• RN Adult Medical 09/09/2026
Surgical 2026
ATI RN Adult Medical Surgical 2026 Proctored
Exam 3 Actual and Retake Versions
100 NGN Questions and Answers| 2026/2027
Latest Update | Complete Chapter Questions
& Answers with Rationales | Verified Questions
& Answers | Graded A+
The nurse is caring for a patient after emergency surgery. The patient has been taking antihypertensive
medications for several years. For which side effect related to the antihypertensive medications for several years.
For which side effect related to the antihypertensive medications would the nurse monitor?
A. Bradypnea
B. Hypotension
P 1
, • RN Adult Medical 09/09/2026
Surgical 2026
C. Tachycardia
D. Diaphoresis –
Correct Answer :Hypotension
Rationale: Antihypertensives interact with anesthetic agents to cause hypotension. (Note to student: When
patients have emergency surgery, there may be insufficient time to do the typical preoperative preparations
[e.g., NPO, withholding medications, bowel prep]. Thus, the nurse would monitor for complications [e.g.,
vomiting, medication-anesthesia interactions, constipation]).
The patient is instructed to discontinue taking nonsteroidal anti-inflammatory drugs (NSAIDs) for several days
before surgery. What is the best explanation for withholding this medication?
A. "NSAIDs increase susceptibility to postoperative bleeding."
B. "NSAIDs impair healing during the postoperative period."
C. "NSAIDs interact with the medications used for anesthesia."
D. "NSAIDs are associated with an increase in postoperative infections." –
Correct Answer :"NSAIDs increase susceptibility to postoperative bleeding."
Rationale: NSAIDs inhibit platelet aggregation and may prolong bleeding and increase susceptibility to
postoperative bleeding.
A mastectomy is scheduled for an 81-year-old patient. What is the highest priority during the immediate
postoperative recovery period?
A. Assessing for confusion
B. Managing airway
C. Managing pain
P 2
, • RN Adult Medical 09/09/2026
Surgical 2026
D. Monitoring bleeding –
Correct Answer :Managing airway
Rationale: In the immediate postoperative period, all patients are at risk for aspiration related to nausea and
vomiting and will have impaired abilities to manage secretions. Older patients have additional problems related
to age.
The patient is being prepared to go to the operating room. With proper instructions, which tasks can be
delegated to the UAP? Select all that apply.
A. Compare current vital signs to baseline measurements.
B. Assist the patient to remove personal clothing and don a hospital gown.
C. Check the IV pump rate and the IV insertion site.
D. Assist the patient to move from the bed to the stretcher.
E. Ensure that the preoperative checklist is complete.
F. Apply antiembolic stockings.
- Correct Answer :Assist the patient to remove personal clothing and don a hospital gown.
Assist the patient to move from the bed to the stretcher.
Apply antiembolic stockings.
Rationale: The UAP can assist the patient to remove any personal clothing, don hospital attire, apply the
antiembolic stockings, and move from the bed to the stretcher. Comparing data, checking IV sites and
equipment, and completing the postoperative list are nursing responsibilities.
The nurse is caring for a patient who must undergo a breast biopsy. The patient begins to cry softly and says, "I
can't believe this is happening to me." Which response would the nurse use first?
A. "Do you need more information about the procedure?"
P 3
, • RN Adult Medical 09/09/2026
Surgical 2026
B. "The biopsy is a minor procedure, there are very few risks."
C. "Don't worry, everything will be okay; we'll take care of you."
D. "You seem scared; tell me what you are thinking about." –
Correct Answer :"You seem scared; tell me what you are thinking about."
Rationale: The patient may experience fear of the unknown, fear of cancer, or fear of death. Long-term concerns
include mutilation, change of lifestyle, or impact on the family. First the nurse would address the feelings and
then ask the patient to expand on her fears. Based on assessment findings, the other options might be used.
Which patient is most likely to have problems related to medications that are given in the perioperative setting?
A. 23-year-old woman who uses alternative and complementary therapies.
B. 73-year-old woman who takes multiple medications for several chronic conditions.
C. 56-year-old man who recently started an oral antidiabetic medication.
D. 7-year-old child who occasionally uses a rescue inhaler for asthma. –
Correct Answer :73-year-old woman who takes multiple medications for several chronic conditions.
Rationale: While all of these patients have the potential for adverse reactions and drug-drug interactions, the
older patient with polypharmacy and chronic health conditions is the most vulnerable.
The patient says that he has been smoking for years and is likely to continue to smoke before and after his
surgery. Which piece of equipment is the most important to reinforce with the patient?
