Medical Surgical ATI Proctored Exam 2026/2027
COMPLETE STUDY GUIDE WITH VERIFIED SOLUTIONS
• Why is stridor bad? -✓✓ it means that there is an obstruction or edema in airway
• What is common in heart rate in a patient with low fluid volume (hypovolemia)? -✓✓
usually greater than 110- to compensate for the low bp
• What is normal urine gravity? -✓✓ 1.000 - 1.030
• What is the role of positive pressure? -✓✓ to promote lung expansion and stabilize
chest
• Would you recommend exercise for a pt who has been discharged with heart failure? -
✓✓ yes
• How often should exercise be in heart failure pt? -✓✓ regular routine
• Should you consume milk with iron supplements? -✓✓ no- can cause gastric
disturbance.
• Would you take iron with antacids? -✓✓ no- causes gastric disturbances
• Would you tell the pt to lower red meat intake with iron deficiency? -✓✓ no- increase
iron rich foods
• What is a common side effect with iron pills? -✓✓ constipation
• What would you tell them to eat with taking iron pills? -✓✓ high fiber
• When does pain worsen with compartement syndrome? -✓✓ when passive moving
occurs.
• What does warmth under cast indicate? -✓✓ infection
• Should pt decrease complex carbs for atherosceleoris? -✓✓ no, increase them
• What carb should a client with atherosceloris decrease? -✓✓ simple sugars
• Is MRSA airborne or contact? -✓✓ contact
• What does phenyotoin do to hepatic enzymes (for seizures meds)? -✓✓ it decreases
effectiveness
,• What should you tell the pt not to take with ciprofloxacin? -✓✓ magnesium containg
antacids
• Why wouldn't you take magnesium containing anatacids with cipro? -✓✓ calcium can
decrease absorption of med
• What is a common side effect of rifampin? -✓✓ color of urine-
• Can you take ciproflaxcin with alcohol? -✓✓ yes
• After a parathryoidectomy what would be the priority for the nurse? -✓✓ to put trach
tray by bedside in case of airway occlusion(AIRWAY)
• What meds increase osteoporosis? -✓✓ fludrocortisone
• With enoxaparin, what is the priority as the med the nurse? -✓✓ give dosage same
time every day
• Is restlessness common in hyperthyroidism? -✓✓ yes
• What would be urgent for hyperthyroidism? -✓✓ high BP
• If a pt has a weird heart sound what would be first thing you do? -✓✓ listen to it again
but on the left side (least invasive)
• Why would gentamicin be withheld from a pt? -✓✓ if creatine levels are too high
• What is normal creatine? -✓✓ .6-1.2
• What is one of the first vital signs of a hemorrhage? -✓✓ increase heart rate
• What med would you give for a febrile reaction? -✓✓ tylenol (reduces fever)
• How long does a drain stay in place for a radical mastectomy? -✓✓ 1 to 3 week
• What drainage amount to get rid of drainage tube for mastectomy? -✓✓ less than 25
• What is first thing to ask if a pt reports dyspnea and SOB when administering O2? -✓✓
if they have COPD
• Why would it be bad for you to put O2 on a COPD pt? -✓✓ It can worsen
hypercarbemia.
