social occasions
B. BMI of 28
C. Alopecia
D. Trisomy 21
E. History of reflux - Correct Answer-A. smoking on social occasions
B. BMI of 28
E. History of reflux
A nurse is caring for a client who was just informed of a new diagnosis of breast cancer. The
nurse evaluates the clients response. Which of the following statements by the client reflects a
lack of understanding of an illness perspective?
A. "I have no family history of breast cancer"
B. "I need a second opinion. There is no lump"
C. "I am glad we live in the city near several large hospitals"
D. "I will schedule surgery next week, over the holidays" - Correct Answer-B. "I need a second
opinion. There is no lump"
A nurse is caring for a client who is postprocedure following lumbar puncture and reports a
throbbing headache when sitting upright. Which of the following actions should the nurse take?
Select all that apply
A. Use the Glasgow Coma Scale when assessing the client
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
E. Instruct the client to perform deep breathing and coughing exercises - Correct Answer-B.
Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
A nurse is caring for a client who experienced a traumatic head injury and has an
intraventricular catheter (ventriculostomy) for ICP monitoring. The nurse should monitor the
client for which of the following complications related to ventriculostomy?
A. Headache
B. Infection
C. Aphasia
D. Hypertension - Correct Answer-B. Infection
A nurse is assessing the client for changes in the level of consciousness using the glascow coma
scale (GCS). The client opens his eyes when spoken to, speaks incoherently, and moves his
extremities when pain is applied. Which of the following GCS scores should the nurse
document?
A. E2 + V3 + M5 = 10
B. E3 + V4 + M4 = 11
C. E4 + V5 + M6=15
3
, D. E2 + V2 + M4 =8 - Correct Answer-B. E3 + V4 + M4 = 11
A nurse is developing a plan of care for a client who is scheduled for a cerebral angiography
with contrast media. Which of the following statements by the client should the nurse report to
the provider? Select all that apply
A. "I think I might be pregnant"
B. "I take warfarin"
C. "I take antihypertensive medication"
D. "I am allergic to shrimp"
E. "I ate a light breakfast this morning" - Correct Answer-A. "I think I might be pregnant"
B. "I take warfarin"
D. "I am allergic to shrimp"
E. "I ate a light breakfast this morning"
A nurse is providing education to a client who is to undergo an electroencephalogram (EEG) the
next day. Which of the following information should the nurse include in the teaching?
A. "Do not wash your hair the morning of the procedure"
B. "Try to stay awake most of the night prior to the procedure"
C. "The procedure will take approximately 15 minutes"
D. "You will need to lie flat for 4 hours after the procedure" - Correct Answer-B. "Try to stay
awake most of the night prior to this procedure"
A nurse is caring for a client who is experiencing mild acute pain after spraining an ankle. Which
of the following analgesics should the nurse expect to administer?
A. Ketorolac
B. Ketamine
C. Meperidine
D. Methadone - Correct Answer-A. Ketorolac
A nurse at a clinic is talking with a client who has cancer and takes extended release opioids
twice daily. The client reports an increase in localized, achy pain over the last few days. How
should the nurse document this increase in pain?
A. Phantom limb pain
B. Mixed pain
C. Breakthrough pain
D. Neuropathic pain - Correct Answer-C. Breakthrough pain
A nurse is caring for a client who is receiving morphine via patient controlled analgesia (PCA)
infusion device after abdominal surgery. Which of the following client statements indicates that
the client understands how to use the device?
A. "I'll wait to use the device until it is absolutely necessary"
B. "I'll be careful about pushing the button so I dont get an overdose"
C. "I should tell the nurse if the pain doesnt stop after I use this device"
4
2026/2027 BANK COMPLETE 300 QUESTIONS AND
ANSWERS ACCURATE ACTUAL EXAM WITH
FREQUENTLY TESTED QUESTIONS AND STUDY GUIDE /
EXPERT VERIFIED FOR GUARANTEED PASS/ALREADY
GRADED A+
A nurse on a Medical Surgical unit is caring for a group of clients. The nurse should notify the
rapid response team for which of the following clients?
A. Client who has a pressure injury of the right heel whose blood glucose is 300mg/dL
B. Client who reports right calf pain and shortness of breath
C. Client who has blood on a pressure dressing in the femoral area following a cardiac
catheterization
D. Client who has dark red coloration of left toes and absent pedal pulse - Correct Answer-B.
Client who reports right calf pain and shortness of breath
Rational: SOB could be from a PE
A nurse is caring for a client who has ingested a toxic agent. Which of the following actions
should the nurse plan to take? (Select all that apply)
A. Induce vomitting
B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
D. Administer syrup of ipecac
D. Infuse IV fluids - Correct Answer-B. Instill activated charcoal
C. Perform a gastric lavage with aspiration
D. administer IV fluids
A nurse in the emergency department is caring for a client who fell through the ice on a pond
and is unresponsive and breathing slowly. Which of the following actions should the nurse
take? (Select all that apply)
A. Remove wet clothing
B. Maintain normal room temperature
C. Apply warm blankets
D. Use a rapid rewarming water of 40 to 42
E. Infuse warmed IV fluids - Correct Answer-A. Remove wet clothing
C. Apply warm blankets
D. Use a rapid rewarming water of 40 to 42
E. Infuse warmed IV fluids
1
,A nurse in the emergency department is assessing a client who is unresponsive. The clients
partner states, "He was pulling weeds in the yard and slumped to the ground." Which of the
following techniques should the nurse use to open the clients airway?
