ATI RN MED SURG PROCTORED EXAMS TEST
BANK 2024/2025| 450 ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS| GRADED A+
A licensed nursing practitioner is reviewing the medical records of a hospitalized patient
diagnosed with diabetes insipidus. Which laboratory finding should the practitioner expect? -
CORRECT RESPONSE✔✔ Urine specific gravity of 1.001.
A licensed nursing practitioner is developing a care plan for a hospitalized patient with a
pulmonary embolism. Which intervention should be included? - CORRECT RESPONSE✔✔
Start a continuous IV heparin infusion.
A licensed nursing practitioner is providing discharge instructions to a hospitalized patient
recovering from a sickle cell crisis. What advice should be given? - CORRECT
RESPONSE✔✔ Avoid exposure to extreme hot or cold temperatures.
A licensed nursing practitioner in the emergency department is attending to a hospitalized
patient experiencing hypovolemic shock. What is the first action the practitioner should take? -
CORRECT RESPONSE✔✔ Insert a large-bore IV catheter.
A licensed nursing practitioner is caring for a hospitalized patient with an arteriovenous graft.
Which assessment finding indicates proper circulation in the graft? - CORRECT
RESPONSE✔✔ A palpable thrill.
A licensed nursing practitioner is evaluating a hospitalized patient with heart failure who is
receiving a loop diuretic. Which finding suggests the patient has developed hypokalemia? -
CORRECT RESPONSE✔✔ Muscle weakness.
A licensed nursing practitioner is treating a hospitalized patient diagnosed with diabetic
ketoacidosis (DKA). What is the priority intervention? - CORRECT RESPONSE✔✔
Administer an infusion of 0.9% normal saline.
,A licensed nursing practitioner is providing discharge education to a hospitalized patient with
an ileostomy. Which statement from the patient demonstrates an understanding of the
instructions? - CORRECT RESPONSE✔✔ "I should expect my stools to be loose."
A licensed nursing practitioner is attending to a hospitalized patient receiving total parenteral
nutrition (TPN) through a central line. The current TPN bag is nearly empty, and a replacement
is not yet available from the pharmacy. What should the practitioner do? - CORRECT
RESPONSE✔✔ Switch the infusion to a 10% dextrose solution.
A licensed nursing practitioner in the emergency department is assessing a hospitalized patient.
What is the first action the practitioner should take? (Click the "exhibit" button for additional
patient information.) - CORRECT RESPONSE✔✔ Initiate airborne precautions.
A licensed nursing practitioner is reviewing a hospitalized patient’s medical history to identify
risk factors for colorectal cancer. Which finding increases the patient's risk? - CORRECT
RESPONSE✔✔ A history of Crohn's disease.
A licensed nursing practitioner is providing care for a hospitalized patient scheduled for a
mastectomy. The patient expresses uncertainty about undergoing the procedure. How should
the practitioner respond? - CORRECT RESPONSE✔✔ "I can provide you with more
information about the procedure."
A licensed nursing practitioner is preparing to administer a unit of packed red blood cells
(RBCs) to a hospitalized patient with anemia. Identify the correct sequence of steps the
practitioner should follow:
1. Establish venous access with a 19-gauge needle.
2. Retrieve the unit of packed RBCs from the blood bank.
3. Confirm blood compatibility with another nurse.
4. Begin transfusion of the packed RBCs.
5. Stay with the patient for the first 15 to 30 minutes.
CORRECT RESPONSE✔✔ Follow the steps in the listed order.
,A licensed nursing practitioner is educating a hospitalized patient about post-discharge care
following a modified left radical mastectomy with a breast expander. Which patient statement
indicates comprehension? - CORRECT RESPONSE✔✔ "I should expect drainage of less
than 25 ml per day from the devices."
A critical care licensed nursing practitioner is evaluating a hospitalized patient with a severe
head injury. When subjected to painful stimuli, the patient does not open their eyes, exhibits
decerebrate posturing, and produces incomprehensible sounds. What Glasgow Coma Scale
(GCS) score should the practitioner assign? - CORRECT RESPONSE✔✔ 5.
A licensed nursing practitioner is giving discharge instructions to a hospitalized patient with
heart failure, advising them to limit sodium intake to 2 grams per day. Which statement from
the patient demonstrates an understanding of the guidance? - CORRECT RESPONSE✔✔ "I
can have a frozen fruit juice bar as a dessert."
A licensed nursing practitioner is preparing to perform eye irrigation for a hospitalized patient
who had a chemical splash in the eye. What is the first action the practitioner should take? -
CORRECT RESPONSE✔✔ Instill 0.9% sodium chloride solution into the affected eye.
A licensed nursing practitioner is evaluating a hospitalized patient after extubation from a
ventilator. Which finding requires immediate intervention? - CORRECT RESPONSE✔✔
Stridor.
