ATI Med-Surg Proctored Exam NEWEST VERSION
With COMPLETE SOLUTION | 100% VERIFIED
ANSWERS | A+ GRADED
1. A patient with acute respiratory distress syndrome (ARDS) is on mechanical ven-
tilation. Which ventilator setting should the nurse monitor closely to prevent lung
injury?
A) Tidal volume
B) Oxygen saturation
C) Respiratory rate
D) Inspiratory time
Correct Answer: A
2. A patient with heart failure presents with jugular vein distension and peripheral
edema. Which medication should the nurse anticipate administering?
A) Albuterol
B) Furosemide
C) Metformin
D) Phenytoin
Correct Answer: B
3. A patient with type 2 diabetes reports polyuria and polydipsia. Which laboratory
value should the nurse prioritize checking?
A) Serum potassium
B) Blood glucose
C) Serum creatinine
D) Platelet count
Correct Answer: B
4. A patient with acute kidney injury has a urine output of 20 mL/hr. Which inter-
vention should the nurse prioritize?
A) Administer a bolus of normal saline
B) Monitor intake and output strictly
C) Encourage a high-protein diet
D) Administer a potassium supplement
Correct Answer: B
5. A patient with a suspected stroke presents with slurred speech. Which action should
the nurse take first?
A) Administer aspirin
B) Perform a neurological assessment
C) Prepare for a lumbar puncture
D) Administer IV fluids
Correct Answer: B
6. A patient with gastritis reports severe epigastric pain. Which medication should
the nurse expect to administer?
A) Omeprazole
B) Metoclopramide
1
, C) Loperamide
D) Ondansetron
Correct Answer: A
7. A postoperative patient reports pain at the surgical site. Which assessment should
the nurse perform first?
A) Check vital signs
B) Administer an analgesic
C) Inspect the incision site
D) Encourage ambulation
Correct Answer: A
8. A patient with pneumonia has crackles in the lower lobes. Which intervention
should the nurse implement?
A) Restrict fluid intake
B) Encourage incentive spirometry
C) Position the patient supine
D) Administer a sedative
Correct Answer: B
9. A patient with atrial fibrillation is prescribed amiodarone. Which side effect should
the nurse monitor for?
A) Hypoglycemia
B) Pulmonary toxicity
C) Hyperkalemia
D) Weight loss
Correct Answer: B
10. A patient with hypothyroidism is prescribed levothyroxine. Which instruction
should the nurse provide?
A) Take with meals
B) Take on an empty stomach
C) Take at bedtime
D) Take with calcium supplements
Correct Answer: B
11. A patient with chronic kidney disease has a potassium level of 5.9 mEq/L. Which
medication should the nurse anticipate?
A) Potassium chloride
B) Sodium polystyrene sulfonate
C) Furosemide
D) Spironolactone
Correct Answer: B
12. A patient with a traumatic brain injury has a Glasgow Coma Scale score of 6.
Which intervention should the nurse prioritize?
A) Encourage oral intake
B) Monitor intracranial pressure
C) Administer a laxative
D) Promote ambulation
Correct Answer: B
2
, 13. A patient with diverticulitis reports left lower quadrant pain. Which diet should
the nurse recommend during an acute phase?
A) High-fiber diet
B) Low-residue diet
C) High-fat diet
D) Low-protein diet
Correct Answer: B
14. A patient with a pulmonary embolism is prescribed heparin. Which laboratory
value should the nurse monitor?
A) INR
B) aPTT
C) Platelet count
D) Serum creatinine
Correct Answer: B
15. A patient with hyperthyroidism reports weight loss and tremors. Which medication
should the nurse expect?
A) Levothyroxine
B) Methimazole
C) Insulin
D) Metformin
Correct Answer: B
16. A postoperative patient has a temperature of 100.4°F on day 2. Which action
should the nurse take first?
A) Administer antibiotics
B) Encourage deep breathing
C) Assess the surgical site
D) Restrict fluid intake
Correct Answer: C
17. A patient with COPD reports increased dyspnea. Which position should the nurse
encourage?
A) Supine
B) Prone
C) Tripod position
D) Trendelenburg
Correct Answer: C
18. A patient with heart failure is prescribed digoxin. Which symptom indicates po-
tential toxicity?
A) Increased appetite
B) Visual disturbances
C) Hypertension
D) Weight gain
Correct Answer: B
19. A patient with diabetic ketoacidosis is receiving IV insulin. Which electrolyte
should the nurse monitor closely?
