NEW ATI MEDICAL SURGICAL PROCTORED EXAM
2025 UPDATED WITH NGN QUESTIONS AND
CORRECT ANSWERS
A charge nurse receives notification of the admission of a client who is coughing frequently and whose
sputum is pink, frothy, and copious. The client has history of night sweats, anorexia, and weight loss.
Which of the following actions should the nurse take? (SATA)
-Assign the client to a private room with negative-pressure airflow
-Wear an N95 respirator when entering the client’s room.
A nurse is caring for a client who is scheduled to have his chest tube removed. Which of the following
actions the nurse takes?
-Instruct the client to perform the Valsalva maneuver during removal.
Rational: Valsalva maneuver will maintain the appropriate amount of negative pressure in the chest in
order to prevent air entry into the pleural space.
A nurse is caring for a client who is receiving mechanical ventilation and develops acute respiration
distress. Which of the following actions should the nurse take first?
-Initiate bag-valve-mask ventilation.
A client comes to the emergency department in severe respiratory distress following left- sided blunt
chest trauma. The nurse notes absent breath sounds on the client’s left side and a tracheal shift to the
right. For which of the following procedures should the nurse prepare the client?
-Chest tube insertion.
Rational: client manifestations indicate pneumothorax due to blunt chest trauma. The nurse should
prepare for the provider to insert a chest tube and connect it to a water seal drainage system.
A nurse a caring for a client who is experiencing acute opioid toxicity. Which of the following
actions should the nurse identify as the priority?
-Ensure an adequate airway.
A nurse on a medical-surgical unit is caring for 4 clients. Which of the following clients should
the nurse monitor for crepitus?
-A client who has a chest tube following a pneumothorax
A nurse is caring for a client with pneumonia who is experiencing thick oral secretions.
Which of the following actions should the nurse take first?
-Encourage deep-breathing and coughing
A nurse is caring for a client who has a chronic obstructive pulmonary disease (COPD) and is
experiencing shortness of breath. Which of the following actions should the nurse perform first?
, -Place the client in an upright position
A nurse is auscultating the lungs of a client who is having an acute asthma attack.
Which of the following sounds should the nurse expect to hear?
-Noisy wheezing
Rational: asthma causes the bronchioles of the lung to constrict, creating a wheezing sound.
50-A nurse is assessing a client who has pharyngitis. Which of the following Is the nurse’s priority to
report to the provider?
-Inspiratory stridor
51-A nurse is providing postoperative care for a client who has 2 chest tubes in place following a lobectomy. The
client asks the nurse the reason for having 2 chest tubes. The nurse should inform the client that lower chest tube is
placed for which of the following reasons?
-Draining blood and fluid from the pleural space.
52- A nurse is caring for a client who has a 20-year history of COPD and is receiving oxygen at 2 L/min via nasal
canula. The client is dyspneic and has an oxygen saturation via pulse oximetry of 85%. Which of the following
actions should the nurse take?
-Increase the oxygen flow and request an arterial blood gas determination.
Rational: the client requires oxygen at a rate that will keep the oxygen saturation between 88% and 92%.
The nurse should increase the client’s oxygen and evaluate its effectiveness with ABG results and oxygen
saturation via pulse oximetry measurements.
53- A nurse is teaching breathing techniques to a client who has emphysema. Which of the following
statements indicates that the client understands the mechanics of pursed-lip breathing?
- “When I breath out through pursed lips, my airway don’t collapse between breath.”
54- A nurse is planning care for a client who is postoperative following a hip arthroplasty. In the client’s medical
records, the nurse notes a history of chronic obstructive pulmonary disease (COPD). Which of the following
oxygen-delivery methods should the nurse plan to use for this client?
-Nasal cannula
2025 UPDATED WITH NGN QUESTIONS AND
CORRECT ANSWERS
A charge nurse receives notification of the admission of a client who is coughing frequently and whose
sputum is pink, frothy, and copious. The client has history of night sweats, anorexia, and weight loss.
Which of the following actions should the nurse take? (SATA)
-Assign the client to a private room with negative-pressure airflow
-Wear an N95 respirator when entering the client’s room.
A nurse is caring for a client who is scheduled to have his chest tube removed. Which of the following
actions the nurse takes?
-Instruct the client to perform the Valsalva maneuver during removal.
Rational: Valsalva maneuver will maintain the appropriate amount of negative pressure in the chest in
order to prevent air entry into the pleural space.
A nurse is caring for a client who is receiving mechanical ventilation and develops acute respiration
distress. Which of the following actions should the nurse take first?
-Initiate bag-valve-mask ventilation.
A client comes to the emergency department in severe respiratory distress following left- sided blunt
chest trauma. The nurse notes absent breath sounds on the client’s left side and a tracheal shift to the
right. For which of the following procedures should the nurse prepare the client?
-Chest tube insertion.
Rational: client manifestations indicate pneumothorax due to blunt chest trauma. The nurse should
prepare for the provider to insert a chest tube and connect it to a water seal drainage system.
A nurse a caring for a client who is experiencing acute opioid toxicity. Which of the following
actions should the nurse identify as the priority?
-Ensure an adequate airway.
A nurse on a medical-surgical unit is caring for 4 clients. Which of the following clients should
the nurse monitor for crepitus?
-A client who has a chest tube following a pneumothorax
A nurse is caring for a client with pneumonia who is experiencing thick oral secretions.
Which of the following actions should the nurse take first?
-Encourage deep-breathing and coughing
A nurse is caring for a client who has a chronic obstructive pulmonary disease (COPD) and is
experiencing shortness of breath. Which of the following actions should the nurse perform first?
, -Place the client in an upright position
A nurse is auscultating the lungs of a client who is having an acute asthma attack.
Which of the following sounds should the nurse expect to hear?
-Noisy wheezing
Rational: asthma causes the bronchioles of the lung to constrict, creating a wheezing sound.
50-A nurse is assessing a client who has pharyngitis. Which of the following Is the nurse’s priority to
report to the provider?
-Inspiratory stridor
51-A nurse is providing postoperative care for a client who has 2 chest tubes in place following a lobectomy. The
client asks the nurse the reason for having 2 chest tubes. The nurse should inform the client that lower chest tube is
placed for which of the following reasons?
-Draining blood and fluid from the pleural space.
52- A nurse is caring for a client who has a 20-year history of COPD and is receiving oxygen at 2 L/min via nasal
canula. The client is dyspneic and has an oxygen saturation via pulse oximetry of 85%. Which of the following
actions should the nurse take?
-Increase the oxygen flow and request an arterial blood gas determination.
Rational: the client requires oxygen at a rate that will keep the oxygen saturation between 88% and 92%.
The nurse should increase the client’s oxygen and evaluate its effectiveness with ABG results and oxygen
saturation via pulse oximetry measurements.
53- A nurse is teaching breathing techniques to a client who has emphysema. Which of the following
statements indicates that the client understands the mechanics of pursed-lip breathing?
- “When I breath out through pursed lips, my airway don’t collapse between breath.”
54- A nurse is planning care for a client who is postoperative following a hip arthroplasty. In the client’s medical
records, the nurse notes a history of chronic obstructive pulmonary disease (COPD). Which of the following
oxygen-delivery methods should the nurse plan to use for this client?
-Nasal cannula
