ATI RN Med Surg Proctored Assessment 2026\2027 A (NUR 265)
questions and answers A+ Grade
A nurse is assessing a group of clients for indications of role changes. The nurse should identify that
which of the following clients is at risk for experiencing a role change?
- correct answer A client who has multiple sclerosis and is experiencing progressive difficulty
ambulating.
A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. The
nurse should recognize that an unexpected finding for which of the following laboratory values is a
manifestation of osteomyelitis and should be reported to the provider?
- correct answer Sedimentation rate
A nurse is caring for a client who is postoperative. Complete the diagram by dragging from the choices
below to specify what condition the client is most likely experiencing, two actions the nurse should take
to address that condition, and two parameters the nurse should monitor to assess the client's progress.
- correct answer - Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge because the client is most likely
experiencing hypovolemia as evidenced by the client's restlessness, tachycardia, hypotension, decreased
pulses, cool extremities, and decreased urine output. The nurse should monitor the client's urine output
and blood pressure to evaluate the effectiveness of treatment.
A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for
brachytherapy. Which of the following instructions should the nurse include?
- correct answer "You will need to stay still in the bed during each treatment session."
A nurse is caring for a client who is receiving dialysis treatment. For each potential nursing intervention,
click to specify if the intervention is indicated or not indicated.
- correct answer Indicated:
- Place the client in Trendelenburg position.
, - Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.
A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on
which of the following findings?
- correct answer Dysphagia
A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the
following actions should the nurse take?
- correct answer Place a pillow between the client's legs.
A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Which of the
following statements should the nurse make?
- correct answer "Ginkgo biloba can cause an increased risk for bleeding."
A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy.
Which of the following actions should the nurse take?
- correct answer Demonstrate ways to deep breathe and cough.
A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The client has
just undergone thoracentesis. The nurse should expect a reduction in which of the following common
manifestations of advanced cancer?
- correct answer Dyspnea
A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the following
findings should indicate to the nurse the client is experiencing hypoxia?
- correct answer The client's heart rate increases.
questions and answers A+ Grade
A nurse is assessing a group of clients for indications of role changes. The nurse should identify that
which of the following clients is at risk for experiencing a role change?
- correct answer A client who has multiple sclerosis and is experiencing progressive difficulty
ambulating.
A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. The
nurse should recognize that an unexpected finding for which of the following laboratory values is a
manifestation of osteomyelitis and should be reported to the provider?
- correct answer Sedimentation rate
A nurse is caring for a client who is postoperative. Complete the diagram by dragging from the choices
below to specify what condition the client is most likely experiencing, two actions the nurse should take
to address that condition, and two parameters the nurse should monitor to assess the client's progress.
- correct answer - Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge because the client is most likely
experiencing hypovolemia as evidenced by the client's restlessness, tachycardia, hypotension, decreased
pulses, cool extremities, and decreased urine output. The nurse should monitor the client's urine output
and blood pressure to evaluate the effectiveness of treatment.
A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for
brachytherapy. Which of the following instructions should the nurse include?
- correct answer "You will need to stay still in the bed during each treatment session."
A nurse is caring for a client who is receiving dialysis treatment. For each potential nursing intervention,
click to specify if the intervention is indicated or not indicated.
- correct answer Indicated:
- Place the client in Trendelenburg position.
, - Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.
A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on
which of the following findings?
- correct answer Dysphagia
A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the
following actions should the nurse take?
- correct answer Place a pillow between the client's legs.
A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Which of the
following statements should the nurse make?
- correct answer "Ginkgo biloba can cause an increased risk for bleeding."
A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy.
Which of the following actions should the nurse take?
- correct answer Demonstrate ways to deep breathe and cough.
A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The client has
just undergone thoracentesis. The nurse should expect a reduction in which of the following common
manifestations of advanced cancer?
- correct answer Dyspnea
A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the following
findings should indicate to the nurse the client is experiencing hypoxia?
- correct answer The client's heart rate increases.
