ATI RN MED-SURG PROCTORED RETAKE EXAM (VERSION 1,2 & 3) WITH NGN | ACTUAL EXAM QUESTIONS AND ANSWERS | LATEST UPDATE 2026/2027 | GRADED A+.

ATI RN MED-SURG PROCTORED RETAKE EXAM (VERSION 1,2 & 3) WITH NGN | ACTUAL EXAM QUESTIONS AND ANSWERS | LATEST UPDATE 2026/2027 | GRADED A+. A nurse is providing discharge teaching to an older adult client following a left total hip arthroplasty. Which of the following instructions should the nurse include in the teaching? - A) "You should use an incentive spirometer every 8 hours." - B) "You can cross your legs at the ankles when sitting down." - C) "Clean the incision daily with hydrogen peroxide." - D) "Install a raised toilet seat in your bathroom." Answer: D) "Install a raised toilet seat in your bathroom." Rationale: A raised toilet seat helps prevent hip flexion beyond 90 degrees, reducing the risk of dislocation. Proper education on mobility aids post-surgery promotes safety and independence. --- ### 2. Calculating IV Infusion Rate A nurse is preparing to administer lactated Ringer's via continuous IV infusion at 200 mL/hr. The IV tubing has a drip factor of 10 gtt/mL. How many gtts/min should the nurse set the IV pump to administer? (Round to the nearest whole number.) - A) 20 gtt/min - B) 33 gtt/min - C) 50 gtt/min - D) 100 gtt/min Answer: B) 33 gtt/min Rationale: To calculate the drip rate: (200 mL/hr * 10 gtt/mL) / 60 min/hr = 33.33 gtt/min, which rounds to 33 gtt/min. Accurate calculation of drip rates is essential to ensure proper medication administration. --- --- ### 4. Contraindication for Acupuncture A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? - A) Urticaria - B) Lymphedema - C) Headaches - D) Mouth sores Answer: B) Lymphedema Rationale: Lymphedema can be exacerbated by acupuncture due to the risk of increased swelling or infection. Precautions should be taken when considering acupuncture for clients with this condition to avoid further complications. ATI RN MED SURG RETAKE V2 SAMPLE EXAM ### 2. You are caring for a client diagnosed with diabetes insipidus who reports excessive thirst and frequent urination. Question: Which medication should the nurse expect to administer? Answer choices: A. Desmopressin B. Regular insulin C. Furosemide D. Lithium carbonate Correct Answer: A Rationale: Desmopressin, a synthetic ADH analog, reduces urine output by promoting water reabsorption in kidneys. Furosemide is a diuretic and insulin or lithium are not appropriate management for DI. --- ### 3. A client with chronic arthritis reports taking ibuprofen several times daily for 3 years. The nurse is preparing to order baseline and routine lab tests. Question: Which test should the nurse prioritize in this client's monitoring? Answer choices: A. Fasting blood glucose B. Stool test for occult blood C. Urine analysis for white blood cells D. Serum calcium Correct Answer: B Rationale: Long-term NSAID use increases risk for gastrointestinal bleeding and ulcers. Monitoring stool for occult blood detects occult bleeding early. Blood glucose and serum calcium are unrelated, and urinary WBCs indicate infection, not NSAID side effects. --- ### 3. Understanding Sublingual Nitroglycerin A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following client statements indicates an understanding of the teaching? - A) "I should lie down when I take this medication." - B) "I can keep my medication for 1 year before replacing it." - C) "I should discontinue this medication if I develop a headache." - D) "I can take up to five tablets in 15 minutes before seeking medical attention." Answer: A) "I should lie down when I take this medication." Rationale: Sublingual nitroglycerin can cause hypotension, so it is advisable for the client to lie down to minimize the risk of falling. Understanding the correct administration techniques is crucial for patient safety. ATI RN MED SURG RETAKE V3 SAMPLE EXAM ### 1. Assessment in Colon Cancer A nurse is assessing a client who has a diagnosis of colon cancer. Which of the following should the nurse expect? - A) Steatorrhea - B) Elevated hemoglobin - C) Hematochezia - D) Weight gain Answer: C) Hematochezia Rationale: Hematochezia, or the presence of bright red blood in the stool, is a common sign associated with colorectal cancer. It indicates potential bleeding in the lower gastrointestinal tract. Other signs, such as steatorrhea or changes in weight, may also occur but are not as specifically indicative of colon cancer. ### 1. A nurse is caring for a client who is 12 hours postoperative after a colon resection. The nurse assesses the following vital signs and laboratory values: - Heart rate: 90/min - Absent bowel sounds - Hemoglobin: 8.2 g/dL - Gastric pH: 3.0 Question: Which finding should the nurse report immediately to the surgeon? Answer choices: A. Heart rate 90/min B. Absent bowel sounds C. Hemoglobin 8.2 g/dL D. Gastric pH 3.0 Correct Answer: C Rationale: A hemoglobin of 8.2 g/dL suggests significant blood loss or anemia requiring prompt attention. Heart rate 90/min is within normal limits, absence of bowel sounds can be normal early post-op, and gastric pH of 3 is normal gastric acidity. Immediate notification is required for low hemoglobin. --- --- ### 3. Pericarditis Assessment A nurse is assessing a client who has pericarditis. ATI RN MED SURG RETAKE V1 ACTUAL EXAM ### 1. Post-Operative Hip Arthroplasty Instructions A nurse is providing discharge teaching to an older adult client following a left total hip arthroplasty. Which of the following instructions should the nurse include in the teaching? - A) "You should use an