ATI PN ADULT MEDICAL SURGICAL
PROCTORED EXAM LATEST ALL VERSIONS
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
2026/2027 WITH FREE PRACTICE TEST SETS.
SECTION 1: ORIGINAL QUESTIONS WITH MULTIPLE CHOICE OPTIONS
Question 1
A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the
following laboratory levels should the nurse review prior to the procedure?
A. Hemoglobin
B. BUN
C. Platelet count
D. WBC count
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. BUN
Rationale: BUN levels indicate kidney function. The nurse should review the lab level to
determine if the client can tolerate the IV contrast dye during the procedure. Elevated BUN may
indicate renal impairment, placing the client at risk for contrast-induced nephropathy.
Question 2
,A nurse is assisting in the plan of care regarding bowel retraining for a client who has a cervical
spinal cord injury. Which of the following interventions should the nurse plan to implement
first?
A. Administer a suppository every morning
B. Determine the client's daily elimination habits
C. Provide a high-fiber diet
D. Encourage increased fluid intake
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. Determine the client's daily
elimination habits
Rationale: The first step in bowel retraining is to assess the client's current elimination patterns.
This provides a baseline for developing an individualized bowel program. Understanding the
client's daily habits allows the nurse to plan interventions that align with the client's natural
schedule.
Question 3
A nurse is discussing health screening guidelines with an older adult client. Which of the
following statements should the nurse include?
A. "You should have a colonoscopy every 15 years."
B. "You should have a pneumococcal immunization every 10 years."
C. "You should have a tetanus booster every 5 years."
D. "You should have a mammogram every 5 years."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. "You should have a pneumococcal
immunization every 10 years."
Rationale: The CDC recommends that adults 65 years and older receive a pneumococcal
vaccine. Revaccination may be recommended every 10 years for certain populations. This
immunization helps prevent pneumococcal pneumonia, which can be life-threatening in older
adults.
,Question 4
A nurse is reinforcing teaching with a client who has asthma. Which of the following client
statements indicates an understanding of the use of budesonide and albuterol inhalers? (Select
all that apply)
A. "I never forget to rinse my mouth after using my budesonide inhaler."
B. "Between office visits, I keep a record of how many times I use my albuterol inhaler."
C. "I use my albuterol inhaler before I go swimming."
D. "I use budesonide as a rescue inhaler during asthma attacks."
E. "I should use budesonide immediately after using albuterol."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A, B, C
Rationale:
• A: Rinsing the mouth after using budesonide (a corticosteroid) prevents oral candidiasis.
• B: Tracking albuterol use helps monitor asthma control and identify worsening
conditions.
• C: Using albuterol (a bronchodilator) before exercise prevents exercise-induced
bronchospasm.
• D is incorrect because budesonide is a controller medication, not a rescue inhaler.
• E is incorrect because albuterol should be used first to open airways, then budesonide.
Question 5
A nurse in a long-term care facility is collecting data from a client who reports fullness in the
rectum and abdominal cramping. Which of the following findings should indicate to the nurse
that the client might have a fecal impaction?
A. Large, formed stool
B. Small liquid stools
, C. Absent bowel sounds
D. Bloody diarrhea
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. Small liquid stools
Rationale: Small liquid stools can indicate a fecal impaction because liquid stool seeps around
the impacted stool. This is often accompanied by abdominal cramping and rectal fullness. The
nurse should perform a digital examination to confirm the impaction.
Question 6
A nurse is reinforcing teaching with the family of a client who has a cervical injury and has a
halo vest in place. Which of the following safety precautions should the nurse include in
teaching?
A. Change the sheepskin liner weekly
B. Remove the vest for bathing
C. Loosen the screws every week
D. Clean the pin sites with alcohol daily
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. Change the sheepskin liner weekly
Rationale: The sheepskin liner should be changed weekly to prevent skin breakdown and
infection. The halo vest should never be removed by anyone other than a qualified provider. Pin
sites should be cleaned according to provider orders, typically with sterile technique.
Question 7
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has
skin cancer. Which of the following information should the nurse include in the teaching?
A. Mohs surgery is a vertical excision of the tumor
B. Mohs surgery is a horizontal shaving of thin layers of the tumor
C. Mohs surgery requires general anesthesia
D. Mohs surgery is only used for melanoma
PROCTORED EXAM LATEST ALL VERSIONS
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
2026/2027 WITH FREE PRACTICE TEST SETS.
