ATI Med Surg Proctored Exam Version
A, B, C & D Latest 2026/2027 Test Bank
Already Graded A+ (BRAND NEW !!!!)
1) A nurse is caring for a client immediately following a cardiac catheterization with a femoral artery
approach. Which of the following actions should the nurse take?
A) Check pedal pulses every 15 minutes
B) Maintain the client on bed rest for 2 hours
C) Elevate the head of the bed to 90 degrees
D) Remove the pressure dressing after 1 hour
Correct Answer: A
Checking pedal pulses every 15 minutes is essential to monitor for complications such as bleeding or hematoma
formation that could compromise circulation .
2) A nurse is collecting data on a client's wound. The nurse observes that the wound surface is covered with
soft, red tissue that bleeds easily. The nurse should recognize this is a manifestation of which of the following?
A) Necrotic tissue
B) Granulation tissue
C) Purulent drainage
D) Eschar
Correct Answer: B
Granulation tissue is soft, red, and bleeds easily, indicating healthy wound healing .
3) A nurse is caring for a client who has multiple myeloma and has a WBC count of 2,200/mm3. Which of the
following food items brought by the family should the nurse prohibit from being given to the client?
A) Fresh fruit basket
B) Cooked vegetables
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,C) Pasteurized milk
D) Canned soup
Correct Answer: A
Fresh fruits can harbor bacteria and should be avoided in clients with severe neutropenia (WBC < 2,000/mm3) .
4) A nurse is contributing to the plan of care for an older adult client who is postoperative following a right
hip arthroplasty. Which of the following interventions should the nurse include?
A) Maintain abduction of the right hip
B) Flex the hip greater than 90 degrees
C) Position the client on the affected side
D) Encourage crossing of the legs
Correct Answer: A
Maintaining abduction prevents dislocation of the new hip prosthesis .
5) A nurse is caring for a client who has heart failure and respiratory arrest. Which of the following actions
should the nurse take first?
A) Feel for a carotid pulse
B) Begin chest compressions
C) Administer rescue breaths
D) Attach the AED
Correct Answer: A
Checking for a carotid pulse is the first step to confirm cardiac arrest before initiating CPR .
6) A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer
certain he wants to have the procedure. Which of the following responses should the nurse make?
A) "You should discuss your concerns with your surgeon."
B) "Bypass surgery must be very frightening for you."
C) "You will feel better after the surgery."
D) "The surgery is necessary to save your life."
Correct Answer: B
Acknowledging the client's feelings is therapeutic and promotes trust .
7) A nurse is caring for a client who is postoperative following foot surgery and is not to bear weight on the
operative foot. The nurse enters the room to discover the client hopped on one foot to the bathroom, using an
IV pole for support. Which of the following actions should the nurse take?
A) Tell the client to remain in the bathroom after toileting and obtain a wheelchair
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, B) Assist the client back to bed immediately
C) Document the incident and continue monitoring
D) Apply restraints to prevent further falls
Correct Answer: A
Keeping the client safe in the bathroom and obtaining a wheelchair prevents injury from a fall .
8) A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following
statements by the client indicates an understanding of the teaching?
A) "I will abstain from sexual intercourse."
B) "I can share food with my family."
C) "I can return to work immediately."
D) "I will stop taking my medications."
Correct Answer: A
Hepatitis A is transmitted via the fecal-oral route; abstaining from sexual intercourse is not the primary prevention.
However, in the context of the options provided, avoiding sexual contact reduces transmission risk. The primary
prevention is hand hygiene and avoiding contaminated food/water .
9) A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with
emphysema. Which of the following instructions should be included in the teaching?
A) Breathe in through her nose and out through pursed lips
B) Increase oxygen flow rate to 6 L/min
C) Lie flat to promote lung expansion
D) Avoid all physical activity
Correct Answer: A
Pursed-lip breathing helps prevent airway collapse and improves gas exchange in emphysema .
10) A nurse is reinforcing teaching with a client who has a new prescription for epoetin alfa. The nurse should
reinforce to the client to take which of the following dietary supplements with this medication?
A) Iron
B) Calcium
C) Potassium
D) Vitamin D
Correct Answer: A
Iron supplementation is essential with epoetin alfa to support red blood cell production .
