ATI RN Medical Surgical
Exam
Questions Bank for 2022
,ATI Medical Surgical Exam – Questions Bank for 2022
1. A patients cap BG level is 120 mg/dL 6 hrs after the nurse initiated a parenteral nutrition
infusion. The appropriate action by the nurse is to
a. Recheck BG 4-6 hrs later
2. After abdominal surgery, a patient w/ protein calorie malnutrition that is receiving PN; what is
the best indicator of adequate nutrition?
a. Surgical incision is healing normally
3. When caring for a patient with a soft, silicone NG tube in place for tube feeding the nurse will
a. Flush the tubing after checking for residual volume
4. A 76 yr old woman w/ a BMI of 17 kg/m2 and a low serum albumin level is being
admitted by the nurse. Which assessment finding will the nurse expect to find?
a. Pitting edema
5. A healthy adult woman who weighs 145 lb asks the clinic nurse about the minimum daily
requirement for protein. How many grams of protein will the nurse recommend?
a. 53
6. Which menu choice best indicates that the patient is implementing the nurses suggestion to
choose high-calorie, high-protein food?
a. Fried chicken with potatoes and gravy
7. The nurse will be teaching self-management to patients after gastric bypass surgery. Which
info will the nurse plan to include?
a. Drink fluids between meals but not with meals
8. A patient is being admitted for bariatric surgery. Which nursing action can the nurse delegate
to UAP?
a. Assist with IV insertion by holding adipose tissue out of the way
,9. After the nurse teaches a patient about the recommended amounts of foods from animal and
plant sources, which menu selections indicate that the initial instructions about diet have
been understood?
a. 3 oz of roasted pork, a cup of corn, and a cup of carrot sticks
10. Which item should the nurse offer to the patient who is to restart oral intake after being NPO
due to nausea and vomiting?
a. Dish of lemon gelatin
11. Which info will the nurse include when teaching adults to decrease the risk of cancers of
the tongue and buccal mucosa?
a. Avoid use of cigarettes and smokeless tobacco
12. Which info will the nurse include when teaching a patient with pepatientic ulcer disease about the
effect of zantac?
a. Ranitidine decreases gastric acid secretion
13. A patient vomiting blood-streaked fluid is admitted to the hospital with acute gastritis. To
determine possible risk factors for gastritis, the nurse will ask the patient about
a. Use of NSAIDs
14. The nurse explaining esomeprazole (Nexium) to a patient with recurring heartburn
describes that the medication
a. Treats GERD by decreasing stomach acid production
15. A patient who has GERD is experiencing increasing discomfort. Which patient statement to the
nurse indicates that additional teaching about GERD is needed?
a. “I eat small meals during the day and have a bedtime snack”
16. The health care provider prescribes antacids and sucralfate (Carafate) for treatment of a
patients pepatientic ulcer. The nurse will teach the patient to take
a. Antacids after meals and sucralfate 30 minutes before meals
, 17. Which info will the nurse include for a patient that is newly diagnosed with GERD?
a. “Keep the HOB elevated on blocks”
18. A patient has pepatientic ulcer disease that has been associated with Helicobacter pylori. About
which meds will the nurse plan to teach the patient?
a. Amoxicillin (Amoxil), clarithromycin (Biaxin), and omeprazole (Prilosec)
19. The nurse evaluates that admin of Hep B vaccine to a healthy patient has been effective
when the patients blood specimen reveals
a. Anti-HBs
20. Which action should the nurse take to evaluate treatment effectiveness for a patient who has
hepatic encephalopathy?
a. Ask the patient to extend both arms forward
21. Which info given by a 70 yr old patient during a health history indicates to the nurse that the
patient should be screened for hep C?
a. The patient used IV drugs about 20 yrs ago
22. Which finding indicates to the nurse that lactulose is effective for an older adult who has
advanced cirrhosis?