A licensed nursing practitioner is reviewing lab results for a hospitalized patient diagnosed with
acute pancreatitis. Which laboratory finding should the practitioner anticipate? - CORRECT
RESPONSE✔✔ Elevated blood glucose.
A licensed nursing practitioner is caring for a hospitalized patient who is six hours post-
thyroidectomy and reports tingling and numbness in the hands. This symptom indicates which
electrolyte imbalance? - CORRECT RESPONSE✔✔ Hypocalcemia.
A licensed nursing practitioner in a provider’s office is attending to a hospitalized patient with
total vision loss who has a service dog. How should the practitioner show respect for both the
, patient and the service animal? - CORRECT RESPONSE✔✔ Consult with the patient before
approaching the dog.
A licensed nursing practitioner is reviewing home medications with a hospitalized patient who
has angina. Which statement from the patient demonstrates an understanding of the medication
instructions? - CORRECT RESPONSE✔✔ "I should lie down before taking a dose of
isosorbide dinitrate."
A licensed nursing practitioner in the post-anesthesia care unit is assessing a hospitalized
patient following an appendectomy and notices a 2 cm (3/4 inch) area of blood on the surgical
dressing. What action should the practitioner take? - CORRECT RESPONSE✔✔ Apply
pressure.
A licensed nursing practitioner is caring for a hospitalized patient who is on mechanical
ventilation. Which intervention should the practitioner implement? - CORRECT
RESPONSE✔✔ (Answer missing from the original text.)
A licensed nursing practitioner is planning care for a hospitalized patient with full-thickness
burns on the lower extremities. What action should be included in the care plan? - CORRECT
RESPONSE✔✔ Use a fresh pair of gloves when switching between wound care sites.
A licensed nursing practitioner is educating a hospitalized patient with tuberculosis who has
been prescribed pyrazinamide. The practitioner should advise the patient to report which
adverse effect to the healthcare provider? - CORRECT RESPONSE✔✔ Jaundice.
A licensed nursing practitioner is developing a care plan for a hospitalized patient with left-
sided hemiplegia following a stroke. What should the care plan include? - CORRECT
RESPONSE✔✔ Position the patient's table on their left side.
A licensed nursing practitioner is performing an ear irrigation procedure for a hospitalized
patient. What technique should the practitioner use? - CORRECT RESPONSE✔✔ Aim the
syringe tip toward the upper part of the ear canal.
BANK 2024/2025| 450 ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS| GRADED A+
A licensed nursing practitioner is reviewing the medical records of a hospitalized patient
diagnosed with diabetes insipidus. Which laboratory finding should the practitioner expect? -
CORRECT RESPONSE✔✔ Urine specific gravity of 1.001.
A licensed nursing practitioner is developing a care plan for a hospitalized patient with a
pulmonary embolism. Which intervention should be included? - CORRECT RESPONSE✔✔
Start a continuous IV heparin infusion.
A licensed nursing practitioner is providing discharge instructions to a hospitalized patient
recovering from a sickle cell crisis. What advice should be given? - CORRECT
RESPONSE✔✔ Avoid exposure to extreme hot or cold temperatures.
A licensed nursing practitioner in the emergency department is attending to a hospitalized
patient experiencing hypovolemic shock. What is the first action the practitioner should take? -
CORRECT RESPONSE✔✔ Insert a large-bore IV catheter.
A licensed nursing practitioner is caring for a hospitalized patient with an arteriovenous graft.
Which assessment finding indicates proper circulation in the graft? - CORRECT
RESPONSE✔✔ A palpable thrill.
A licensed nursing practitioner is evaluating a hospitalized patient with heart failure who is
receiving a loop diuretic. Which finding suggests the patient has developed hypokalemia? -
CORRECT RESPONSE✔✔ Muscle weakness.
A licensed nursing practitioner is treating a hospitalized patient diagnosed with diabetic
ketoacidosis (DKA). What is the priority intervention? - CORRECT RESPONSE✔✔
Administer an infusion of 0.9% normal saline.
,A licensed nursing practitioner is providing discharge education to a hospitalized patient with
an ileostomy. Which statement from the patient demonstrates an understanding of the
instructions? - CORRECT RESPONSE✔✔ "I should expect my stools to be loose."
A licensed nursing practitioner is attending to a hospitalized patient receiving total parenteral
nutrition (TPN) through a central line. The current TPN bag is nearly empty, and a replacement
is not yet available from the pharmacy. What should the practitioner do? - CORRECT
RESPONSE✔✔ Switch the infusion to a 10% dextrose solution.
A licensed nursing practitioner in the emergency department is assessing a hospitalized patient.
What is the first action the practitioner should take? (Click the "exhibit" button for additional
patient information.) - CORRECT RESPONSE✔✔ Initiate airborne precautions.
