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ATI MEDICAL SURGICAL PROCTORED
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EXAM 2026|2027 WITH NGN QUESTIONS AND# # # # #
CORRECT ANSWERS | 100% Top Score # # # # #
Question 1: A charge nurse receives notification of the admission of a client who
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is coughing frequently and whose sputum is pink, frothy, and copious. The client
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has history of night sweats, anorexia, and weight loss. Which of the following
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actions should the nurse take? (Select All That Apply)
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• Assign the client to a private room with negative-pressure airflow
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• Wear an N95 respirator when entering the client’s room.
# # # # # # # #
Question 2: A nurse is assisting a provider with a comprehensive physical
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examination of a client. When the provider uses transillumination, the nurse should
# # # # # # # # # # #
explain to the client that this technique helps evaluate which of the following
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structures?
• Maxillary sinuses #
Question 3: A nurse is caring for a client who smokes cigarettes and has a new
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diagnosis of emphysema. How should the nurse assist the client with smoking
# # # # # # # # # # #
cessation?
• Discuss ways the client can reduce the number of cigarettes smoked per
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day.
Question 4: A nurse is planning care for a client who has chronic obstructive
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pulmonary disease (COPD) and is malnourished. Which of the following
# # # # # # # # #
,#
recommendations to promote nutritional intake should the nurse include in the
# # # # # # # # # #
plan?
• Eat high-calorie food first. (Rational: Clients with COPD experience early
# # # # # # # # #
satiety; calorie-dense food should be eaten first.)
# # # # # #
Question 5: A nurse is preparing to administer cisplatin IV to a client who has
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lung cancer. The nurse should identify that which of the following findings is an
# # # # # # # # # # # # #
adverse effect of this medication?
# # # #
• Tinnitus (Rational: Cisplatin causes ototoxicity.)
# # # #
Question 6: A nurse in a medical-surgical unit is assessing a client. The nurse
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should identify that which of the following findings is a manifestation of a
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pulmonary embolism? #
• Stabbing chest pain (Rational: Sudden sharp, stabbing chest pain is a
# # # # # # # # # #
classic manifestation.) #
Question 7: A nurse in the PACU is assessing a newly admitted client and
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observes intercostal retractions and a high-pitched inspiratory sound (stridor). The
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nurse should identify these findings as manifestations of which of the following
# # # # # # # # # # #
complications?
• Respiratory obstruction #
Question 8: A nurse is reviewing the laboratory results of a client who has
# # # # # # # # # # # # #
metabolic alkalosis. Which of the following laboratory values should the nurse
# # # # # # # # # #
expect?
• pH 7.49, HCO3- 32 mEq/L, PaCO2 40 mmHg (Rational: Metabolic
# # # # # # # # #
alkalosis shows elevated pH and HCO3- with normal PaCO2.)
# # # # # # # #
,#
Question 9: A nurse is providing teaching to a client who has a chronic cough and
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is scheduled for a bronchoscopy. Which of the following client statements
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indicates an understanding of the teaching?
# # # # #
• “A tissue sample might be obtained during the procedure.”
# # # # # # # #
Question 10: A nurse is preparing a client for a bronchoscopy. Which of the
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following actions should the nurse take? (Select All That Apply)
# # # # # # # # #
• Explain that the client will receive sedation and will not remember the
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procedure.
• Verify that the client understands the purpose and nature of the
# # # # # # # # # #
procedure.
Question 11: A nurse is preparing a client for discharge following a bronchoscopy.
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Which of the following assessments is the nurse’s monitoring priority?
# # # # # # # # #
• Confirming the gag reflex (Rational: Greatest risk is aspiration from a
# # # # # # # # # #
depressed gag reflex.) # #
Question 12: A nurse is caring for a client who is postoperative following a
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thoracic lobectomy. The client has 2 chest tubes in place: one in the lower portion
# # # # # # # # # # # # # #
of the thorax and the other higher on the chest wall. When a family member asks
# # # # # # # # # # # # # # #
why the client has 2 chest tubes, which of the following responses should the nurse
# # # # # # # # # # # # # #
make?
• “The lower tube will drain blood, and the higher tube will remove air.”
