Page 1 of 69
ATI MED SURG PROCTORED EXAM ACTUAL QUESTIONS
AND 100% CORRECT ANSWERS LATEST 2023, 2024/2025 NEW
TEST BANK (2025 ATI MED SURG PROCTORED EXAM NGN)
GUARANTEED PASS
A nurse in the emergency department is managing the care of a client who has an electrical
shock injury. Which of the following actions should the nurse take first?
A. Change dressings over the entrance and exit wounds.
B. Obtain an ECG.
C. Administer an opioid pain medication.
D. Titrate IV fluids to maintain urine output at 75 mL/hr.
A nurse is assessing a client who is postoperative following a transurethral resection of the
prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the
nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions
should the nurse take?
A. Apply a cold compress to the suprapubic area.
B. Secure the urinary catheter to the upper left quadrant of the client's abdomen.
C. Use 0.9% sodium chloride to perform an intermittent bladder irrigation.
D. Encourage the client to urinate every 2 hr.
A nurse is assessing a client who has a urinary catheter. The nurse notes the client's IV tubing is
kinked and the urinary catheter bag is lying next to the client in bed. The nurse should identify
that the client is at risk for which of the following conditions?
A. Skin breakdown
B. Infection
C. Neurogenic bladder
D. Phlebitis
A nurse is caring for a client who is postoperative following an endoscopy with moderate
(conscious) sedation. Which of the following assessment findings is the nurse's priority?
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A. Level of pain
B. Temperature
C. Warmth of extremities
D. Gag reflex
A nurse is providing instructions to a client who has primary syphilis. Which of the following
instructions should the nurse include in the discharge plan?
A. "You will need to take an antiviral medication for 6 months."
B. "You will need cryotherapy for 1 to 2 weeks."
C. "You will need three follow-up blood tests within a 24-month period."
D. "You will need to be monitored for 15 minutes after receiving each medication dose
A nurse is teaching the family of a client who has Alzheimer's disease about caring for the client
at home. Which of the following instructions should the nurse include?
A. Cover electrical outlets in the client's home with tape.
B. Keep the client's bedroom dark at night.
C. Hang a monthly calendar in the client's bedroom.
D. Place a large-face clock in the client's bedroom.
A nurse is caring for a client who has an arteriovenous graft. Which of the following findings
indicates adequate circulation of the graft?
A. Palpable thrill
B. Absence of a bruit
C. Normotensive blood pressure
D. Dilated appearance of the graft
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client
has become dyspneic with a blood pressure of 140/100 mm Hg. a fluid intake of 960 mL, and an
output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?
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A. Slow infusion rate and contact the provider.
B. Lower the head of the bed to semi-Fowler's.
C. Administer prescribed corticosteroids.
D. Change infusion to Lactated Ringer's and maintain rate.
Client came to the emergency department this morning and reports not feeling well for the last
12 hr and increasing blood glucose. Client has a history of type 1 diabetes mellitus and
hypertension. Client weight is 88 kg (194 lb). The client was recently treated for bronchitis and
pneumonia. Client reports nausea and decreased appetite. Client is alert and orientated x 4, heart
and lung sounds are clear. Client states that they have been frequently urinating and are
extremely thirsty. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 1+.
Slight tenting of skin. Peripheral IV established and labs drawn.The nurse is caring for the client
in the ED. The nurse understands that the client is at risk of developing which of the following
complications? (Select all that apply.)
A. Hypotension
B. Respiratory alkalosis
C. Septic shock
D. Cardiac arrhythmias
E. Renal failure
F. Cerebral edema
10. D. Regular insulin continuous intravenous infusion, titrate per diabetic ketoacidosis (DKA)
protocol once potassium is greater than 3.3 mEq/L. E. 0.9% sodium chloride at 15 ml/kg/hr for 1
hr and then reduce to 10 ml/kg/hr. H. Monitor urine outputs.: 1.
Client came to the emergency department this morning and reports not feeling well for the last
12 hr and increasing blood glucose. Client has a history of type 1 diabetes mellitus and
hypertension. Client weight is 88 kg (194 lb). The client was recently treated for bronchitis and
pneumonia. Client reports nausea and decreased appetite. Client is alert and orientated x 4, heart
and lung sounds are clear. Client states that they have been frequently urinating and are
extremely thirsty. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 1+.
Slight tenting of skin. Peripheral IV established and labs drawn.the client is at risk of developing
which of the following complications? (Select all that apply.)
A. Potassium chloride 20 mEq/L intravenous PRN potassium less than 5.0 mEq/L.
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B. Initiate cardiac monitoring.
C. Regular insulin 20 units subcutaneously.
D. Regular insulin continuous intravenous infusion, titrate per diabetic ketoacidosis (DKA)
protocol once potassium is greater than 3.3 mEq/L.
E. 0.9% sodium chloride at 15 ml/kg/hr for 1 hr and then reduce to 10 ml/kg/hr.
H. Monitor urine outputs.
A nurse is asking a preoperative client about food allergies. Which of the following food
allergies indicates a potential reaction to propofol?
A. Shellfish
B. Eggs
C. Strawberries
D. Avocados
A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation
and asks about the purpose of maintaining an elastic bandage around the residual limb of the
extremity. Which of the following is an appropriate response by the nurse?
A. "The elastic bandage will prevent a postoperative wound infection."
B. "The elastic bandage will prevent excessive edema."
C. "The elastic bandage will keep you from seeing the surgical site."
D. "The elastic bandage will keep the sutures from loosening."
A nurse is providing discharge teaching to a client who had a bilateral orchiectomy. The nurse
should instruct the client to expect which of the following symptoms?
