ATI RN ADULT MEDICAL-SURGICAL
PROCTORED EXAM STUDY GUIDE 2026
COMPLETE TEST BANK WITH ANSWERS
◉ What interventions would you apply for a pt diagnosed with
Herpes?
Answer: Contact precautions, wear gown and gloves
◉ Which electrolyte imbalance increases the risk for
digoxin/digitalis/digibind toxicity?
Answer: hypokalemia
◉ A client with peptic ulcer disease has a new NG tube in place with
orders for NG tube monitoring for the nurse. What is an expected
finding?
Answer: scant blood may be seen for the first 12-24 hrs
◉ Suspected stomach perforation due to a peptic ulcer s/s:
Answer: -rigid abdomen
-tachycardia
-rebound tenderness
,◉ Complications of enteral feedings:
Answer: Overfeeding: abd distention, N/V
Diarrhea
Aspiration Pneumonia
◉ Nursing actions to prevent overfeeding r/t enteral feedings:
Answer: -check residual Q 4-6 hr
-withhold as prescribed then resume
◉ Nursing actions for diarrhea r/t enteral feedings:
Answer: -slow the rate & contact provider
-contact dietitian
-provide skin care & protection
◉ Nursing actions for aspiration pneumonia r/t enteral feedings:
Answer: -stop the feeding
-turn the client to his side
-suction the airway
-admin O2 if indicated
-auscultate breath sounds for increased congestion
,-notify provider & get chest xray
◉ Preprocedure & Postprocedure following a kidney biopsy nsg
actions:
Answer: Pre:
NPO 4-6 hr prior, review coag studies
POST:
-monitor vitals
-assess dressings & urinary output (hematuria)
-review Hgb & Hct
-admin PRN pain meds
-remain supine
◉ Following a kidney biopsy, a client has cloudy & smelly urine, and
an urgency to urinate, the nurse suspects what?
Answer: infection
◉ Most immediate risk to the client following a kidney biopsy:
Answer: hemorrhage
◉ Ongoing monitoring of a client with Cushing's disease includes:
, Answer: -monitoring liver enzymes
-monitoring fluid & elecs (hyperkalemia)
-weight
-WBC, neutrophils, platelets, Hgb & Hct
◉ Client care following a thyroidectomy:
Answer: -High fowler's
-support head & neck w/pillows
-avoid neck extension
-check surgical dressing & back of neck for bleeding
-have trach supplies available
-coughing & deep breathing
-check for laryngeal damage by asking client to speak when awake
from anesthesia
-admin pain meds
-tingling of toes or around mouth, & muscle twitching indicates
hypocalcemia & tetany
-have IV cal gluconate or cal chloride ready
-if drain, surgeon will remove after 2 days
◉ Hypoglycemia s/s:
Answer: -shakiness
PROCTORED EXAM STUDY GUIDE 2026
COMPLETE TEST BANK WITH ANSWERS
◉ What interventions would you apply for a pt diagnosed with
Herpes?
Answer: Contact precautions, wear gown and gloves
◉ Which electrolyte imbalance increases the risk for
digoxin/digitalis/digibind toxicity?
Answer: hypokalemia
◉ A client with peptic ulcer disease has a new NG tube in place with
orders for NG tube monitoring for the nurse. What is an expected
finding?
Answer: scant blood may be seen for the first 12-24 hrs
◉ Suspected stomach perforation due to a peptic ulcer s/s:
Answer: -rigid abdomen
-tachycardia
-rebound tenderness
,◉ Complications of enteral feedings:
Answer: Overfeeding: abd distention, N/V
Diarrhea
Aspiration Pneumonia
◉ Nursing actions to prevent overfeeding r/t enteral feedings:
Answer: -check residual Q 4-6 hr
-withhold as prescribed then resume
◉ Nursing actions for diarrhea r/t enteral feedings:
Answer: -slow the rate & contact provider
-contact dietitian
-provide skin care & protection
◉ Nursing actions for aspiration pneumonia r/t enteral feedings:
Answer: -stop the feeding
-turn the client to his side
-suction the airway
-admin O2 if indicated
-auscultate breath sounds for increased congestion
,-notify provider & get chest xray
◉ Preprocedure & Postprocedure following a kidney biopsy nsg
actions:
Answer: Pre:
NPO 4-6 hr prior, review coag studies
POST:
-monitor vitals
-assess dressings & urinary output (hematuria)
-review Hgb & Hct
-admin PRN pain meds
-remain supine
◉ Following a kidney biopsy, a client has cloudy & smelly urine, and
an urgency to urinate, the nurse suspects what?
Answer: infection
◉ Most immediate risk to the client following a kidney biopsy:
Answer: hemorrhage
◉ Ongoing monitoring of a client with Cushing's disease includes:
, Answer: -monitoring liver enzymes
-monitoring fluid & elecs (hyperkalemia)
-weight
-WBC, neutrophils, platelets, Hgb & Hct
◉ Client care following a thyroidectomy:
Answer: -High fowler's
-support head & neck w/pillows
-avoid neck extension
-check surgical dressing & back of neck for bleeding
-have trach supplies available
-coughing & deep breathing
-check for laryngeal damage by asking client to speak when awake
from anesthesia
-admin pain meds
-tingling of toes or around mouth, & muscle twitching indicates
hypocalcemia & tetany
-have IV cal gluconate or cal chloride ready
-if drain, surgeon will remove after 2 days
◉ Hypoglycemia s/s:
Answer: -shakiness