# # # # # # # # # # # #
Question 13: A nurse is providing teaching to a client who will undergo a total
# # # # # # # # # # # # # #
laryngectomy. Which of the following statements indicates that the client
# # # # # # # # #
understands the impact of the surgery?
# # # # #
,#
• “I will need to learn a new way to speak.”
# # # # # # # # #
Question 14: A nurse is assessing a client with heart failure who has crackles in
# # # # # # # # # # # # # #
both lung bases and peripheral edema. Which of the following medications should
# # # # # # # # # # #
the nurse expect to administer?
# # # #
• Furosemide
Question 15: A nurse is caring for a client with acute pancreatitis. Which of the
# # # # # # # # # # # # # #
following laboratory findings is most consistent with this diagnosis?
# # # # # # # #
• Elevated serum lipase # #
Question 16: A nurse is teaching a client with diabetes mellitus about foot care.
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Which of the following statements by the client indicates a need for further
# # # # # # # # # # # #
teaching?
• “I will soak my feet in hot water every evening.”
# # # # # # # # #
Question 17: A nurse is assessing a client who has just returned from the operating
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room following a total hip arthroplasty. Which of the following findings requires
# # # # # # # # # # #
immediate intervention? #
• Oxygen saturation 88% on room air
# # # # #
Question 18: A nurse is caring for a client with chronic kidney disease who has a
# # # # # # # # # # # # # # #
potassium level of 6.2 mEq/L. Which of the following interventions should the
# # # # # # # # # # #
nurse anticipate?
#
• Administer sodium polystyrene sulfonate # # #
Question 19: A nurse is providing discharge teaching to a client with a new
# # # # # # # # # # # # #
diagnosis of hypertension. Which of the following dietary recommendations
# # # # # # # #
should the nurse include?
# # #
ATI MEDICAL SURGICAL PROCTORED
# # #
EXAM 2026|2027 WITH NGN QUESTIONS AND# # # # #
CORRECT ANSWERS | 100% Top Score # # # # #
Question 1: A charge nurse receives notification of the admission of a client who
# # # # # # # # # # # # #
is coughing frequently and whose sputum is pink, frothy, and copious. The client
# # # # # # # # # # # #
has history of night sweats, anorexia, and weight loss. Which of the following
# # # # # # # # # # # #
actions should the nurse take? (Select All That Apply)
# # # # # # # #
• Assign the client to a private room with negative-pressure airflow
# # # # # # # # #
• Wear an N95 respirator when entering the client’s room.
# # # # # # # #
Question 2: A nurse is assisting a provider with a comprehensive physical
# # # # # # # # # # #
examination of a client. When the provider uses transillumination, the nurse should
# # # # # # # # # # #
explain to the client that this technique helps evaluate which of the following
# # # # # # # # # # # #
structures?
• Maxillary sinuses #
Question 3: A nurse is caring for a client who smokes cigarettes and has a new
# # # # # # # # # # # # # # #
diagnosis of emphysema. How should the nurse assist the client with smoking
# # # # # # # # # # #
cessation?
• Discuss ways the client can reduce the number of cigarettes smoked per
# # # # # # # # # # #
day.
Question 4: A nurse is planning care for a client who has chronic obstructive
# # # # # # # # # # # # #
pulmonary disease (COPD) and is malnourished. Which of the following
# # # # # # # # #
,#
recommendations to promote nutritional intake should the nurse include in the
# # # # # # # # # #
plan?
• Eat high-calorie food first. (Rational: Clients with COPD experience early
# # # # # # # # #
satiety; calorie-dense food should be eaten first.)
# # # # # #
Question 5: A nurse is preparing to administer cisplatin IV to a client who has
# # # # # # # # # # # # # #
lung cancer. The nurse should identify that which of the following findings is an
# # # # # # # # # # # # #
adverse effect of this medication?
# # # #
• Tinnitus (Rational: Cisplatin causes ototoxicity.)
