ATI RN MEDICAL SURGICAL PROCTORED
EXAM 2026 CERTIFICATION EVALUATION TEST
PAPER QUESTIONS SOLUTIONS GRADED A
PLUS
◉ TB is suspected, what precautionary actions to do?
Answer: -negative airflow room, airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
◉ TB interventions:
Answer: -family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
◉ What to watch for when on Isoniazid:
Answer: numb/tingling in the hands & feet
◉ What to watch for when on Rifampin:
Answer: -orange secretions normal
-watch for jaundice
,-interferes with birth control
◉ What to watch for when on Ethambutol:
Answer: vision changes
◉ Client teaching for genital herpes:
Answer: -can be transmitted with or w/out blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
◉ Caring for a client following a stroke of the right side with left-
sided hemipalegia:
Answer: -thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
,◉ High sodium foods clients with HF & Pulmonary edema should
avoid:
Answer: -cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
◉ Which non-opioid drug decreases the effect of aspirin?
Answer: ibuprofen
◉ Ketorolac should not be used concurrently with...
Answer: other NSAIDS
◉ Glucocorticoids increase the risk of gastric bleeding when taken
with...
Answer: non-opioid analgesics
◉ To access an implanted port, you must use a...
, Answer: noncoring (Huber) needle
◉ When done accessing an implanted port...
Answer: flush with 10 mL 0.9% sodium chloride
◉ Therapeutic effects of furosemide (Lasix)
Answer: -decreases preload of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
◉ Valsartan for HF expected outcomes/findings:
Answer: -vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
◉ Expected findings of meds that increase urinary output
(diuretics):
Answer: -decreased potassium
-weight loss
EXAM 2026 CERTIFICATION EVALUATION TEST
PAPER QUESTIONS SOLUTIONS GRADED A
PLUS
◉ TB is suspected, what precautionary actions to do?
Answer: -negative airflow room, airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
◉ TB interventions:
Answer: -family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
◉ What to watch for when on Isoniazid:
Answer: numb/tingling in the hands & feet
◉ What to watch for when on Rifampin:
Answer: -orange secretions normal
-watch for jaundice
,-interferes with birth control
◉ What to watch for when on Ethambutol:
Answer: vision changes
◉ Client teaching for genital herpes:
Answer: -can be transmitted with or w/out blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
◉ Caring for a client following a stroke of the right side with left-
sided hemipalegia:
Answer: -thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
,◉ High sodium foods clients with HF & Pulmonary edema should
avoid:
Answer: -cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
◉ Which non-opioid drug decreases the effect of aspirin?
Answer: ibuprofen
◉ Ketorolac should not be used concurrently with...
Answer: other NSAIDS
◉ Glucocorticoids increase the risk of gastric bleeding when taken
with...
Answer: non-opioid analgesics
◉ To access an implanted port, you must use a...
, Answer: noncoring (Huber) needle
◉ When done accessing an implanted port...
Answer: flush with 10 mL 0.9% sodium chloride
◉ Therapeutic effects of furosemide (Lasix)
Answer: -decreases preload of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
◉ Valsartan for HF expected outcomes/findings:
Answer: -vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
◉ Expected findings of meds that increase urinary output
(diuretics):
Answer: -decreased potassium
-weight loss
