Ati Med Surg Proctored Exam Version A, B, C
& D Latest 2023/ 2026 Test Bank| 4
Versions Each Contains 180 Actual Exam
Questions And Correct Detailed Answers
(Verified Answers) Already Graded A+| Ati
Med Surg Proctored Exams (Brand New!!)
Core Domains
• Perioperative Nursing Care
• Cardiovascular Disorders
• Respiratory Disorders
• Renal and Urinary Disorders
• Gastrointestinal and Hepatic Disorders
• Endocrine and Metabolic Disorders
• Neurological Disorders
• Musculoskeletal and Connective Tissue Disorders
• Hematologic and Oncologic Disorders
• Infection Control and Emergency Nursing
Introduction
,This original medical-surgical practice examination assesses clinical
judgment, prioritization, and safe nursing care across adult health
settings. It emphasizes assessment, intervention, evaluation, and patient
education. Questions are scenario-based and reflect real-world
decision-making, regulatory standards, and professional ethics. The
practice bank supports exam preparation by reinforcing pathophysiology,
pharmacology, and nursing process application.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a client one day after abdominal surgery. Which
assessment finding requires immediate intervention?
A. Blood pressure 118/76 mm Hg
B. Heart rate 122 bpm with warm, flushed skin
C. Serous drainage on the dressing
D. Urine output 40 mL/hr
RATIONALE: Tachycardia with warm, flushed skin may indicate early
sepsis or hemorrhage compensation. This finding requires immediate
follow-up because it suggests systemic deterioration.
Question 2
A client with heart failure reports increased shortness of breath when
lying flat. Which action should the nurse take first?
A. Administer prescribed furosemide
B. Raise the head of the bed
C. Obtain a 12-lead ECG
D. Encourage coughing and deep breathing
, RATIONALE: Raising the head of the bed improves ventilation and
reduces venous return, relieving orthopnea quickly. It is the priority
immediate comfort and safety intervention.
Question 3
A nurse is teaching a client about warfarin therapy. Which statement
indicates correct understanding?
A. “I will increase my intake of leafy green vegetables.”
B. “I will use a soft toothbrush and electric razor.”
C. “I will take aspirin for headaches.”
D. “I will stop the medication if I bruise easily.”
RATIONALE: Warfarin increases bleeding risk. Using a soft
toothbrush and electric razor reduces trauma-related bleeding.
Consistent vitamin K intake is important, but increasing leafy greens can
reduce warfarin effectiveness.
Question 4
A client with COPD has an oxygen saturation of 86% on room air. Which
oxygen delivery method is most appropriate?
A. Venturi mask at 24% to 28%
B. Nonrebreather mask at 10 L/min
C. Simple face mask at 8 L/min
D. Nasal cannula at 6 L/min
RATIONALE: Clients with COPD may rely on hypoxic drive. A Venturi
mask provides precise low-flow oxygen, typically 24% to 28%, reducing
the risk of carbon dioxide retention.
Question 5
, A nurse is assessing a client with acute pancreatitis. Which finding is
most concerning?
A. Serum amylase 250 U/L
B. Blood pressure 88/54 mm Hg and heart rate 124 bpm
C. Nausea and vomiting
D. Epigastric pain radiating to the back
RATIONALE: Hypotension and tachycardia suggest hypovolemic
shock or severe pancreatitis complications. This requires immediate
intervention.
Question 6
A client is receiving digoxin. Which assessment finding indicates possible
digoxin toxicity?
A. Heart rate 88 bpm
B. Visual disturbances and nausea
C. Blood pressure 128/82 mm Hg
D. Serum potassium 4.2 mEq/L
RATIONALE: Anorexia, nausea, vomiting, and visual changes such as
yellow-green halos are classic signs of digoxin toxicity.
Question 7
A nurse is caring for a client after a thyroidectomy. Which finding requires
immediate action?