3
With COMPLETE SOLUTION | 100% VERIFIED
ANSWERS | A+ GRADED
1. A patient with acute respiratory distress syndrome (ARDS) is on mechanical ven-
tilation. Which ventilator setting should the nurse monitor closely to prevent lung
injury?
A) Tidal volume
B) Oxygen saturation
C) Respiratory rate
D) Inspiratory time
Correct Answer: A
2. A patient with heart failure presents with jugular vein distension and peripheral
edema. Which medication should the nurse anticipate administering?
A) Albuterol
B) Furosemide
C) Metformin
D) Phenytoin
Correct Answer: B
3. A patient with type 2 diabetes reports polyuria and polydipsia. Which laboratory
value should the nurse prioritize checking?
A) Serum potassium
B) Blood glucose
C) Serum creatinine
D) Platelet count
Correct Answer: B
4. A patient with acute kidney injury has a urine output of 20 mL/hr. Which inter-
vention should the nurse prioritize?
A) Administer a bolus of normal saline
B) Monitor intake and output strictly
C) Encourage a high-protein diet
D) Administer a potassium supplement
Correct Answer: B
5. A patient with a suspected stroke presents with slurred speech. Which action should
the nurse take first?
A) Administer aspirin
B) Perform a neurological assessment
C) Prepare for a lumbar puncture
D) Administer IV fluids
Correct Answer: B
6. A patient with gastritis reports severe epigastric pain. Which medication should
the nurse expect to administer?
A) Omeprazole
B) Metoclopramide
1
, C) Loperamide
D) Ondansetron
Correct Answer: A
7. A postoperative patient reports pain at the surgical site. Which assessment should
the nurse perform first?
A) Check vital signs
B) Administer an analgesic
C) Inspect the incision site
D) Encourage ambulation
Correct Answer: A
8. A patient with pneumonia has crackles in the lower lobes. Which intervention
should the nurse implement?
A) Restrict fluid intake
B) Encourage incentive spirometry
C) Position the patient supine
D) Administer a sedative
Correct Answer: B
9. A patient with atrial fibrillation is prescribed amiodarone. Which side effect should
the nurse monitor for?
A) Hypoglycemia
B) Pulmonary toxicity
C) Hyperkalemia
D) Weight loss
Correct Answer: B
10. A patient with hypothyroidism is prescribed levothyroxine. Which instruction
should the nurse provide?
A) Take with meals
B) Take on an empty stomach
C) Take at bedtime
D) Take with calcium supplements
Correct Answer: B
11. A patient with chronic kidney disease has a potassium level of 5.9 mEq/L. Which
medication should the nurse anticipate?
A) Potassium chloride
B) Sodium polystyrene sulfonate
C) Furosemide
D) Spironolactone
Correct Answer: B
12. A patient with a traumatic brain injury has a Glasgow Coma Scale score of 6.
Which intervention should the nurse prioritize?
A) Encourage oral intake
B) Monitor intracranial pressure
C) Administer a laxative
D) Promote ambulation
Correct Answer: B
2
, 13. A patient with diverticulitis reports left lower quadrant pain. Which diet should
the nurse recommend during an acute phase?
A) High-fiber diet
B) Low-residue diet
C) High-fat diet
D) Low-protein diet
Correct Answer: B
14. A patient with a pulmonary embolism is prescribed heparin. Which laboratory
value should the nurse monitor?
A) INR
B) aPTT
C) Platelet count
D) Serum creatinine
Correct Answer: B
15. A patient with hyperthyroidism reports weight loss and tremors. Which medication
should the nurse expect?
A) Levothyroxine
B) Methimazole
C) Insulin
D) Metformin
Correct Answer: B
16. A postoperative patient has a temperature of 100.4°F on day 2. Which action
should the nurse take first?
A) Administer antibiotics
B) Encourage deep breathing
C) Assess the surgical site
D) Restrict fluid intake
Correct Answer: C
17. A patient with COPD reports increased dyspnea. Which position should the nurse
encourage?
A) Supine
B) Prone
C) Tripod position
D) Trendelenburg
Correct Answer: C
18. A patient with heart failure is prescribed digoxin. Which symptom indicates po-
tential toxicity?
A) Increased appetite
B) Visual disturbances
C) Hypertension
D) Weight gain
Correct Answer: B
19. A patient with diabetic ketoacidosis is receiving IV insulin. Which electrolyte
should the nurse monitor closely?
3