incentive spirometer every 8 hours." - B) "You can cross your legs at the ankles when sitting down." - C) "Clean the incision daily with hydrogen peroxide." - D) "Install a raised toilet seat in your bathroom." Answer: D) "Install a raised toilet seat in your bathroom." Rationale: A raised toilet seat helps prevent hip flexion beyond 90 degrees, reducing the risk of dislocation. Proper education on mobility aids post-surgery promotes safety and independence. --- ### 2. Calculating IV Infusion Rate A nurse is preparing to administer lactated Ringer's via continuous IV infusion at 200 mL/hr. The IV tubing has a drip factor of 10 gtt/mL. How many gtts/min should the nurse set the IV pump to administer? (Round to the nearest whole number.) - A) 20 gtt/min - B) 33 gtt/min - C) 50 gtt/min - D) 100 gtt/min Answer: B) 33 gtt/min Rationale: To calculate the drip rate: (200 mL/hr * 10 gtt/mL) / 60 min/hr = 33.33 gtt/min, which rounds to 33 gtt/min. Accurate calculation of drip rates is essential to ensure proper medication administration. In which of the following areas of the client's chest should the nurse place the stethoscope to best hear a pericardial friction rub? - A) Over the left lung base - B) At the apex of the heart - C) Over the left sternal border - D) At the epigastric area Answer: C) Over the left sternal border Rationale: The left sternal border is the best location to auscultate for a pericardial friction rub, which is often heard during both systole and diastole. Proper auscultation in this area maximizes detection of the characteristic high-pitched sound associated with pericardial inflammation. ### 2. Peripheral Vascular Disease Findings A nurse is assessing a client admitted with peripheral vascular disease. Which of the following findings indicates a venous vascular disorder? - A) An ulcer at the tip of a toe - B) Hair loss distal to the client's calves - C) Leg pain at rest - D) Edema of the ankle Answer: D) Edema of the ankle Rationale: Edema is a hallmark of venous vascular disorders, often resulting from fluid accumulation due to venous insufficiency. While other symptoms are associated with arterial disease (e.g., ulceration and pain), edema specifically suggests issues with venous return. --- --- ### 3. Understanding Sublingual Nitroglycerin A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following client statements indicates an understanding of the teaching? - A) "I should lie down when I take this medication." - B) "I can keep my medication for 1 year before replacing it." - C) "I should discontinue this medication if I develop a headache." - D) "I can take up to five tablets in 15 minutes before seeking medical attention." Answer: A) "I should lie down when I take this medication." Rationale: Sublingual nitroglycerin can cause hypotension, so it is advisable for the client to lie down to minimize the risk of falling. Understanding the correct administration techniques is crucial for patient safety. --- --- ### 6. Crutch Use Adaptation A nurse is caring for a client who has a lower extremity fracture and has a prescription for crutches. Which of the following client statements indicates that the client is adapting to their role change? - A) "I will need to have my partner take over shopping for groceries and cooking the meals for us." - B) "I feel bad that I have to ask my partner to keep the house clean." - C) "These crutches will make it impossible to care for my child." - D) "It's going to be difficult to tell my parents I can't take them to their appointments anymore." Answer: A) "I will need to have my partner take over shopping for groceries and cooking the meals for us." Rationale: This statement reflects an acknowledgment of new limitations and a proactive approach to seek support, which is essential for adapting to changes due to injury. --- ### 7. Teaching for Immunocompromised Client A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching? - A) "Wash your perineal area two times each day with antimicrobial soap." - B) "Change the water in your drinking glass every 4 hours." - C) "Change your pet's litter box daily." - D) "Wash your toothbrush in the dishwasher once each month." Answer: C) "Change your pet's litter box daily." Rationale: This is crucial to prevent exposure to zoonotic infections that may be harmful to an immunocompromised individual. Proper hygiene practices are vital for infection prevention. --- ### 5. Care Following Cardiac Catheterization A nurse is planning care for a client following a cardiac catheterization. Which of the following actions should the nurse take? - A) Limit the client's fluid intake to 1 L per day. - B) Change the client's dressing every 8 hr. - C) Keep the client on bed rest for 24 hr. - D) Maintain the client's affected extremity in extension. Answer: D) Maintain the client's affected extremity in extension. Rationale: Keeping the affected extremity straight helps prevent hemorrhage and ensures proper healing following catheterization. Post-procedure monitoring and position are essential for patient safety. ### 8. Medication for Excessive Urinary Output A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hours. Thank you for Purchasing this exam Study Guide. We provide high-quality academic materials to help students excel in exams. Our other Services include but not limited to: academic research, University & College assignments writing, essay writing, Online Classes, and research projects. Our services are reliable, affordable, and plagiarism-free. All the Best in your Exam. For more information; Contact us at: or 0R