# # # #
Question 6: A nurse in a medical-surgical unit is assessing a client. The nurse
# # # # # # # # # # # # #
should identify that which of the following findings is a manifestation of a
# # # # # # # # # # # #
pulmonary embolism? #
• Stabbing chest pain (Rational: Sudden sharp, stabbing chest pain is a
# # # # # # # # # #
classic manifestation.) #
Question 7: A nurse in the PACU is assessing a newly admitted client and
# # # # # # # # # # # # #
observes intercostal retractions and a high-pitched inspiratory sound (stridor). The
# # # # # # # # #
nurse should identify these findings as manifestations of which of the following
# # # # # # # # # # #
complications?
• Respiratory obstruction #
Question 8: A nurse is reviewing the laboratory results of a client who has
# # # # # # # # # # # # #
metabolic alkalosis. Which of the following laboratory values should the nurse
# # # # # # # # # #
expect?
• pH 7.49, HCO3- 32 mEq/L, PaCO2 40 mmHg (Rational: Metabolic
# # # # # # # # #
alkalosis shows elevated pH and HCO3- with normal PaCO2.)
# # # # # # # #
,#
Question 9: A nurse is providing teaching to a client who has a chronic cough and
# # # # # # # # # # # # # # #
is scheduled for a bronchoscopy. Which of the following client statements
# # # # # # # # # #
indicates an understanding of the teaching?
# # # # #
• “A tissue sample might be obtained during the procedure.”
# # # # # # # #
Question 10: A nurse is preparing a client for a bronchoscopy. Which of the
# # # # # # # # # # # # #
following actions should the nurse take? (Select All That Apply)
# # # # # # # # #
• Explain that the client will receive sedation and will not remember the
# # # # # # # # # # #
procedure.
• Verify that the client understands the purpose and nature of the
# # # # # # # # # #
procedure.
Question 11: A nurse is preparing a client for discharge following a bronchoscopy.
# # # # # # # # # # # #
Which of the following assessments is the nurse’s monitoring priority?
# # # # # # # # #
• Confirming the gag reflex (Rational: Greatest risk is aspiration from a
# # # # # # # # # #
depressed gag reflex.) # #
Question 12: A nurse is caring for a client who is postoperative following a
# # # # # # # # # # # # #
thoracic lobectomy. The client has 2 chest tubes in place: one in the lower portion
# # # # # # # # # # # # # #
of the thorax and the other higher on the chest wall. When a family member asks
# # # # # # # # # # # # # # #
why the client has 2 chest tubes, which of the following responses should the nurse
# # # # # # # # # # # # # #
make?
• “The lower tube will drain blood, and the higher tube will remove air.”
# # # # # # # # # # # #
Question 13: A nurse is providing teaching to a client who will undergo a total
# # # # # # # # # # # # # #
laryngectomy. Which of the following statements indicates that the client
# # # # # # # # #
understands the impact of the surgery?
# # # # #
,#
• “I will need to learn a new way to speak.”
# # # # # # # # #
Question 14: A nurse is assessing a client with heart failure who has crackles in
# # # # # # # # # # # # # #
both lung bases and peripheral edema. Which of the following medications should
# # # # # # # # # # #
the nurse expect to administer?
# # # #
• Furosemide
Question 15: A nurse is caring for a client with acute pancreatitis. Which of the
# # # # # # # # # # # # # #
following laboratory findings is most consistent with this diagnosis?
# # # # # # # #
• Elevated serum lipase # #
Question 16: A nurse is teaching a client with diabetes mellitus about foot care.
# # # # # # # # # # # # #
Which of the following statements by the client indicates a need for further
# # # # # # # # # # # #
teaching?
• “I will soak my feet in hot water every evening.”
# # # # # # # # #
Question 17: A nurse is assessing a client who has just returned from the operating
# # # # # # # # # # # # # #
room following a total hip arthroplasty. Which of the following findings requires
# # # # # # # # # # #
immediate intervention? #
• Oxygen saturation 88% on room air
# # # # #
Question 18: A nurse is caring for a client with chronic kidney disease who has a
# # # # # # # # # # # # # # #
potassium level of 6.2 mEq/L. Which of the following interventions should the
# # # # # # # # # # #
nurse anticipate?
#
• Administer sodium polystyrene sulfonate # # #
Question 19: A nurse is providing discharge teaching to a client with a new
# # # # # # # # # # # # #
diagnosis of hypertension. Which of the following dietary recommendations
# # # # # # # #
should the nurse include?
# # #
