ATI RN ADULT MEDICAL SURGICAL PROCTORED
EXAM 2025/2026 BANK COMPLETE 90 QUESTIONS
WITH VERIFIED AND WELL EXPLAINED ANSWERS
AND STUDYGUIDE GRADED A+
A nurse is assessing a client who has Graves disease. Which of the following images
should indicate to the nurse that the client has exophthalmos? - CORRECT ANSWER --
The nurse should identify an outward protrusion of the eyes is exophthalmos a
common finding of graves disease. An overproduction of the thyroid hormone
causes edema of the extraocular muscle and increases fatty tissue behind the
eye which results in the eyes protruding outward. Exophthalmos can cause the
client to experience problems with vision including focusing on objects as well as
pressure on the optic nerve.
. A nurse is performing a cardiac assessment for a client who had a myocardial
infarction 2 days ago. Which of the following actions should the nurse take first after
hearing the following sound? - CORRECT ANSWER --Listen with the client on his
left side. When providing nursing care the nurse should first use the least
invasive intervention. Therefore after auscultating a murmur the first action the
nurse should take is to place the client on his left side and listen to his heart
again.
A nurse is providing teaching to an older adult female client who has stress
incontinence and a BMI of 32. Which of the following statements by the client indicates
an understanding of the teaching question mark - CORRECT ANSWER --I am dieting
to lose weight. Excess weight cut creates increased abdominal pressure that can
result in stress incontinence.
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the
following results should the nurse expect? - CORRECT ANSWER --Paco2 of 56. A
client who has COPD retains paco2 due to the weakening and the collapse of the
alveolar sacs which decreases the area and lungs for gas exchange and causes
the paco2 to increase above the expected reference range. PaCO2: HCO3: Ph:
A nurse is providing teaching to a client who is perimenopausal and has a prescription
for hormone replacement therapy. For which of the following adverse effects should the
, nurse instruct the client to notify the provider? Select all that apply. - CORRECT
ANSWER --Calf pain, numbness in the arms and intense headache. Calf pain is an
indication of DVT and the client should report this finding to the provider
immediately. Numbness in the arms can indicate cerebrovascular accident which
is an adverse effect of hormone replacement therapy and an intense headache
can indicate a cerebrovascular accident.
A nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. Which of the following statements by the client indicates
an understanding of the teaching? - CORRECT ANSWER --I am taking this
medication to increase my energy level. The goal of erythropoietin therapy is to
increase the level of hematocrit and clients who have anemia. When the
medication is effective the client should have a decreasing fatigue and an
improvement and activity tolerance.
A nurse is teaching a client who has venous insufficiency about self-care. Which
of the following statements should the nurse identify as an indication that the
client understands teaching? - CORRECT ANSWER --I will wear clean graduated
compression stockings everyday. The client should apply a clean pair of
graduated compression stockings each day and clean soiled stockings with mild
detergent and warm water by hand.
A nurse is preparing to present a program about atherosclerosis at a health fair. Which
of the following recommendations should the nurse plan to include? Select all that
apply. - CORRECT ANSWER --Follow a smoking cessation program maintain an
appropriate weight eat a low-fat diet. Smoking cessation is an important lifestyle
modification to prevent Arthur sclerosis and preventing obesity through diet and
exercise can help prevent atherosclerosis. Eating a low fat diet decreases LDL
cholesterol and can prevent atherosclerosis.
A nurse is caring for a client who is 12 hours post-operative following a total hip
arthroplasty. Which of the following actions should the nurse take? - CORRECT
ANSWER --Place a pillow between the clients legs. The nurse should place a
pillow between the clients legs to prevent hip dislocation.
A nurse is preparing to administer a blood transfusion to a client who has anemia.
Which of the following actions should the nurse take first? - CORRECT ANSWER --
Check for the type and number of units of blood to administer. According to
evidence based practice the nurse should first confirm that the type and number
of units of blood to administer matches what is indicated in the clients
medication administration record.
A nurse is providing teaching to a client who has anemia and a new prescription for an
oral iron supplement. Which of the following statements by the client indicates an
understanding of the teaching? - CORRECT ANSWER --I will eat more high-fiber foods.
The client should eat high-fiber foods to help prevent constipation which is a common
adverse effect of oral iron supplements.