A. Sore throat
B. Stridor and difficulty breathing
C. Hoarse voice
D. Serum calcium 9.0 mg/dL
& D Latest 2023/ 2026 Test Bank| 4
Versions Each Contains 180 Actual Exam
Questions And Correct Detailed Answers
(Verified Answers) Already Graded A+| Ati
Med Surg Proctored Exams (Brand New!!)
Core Domains
• Perioperative Nursing Care
• Cardiovascular Disorders
• Respiratory Disorders
• Renal and Urinary Disorders
• Gastrointestinal and Hepatic Disorders
• Endocrine and Metabolic Disorders
• Neurological Disorders
• Musculoskeletal and Connective Tissue Disorders
• Hematologic and Oncologic Disorders
• Infection Control and Emergency Nursing
Introduction
,This original medical-surgical practice examination assesses clinical
judgment, prioritization, and safe nursing care across adult health
settings. It emphasizes assessment, intervention, evaluation, and patient
education. Questions are scenario-based and reflect real-world
decision-making, regulatory standards, and professional ethics. The
practice bank supports exam preparation by reinforcing pathophysiology,
pharmacology, and nursing process application.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a client one day after abdominal surgery. Which
assessment finding requires immediate intervention?
A. Blood pressure 118/76 mm Hg
B. Heart rate 122 bpm with warm, flushed skin
C. Serous drainage on the dressing
D. Urine output 40 mL/hr
RATIONALE: Tachycardia with warm, flushed skin may indicate early
sepsis or hemorrhage compensation. This finding requires immediate
follow-up because it suggests systemic deterioration.
Question 2
A client with heart failure reports increased shortness of breath when
lying flat. Which action should the nurse take first?
A. Administer prescribed furosemide
B. Raise the head of the bed
C. Obtain a 12-lead ECG
D. Encourage coughing and deep breathing
, RATIONALE: Raising the head of the bed improves ventilation and
reduces venous return, relieving orthopnea quickly. It is the priority
immediate comfort and safety intervention.
Question 3
A nurse is teaching a client about warfarin therapy. Which statement
indicates correct understanding?
A. “I will increase my intake of leafy green vegetables.”
B. “I will use a soft toothbrush and electric razor.”
C. “I will take aspirin for headaches.”
D. “I will stop the medication if I bruise easily.”
RATIONALE: Warfarin increases bleeding risk. Using a soft
toothbrush and electric razor reduces trauma-related bleeding.
Consistent vitamin K intake is important, but increasing leafy greens can
reduce warfarin effectiveness.
Question 4
A client with COPD has an oxygen saturation of 86% on room air. Which
oxygen delivery method is most appropriate?
A. Venturi mask at 24% to 28%
B. Nonrebreather mask at 10 L/min
C. Simple face mask at 8 L/min
D. Nasal cannula at 6 L/min
RATIONALE: Clients with COPD may rely on hypoxic drive. A Venturi
mask provides precise low-flow oxygen, typically 24% to 28%, reducing
the risk of carbon dioxide retention.
Question 5
, A nurse is assessing a client with acute pancreatitis. Which finding is
most concerning?
A. Serum amylase 250 U/L
B. Blood pressure 88/54 mm Hg and heart rate 124 bpm
C. Nausea and vomiting
D. Epigastric pain radiating to the back
RATIONALE: Hypotension and tachycardia suggest hypovolemic
shock or severe pancreatitis complications. This requires immediate
intervention.
Question 6
A client is receiving digoxin. Which assessment finding indicates possible
digoxin toxicity?
A. Heart rate 88 bpm
B. Visual disturbances and nausea
C. Blood pressure 128/82 mm Hg
D. Serum potassium 4.2 mEq/L
RATIONALE: Anorexia, nausea, vomiting, and visual changes such as
yellow-green halos are classic signs of digoxin toxicity.
Question 7
A nurse is caring for a client after a thyroidectomy. Which finding requires
immediate action?
A. Sore throat
B. Stridor and difficulty breathing
C. Hoarse voice
D. Serum calcium 9.0 mg/dL
