MEDSURG ATI
MEDSURG ATI PROCTORED RN EXAM 2025
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L -Correct Answer ✔D. Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products. -Correct Answer ✔A. Cleanse the client's toothbrush with hydrogen
peroxide.
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the
following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. -Correct Answer ✔C. Assist the client to a nearby common area.
A nurse is contributing to the plan of care for a client who reports difficulty eating due to
chronic arthritis.
Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating
utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a
pureed diet. -Correct Answer ✔A. Apply foam handles to the client's eating utensils.
MEDSURG ATI
,MEDSURG ATI
A nurse is obtaining a medication history from a client who is to start taking nitroglycerin
for chest discomfort with activity. Which of the following medications should the nurse
instruct the client to avoid taking within 24 hr of using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole -Correct Answer ✔C. Sildenafil
A nurse is preparing to obtain a postprandial blood glucose level from a client who has
diabetes mellitus. Which of the following actions should the nurse take?
a) Apply the first drop of blood to the test strip.
b) Clean the client's finger with
hexachlorophene.
c) Prick the central tip of the client's finger.
d) Hold the client's finger in a dependent
position. -Correct Answer ✔D. Hold the client's finger in a dependent
position.
A nurse is reinforcing teaching with a client about breast self-examinations. Which of the
following statements by the client indicates an understanding of the teaching?
a) "It is common for one breast to be larger than
the other."
b) "It is common for the skin on my breasts to
dimple."
c) "I will perform breast exams the day my
period begins."
d) "I will perform breast exams every other
month." -Correct Answer ✔A. "It is common for one breast to be larger than
the other."
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the
following statements by the client indicates an understanding of the teaching?
a) "I will need to empty the bag every 4 to 6
hours."
b) "I will use moisturizing soap to clean around
the stoma before applying the bag."
c) "I will use a skin sealant before I apply the
bag."
d) "I will cut the wafer opening one-fourth of an
inch larger than the stoma." -Correct Answer ✔C. "I will use a skin sealant before I apply
the
bag."
A nurse is assisting in the plan of care for a client who is dehydrated and is receiving IV
fluid replacement. Which of the following interventions should the nurse contribute to the
plan of care?
MEDSURG ATI
, MEDSURG ATI
a) Offer oral fluids every 4 hr.
b) Check for neck vein distention.
c) Limit oral fluids prior to bedtime.
d) Monitor pulse pressure every 6 hr. -Correct Answer ✔B. Check for neck vein
distention.
A nurse is caring for a young adult client who has testicular cancer and expresses
concern about their sexual function following an orchiectomy of the involved testicle.
Which of the following responses should the nurse make?
a) "I'm sure any partner will understand that you
have no control over this."
b) "There are other ways to express intimacy
besides intercourse."
c) "You should focus on recovering from your
cancer right now."
d) "The removal of a single testicle will not
prevent you from having an erection." -Correct Answer ✔D. "The removal of a single
testicle will not
prevent you from having an erection."
A nurse is collecting data from a client who has hyperthyroidism and is taking
propylthiouracil. Which of the following statements by the client indicates the medication
is effective?
a) "I no longer feel nervous."
b) "I no longer take a stool softener."
c) "I have less oily skin."
d) "I continue to lose weight." -Correct Answer ✔A. "I no longer feel nervous."
A nurse is planning care for a client who is receiving radiation therapy to treat throat
cancer and reports a change in the taste of food. Which of the following interventions
should the nurse include in the plan of care?
a) Offer artificial saliva frequently.
b) Add honey to sweeten fruit smoothies.
c) Heat food before serving.
d) Provide three large meals daily. -Correct Answer ✔C. Heat food before serving.
A nurse working the night shift is caring for an older adult client who has dementia and
is at risk for falls. Which of the following actions should the nurse take?
a) Raise all four side rails while the client is in
bed.
b) Apply a motion sensor mat to the client's bed.
c) Leave the television on in the client's room.
d) Move the overbed table away from the bed. -Correct Answer ✔B. Apply a motion
sensor mat to the client's bed.
