ATI MEDICAL SURGICAL PROCTORED FINAL
PAPER 2026 QUESTIONS WITH ANSWERS
GRADED A+
◉ To access an implanted port, you must use a... Answer: noncoring
(Huber) needle
◉ When done accessing an implanted port... Answer: flush with 10
mL 0.9% sodium chloride
◉ Therapeutic effects of furosemide (Lasix) Answer: -decreases
preload of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
◉ Valsartan for HF expected outcomes/findings: Answer: -
vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
,◉ Expected findings of meds that increase urinary output
(diuretics): Answer: -decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
◉ Client teaching for Nitroglycerin: Answer: 1. stop activity & rest
2. place nitro tab under tongue
3. if pain is unrelieved in 5 min, call 911 or go to ED
4. take 2 or more doses at 5 min intervals
-headache is a common side effect of nitro
◉ Which foods should the client on Warfarin avoid? Answer: dark
leafy green veggies
◉ Client teaching for anticoagulant therapy: Answer: -bleeding
precautions
,-no added meds that increase bleeding
-on it for 6-8 weeks prior to hematologic dx procedure
-must have blood levels checked often
-monitor vitamin K in their diet
◉ Expected prescriptions for Hypertension: Answer: -furosemide
(Lasix)
-aldactone (potassium sparing diuretic)
-hydrochlorothiazide (diuretic)
-verapamil, dilitiazem (CCB)
-captopril, lisinopril (ACE inhibitors)
-losartan, telmisartan (ARBs)
-eplerenone
-atenolol, metoprolol (Beta blockers)
-clonidine
-prazosin (minipress)
◉ Contraindications for Nadolol: Answer: -asthma
-sinus bradycardia
-cardiogenic shock
-cardiac failure
-diabetes
, -pregnancy
-right side HF
-emphysema
-severe COPD
◉ Treatment for diabetes insipidus: Answer: -daily weights
-no caffeine or alcohol
-desmopressin acetate/DDVAP
-aqueous vasopressin/Pitressin
-carbamazepine (tegretol)
-high fiber diet
◉ Meds for DI, what to look out for/do: Answer: -adjust based on
urine output
-daily weights
-inform of weight gain of 2 lb in 24 hr
-notify if headaches or confusion occur
-monitor for infection
-monitor for dizziness/drowsiness
◉ Protein requirement of an adult: _____g of protein per kg Answer:
0.8 g
PAPER 2026 QUESTIONS WITH ANSWERS
GRADED A+
◉ To access an implanted port, you must use a... Answer: noncoring
(Huber) needle
◉ When done accessing an implanted port... Answer: flush with 10
mL 0.9% sodium chloride
◉ Therapeutic effects of furosemide (Lasix) Answer: -decreases
preload of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
◉ Valsartan for HF expected outcomes/findings: Answer: -
vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
,◉ Expected findings of meds that increase urinary output
(diuretics): Answer: -decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
◉ Client teaching for Nitroglycerin: Answer: 1. stop activity & rest
2. place nitro tab under tongue
3. if pain is unrelieved in 5 min, call 911 or go to ED
4. take 2 or more doses at 5 min intervals
-headache is a common side effect of nitro
◉ Which foods should the client on Warfarin avoid? Answer: dark
leafy green veggies
◉ Client teaching for anticoagulant therapy: Answer: -bleeding
precautions
,-no added meds that increase bleeding
-on it for 6-8 weeks prior to hematologic dx procedure
-must have blood levels checked often
-monitor vitamin K in their diet
◉ Expected prescriptions for Hypertension: Answer: -furosemide
(Lasix)
-aldactone (potassium sparing diuretic)
-hydrochlorothiazide (diuretic)
-verapamil, dilitiazem (CCB)
-captopril, lisinopril (ACE inhibitors)
-losartan, telmisartan (ARBs)
-eplerenone
-atenolol, metoprolol (Beta blockers)
-clonidine
-prazosin (minipress)
◉ Contraindications for Nadolol: Answer: -asthma
-sinus bradycardia
-cardiogenic shock
-cardiac failure
-diabetes
, -pregnancy
-right side HF
-emphysema
-severe COPD
◉ Treatment for diabetes insipidus: Answer: -daily weights
-no caffeine or alcohol
-desmopressin acetate/DDVAP
-aqueous vasopressin/Pitressin
-carbamazepine (tegretol)
-high fiber diet
◉ Meds for DI, what to look out for/do: Answer: -adjust based on
urine output
-daily weights
-inform of weight gain of 2 lb in 24 hr
-notify if headaches or confusion occur
-monitor for infection
-monitor for dizziness/drowsiness
◉ Protein requirement of an adult: _____g of protein per kg Answer:
0.8 g
