Medical Surgical 09/07/2026
Exam
ATI RN Adult Medical Surgical 2026 3 Actual
Proctored Exam Featuring All Complete NGN
100 Screenshot Questions and Answers for
Level 3 Pass RN ATI Exam
TEST
A nurse is reinforcing teaching with a client about breast self-examinations. Which of the following statements
by the client indicates an understanding of the teaching?
a) "It is common for one breast to be larger than the other."
b) "It is common for the skin on my breasts to dimple."
c) "I will perform breast exams the day my period begins."
P 1
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
d) "I will perform breast exams every other month." –
Correct Answer :A. "It is common for one breast to be larger than
the other."
Rationale:
It is normal to have asymmetrical breasts, usually, the left breast is bigger than the right.
This is because of the difference in the percentage of breast tissues and fatty tissues, that's why they react
differently to hormonal changes.
"Dimpling on the skin on breasts is NOT common" Physician consultation should be taken regarding this as it can
be a sign of breast cancer.
"Self-breast exams are recommended to be performed after a week when the period starts." The rest of the
month breasts reamain tender due to hormone fluctuation.
"Self-Breast exams should be performed every month." For women in reproductive age usually after a week
when the period starts and at the same day of every month for women who have attained menopause.
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following statements by the
client indicates an understanding of the teaching?
a) "I will need to empty the bag every 4 to 6 hours."
b) "I will use moisturizing soap to clean around
the stoma before applying the bag."
c) "I will use a skin sealant before I apply the bag."
d) "I will cut the wafer opening one-fourth of an
inch larger than the stoma." - Correct Answer :C. "I will use a skin sealant before I apply the
bag."
P 2
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
Rationale:
An ileostomy is an opening in the belly that's made during surgery to allow waste to pass out of the body. It
requires special care to keep the skin around it clean and prevent infection. A skin sealant can protect the skin
from irritation and help the bag stick better. The other statements are incorrect because:
a) You may need to empty the bag more often than every 4 to 6 hours, depending on how much waste you
produce.
b) You should not use moisturizing soap to clean around the stoma, as it can leave a residue that interferes with
the bag's adhesion. You should use plain water or mild soap and rinse well.
d) You should cut the wafer opening to fit snugly around the stoma, not larger than it. A larger opening can
expose the skin to waste and cause irritation
TEST
A nurse is assisting in the plan of care for a client who is dehydrated and is receiving IV fluid replacement. Which
of the following interventions should the nurse contribute to the plan of care?
a) Offer oral fluids every 4 hr.
b) Check for neck vein distention.
c) Limit oral fluids prior to bedtime.
d) Monitor pulse pressure every 6 hr. - Correct Answer :B. Check for neck vein distention.
Rational:
Neck vein distention might be a sign of congestion of fluid in the vascular system, which can occur when a
person is receiving excessive IV fluids.
P 3
, • ATI RN Adult
Medical Surgical 09/07/2026
Exam
Offering oral fluids every 4 hours may be appropriate for a patient who is mildly dehydrated and able to tolerate
oral intake, but it is not recommended for a patient who is severely dehydrated and receiving IV fluid
replacement.
Limiting oral fluids prior to bedtime may be appropriate for a patient with nocturia, but it is not relevant to the
care of a dehydrated patient receiving IV fluid replacement.
Pulse pressure is the difference between the systolic and diastolic blood pressure readings. While monitoring
vital signs, including blood pressure, is important, pulse pressure may not be the most relevant parameter to
track in this context. Other vital signs like heart rate and blood pressure could be more indicative of the client's
overall condition
A nurse is caring for a young adult client who has testicular cancer and expresses concern about their sexual
function following an orchiectomy of the involved testicle. Which of the following responses should the nurse
make?
a) "I'm sure any partner will understand that you
have no control over this."
b) "There are other ways to express intimacy
besides intercourse."
c) "You should focus on recovering from your
cancer right now."
d) "The removal of a single testicle will not
prevent you from having an erection." - Correct Answer :D. "The removal of a single testicle will not
prevent you from having an erection."
TEST
A nurse is collecting data from a client who has hyperthyroidism and is taking propylthiouracil. Which of the
following statements by the client indicates the medication is effective?
P 4