SECTION 1: ORIGINAL QUESTIONS WITH MULTIPLE CHOICE OPTIONS
Question 1
A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the
following laboratory levels should the nurse review prior to the procedure?
A. Hemoglobin
B. BUN
C. Platelet count
D. WBC count
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. BUN
Rationale: BUN levels indicate kidney function. The nurse should review the lab level to
determine if the client can tolerate the IV contrast dye during the procedure. Elevated BUN may
indicate renal impairment, placing the client at risk for contrast-induced nephropathy.
Question 2
,A nurse is assisting in the plan of care regarding bowel retraining for a client who has a cervical
spinal cord injury. Which of the following interventions should the nurse plan to implement
first?
A. Administer a suppository every morning
B. Determine the client's daily elimination habits
C. Provide a high-fiber diet
D. Encourage increased fluid intake
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. Determine the client's daily
elimination habits
Rationale: The first step in bowel retraining is to assess the client's current elimination patterns.
This provides a baseline for developing an individualized bowel program. Understanding the
client's daily habits allows the nurse to plan interventions that align with the client's natural
schedule.
Question 3
A nurse is discussing health screening guidelines with an older adult client. Which of the
following statements should the nurse include?
A. "You should have a colonoscopy every 15 years."
B. "You should have a pneumococcal immunization every 10 years."
C. "You should have a tetanus booster every 5 years."
D. "You should have a mammogram every 5 years."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. "You should have a pneumococcal
immunization every 10 years."
Rationale: The CDC recommends that adults 65 years and older receive a pneumococcal
vaccine. Revaccination may be recommended every 10 years for certain populations. This
immunization helps prevent pneumococcal pneumonia, which can be life-threatening in older
adults.
,Question 4
A nurse is reinforcing teaching with a client who has asthma. Which of the following client
statements indicates an understanding of the use of budesonide and albuterol inhalers? (Select
all that apply)
A. "I never forget to rinse my mouth after using my budesonide inhaler."
B. "Between office visits, I keep a record of how many times I use my albuterol inhaler."
C. "I use my albuterol inhaler before I go swimming."
D. "I use budesonide as a rescue inhaler during asthma attacks."
E. "I should use budesonide immediately after using albuterol."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A, B, C
Rationale:
• A: Rinsing the mouth after using budesonide (a corticosteroid) prevents oral candidiasis.
• B: Tracking albuterol use helps monitor asthma control and identify worsening
conditions.
• C: Using albuterol (a bronchodilator) before exercise prevents exercise-induced
bronchospasm.
• D is incorrect because budesonide is a controller medication, not a rescue inhaler.
• E is incorrect because albuterol should be used first to open airways, then budesonide.
Question 5
A nurse in a long-term care facility is collecting data from a client who reports fullness in the
rectum and abdominal cramping. Which of the following findings should indicate to the nurse
that the client might have a fecal impaction?
A. Large, formed stool
B. Small liquid stools
, C. Absent bowel sounds
D. Bloody diarrhea
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. Small liquid stools
Rationale: Small liquid stools can indicate a fecal impaction because liquid stool seeps around
the impacted stool. This is often accompanied by abdominal cramping and rectal fullness. The
nurse should perform a digital examination to confirm the impaction.
Question 6
A nurse is reinforcing teaching with the family of a client who has a cervical injury and has a
halo vest in place. Which of the following safety precautions should the nurse include in
teaching?
A. Change the sheepskin liner weekly
B. Remove the vest for bathing
C. Loosen the screws every week
D. Clean the pin sites with alcohol daily
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. Change the sheepskin liner weekly
Rationale: The sheepskin liner should be changed weekly to prevent skin breakdown and
infection. The halo vest should never be removed by anyone other than a qualified provider. Pin
sites should be cleaned according to provider orders, typically with sterile technique.
Question 7
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has
skin cancer. Which of the following information should the nurse include in the teaching?
A. Mohs surgery is a vertical excision of the tumor
B. Mohs surgery is a horizontal shaving of thin layers of the tumor
C. Mohs surgery requires general anesthesia
D. Mohs surgery is only used for melanoma