A licensed nursing practitioner is reviewing a hospitalized patient’s medical history to identify
risk factors for colorectal cancer. Which finding increases the patient's risk? - CORRECT
RESPONSE✔✔ A history of Crohn's disease.
A licensed nursing practitioner is providing care for a hospitalized patient scheduled for a
mastectomy. The patient expresses uncertainty about undergoing the procedure. How should
the practitioner respond? - CORRECT RESPONSE✔✔ "I can provide you with more
information about the procedure."
A licensed nursing practitioner is preparing to administer a unit of packed red blood cells
(RBCs) to a hospitalized patient with anemia. Identify the correct sequence of steps the
practitioner should follow:
1. Establish venous access with a 19-gauge needle.
2. Retrieve the unit of packed RBCs from the blood bank.
3. Confirm blood compatibility with another nurse.
4. Begin transfusion of the packed RBCs.
5. Stay with the patient for the first 15 to 30 minutes.
CORRECT RESPONSE✔✔ Follow the steps in the listed order.
,A licensed nursing practitioner is educating a hospitalized patient about post-discharge care
following a modified left radical mastectomy with a breast expander. Which patient statement
indicates comprehension? - CORRECT RESPONSE✔✔ "I should expect drainage of less
than 25 ml per day from the devices."
A critical care licensed nursing practitioner is evaluating a hospitalized patient with a severe
head injury. When subjected to painful stimuli, the patient does not open their eyes, exhibits
decerebrate posturing, and produces incomprehensible sounds. What Glasgow Coma Scale
(GCS) score should the practitioner assign? - CORRECT RESPONSE✔✔ 5.
A licensed nursing practitioner is giving discharge instructions to a hospitalized patient with
heart failure, advising them to limit sodium intake to 2 grams per day. Which statement from
the patient demonstrates an understanding of the guidance? - CORRECT RESPONSE✔✔ "I
can have a frozen fruit juice bar as a dessert."
A licensed nursing practitioner is preparing to perform eye irrigation for a hospitalized patient
who had a chemical splash in the eye. What is the first action the practitioner should take? -
CORRECT RESPONSE✔✔ Instill 0.9% sodium chloride solution into the affected eye.
A licensed nursing practitioner is evaluating a hospitalized patient after extubation from a
ventilator. Which finding requires immediate intervention? - CORRECT RESPONSE✔✔
Stridor.
A licensed nursing practitioner is reviewing lab results for a hospitalized patient diagnosed with
acute pancreatitis. Which laboratory finding should the practitioner anticipate? - CORRECT
RESPONSE✔✔ Elevated blood glucose.
A licensed nursing practitioner is caring for a hospitalized patient who is six hours post-
thyroidectomy and reports tingling and numbness in the hands. This symptom indicates which
electrolyte imbalance? - CORRECT RESPONSE✔✔ Hypocalcemia.
A licensed nursing practitioner in a provider’s office is attending to a hospitalized patient with
total vision loss who has a service dog. How should the practitioner show respect for both the
, patient and the service animal? - CORRECT RESPONSE✔✔ Consult with the patient before
approaching the dog.
A licensed nursing practitioner is reviewing home medications with a hospitalized patient who
has angina. Which statement from the patient demonstrates an understanding of the medication
instructions? - CORRECT RESPONSE✔✔ "I should lie down before taking a dose of
isosorbide dinitrate."
A licensed nursing practitioner in the post-anesthesia care unit is assessing a hospitalized
patient following an appendectomy and notices a 2 cm (3/4 inch) area of blood on the surgical
dressing. What action should the practitioner take? - CORRECT RESPONSE✔✔ Apply
pressure.
A licensed nursing practitioner is caring for a hospitalized patient who is on mechanical
ventilation. Which intervention should the practitioner implement? - CORRECT
RESPONSE✔✔ (Answer missing from the original text.)
A licensed nursing practitioner is planning care for a hospitalized patient with full-thickness
burns on the lower extremities. What action should be included in the care plan? - CORRECT
RESPONSE✔✔ Use a fresh pair of gloves when switching between wound care sites.
A licensed nursing practitioner is educating a hospitalized patient with tuberculosis who has
been prescribed pyrazinamide. The practitioner should advise the patient to report which
adverse effect to the healthcare provider? - CORRECT RESPONSE✔✔ Jaundice.
A licensed nursing practitioner is developing a care plan for a hospitalized patient with left-
sided hemiplegia following a stroke. What should the care plan include? - CORRECT
RESPONSE✔✔ Position the patient's table on their left side.
A licensed nursing practitioner is performing an ear irrigation procedure for a hospitalized
patient. What technique should the practitioner use? - CORRECT RESPONSE✔✔ Aim the
syringe tip toward the upper part of the ear canal.