a. The patient is alert and oriented
23. A patient is transferred from the recovery room to a surgical unit after a transverse colostomy.
The nurse observes the stoma to be deep pink with edema and a small amount of
sanguineous drainage. The nurse should
a. Document stoma assessment findings
24. The nurse preparing for the annual physical exam of a 50 yr old man will plan to teach
the patient about
a. Colonoscopy
25. A patient with a new ileostomy asks how much drainage to expect. The nurse explains that
Exam
Questions Bank for 2022
,ATI Medical Surgical Exam – Questions Bank for 2022
1. A patients cap BG level is 120 mg/dL 6 hrs after the nurse initiated a parenteral nutrition
infusion. The appropriate action by the nurse is to
a. Recheck BG 4-6 hrs later
2. After abdominal surgery, a patient w/ protein calorie malnutrition that is receiving PN; what is
the best indicator of adequate nutrition?
a. Surgical incision is healing normally
3. When caring for a patient with a soft, silicone NG tube in place for tube feeding the nurse will
a. Flush the tubing after checking for residual volume
4. A 76 yr old woman w/ a BMI of 17 kg/m2 and a low serum albumin level is being
admitted by the nurse. Which assessment finding will the nurse expect to find?
a. Pitting edema
5. A healthy adult woman who weighs 145 lb asks the clinic nurse about the minimum daily
requirement for protein. How many grams of protein will the nurse recommend?
a. 53
6. Which menu choice best indicates that the patient is implementing the nurses suggestion to
choose high-calorie, high-protein food?
a. Fried chicken with potatoes and gravy
7. The nurse will be teaching self-management to patients after gastric bypass surgery. Which
info will the nurse plan to include?
a. Drink fluids between meals but not with meals
8. A patient is being admitted for bariatric surgery. Which nursing action can the nurse delegate
to UAP?
a. Assist with IV insertion by holding adipose tissue out of the way
,9. After the nurse teaches a patient about the recommended amounts of foods from animal and
plant sources, which menu selections indicate that the initial instructions about diet have
been understood?
a. 3 oz of roasted pork, a cup of corn, and a cup of carrot sticks
10. Which item should the nurse offer to the patient who is to restart oral intake after being NPO
due to nausea and vomiting?
a. Dish of lemon gelatin
11. Which info will the nurse include when teaching adults to decrease the risk of cancers of
the tongue and buccal mucosa?
a. Avoid use of cigarettes and smokeless tobacco
12. Which info will the nurse include when teaching a patient with pepatientic ulcer disease about the
effect of zantac?
a. Ranitidine decreases gastric acid secretion
13. A patient vomiting blood-streaked fluid is admitted to the hospital with acute gastritis. To
determine possible risk factors for gastritis, the nurse will ask the patient about
a. Use of NSAIDs
14. The nurse explaining esomeprazole (Nexium) to a patient with recurring heartburn
describes that the medication
a. Treats GERD by decreasing stomach acid production
15. A patient who has GERD is experiencing increasing discomfort. Which patient statement to the
nurse indicates that additional teaching about GERD is needed?
a. “I eat small meals during the day and have a bedtime snack”
16. The health care provider prescribes antacids and sucralfate (Carafate) for treatment of a
patients pepatientic ulcer. The nurse will teach the patient to take
a. Antacids after meals and sucralfate 30 minutes before meals
, 17. Which info will the nurse include for a patient that is newly diagnosed with GERD?
a. “Keep the HOB elevated on blocks”
18. A patient has pepatientic ulcer disease that has been associated with Helicobacter pylori. About
which meds will the nurse plan to teach the patient?
a. Amoxicillin (Amoxil), clarithromycin (Biaxin), and omeprazole (Prilosec)
19. The nurse evaluates that admin of Hep B vaccine to a healthy patient has been effective
when the patients blood specimen reveals
a. Anti-HBs
20. Which action should the nurse take to evaluate treatment effectiveness for a patient who has
hepatic encephalopathy?
a. Ask the patient to extend both arms forward
21. Which info given by a 70 yr old patient during a health history indicates to the nurse that the
patient should be screened for hep C?
a. The patient used IV drugs about 20 yrs ago
22. Which finding indicates to the nurse that lactulose is effective for an older adult who has
advanced cirrhosis?
a. The patient is alert and oriented
23. A patient is transferred from the recovery room to a surgical unit after a transverse colostomy.
The nurse observes the stoma to be deep pink with edema and a small amount of
sanguineous drainage. The nurse should
a. Document stoma assessment findings
24. The nurse preparing for the annual physical exam of a 50 yr old man will plan to teach
the patient about
a. Colonoscopy
25. A patient with a new ileostomy asks how much drainage to expect. The nurse explains that
