ATI RN ADULT MEDICAL-SURGICAL
PROCTORED EXAM Q&A 2026 EXAM
STUDY SHEET WITH FULL SOLUTIONS
◉ What would be your first intervention for a pt who has an adverse
effect from a blood transfusion?
Answer: Initiate saline infusion (separate line)
◉ What type of needle would you use to access an implanted port?
Answer: noncoring needle
◉ How would you confirm the placement of a PICC line?
Answer: chest xray
◉ What lab value is an indicator that the diabetic pt isn't compliant
with their treatment plan?
Answer: A1c is at 8%
◉ What would you include in your education to a client receiving
vasopressin?
Answer: expect lesser urine output
,◉ What s/s would you expect a pt with digoxin toxicity to exhibit?
Answer: muscle fatigue & confusion
◉ Which of the following indicates client understanding of their
digoxin prescription?
Answer: I will not take antacids at the same time as my digoxin
◉ Which assessment finding indicates fluid overload?
Answer: crackles in the lungs upon auscultation
◉ What education would you give a pt with HF?
Answer: increase K+
◉ Which assessment finding indicates increased intracranial
pressure?
Answer: decreased level of consciousness
◉ Which assessment findings would you expect in a pt who is 24hr
post op receiving an ostomy?
Answer: The stoma is bright red, smooth and moist (turns pink after
2-3 weeks)
◉ Appropriate oropharyngeal suctioning; select all:
,Answer: -encourage pt to deep breath & cough prior
-monitor O2 sats
-store catheter in clean dry place for use
-perform care 3 times a day (Q 8hrs)
◉ How would you promote healing in an elderly pt?
Answer: increased fluids
◉ which of the following is an expected outcome of a pt receiving
KCL?
Answer: doesn't experience any dysrrhythmias
◉ Which of the following is an indication of a pt at risk of developing
a sodium imbalance?
Answer: -vomiting
-diarrhea
-enemas
-diuretics
◉ which of the following lab values indicates a pt suffers from
hypovolemia?
Answer: increased urine specific gravity
, ◉ what's a complication from an av graft?
Answer: Weak pulses in the leg or feet (capillary filling in the toe 6)
◉ What position would you place a client for an ART line?
Answer: supine or trendelenburg
◉ What education would you give a pt suffering from COPD?
Answer: pursed lip breathing
◉ What would you teach a pt about exercise when they suffer from
diabetes?
Answer: eat a snack during unexpected activity
◉ which pt is most at risk of developing an infection?
Answer: low WBC
◉ Expected finding of drainage postop?
Answer: sanguinous to serosanguinous, pink wound edges, slight
swelling under sutures/staples, slight crusting of drainage
PROCTORED EXAM Q&A 2026 EXAM
STUDY SHEET WITH FULL SOLUTIONS
◉ What would be your first intervention for a pt who has an adverse
effect from a blood transfusion?
Answer: Initiate saline infusion (separate line)
◉ What type of needle would you use to access an implanted port?
Answer: noncoring needle
◉ How would you confirm the placement of a PICC line?
Answer: chest xray
◉ What lab value is an indicator that the diabetic pt isn't compliant
with their treatment plan?
Answer: A1c is at 8%
◉ What would you include in your education to a client receiving
vasopressin?
Answer: expect lesser urine output
,◉ What s/s would you expect a pt with digoxin toxicity to exhibit?
Answer: muscle fatigue & confusion
◉ Which of the following indicates client understanding of their
digoxin prescription?
Answer: I will not take antacids at the same time as my digoxin
◉ Which assessment finding indicates fluid overload?
Answer: crackles in the lungs upon auscultation
◉ What education would you give a pt with HF?
Answer: increase K+
◉ Which assessment finding indicates increased intracranial
pressure?
Answer: decreased level of consciousness
◉ Which assessment findings would you expect in a pt who is 24hr
post op receiving an ostomy?
Answer: The stoma is bright red, smooth and moist (turns pink after
2-3 weeks)
◉ Appropriate oropharyngeal suctioning; select all:
,Answer: -encourage pt to deep breath & cough prior
-monitor O2 sats
-store catheter in clean dry place for use
-perform care 3 times a day (Q 8hrs)
◉ How would you promote healing in an elderly pt?
Answer: increased fluids
◉ which of the following is an expected outcome of a pt receiving
KCL?
Answer: doesn't experience any dysrrhythmias
◉ Which of the following is an indication of a pt at risk of developing
a sodium imbalance?
Answer: -vomiting
-diarrhea
-enemas
-diuretics
◉ which of the following lab values indicates a pt suffers from
hypovolemia?
Answer: increased urine specific gravity
, ◉ what's a complication from an av graft?
Answer: Weak pulses in the leg or feet (capillary filling in the toe 6)
◉ What position would you place a client for an ART line?
Answer: supine or trendelenburg
◉ What education would you give a pt suffering from COPD?
Answer: pursed lip breathing
◉ What would you teach a pt about exercise when they suffer from
diabetes?
Answer: eat a snack during unexpected activity
◉ which pt is most at risk of developing an infection?
Answer: low WBC
◉ Expected finding of drainage postop?
Answer: sanguinous to serosanguinous, pink wound edges, slight
swelling under sutures/staples, slight crusting of drainage
