ATI MEDICAL SURGICAL PROCTORED
EXAM LATEST CERTIFICATION SCRIPT 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ A nurse is caring for a client who has a new prescription for heparin
therapy. Which of the following statements by the client should indicate
an immediate concern for the nurse. Answer: "I take antacids several
times a day for my ulcer."
⩥ A nurse is caring for a client who is to receive thrombolytic therapy.
Which of the following factors should the nurse recognize as a
contraindication to the therapy?. Answer: Hip arthroplasty 2 weeks ago
⩥ A nurse is assessing a client following a gunshot wound to the chest.
For which of the following findings should the nurse monitor to detect a
pneumothorax?
Select all that apply.. Answer: 1. Tachypnea
2. Pleuritic pain
3. Deviation of the trachea
⩥ A nurse is assisting the provider to care for a client who has developed
a spontaneous pneumothorax. Which of the following actions should the
nurse perform first?. Answer: Obtain a large-bore IV needle for
decompression.
,⩥ A nurse is reviewing discharge instructions for a client who has COPD
and experienced a pneumothorax. Which of the following statements
should the nurse include?. Answer: "Notify your provider if you
experience a productive cough."
⩥ A nurse in the emergency department is assessing a client who has
sustained multiple rib fractures and has a flail chest. Which of the
following findings should the nurse expect?
Select all that apply.. Answer: 1. Hypotension
2. Paradoxical chest movement
3. Cyanosis
4. Dyspnea
⩥ A nurse is reviewing the health records of five clients. Which of the
following clients should the nurse identify as being at risk for
developing acute respiratory distress syndrome?
Select all that apply.. Answer: 1. A client who experienced a near-
drowning incident
2. A client who experienced acute drug toxicity
3. A client following coronary artery bypass graft surgery
4. A client who has dysphagia
,⩥ A nurse in the emergency department is assessing a client who was in
a motor vehicle crash. Findings include absent breath sounds in the left
lower lobe with dyspnea, blood pressure 118/68 mm Hg, heart rate
124/min, respirations 38/min, temperature 38.6° C (101.4° F), and SaO2
91% on room air. Which of the following actions should the nurse take
first?. Answer: Administer oxygen via a high-flow mask.
⩥ A nurse is planning care for a client in the ICU who has a SARS-CoV-
2 infection that has progressed to ARDS. In which of the following
positions should the nurse plan to place the client to promote
ventilation.. Answer: Prone
⩥ A nurse is orienting a newly licensed nurse on the purpose of
administering vecuronium to a client who has acute respiratory distress
syndrome (ARDS). Which of the following statements by the newly
licensed nurse indicates understanding of the teaching?. Answer: "This
medication is given to facilitate ventilation."
⩥ A nurse is planning care for a client who has severe acute respiratory
distress syndrome (ARDS). Which of the following actions should the
nurse include in the plan of care?
Select all that apply.. Answer: 1. Administer enteral nutrition.
2. Maintain ventilatory support.
3. Provide supplemental oxygen.
, ⩥ The nurse at the provider's office is reviewing the laboratory test
results for the client. The nurse should identify that which of the
following results indicates the client is at risk for heart disease?
Select all that apply.. Answer: 1. Cholesterol (total) 245 mg/dL
2. LDL 140 mg/dL
⩥ The nurse is teaching the client who is scheduled for a coronary
angiography. Which of the following statements should the nurse make?.
Answer: "You will need to keep your affected leg straight following the
procedure."
⩥ The nurse is teaching the newly licensed nurse about caring for the
client who is to have a CVP line placed. Which of the following
statements by the newly licensed nurse indicates an understanding?.
Answer: "A chest x-ray is needed to verify placement after the
procedure."
⩥ A nurse caring for a group of clients. The nurse should recognize
which of the following clients is at risk for the development of a
dysrhythmia?
