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Medical-Surgical ATI Exam 2026 – Complete Practice Questions, Study Guide, and Nursing Exam Review

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This document provides comprehensive preparation for the Medical-Surgical ATI Exam 2026, featuring exam-style practice questions with answer explanations covering the essential medical-surgical nursing concepts commonly assessed in nursing programs. It includes cardiovascular, respiratory, neurological, renal, gastrointestinal, endocrine, musculoskeletal, and infectious disease topics, along with pharmacology, nursing interventions, patient safety, prioritization, and clinical judgment to help students prepare confidently for the ATI Medical-Surgical exam.

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Med-surg ATI
Course
Med-surg ATI

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MED-SURG ATI EXAM 2026
LATEST EXAM QUESTIONS
WITH COMPLETE VERIFIED
ANSWERS (A+ GRADED)
TPN nutrition - answer--TPN solutions contain a high concentration of dextrose

-if a TPN solution is temporarily unavailable the nurse should administer dextrose 10%
in water to avoid a drop in blood glucose levels



- never abruptly stop tpn. speeding up/slowing down the rate is contraindicated. an
abrupt rate change can alter blood glucose levels significantly



-check vitals q 4-8



sedimentation rate - answer-an increased sedimentation rate occurs whenever a client
has any type of inflammatory response



ciproflaxacin - answer--*avoid calcium containing foods* (decrease the absorption)

-*do not take with antacids* (administer ciproflaxacin 2 hrs before antacid of 6 hrs after
taking an antacid) (decrease absorption)



enoxaparin - answer--Lovenox, blood thinner, given subcutaneously

-should administer medication at the same time every day

-should not massage after giving,



order of using crutches while climbing stairs - answer-1-place body weight on crutches

2- advance unaffected leg onto stairs

3- shift weight from the crutches to the unaffected leg

4- bring the crutches and unaffected leg up to the step

, oral iron supplementation - answer--*do not take with dairy* (inhibits absorption)

-*do not take with antacids*

-can cause gastrointestinal issues

-client should eat high fiber foods to prevent constipation



12 hrs post op for a hip arthroplasty - answer--*place a pillow b/w legs* to prevent hip
dislocation

-assist client to maintain legs in abduction

-should not flex hip greater than 90 degrees



erythropoietin - answer--goal= to decrease fatigue and improve activity tolerance

-increases the level of hematocrit and RBC

-can result in hypertension



discovered pt has a murmur, next action is to.. - answer-place client on the left side and
listen to the heart again



when a pt has a pace maker and a pacing stimulus is delivered to the ventricle... -
answer-a spike appears on the ECG rhythm strip followed by a QRS complex (indicates
pacemaker capture or depolarization)



-when the nurse sees this spike followed by a QRS complex, should document that
depolarization has occured



caring for a pt with seizures - answer--limit intake of alcohol and caffeine, minimize
stress, fever, and fatigue to prevent triggering a seizure

-keep 2-3 side rails up

-keep bed in lowest position

-ensure client has patent IV in the event the client requires meds to stop seizure activity

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