A. Head tilt, chin lift
B. Modified Jaw thrust
C. Hyperextension of the head
D. Flexion of the head - Correct Answer-A. Head tilt, chin lift
A nurse is reviewing the common emergency management protocol for clients who have
asystole. Which of the following actions should the nurse plan to take during this cardiac
emergency?
A. Perform Defibrillation
B. Prepare for transcutaneous pacing
C. Administer epinephrine
D. Elevate the clients lower extremities - Correct Answer-C. Administer epinephrine
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and reports
difficulty following the diet and remembering to take the prescribed medication. Which of the
following actions should the nurse take to promote client compliance? Select all that apply
A. Ask the dietitian to assist with meal planning
B. Contact the clients support system
C. Assess for age related cognitive awareness
D. Encourage the use of daily medication dispenser
E. Provide educational materials for home use - Correct Answer-A. Ask the dietitian to assist
with meal planning
B. Contact the clients support system
D. Encourage the use of daily medication dispenser
E. Provide educational materials for home use
A nurse in a health care clinic is evaluating the level of wellness for clients using the illness
wellness continuum tool. The nurse should identify which of the following clients as being at
the center of the continuum?
A. A college student who has influenza
B. An older adult who has a new diagnosis of type 2 diabetes mellitus
C. A new mother who has a urinary tract infection
D. A young male client who has a long history of well controlled rheumatoid arthritis - Correct
Answer-D. A young male client who has a long history of well controlled rheumatoid arthritis
Rational: the center of the continuum is the clients normal state of health
A nurse is evaluating clients at a health fair for modifiable variables affecting health and
wellness. The nurse should identify which of the following variables as modifiable? Select all
that apply
2
,A. Smoking on social occasions
B. BMI of 28
C. Alopecia
D. Trisomy 21
E. History of reflux - Correct Answer-A. smoking on social occasions
B. BMI of 28
E. History of reflux
A nurse is caring for a client who was just informed of a new diagnosis of breast cancer. The
nurse evaluates the clients response. Which of the following statements by the client reflects a
lack of understanding of an illness perspective?
A. "I have no family history of breast cancer"
B. "I need a second opinion. There is no lump"
C. "I am glad we live in the city near several large hospitals"
D. "I will schedule surgery next week, over the holidays" - Correct Answer-B. "I need a second
opinion. There is no lump"
A nurse is caring for a client who is postprocedure following lumbar puncture and reports a
throbbing headache when sitting upright. Which of the following actions should the nurse take?
Select all that apply
A. Use the Glasgow Coma Scale when assessing the client
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
E. Instruct the client to perform deep breathing and coughing exercises - Correct Answer-B.
Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
A nurse is caring for a client who experienced a traumatic head injury and has an
intraventricular catheter (ventriculostomy) for ICP monitoring. The nurse should monitor the
client for which of the following complications related to ventriculostomy?
A. Headache
B. Infection
C. Aphasia
D. Hypertension - Correct Answer-B. Infection
A nurse is assessing the client for changes in the level of consciousness using the glascow coma
scale (GCS). The client opens his eyes when spoken to, speaks incoherently, and moves his
extremities when pain is applied. Which of the following GCS scores should the nurse
document?
A. E2 + V3 + M5 = 10
B. E3 + V4 + M4 = 11
C. E4 + V5 + M6=15
3
, D. E2 + V2 + M4 =8 - Correct Answer-B. E3 + V4 + M4 = 11
A nurse is developing a plan of care for a client who is scheduled for a cerebral angiography
with contrast media. Which of the following statements by the client should the nurse report to
the provider? Select all that apply
A. "I think I might be pregnant"
B. "I take warfarin"
C. "I take antihypertensive medication"
D. "I am allergic to shrimp"
E. "I ate a light breakfast this morning" - Correct Answer-A. "I think I might be pregnant"
B. "I take warfarin"
D. "I am allergic to shrimp"
E. "I ate a light breakfast this morning"
A nurse is providing education to a client who is to undergo an electroencephalogram (EEG) the
next day. Which of the following information should the nurse include in the teaching?
A. "Do not wash your hair the morning of the procedure"
B. "Try to stay awake most of the night prior to the procedure"
C. "The procedure will take approximately 15 minutes"
D. "You will need to lie flat for 4 hours after the procedure" - Correct Answer-B. "Try to stay
awake most of the night prior to this procedure"
A nurse is caring for a client who is experiencing mild acute pain after spraining an ankle. Which
of the following analgesics should the nurse expect to administer?
A. Ketorolac
B. Ketamine
C. Meperidine
D. Methadone - Correct Answer-A. Ketorolac
A nurse at a clinic is talking with a client who has cancer and takes extended release opioids
twice daily. The client reports an increase in localized, achy pain over the last few days. How
should the nurse document this increase in pain?
A. Phantom limb pain
B. Mixed pain
C. Breakthrough pain
D. Neuropathic pain - Correct Answer-C. Breakthrough pain
A nurse is caring for a client who is receiving morphine via patient controlled analgesia (PCA)
infusion device after abdominal surgery. Which of the following client statements indicates that
the client understands how to use the device?
A. "I'll wait to use the device until it is absolutely necessary"
B. "I'll be careful about pushing the button so I dont get an overdose"
C. "I should tell the nurse if the pain doesnt stop after I use this device"
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