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A, B, C & D Latest 2026/2027 Test Bank
Already Graded A+ (BRAND NEW !!!!)
1) A nurse is caring for a client immediately following a cardiac catheterization with a femoral artery
approach. Which of the following actions should the nurse take?
A) Check pedal pulses every 15 minutes
B) Maintain the client on bed rest for 2 hours
C) Elevate the head of the bed to 90 degrees
D) Remove the pressure dressing after 1 hour
Correct Answer: A
Checking pedal pulses every 15 minutes is essential to monitor for complications such as bleeding or hematoma
formation that could compromise circulation .
2) A nurse is collecting data on a client's wound. The nurse observes that the wound surface is covered with
soft, red tissue that bleeds easily. The nurse should recognize this is a manifestation of which of the following?
A) Necrotic tissue
B) Granulation tissue
C) Purulent drainage
D) Eschar
Correct Answer: B
Granulation tissue is soft, red, and bleeds easily, indicating healthy wound healing .
3) A nurse is caring for a client who has multiple myeloma and has a WBC count of 2,200/mm3. Which of the
following food items brought by the family should the nurse prohibit from being given to the client?
A) Fresh fruit basket
B) Cooked vegetables
Page 1 of 19
,C) Pasteurized milk
D) Canned soup
Correct Answer: A
Fresh fruits can harbor bacteria and should be avoided in clients with severe neutropenia (WBC < 2,000/mm3) .
4) A nurse is contributing to the plan of care for an older adult client who is postoperative following a right
hip arthroplasty. Which of the following interventions should the nurse include?
A) Maintain abduction of the right hip
B) Flex the hip greater than 90 degrees
C) Position the client on the affected side
D) Encourage crossing of the legs
Correct Answer: A
Maintaining abduction prevents dislocation of the new hip prosthesis .
5) A nurse is caring for a client who has heart failure and respiratory arrest. Which of the following actions
should the nurse take first?
A) Feel for a carotid pulse
B) Begin chest compressions
C) Administer rescue breaths
D) Attach the AED
Correct Answer: A
Checking for a carotid pulse is the first step to confirm cardiac arrest before initiating CPR .
6) A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer
certain he wants to have the procedure. Which of the following responses should the nurse make?
A) "You should discuss your concerns with your surgeon."
B) "Bypass surgery must be very frightening for you."
C) "You will feel better after the surgery."
D) "The surgery is necessary to save your life."
Correct Answer: B
Acknowledging the client's feelings is therapeutic and promotes trust .
7) A nurse is caring for a client who is postoperative following foot surgery and is not to bear weight on the
operative foot. The nurse enters the room to discover the client hopped on one foot to the bathroom, using an
IV pole for support. Which of the following actions should the nurse take?
A) Tell the client to remain in the bathroom after toileting and obtain a wheelchair
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, B) Assist the client back to bed immediately
C) Document the incident and continue monitoring
D) Apply restraints to prevent further falls
Correct Answer: A
Keeping the client safe in the bathroom and obtaining a wheelchair prevents injury from a fall .
8) A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following
statements by the client indicates an understanding of the teaching?
A) "I will abstain from sexual intercourse."
B) "I can share food with my family."
C) "I can return to work immediately."
D) "I will stop taking my medications."
Correct Answer: A
Hepatitis A is transmitted via the fecal-oral route; abstaining from sexual intercourse is not the primary prevention.
However, in the context of the options provided, avoiding sexual contact reduces transmission risk. The primary
prevention is hand hygiene and avoiding contaminated food/water .
9) A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with
emphysema. Which of the following instructions should be included in the teaching?
A) Breathe in through her nose and out through pursed lips
B) Increase oxygen flow rate to 6 L/min
C) Lie flat to promote lung expansion
D) Avoid all physical activity
Correct Answer: A
Pursed-lip breathing helps prevent airway collapse and improves gas exchange in emphysema .
10) A nurse is reinforcing teaching with a client who has a new prescription for epoetin alfa. The nurse should
reinforce to the client to take which of the following dietary supplements with this medication?
A) Iron
B) Calcium
C) Potassium
D) Vitamin D
Correct Answer: A
Iron supplementation is essential with epoetin alfa to support red blood cell production .
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