EXAM 2025/2026 BANK COMPLETE 90 QUESTIONS
WITH VERIFIED AND WELL EXPLAINED ANSWERS
AND STUDYGUIDE GRADED A+
A nurse is assessing a client who has Graves disease. Which of the following images
should indicate to the nurse that the client has exophthalmos? - CORRECT ANSWER --
The nurse should identify an outward protrusion of the eyes is exophthalmos a
common finding of graves disease. An overproduction of the thyroid hormone
causes edema of the extraocular muscle and increases fatty tissue behind the
eye which results in the eyes protruding outward. Exophthalmos can cause the
client to experience problems with vision including focusing on objects as well as
pressure on the optic nerve.
. A nurse is performing a cardiac assessment for a client who had a myocardial
infarction 2 days ago. Which of the following actions should the nurse take first after
hearing the following sound? - CORRECT ANSWER --Listen with the client on his
left side. When providing nursing care the nurse should first use the least
invasive intervention. Therefore after auscultating a murmur the first action the
nurse should take is to place the client on his left side and listen to his heart
again.
A nurse is providing teaching to an older adult female client who has stress
incontinence and a BMI of 32. Which of the following statements by the client indicates
an understanding of the teaching question mark - CORRECT ANSWER --I am dieting
to lose weight. Excess weight cut creates increased abdominal pressure that can
result in stress incontinence.
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the
following results should the nurse expect? - CORRECT ANSWER --Paco2 of 56. A
client who has COPD retains paco2 due to the weakening and the collapse of the
alveolar sacs which decreases the area and lungs for gas exchange and causes
the paco2 to increase above the expected reference range. PaCO2: HCO3: Ph:
A nurse is providing teaching to a client who is perimenopausal and has a prescription
for hormone replacement therapy. For which of the following adverse effects should the
, nurse instruct the client to notify the provider? Select all that apply. - CORRECT
ANSWER --Calf pain, numbness in the arms and intense headache. Calf pain is an
indication of DVT and the client should report this finding to the provider
immediately. Numbness in the arms can indicate cerebrovascular accident which
is an adverse effect of hormone replacement therapy and an intense headache
can indicate a cerebrovascular accident.
A nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. Which of the following statements by the client indicates
an understanding of the teaching? - CORRECT ANSWER --I am taking this
medication to increase my energy level. The goal of erythropoietin therapy is to
increase the level of hematocrit and clients who have anemia. When the
medication is effective the client should have a decreasing fatigue and an
improvement and activity tolerance.
A nurse is teaching a client who has venous insufficiency about self-care. Which
of the following statements should the nurse identify as an indication that the
client understands teaching? - CORRECT ANSWER --I will wear clean graduated
compression stockings everyday. The client should apply a clean pair of
graduated compression stockings each day and clean soiled stockings with mild
detergent and warm water by hand.
A nurse is preparing to present a program about atherosclerosis at a health fair. Which
of the following recommendations should the nurse plan to include? Select all that
apply. - CORRECT ANSWER --Follow a smoking cessation program maintain an
appropriate weight eat a low-fat diet. Smoking cessation is an important lifestyle
modification to prevent Arthur sclerosis and preventing obesity through diet and
exercise can help prevent atherosclerosis. Eating a low fat diet decreases LDL
cholesterol and can prevent atherosclerosis.
A nurse is caring for a client who is 12 hours post-operative following a total hip
arthroplasty. Which of the following actions should the nurse take? - CORRECT
ANSWER --Place a pillow between the clients legs. The nurse should place a
pillow between the clients legs to prevent hip dislocation.
A nurse is preparing to administer a blood transfusion to a client who has anemia.
Which of the following actions should the nurse take first? - CORRECT ANSWER --
Check for the type and number of units of blood to administer. According to
evidence based practice the nurse should first confirm that the type and number
of units of blood to administer matches what is indicated in the clients
medication administration record.
A nurse is providing teaching to a client who has anemia and a new prescription for an
oral iron supplement. Which of the following statements by the client indicates an
understanding of the teaching? - CORRECT ANSWER --I will eat more high-fiber foods.
The client should eat high-fiber foods to help prevent constipation which is a common
adverse effect of oral iron supplements.