Select all that apply.. Answer: 1. A client who has metabolic alkalosis
2. A client who underwent stent placement in a coronary artery
3. A client who has alcohol use disorder
EXAM LATEST CERTIFICATION SCRIPT 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ A nurse is caring for a client who has a new prescription for heparin
therapy. Which of the following statements by the client should indicate
an immediate concern for the nurse. Answer: "I take antacids several
times a day for my ulcer."
⩥ A nurse is caring for a client who is to receive thrombolytic therapy.
Which of the following factors should the nurse recognize as a
contraindication to the therapy?. Answer: Hip arthroplasty 2 weeks ago
⩥ A nurse is assessing a client following a gunshot wound to the chest.
For which of the following findings should the nurse monitor to detect a
pneumothorax?
Select all that apply.. Answer: 1. Tachypnea
2. Pleuritic pain
3. Deviation of the trachea
⩥ A nurse is assisting the provider to care for a client who has developed
a spontaneous pneumothorax. Which of the following actions should the
nurse perform first?. Answer: Obtain a large-bore IV needle for
decompression.
,⩥ A nurse is reviewing discharge instructions for a client who has COPD
and experienced a pneumothorax. Which of the following statements
should the nurse include?. Answer: "Notify your provider if you
experience a productive cough."
⩥ A nurse in the emergency department is assessing a client who has
sustained multiple rib fractures and has a flail chest. Which of the
following findings should the nurse expect?
Select all that apply.. Answer: 1. Hypotension
2. Paradoxical chest movement
3. Cyanosis
4. Dyspnea
⩥ A nurse is reviewing the health records of five clients. Which of the
following clients should the nurse identify as being at risk for
developing acute respiratory distress syndrome?
Select all that apply.. Answer: 1. A client who experienced a near-
drowning incident
2. A client who experienced acute drug toxicity
3. A client following coronary artery bypass graft surgery
4. A client who has dysphagia
,⩥ A nurse in the emergency department is assessing a client who was in
a motor vehicle crash. Findings include absent breath sounds in the left
lower lobe with dyspnea, blood pressure 118/68 mm Hg, heart rate
124/min, respirations 38/min, temperature 38.6° C (101.4° F), and SaO2
91% on room air. Which of the following actions should the nurse take
first?. Answer: Administer oxygen via a high-flow mask.
⩥ A nurse is planning care for a client in the ICU who has a SARS-CoV-
2 infection that has progressed to ARDS. In which of the following
positions should the nurse plan to place the client to promote
ventilation.. Answer: Prone
⩥ A nurse is orienting a newly licensed nurse on the purpose of
administering vecuronium to a client who has acute respiratory distress
syndrome (ARDS). Which of the following statements by the newly
licensed nurse indicates understanding of the teaching?. Answer: "This
medication is given to facilitate ventilation."
⩥ A nurse is planning care for a client who has severe acute respiratory
distress syndrome (ARDS). Which of the following actions should the
nurse include in the plan of care?
Select all that apply.. Answer: 1. Administer enteral nutrition.
2. Maintain ventilatory support.
3. Provide supplemental oxygen.
, ⩥ The nurse at the provider's office is reviewing the laboratory test
results for the client. The nurse should identify that which of the
following results indicates the client is at risk for heart disease?
Select all that apply.. Answer: 1. Cholesterol (total) 245 mg/dL
2. LDL 140 mg/dL
⩥ The nurse is teaching the client who is scheduled for a coronary
angiography. Which of the following statements should the nurse make?.
Answer: "You will need to keep your affected leg straight following the
procedure."
⩥ The nurse is teaching the newly licensed nurse about caring for the
client who is to have a CVP line placed. Which of the following
statements by the newly licensed nurse indicates an understanding?.
Answer: "A chest x-ray is needed to verify placement after the
procedure."
⩥ A nurse caring for a group of clients. The nurse should recognize
which of the following clients is at risk for the development of a
dysrhythmia?
Select all that apply.. Answer: 1. A client who has metabolic alkalosis
2. A client who underwent stent placement in a coronary artery
3. A client who has alcohol use disorder
