ATI RN MEDICAL SURGICAL EXIT
PRACTICE TEST 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
⩥ Dopamine 5mcg/kg/min IV is prescribed for a client who weighs 132
pounds. The pharmacy dispenses a 500 mL IV solution of 0.9% normal
saline with dopamine 1600 mg. The nurse should program the infusion
pump to deliver how many mL/hour? (Enter numeric value only if
rounding is required, round to the nearest 10th). Answer:
⩥ An adult client who is admitted to the mental health unit for treatment
of bipolar disorder has a slightly slurred speech pattern and an unsteady
gait. Which assessment finding is most important for the nurse to report
to the healthcare provider?
A) blood alcohol level of 0.09% (90 mmol/L)
B) serum lithium level of 1.6 mEq/L
C) six hours of sleep in the past three days.
D) Weight loss of 10 pounds in the past month. Answer: B) serum
lithium level of 1.6 mEq/L
⩥ A male client reports to the on-call clinic nurse that he took tadalafil
10 mg by mouth two hours ago and his skin now feels flushed. He
,reports a history of stable angina, but denies experiencing any current or
recent chest pain. Which action should the nurse take?
A) tell the client to have someone bring him to an emergency department
immediately.
B) instruct the client to increase his intake of oral fluids until the skin
flushing is relieved.
C) reassure the client that skin flushing is a common side effect of the
medication.
D) advise the client to place one nitroglycerin tablet under his tongue as
a precaution.. Answer: C) reassure the client that skin flushing is a
common side effect of the medication.
⩥ An adult client experiences a gasoline tank fire when riding a
motorcycle and is admitted to the emergency department (ED) with full
thickness burns to all surfaces of both lower extremities. What
percentage of body surface area should the nurse document in the
electronic medical record (EMR)?
A) 9%
B) 36%
C) 18%
D) 45%. Answer: B) 36%
,⩥ An unlicensed assistive personnel leaves the unit without notifying the
staff. In which order should the unit manager implement these
interventions to address the UP's behavior? (Please to actions in order
from first on top to last on bottom)
Discuss the issue privately with the UAP
Plan for scheduled break times
Evaluate the UP for signs of improvement
Note date and time of the behavior. Answer: Note date and time of the
behavior.
Discuss the issue privately with a UAP.
Plan for scheduled break times.
Evaluate the UPC for signs of improvement.
⩥ NO QUESTION 32. Answer:
⩥ What nursing intervention is particularly indicated for the second
stage of labor?
A) Assessing the fetal heart rate and pattern for signs of fetal distress.
B) Monitoring effects of oxytocin administration to help achieve
cervical dilation.
C) Providing pain medication to increase the clients tolerance of labor
pains.
, D) Assisting the client to push effectively so that expulsion of the fetus
can be achieved.. Answer: D) Assisting the client to push effectively so
that expulsion of the fetus can be achieved.
⩥ A child with peripheral edema who weighs 44 pounds receives a
prescription for furosemide 2 mg/kg IV every 12 hours. The vile is
labeled 10 mg/mL. How many milliliters should the nurse administer?
(Enter numeric value only). Answer: 4mL
⩥ Laboratory results should the nurse closely monitor in a client who
has end-stage renal disease?
A) Erythrocytes, hemoglobin, and hematocrit.
B) Serum potassium, calcium, and phosphorus.
C) Blood pressure, heart rate, and temperature.
D) Leukocytes, neutrophils, and thyroxine.. Answer: B) Serum
potassium, calcium, and phosphorus.
⩥ A client with a history of dementia has become increasingly confused
at night and is picking at an abdominal surgical dressing and the tape
securing the IV line. The abdominal dressing is no longer inclusive, and
the IV insertion site is pink. Which intervention should the nurse
implement?
A) Leave the lights on in the room at night.
PRACTICE TEST 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
⩥ Dopamine 5mcg/kg/min IV is prescribed for a client who weighs 132
pounds. The pharmacy dispenses a 500 mL IV solution of 0.9% normal
saline with dopamine 1600 mg. The nurse should program the infusion
pump to deliver how many mL/hour? (Enter numeric value only if
rounding is required, round to the nearest 10th). Answer:
⩥ An adult client who is admitted to the mental health unit for treatment
of bipolar disorder has a slightly slurred speech pattern and an unsteady
gait. Which assessment finding is most important for the nurse to report
to the healthcare provider?
A) blood alcohol level of 0.09% (90 mmol/L)
B) serum lithium level of 1.6 mEq/L
C) six hours of sleep in the past three days.
D) Weight loss of 10 pounds in the past month. Answer: B) serum
lithium level of 1.6 mEq/L
⩥ A male client reports to the on-call clinic nurse that he took tadalafil
10 mg by mouth two hours ago and his skin now feels flushed. He
,reports a history of stable angina, but denies experiencing any current or
recent chest pain. Which action should the nurse take?
A) tell the client to have someone bring him to an emergency department
immediately.
B) instruct the client to increase his intake of oral fluids until the skin
flushing is relieved.
C) reassure the client that skin flushing is a common side effect of the
medication.
D) advise the client to place one nitroglycerin tablet under his tongue as
a precaution.. Answer: C) reassure the client that skin flushing is a
common side effect of the medication.
⩥ An adult client experiences a gasoline tank fire when riding a
motorcycle and is admitted to the emergency department (ED) with full
thickness burns to all surfaces of both lower extremities. What
percentage of body surface area should the nurse document in the
electronic medical record (EMR)?
A) 9%
B) 36%
C) 18%
D) 45%. Answer: B) 36%
,⩥ An unlicensed assistive personnel leaves the unit without notifying the
staff. In which order should the unit manager implement these
interventions to address the UP's behavior? (Please to actions in order
from first on top to last on bottom)
Discuss the issue privately with the UAP
Plan for scheduled break times
Evaluate the UP for signs of improvement
Note date and time of the behavior. Answer: Note date and time of the
behavior.
Discuss the issue privately with a UAP.
Plan for scheduled break times.
Evaluate the UPC for signs of improvement.
⩥ NO QUESTION 32. Answer:
⩥ What nursing intervention is particularly indicated for the second
stage of labor?
A) Assessing the fetal heart rate and pattern for signs of fetal distress.
B) Monitoring effects of oxytocin administration to help achieve
cervical dilation.
C) Providing pain medication to increase the clients tolerance of labor
pains.
, D) Assisting the client to push effectively so that expulsion of the fetus
can be achieved.. Answer: D) Assisting the client to push effectively so
that expulsion of the fetus can be achieved.
⩥ A child with peripheral edema who weighs 44 pounds receives a
prescription for furosemide 2 mg/kg IV every 12 hours. The vile is
labeled 10 mg/mL. How many milliliters should the nurse administer?
(Enter numeric value only). Answer: 4mL
⩥ Laboratory results should the nurse closely monitor in a client who
has end-stage renal disease?
A) Erythrocytes, hemoglobin, and hematocrit.
B) Serum potassium, calcium, and phosphorus.
C) Blood pressure, heart rate, and temperature.
D) Leukocytes, neutrophils, and thyroxine.. Answer: B) Serum
potassium, calcium, and phosphorus.
⩥ A client with a history of dementia has become increasingly confused
at night and is picking at an abdominal surgical dressing and the tape
securing the IV line. The abdominal dressing is no longer inclusive, and
the IV insertion site is pink. Which intervention should the nurse
implement?
A) Leave the lights on in the room at night.
