• ATI PN Adult 09/18/2026
Medical Exam
ATI PN Adult Medical Surgical 2026 Bundle
(Medsurg) Proctored Exam Comprising NGN
and All Questions and Answers| Detailed
Rationales
. What discharge instruction is most important for a client after a kidney transplant?
a. Weigh weekly.
b. Report symptoms of secondary Candidiasis.
c. Use daily reminders to take immunosuppressants.
d. Stop cigarette smoking. - Correct Answer :C
P 1
, • ATI PN Adult 09/18/2026
Medical Exam
Rationale
After a renal transplantation, acute rejection is a high risk for several months. The organ recipient will have to
take immunosuppressive therapy for the rest of their lives, such as corticosteroids and azathioprine (Imuran), to
prevent organ transplant rejection. Discharge instructions include measures, such as daily reminders, to ensure
the client takes these medications regularly to prevent organ rejection from occurring.
81. The nurse is assessing a client with chronic kidney disease (CKD). Which finding is most important for the
nurse to respond to first?
a. Potassium 6.0 mEq.
b. Daily urine output of 400 ml.
c. Peripheral neuropathy.
d. Uremic fetor.
- Correct Answer :A
Rationale
Hyperkalemia (normal serum level, 3.5 to 5.5 mEq) is a serious electrolyte disorder that can cause fatal
arrhythmias, so the elevation of the potassium level is a nursing priority.
82. In assessing cancer risk, the nurse identifies which woman as being at greatest risk of developing breast
cancer?
a. A 35-year-old multipara who never breastfed.
b. A 50-year-old whose mother had unilateral breast cancer.
c. A 55-year-old whose mother-in-law had bilateral breast cancer.
d. A 20-year-old whose menarche occurred at age 9. - Correct Answer :B
P 2
, • ATI PN Adult 09/18/2026
Medical Exam
Rationale
The most predictive risk factors for development of breast cancer are over 40 years of age and a positive family
history (occurrence in the immediate family, i.e., mother or sister). Other risk factors include nulliparity, no
history of breastfeeding, early menarche and late menopause, but are not considered as predictive as a positive
history of an immediate family member and over 40 years old.
83. A client who is receiving chemotherapy asks the nurse, "Why is so much of my hair falling out each day?"
Which response by the nurse best explains the reason for alopecia?
a. "Chemotherapy affects the cells of the body that grow rapidly, both normal and malignant."
b. "Alopecia is a common side effect you will experience during long-term steroid therapy."
c. "Your hair will grow back completely after your course of chemotherapy is completed."
d. "The chemotherapy causes permanent alterations in your hair follicles that lead to hair loss." –
Correct Answer :A
Rationale
The common adverse effects of chemotherapy (nausea, vomiting, alopecia, bone marrow depression) are due
to chemotherapy's effect on the rapidly reproducing cells, both normal and malignant.
84. A client taking furosemide (Lasix), reports difficulty sleeping. What question is important for the nurse to ask
the client?
a. "What dose of medication are you taking?"
b. "Are you eating foods rich in potassium?"
c. "Have you lost weight recently?"
d. "At what time do you take your medication?" - Correct Answer :D
P 3
, • ATI PN Adult 09/18/2026
Medical Exam
Rationale
The nurse needs to first determine at what time of day the client takes the Lasix. Because of the diuretic effect
of Lasix, clients should take the medication in the morning to prevent nocturia which may be the reason for the
sleep difficulties.
85. An elderly male client comes to the geriatric screening clinic complaining of pain in his left calf. The nurse
notices a reddened area on the calf of his right leg which is warm to the touch and suspects it might be
thrombophlebitis. Which type of pain would further confirm this suspicion?
a. Pain in the calf awakening him from a sound sleep.
b. Calf pain on exertion which stops when standing in one place.
c. Pain in the calf upon exertion which is relieved by rest and elevating the extremity.
d. Pain upon arising in the morning which is relieved after some stretching and exercise. –
Correct Answer :C
Rationale
Thrombophlebitis pain is relieved by rest and elevation of the extremity. It typically occurs with exercise at the
site of the thrombus, and is aggravated by placing the extremity in a dependent position, such as standing in one
place.