A. Normal range for pulse oximeter
B. Use of incentive spirometer
C. Use of patient-controlled analgesia pump
D. Operation of the call bell - Correct Answer :Use of incentive spirometer
P 4
Surgical 2026
ATI RN Adult Medical Surgical 2026 Proctored
Exam 3 Actual and Retake Versions
100 NGN Questions and Answers| 2026/2027
Latest Update | Complete Chapter Questions
& Answers with Rationales | Verified Questions
& Answers | Graded A+
The nurse is caring for a patient after emergency surgery. The patient has been taking antihypertensive
medications for several years. For which side effect related to the antihypertensive medications for several years.
For which side effect related to the antihypertensive medications would the nurse monitor?
A. Bradypnea
B. Hypotension
P 1
, • RN Adult Medical 09/09/2026
Surgical 2026
C. Tachycardia
D. Diaphoresis –
Correct Answer :Hypotension
Rationale: Antihypertensives interact with anesthetic agents to cause hypotension. (Note to student: When
patients have emergency surgery, there may be insufficient time to do the typical preoperative preparations
[e.g., NPO, withholding medications, bowel prep]. Thus, the nurse would monitor for complications [e.g.,
vomiting, medication-anesthesia interactions, constipation]).
The patient is instructed to discontinue taking nonsteroidal anti-inflammatory drugs (NSAIDs) for several days
before surgery. What is the best explanation for withholding this medication?
A. "NSAIDs increase susceptibility to postoperative bleeding."
B. "NSAIDs impair healing during the postoperative period."
C. "NSAIDs interact with the medications used for anesthesia."
D. "NSAIDs are associated with an increase in postoperative infections." –
Correct Answer :"NSAIDs increase susceptibility to postoperative bleeding."
Rationale: NSAIDs inhibit platelet aggregation and may prolong bleeding and increase susceptibility to
postoperative bleeding.
A mastectomy is scheduled for an 81-year-old patient. What is the highest priority during the immediate
postoperative recovery period?
A. Assessing for confusion
B. Managing airway
C. Managing pain
P 2
, • RN Adult Medical 09/09/2026
Surgical 2026
D. Monitoring bleeding –
Correct Answer :Managing airway
Rationale: In the immediate postoperative period, all patients are at risk for aspiration related to nausea and
vomiting and will have impaired abilities to manage secretions. Older patients have additional problems related
to age.
The patient is being prepared to go to the operating room. With proper instructions, which tasks can be
delegated to the UAP? Select all that apply.
A. Compare current vital signs to baseline measurements.
B. Assist the patient to remove personal clothing and don a hospital gown.
C. Check the IV pump rate and the IV insertion site.
D. Assist the patient to move from the bed to the stretcher.
E. Ensure that the preoperative checklist is complete.
F. Apply antiembolic stockings.
- Correct Answer :Assist the patient to remove personal clothing and don a hospital gown.
Assist the patient to move from the bed to the stretcher.
Apply antiembolic stockings.
Rationale: The UAP can assist the patient to remove any personal clothing, don hospital attire, apply the
antiembolic stockings, and move from the bed to the stretcher. Comparing data, checking IV sites and
equipment, and completing the postoperative list are nursing responsibilities.
The nurse is caring for a patient who must undergo a breast biopsy. The patient begins to cry softly and says, "I
can't believe this is happening to me." Which response would the nurse use first?
A. "Do you need more information about the procedure?"
P 3
, • RN Adult Medical 09/09/2026
Surgical 2026
B. "The biopsy is a minor procedure, there are very few risks."
C. "Don't worry, everything will be okay; we'll take care of you."
D. "You seem scared; tell me what you are thinking about." –
Correct Answer :"You seem scared; tell me what you are thinking about."
Rationale: The patient may experience fear of the unknown, fear of cancer, or fear of death. Long-term concerns
include mutilation, change of lifestyle, or impact on the family. First the nurse would address the feelings and
then ask the patient to expand on her fears. Based on assessment findings, the other options might be used.
Which patient is most likely to have problems related to medications that are given in the perioperative setting?
A. 23-year-old woman who uses alternative and complementary therapies.
B. 73-year-old woman who takes multiple medications for several chronic conditions.
C. 56-year-old man who recently started an oral antidiabetic medication.
D. 7-year-old child who occasionally uses a rescue inhaler for asthma. –
Correct Answer :73-year-old woman who takes multiple medications for several chronic conditions.
Rationale: While all of these patients have the potential for adverse reactions and drug-drug interactions, the
older patient with polypharmacy and chronic health conditions is the most vulnerable.
The patient says that he has been smoking for years and is likely to continue to smoke before and after his
surgery. Which piece of equipment is the most important to reinforce with the patient?
A. Normal range for pulse oximeter
B. Use of incentive spirometer
C. Use of patient-controlled analgesia pump
D. Operation of the call bell - Correct Answer :Use of incentive spirometer
P 4