MEDSURG ATI
MEDSURG ATI PROCTORED RN EXAM 2025
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L -Correct Answer ✔D. Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products. -Correct Answer ✔A. Cleanse the client's toothbrush with hydrogen
peroxide.
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the
following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. -Correct Answer ✔C. Assist the client to a nearby common area.
A nurse is contributing to the plan of care for a client who reports difficulty eating due to
chronic arthritis.
Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating
utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a
pureed diet. -Correct Answer ✔A. Apply foam handles to the client's eating utensils.
MEDSURG ATI
,MEDSURG ATI
A nurse is obtaining a medication history from a client who is to start taking nitroglycerin
for chest discomfort with activity. Which of the following medications should the nurse
instruct the client to avoid taking within 24 hr of using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole -Correct Answer ✔C. Sildenafil
A nurse is preparing to obtain a postprandial blood glucose level from a client who has
diabetes mellitus. Which of the following actions should the nurse take?
a) Apply the first drop of blood to the test strip.
b) Clean the client's finger with
hexachlorophene.
c) Prick the central tip of the client's finger.
d) Hold the client's finger in a dependent
position. -Correct Answer ✔D. Hold the client's finger in a dependent
position.
A nurse is reinforcing teaching with a client about breast self-examinations. Which of the
following statements by the client indicates an understanding of the teaching?
a) "It is common for one breast to be larger than
the other."
b) "It is common for the skin on my breasts to
dimple."
c) "I will perform breast exams the day my
period begins."
d) "I will perform breast exams every other
month." -Correct Answer ✔A. "It is common for one breast to be larger than
the other."
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the
following statements by the client indicates an understanding of the teaching?
a) "I will need to empty the bag every 4 to 6
hours."
b) "I will use moisturizing soap to clean around
the stoma before applying the bag."
c) "I will use a skin sealant before I apply the
bag."
d) "I will cut the wafer opening one-fourth of an
inch larger than the stoma." -Correct Answer ✔C. "I will use a skin sealant before I apply
the
bag."
A nurse is assisting in the plan of care for a client who is dehydrated and is receiving IV
fluid replacement. Which of the following interventions should the nurse contribute to the
plan of care?
MEDSURG ATI
, MEDSURG ATI
a) Offer oral fluids every 4 hr.
b) Check for neck vein distention.
c) Limit oral fluids prior to bedtime.
d) Monitor pulse pressure every 6 hr. -Correct Answer ✔B. Check for neck vein
distention.
A nurse is caring for a young adult client who has testicular cancer and expresses
concern about their sexual function following an orchiectomy of the involved testicle.
Which of the following responses should the nurse make?
a) "I'm sure any partner will understand that you
have no control over this."
b) "There are other ways to express intimacy
besides intercourse."
c) "You should focus on recovering from your
cancer right now."
d) "The removal of a single testicle will not
prevent you from having an erection." -Correct Answer ✔D. "The removal of a single
testicle will not
prevent you from having an erection."
A nurse is collecting data from a client who has hyperthyroidism and is taking
propylthiouracil. Which of the following statements by the client indicates the medication
is effective?
a) "I no longer feel nervous."
b) "I no longer take a stool softener."
c) "I have less oily skin."
d) "I continue to lose weight." -Correct Answer ✔A. "I no longer feel nervous."
A nurse is planning care for a client who is receiving radiation therapy to treat throat
cancer and reports a change in the taste of food. Which of the following interventions
should the nurse include in the plan of care?
a) Offer artificial saliva frequently.
b) Add honey to sweeten fruit smoothies.
c) Heat food before serving.
d) Provide three large meals daily. -Correct Answer ✔C. Heat food before serving.
A nurse working the night shift is caring for an older adult client who has dementia and
is at risk for falls. Which of the following actions should the nurse take?
a) Raise all four side rails while the client is in
bed.
b) Apply a motion sensor mat to the client's bed.
c) Leave the television on in the client's room.
d) Move the overbed table away from the bed. -Correct Answer ✔B. Apply a motion
sensor mat to the client's bed.
MEDSURG ATI
