ATI RN MEDICAL SURGICAL ACTUAL EXAM QUESTIONS AND 100% CORRECT DETAILED ANSWERS | LATEST 2025/2026|VERIFIED

EXAM QUESTIONS AND 100% CORRECT

Endoscopy (EGD) positioning - ANSWER- B B B B left side lying
B B




Before an Endoscopy (EGD): - ANSWER-
B B B B B -NPO 6-8 hr B B




-remove dentures B




Gastroenteritis care plan: - ANSWER- B B B B -restrict dairy, caffeine, milk
B B B




-eat foods high in potassium
B B B B B




-increase fluid intake B B B




-contact precautions B




In what order do you open the sterile package? - ANSWER-
B B B B B B B B B B



flap furthest from body, side flaps, then closest
B B B B B B B




A nurse has removed a sterile pack from its outside cover and place it on a clean work surface i
B B B B B B B B B B B B B B B B B B B



n preparation for an invasive procedure. Which of the following flaps should the nurse unfold f
B B B B B B B B B B B B B B B



irst:



A. closest to body
B B B




B. right side
B B




C. left side
B B




D. farthest from body - ANSWER-
B B B B B D



A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the follo
B B B B B B B B B B B B B B B B



wing objects can the nurse touch without breaking sterile technique (Select all that apply)
B B B B B B B B B B B B B




A. bottle containing sterile solution
B B B B

,B. edge of sterile drape at the base of the field
B B B B B B B B B B




C. inner wrapping of an item on the sterile field
B B B B B B B B B




D. irrigation syringe on the sterile field
B B B B B B




E. one gloved hand with the other gloved hand - ANSWER-
B B B B B B B B B B C, D, E
B B




A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which
B B B B B B B B B B B B B B B B B



of the following events should the nurse recognize as contaminating the field (Select all that a
B B B B B B B B B B B B B B B



pply)



A. provider drops a sterile instrument onto the near side of the sterile field
B B B B B B B B B B B B B




B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
B B B B B B B B B B B B B B B




C. procedure is delayed 1hr because the provider receives an emergency call
B B B B B B B B B B B




D. nurse turns to speak to someone who enters through the door behind the nurse
B B B B B B B B B B B B B B




E. clients hand brushes against the outer edge of the sterile field - ANSWER-
B B B B B B B B B B B B B B, C, D
B B




TB is suspected, what precautionary actions to do? - ANSWER-
B B B B B B B B B -
negative airflow room, airborne precautions
B B B B




-nurses wear N95 mask, client wears if going out of the room
B B B B B B B B B B B




-admin heat & humidified O2 therapy as prescribed
B B B B B B B




TB interventions: - ANSWER-
B B B -family members should be screened B B B B B




-4 meds taken for 6-12 months
B B B B B




-not contagious when they have 3 negative sputum cultures
B B B B B B B B




What to watch for when on Isoniazid: - ANSWER-
B B B B B B B B numb/tingling in the hands & feet B B B B B




What to watch for when on Rifampin: - ANSWER-
B B B B B B B B -orange secretions normal B B




-watch for jaundice B B B

,-interferes with birth control B B B




What to watch for when on Ethambutol: - ANSWER-
B B B B B B B B vision changes
B




Client teaching for genital herpes: - ANSWER-
B B B B B B -can be transmitted with or w/out blisters
B B B B B B




-sexual partners should be informed & screened
B B B B B B




-no cure, just meds to help w/symptoms
B B B B B B




-abstain from intercourse until lesions are completely healed
B B B B B B B




-gently clean areas w/mild soap & water
B B B B B B




Caring for a client following a stroke of the right side with left-sided hemipalegia: - ANSWER-
B B B B B B B B B B B B B B B



-thicken liquids/foods B




-high fowlers
B




-speech therapist for helping w/eating & speech
B B B B B B




-monitor gag reflex/swallowing abilities
B B B




-have suction equipment available
B B B




-occupational therapy B B




-support left arm with pillows, slings, etc
B B B B B B




High sodium foods clients with HF & Pulmonary edema should avoid: - ANSWER-
B B B B B B B B B B B B -
cheese

-soups

-bread B




-cold cuts/cured meats
B B




-pizza B




-eggs & omelets
B B




-hot dogs
B




-baked ham B

, Which non-opioid drug decreases the effect of aspirin? - ANSWER-
B B B B B B B B B ibuprofen



Ketorolac should not be used concurrently with... - ANSWER-
B B B B B B B B other NSAIDS
B




Glucocorticoids increase the risk of gastric bleeding when taken with... - ANSWER-
B B B B B B B B B B B non-
opioid analgesics
B




To access an implanted port, you must use a... - ANSWER-
B B B B B B B B B B noncoring (Huber) needle
B B




When done accessing an implanted port... - ANSWER-
B B B B B B B



flush with 10 mL 0.9% sodium chloride
B B B B B B




Therapeutic effects of furosemide (Lasix) - ANSWER-
B B B B B B -decreases preload of the heart
B B B B B




-decreases potassium levels
B B B




-increases urine output
B B B




-decrease BP B




-decrease edema B




Valsartan for HF expected outcomes/findings: - ANSWER-
B B B B B B -vasodilation

-excretion of sodium & water
B B B B B




-reduces BP B B




-reduces risk of mortality in post-MI pts left w/vent dysfunction
B B B B B B B B B




Expected findings of meds that increase urinary output (diuretics): - ANSWER-
B B B B B B B B B B -
decreased potassium B




-weight loss
B




-decrease in edema B B