86. A postmenopausal client asks the nurse why she is experiencing discomfort during intercourse. What
response is best for the nurse to provide?
a. Estrogen deficiency causes the vaginal tissues to become dry and thinner.
b. Infrequent intercourse results in the vaginal tissues losing their elasticity.
c. Dehydration from inadequate fluid intake causes vulva tissue dryness.
d. Lack of adequate stimulation is the most common reason for dyspareunia. - Correct Answer :A
P 4
Medical Exam
ATI PN Adult Medical Surgical 2026 Bundle
(Medsurg) Proctored Exam Comprising NGN
and All Questions and Answers| Detailed
Rationales
. What discharge instruction is most important for a client after a kidney transplant?
a. Weigh weekly.
b. Report symptoms of secondary Candidiasis.
c. Use daily reminders to take immunosuppressants.
d. Stop cigarette smoking. - Correct Answer :C
P 1
, • ATI PN Adult 09/18/2026
Medical Exam
Rationale
After a renal transplantation, acute rejection is a high risk for several months. The organ recipient will have to
take immunosuppressive therapy for the rest of their lives, such as corticosteroids and azathioprine (Imuran), to
prevent organ transplant rejection. Discharge instructions include measures, such as daily reminders, to ensure
the client takes these medications regularly to prevent organ rejection from occurring.
81. The nurse is assessing a client with chronic kidney disease (CKD). Which finding is most important for the
nurse to respond to first?
a. Potassium 6.0 mEq.
b. Daily urine output of 400 ml.
c. Peripheral neuropathy.
d. Uremic fetor.
- Correct Answer :A
Rationale
Hyperkalemia (normal serum level, 3.5 to 5.5 mEq) is a serious electrolyte disorder that can cause fatal
arrhythmias, so the elevation of the potassium level is a nursing priority.
82. In assessing cancer risk, the nurse identifies which woman as being at greatest risk of developing breast
cancer?
a. A 35-year-old multipara who never breastfed.
b. A 50-year-old whose mother had unilateral breast cancer.
c. A 55-year-old whose mother-in-law had bilateral breast cancer.
d. A 20-year-old whose menarche occurred at age 9. - Correct Answer :B
P 2
, • ATI PN Adult 09/18/2026
Medical Exam
Rationale
The most predictive risk factors for development of breast cancer are over 40 years of age and a positive family
history (occurrence in the immediate family, i.e., mother or sister). Other risk factors include nulliparity, no
history of breastfeeding, early menarche and late menopause, but are not considered as predictive as a positive
history of an immediate family member and over 40 years old.
83. A client who is receiving chemotherapy asks the nurse, "Why is so much of my hair falling out each day?"
Which response by the nurse best explains the reason for alopecia?
a. "Chemotherapy affects the cells of the body that grow rapidly, both normal and malignant."
b. "Alopecia is a common side effect you will experience during long-term steroid therapy."
c. "Your hair will grow back completely after your course of chemotherapy is completed."
d. "The chemotherapy causes permanent alterations in your hair follicles that lead to hair loss." –
Correct Answer :A
Rationale
The common adverse effects of chemotherapy (nausea, vomiting, alopecia, bone marrow depression) are due
to chemotherapy's effect on the rapidly reproducing cells, both normal and malignant.
84. A client taking furosemide (Lasix), reports difficulty sleeping. What question is important for the nurse to ask
the client?
a. "What dose of medication are you taking?"
b. "Are you eating foods rich in potassium?"
c. "Have you lost weight recently?"
d. "At what time do you take your medication?" - Correct Answer :D
P 3
, • ATI PN Adult 09/18/2026
Medical Exam
Rationale
The nurse needs to first determine at what time of day the client takes the Lasix. Because of the diuretic effect
of Lasix, clients should take the medication in the morning to prevent nocturia which may be the reason for the
sleep difficulties.
85. An elderly male client comes to the geriatric screening clinic complaining of pain in his left calf. The nurse
notices a reddened area on the calf of his right leg which is warm to the touch and suspects it might be
thrombophlebitis. Which type of pain would further confirm this suspicion?
a. Pain in the calf awakening him from a sound sleep.
b. Calf pain on exertion which stops when standing in one place.
c. Pain in the calf upon exertion which is relieved by rest and elevating the extremity.
d. Pain upon arising in the morning which is relieved after some stretching and exercise. –
Correct Answer :C
Rationale
Thrombophlebitis pain is relieved by rest and elevation of the extremity. It typically occurs with exercise at the
site of the thrombus, and is aggravated by placing the extremity in a dependent position, such as standing in one
place.
86. A postmenopausal client asks the nurse why she is experiencing discomfort during intercourse. What
response is best for the nurse to provide?
a. Estrogen deficiency causes the vaginal tissues to become dry and thinner.
b. Infrequent intercourse results in the vaginal tissues losing their elasticity.
c. Dehydration from inadequate fluid intake causes vulva tissue dryness.
d. Lack of adequate stimulation is the most common reason for dyspareunia. - Correct Answer :A
P 4
