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ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM
2025/2026 BANK COMPLETE 90 QUESTIONS AND ANSWERS
ACCURATE ACTUAL EXAM WITH FREQUENTLY TESTED
QUESTIONS AND STUDY GUIDE / EXPERT VERIFIED FOR
GUARANTEED PASS/ALREADY GRADED A+
A nurse is providing postoperative teaching for a client who had a
total knee arthroplasty. Which of the following instructions should
the nurse include? - ANSWERS--Flex the foot every hour when
awake.
Rationale: The nurse should instruct the client to flex the foot every
hour to reduce the risk for thromboembolism and promote venous
return.
A nurse is caring for a client who has a pneumothorax and a closed-
chest drainage system. Which of the following findings is an
indication of lung re-expansion? - ANSWERS--Bubbling in the water
seal chamber has ceased.
Rationale: Bubbling in the water seal chamber ceases when the lung
re-expands.
A nurse is reviewing the medical record of a client who is taking
warfarin for chronic atrial fibrillation. Which of the following values
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should the nurse identify as a desired outcome for this therapy? -
ANSWERS--INR 2.5
Rationale: Clients receive warfarin therapy to decrease the risk of
stroke, myocardial infarction (MI), or pulmonary emboli (PE) from
blood clots. Since warfarin is an anticoagulant, the medication must
be monitored to ensure the anticoagulation is within the therapeutic
range and prevent hemorrhage (high levels of anticoagulation) or
stroke, MI, or PE (low levels of anticoagulation). An INR of 2.5 is
within the targeted therapeutic range of 2 to 3 for a client who has
atrial fibrillation.
A home health nurse is providing teaching to a client who has a stage
1 pressure injury on the greater trochanter of his left hip. Which of
the following instructions should the nurse include in the teaching? -
ANSWERS--Change position every hour
Rationale: Changing position every 1 to 2 hr decreases pressure on
bony prominences. The nurse should also instruct the client to limit
the angle of the hips when in a lateral position to no more than 30°.
This positioning prevents direct pressure on the trochanter.
A nurse is assessing a client following the completion of
hemodialysis. Which of the following findings is the nurse's priority
to report to the provider? - ANSWERS--Restlessness
Rationale: Using the urgent vs. nonurgent approach to client care,
the nurse should determine that the priority finding to report to the
provider is restlessness, which can be an indication the client is
experiencing disequilibrium syndrome. Disequilibrium syndrome is
caused by the rapid removal of electrolytes from the client's blood
and can lead to dysrhythmias or seizures. Other manifestations
include nausea, vomiting, fatigue, and headache.
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A nurse is caring for a client who is 8 hr postoperative following a
total hip arthroplasty. The client is unable to void on the bedpan.
Which of the following actions should the nurse take first? -
ANSWERS--Scan the bladder with a portable ultrasound.
Rationale: The first action the nurse should take using the nursing
process is to assess the client. Scanning the bladder with a portable
ultrasound device will determine the amount of urine in the bladder
A nurse is planning a health promotional presentation for a group of
African American clients at a community center. Which of the
following disorders presents the greatest risk to this group of clients?
- ANSWERS--Hypertension
Rationale: When using the safety/risk reduction approach to client
care, the nurse should determine that the disorder with the greatest
risk for this group of clients is hypertension. The prevalence of
hypertension is highest among African American clients, followed by
Caucasian clients, and then Hispanic clients.
A nurse is caring for a client who has DKA. Which of the following
findings should indicate to the nurse that the client's condition is
improving? - ANSWERS--Glucose 272 mg/dL
Rationale: A glucose reading less than 300 mg/dL indicates
improvement in the client's status.
A nurse is caring for a client following extubation of an endotracheal
tube 10 min. ago. Which of the following findings should the nurse
report to the provider immediately? - ANSWERS--Stridor
ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM
2025/2026 BANK COMPLETE 90 QUESTIONS AND ANSWERS
ACCURATE ACTUAL EXAM WITH FREQUENTLY TESTED
QUESTIONS AND STUDY GUIDE / EXPERT VERIFIED FOR
GUARANTEED PASS/ALREADY GRADED A+
A nurse is providing postoperative teaching for a client who had a
total knee arthroplasty. Which of the following instructions should
the nurse include? - ANSWERS--Flex the foot every hour when
awake.
Rationale: The nurse should instruct the client to flex the foot every
hour to reduce the risk for thromboembolism and promote venous
return.
A nurse is caring for a client who has a pneumothorax and a closed-
chest drainage system. Which of the following findings is an
indication of lung re-expansion? - ANSWERS--Bubbling in the water
seal chamber has ceased.
Rationale: Bubbling in the water seal chamber ceases when the lung
re-expands.
A nurse is reviewing the medical record of a client who is taking
warfarin for chronic atrial fibrillation. Which of the following values
,2|Page
should the nurse identify as a desired outcome for this therapy? -
ANSWERS--INR 2.5
Rationale: Clients receive warfarin therapy to decrease the risk of
stroke, myocardial infarction (MI), or pulmonary emboli (PE) from
blood clots. Since warfarin is an anticoagulant, the medication must
be monitored to ensure the anticoagulation is within the therapeutic
range and prevent hemorrhage (high levels of anticoagulation) or
stroke, MI, or PE (low levels of anticoagulation). An INR of 2.5 is
within the targeted therapeutic range of 2 to 3 for a client who has
atrial fibrillation.
A home health nurse is providing teaching to a client who has a stage
1 pressure injury on the greater trochanter of his left hip. Which of
the following instructions should the nurse include in the teaching? -
ANSWERS--Change position every hour
Rationale: Changing position every 1 to 2 hr decreases pressure on
bony prominences. The nurse should also instruct the client to limit
the angle of the hips when in a lateral position to no more than 30°.
This positioning prevents direct pressure on the trochanter.
A nurse is assessing a client following the completion of
hemodialysis. Which of the following findings is the nurse's priority
to report to the provider? - ANSWERS--Restlessness
Rationale: Using the urgent vs. nonurgent approach to client care,
the nurse should determine that the priority finding to report to the
provider is restlessness, which can be an indication the client is
experiencing disequilibrium syndrome. Disequilibrium syndrome is
caused by the rapid removal of electrolytes from the client's blood
and can lead to dysrhythmias or seizures. Other manifestations
include nausea, vomiting, fatigue, and headache.
, 3|Page
A nurse is caring for a client who is 8 hr postoperative following a
total hip arthroplasty. The client is unable to void on the bedpan.
Which of the following actions should the nurse take first? -
ANSWERS--Scan the bladder with a portable ultrasound.
Rationale: The first action the nurse should take using the nursing
process is to assess the client. Scanning the bladder with a portable
ultrasound device will determine the amount of urine in the bladder
A nurse is planning a health promotional presentation for a group of
African American clients at a community center. Which of the
following disorders presents the greatest risk to this group of clients?
- ANSWERS--Hypertension
Rationale: When using the safety/risk reduction approach to client
care, the nurse should determine that the disorder with the greatest
risk for this group of clients is hypertension. The prevalence of
hypertension is highest among African American clients, followed by
Caucasian clients, and then Hispanic clients.
A nurse is caring for a client who has DKA. Which of the following
findings should indicate to the nurse that the client's condition is
improving? - ANSWERS--Glucose 272 mg/dL
Rationale: A glucose reading less than 300 mg/dL indicates
improvement in the client's status.
A nurse is caring for a client following extubation of an endotracheal
tube 10 min. ago. Which of the following findings should the nurse
report to the provider immediately? - ANSWERS--Stridor