A. Increased libido
B. Hypoglycemia
C. Hot flashes
D. Increased muscle mass
ATI MED SURG PROCTORED EXAM ACTUAL QUESTIONS
AND 100% CORRECT ANSWERS LATEST 2023, 2024/2025 NEW
TEST BANK (2025 ATI MED SURG PROCTORED EXAM NGN)
GUARANTEED PASS
A nurse in the emergency department is managing the care of a client who has an electrical
shock injury. Which of the following actions should the nurse take first?
A. Change dressings over the entrance and exit wounds.
B. Obtain an ECG.
C. Administer an opioid pain medication.
D. Titrate IV fluids to maintain urine output at 75 mL/hr.
A nurse is assessing a client who is postoperative following a transurethral resection of the
prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the
nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions
should the nurse take?
A. Apply a cold compress to the suprapubic area.
B. Secure the urinary catheter to the upper left quadrant of the client's abdomen.
C. Use 0.9% sodium chloride to perform an intermittent bladder irrigation.
D. Encourage the client to urinate every 2 hr.
A nurse is assessing a client who has a urinary catheter. The nurse notes the client's IV tubing is
kinked and the urinary catheter bag is lying next to the client in bed. The nurse should identify
that the client is at risk for which of the following conditions?
A. Skin breakdown
B. Infection
C. Neurogenic bladder
D. Phlebitis
A nurse is caring for a client who is postoperative following an endoscopy with moderate
(conscious) sedation. Which of the following assessment findings is the nurse's priority?
, Page 2 of 69
A. Level of pain
B. Temperature
C. Warmth of extremities
D. Gag reflex
A nurse is providing instructions to a client who has primary syphilis. Which of the following
instructions should the nurse include in the discharge plan?
A. "You will need to take an antiviral medication for 6 months."
B. "You will need cryotherapy for 1 to 2 weeks."
C. "You will need three follow-up blood tests within a 24-month period."
D. "You will need to be monitored for 15 minutes after receiving each medication dose
A nurse is teaching the family of a client who has Alzheimer's disease about caring for the client
at home. Which of the following instructions should the nurse include?
A. Cover electrical outlets in the client's home with tape.
B. Keep the client's bedroom dark at night.
C. Hang a monthly calendar in the client's bedroom.
D. Place a large-face clock in the client's bedroom.
A nurse is caring for a client who has an arteriovenous graft. Which of the following findings
indicates adequate circulation of the graft?
A. Palpable thrill
B. Absence of a bruit
C. Normotensive blood pressure
D. Dilated appearance of the graft
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client
has become dyspneic with a blood pressure of 140/100 mm Hg. a fluid intake of 960 mL, and an
output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?
, Page 3 of 69
A. Slow infusion rate and contact the provider.
B. Lower the head of the bed to semi-Fowler's.
C. Administer prescribed corticosteroids.
D. Change infusion to Lactated Ringer's and maintain rate.
Client came to the emergency department this morning and reports not feeling well for the last
12 hr and increasing blood glucose. Client has a history of type 1 diabetes mellitus and
hypertension. Client weight is 88 kg (194 lb). The client was recently treated for bronchitis and
pneumonia. Client reports nausea and decreased appetite. Client is alert and orientated x 4, heart
and lung sounds are clear. Client states that they have been frequently urinating and are
extremely thirsty. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 1+.
Slight tenting of skin. Peripheral IV established and labs drawn.The nurse is caring for the client
in the ED. The nurse understands that the client is at risk of developing which of the following
complications? (Select all that apply.)
A. Hypotension
B. Respiratory alkalosis
C. Septic shock
D. Cardiac arrhythmias
E. Renal failure
F. Cerebral edema
10. D. Regular insulin continuous intravenous infusion, titrate per diabetic ketoacidosis (DKA)
protocol once potassium is greater than 3.3 mEq/L. E. 0.9% sodium chloride at 15 ml/kg/hr for 1
hr and then reduce to 10 ml/kg/hr. H. Monitor urine outputs.: 1.
Client came to the emergency department this morning and reports not feeling well for the last
12 hr and increasing blood glucose. Client has a history of type 1 diabetes mellitus and
hypertension. Client weight is 88 kg (194 lb). The client was recently treated for bronchitis and
pneumonia. Client reports nausea and decreased appetite. Client is alert and orientated x 4, heart
and lung sounds are clear. Client states that they have been frequently urinating and are
extremely thirsty. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 1+.
Slight tenting of skin. Peripheral IV established and labs drawn.the client is at risk of developing
which of the following complications? (Select all that apply.)
A. Potassium chloride 20 mEq/L intravenous PRN potassium less than 5.0 mEq/L.
, Page 4 of 69
B. Initiate cardiac monitoring.
C. Regular insulin 20 units subcutaneously.
D. Regular insulin continuous intravenous infusion, titrate per diabetic ketoacidosis (DKA)
protocol once potassium is greater than 3.3 mEq/L.
E. 0.9% sodium chloride at 15 ml/kg/hr for 1 hr and then reduce to 10 ml/kg/hr.
H. Monitor urine outputs.
A nurse is asking a preoperative client about food allergies. Which of the following food
allergies indicates a potential reaction to propofol?
A. Shellfish
B. Eggs
C. Strawberries
D. Avocados
A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation
and asks about the purpose of maintaining an elastic bandage around the residual limb of the
extremity. Which of the following is an appropriate response by the nurse?
A. "The elastic bandage will prevent a postoperative wound infection."
B. "The elastic bandage will prevent excessive edema."
C. "The elastic bandage will keep you from seeing the surgical site."
D. "The elastic bandage will keep the sutures from loosening."
A nurse is providing discharge teaching to a client who had a bilateral orchiectomy. The nurse
should instruct the client to expect which of the following symptoms?
A. Increased libido
B. Hypoglycemia
C. Hot flashes
D. Increased muscle mass