, • What is someones HGB look like with leukemia (increase or decreased)? -✓✓
decreased
• What would be a big sign that nephrosotomy tube has popped or been displaced? -✓✓
back pain
• What is max amount of flexion for total hip replacement? -✓✓ no more than 90
degrees
• Why would you place a pillow between a pt legs for hip athroplasy? -✓✓ so the hips
don't get dislocated
• What is a holter monitor used for? -✓✓ detecting irregular heart rate and rhythms
• What is the role of a pacemaker? -✓✓ regulate the heart rate
• What is a echocardiogram used for? -✓✓ detecting valve dysfunction
• What do PPI do for gastric ulcers? -✓✓ it suppresses gastric acid production
• What does high fowler's position accomplish? -✓✓ increases lung expansion and
improves ventilation
• What med would you d/c to before going in for allergy testing? -✓✓ prednisone
• If a pt were to state that their vision went blurry before a car accident, what would you
do first? -✓✓ monitor neuro
• What would be first thing to do if bowel is protruding from stomach? -✓✓ call for help
• What kind of skin for hypothyroidism? -✓✓ dry scaly
• What does metformin do to glucose? -✓✓ it decreases the amount of glucose
produced in liver
• When should pt take metformin? -✓✓ with or immediately following meals
• If you have hair loss on lower legs what could be problem? -✓✓ Peripheral arterial
disease (PAD)
• When does pain happen with PAD? -✓✓ with resting
• How is pain relieved with PAD? -✓✓ Dangling the feet
COMPLETE STUDY GUIDE WITH VERIFIED SOLUTIONS
• Why is stridor bad? -✓✓ it means that there is an obstruction or edema in airway
• What is common in heart rate in a patient with low fluid volume (hypovolemia)? -✓✓
usually greater than 110- to compensate for the low bp
• What is normal urine gravity? -✓✓ 1.000 - 1.030
• What is the role of positive pressure? -✓✓ to promote lung expansion and stabilize
chest
• Would you recommend exercise for a pt who has been discharged with heart failure? -
✓✓ yes
• How often should exercise be in heart failure pt? -✓✓ regular routine
• Should you consume milk with iron supplements? -✓✓ no- can cause gastric
disturbance.
• Would you take iron with antacids? -✓✓ no- causes gastric disturbances
• Would you tell the pt to lower red meat intake with iron deficiency? -✓✓ no- increase
iron rich foods
• What is a common side effect with iron pills? -✓✓ constipation
• What would you tell them to eat with taking iron pills? -✓✓ high fiber
• When does pain worsen with compartement syndrome? -✓✓ when passive moving
occurs.
• What does warmth under cast indicate? -✓✓ infection
• Should pt decrease complex carbs for atherosceleoris? -✓✓ no, increase them
• What carb should a client with atherosceloris decrease? -✓✓ simple sugars
• Is MRSA airborne or contact? -✓✓ contact
• What does phenyotoin do to hepatic enzymes (for seizures meds)? -✓✓ it decreases
effectiveness
,• What should you tell the pt not to take with ciprofloxacin? -✓✓ magnesium containg
antacids
• Why wouldn't you take magnesium containing anatacids with cipro? -✓✓ calcium can
decrease absorption of med
• What is a common side effect of rifampin? -✓✓ color of urine-
• Can you take ciproflaxcin with alcohol? -✓✓ yes
• After a parathryoidectomy what would be the priority for the nurse? -✓✓ to put trach
tray by bedside in case of airway occlusion(AIRWAY)
• What meds increase osteoporosis? -✓✓ fludrocortisone
• With enoxaparin, what is the priority as the med the nurse? -✓✓ give dosage same
time every day
• Is restlessness common in hyperthyroidism? -✓✓ yes
• What would be urgent for hyperthyroidism? -✓✓ high BP
• If a pt has a weird heart sound what would be first thing you do? -✓✓ listen to it again
but on the left side (least invasive)
• Why would gentamicin be withheld from a pt? -✓✓ if creatine levels are too high
• What is normal creatine? -✓✓ .6-1.2
• What is one of the first vital signs of a hemorrhage? -✓✓ increase heart rate
• What med would you give for a febrile reaction? -✓✓ tylenol (reduces fever)
• How long does a drain stay in place for a radical mastectomy? -✓✓ 1 to 3 week
• What drainage amount to get rid of drainage tube for mastectomy? -✓✓ less than 25
• What is first thing to ask if a pt reports dyspnea and SOB when administering O2? -✓✓
if they have COPD
• Why would it be bad for you to put O2 on a COPD pt? -✓✓ It can worsen
hypercarbemia.
, • What is someones HGB look like with leukemia (increase or decreased)? -✓✓
decreased
• What would be a big sign that nephrosotomy tube has popped or been displaced? -✓✓
back pain
• What is max amount of flexion for total hip replacement? -✓✓ no more than 90
degrees
• Why would you place a pillow between a pt legs for hip athroplasy? -✓✓ so the hips
don't get dislocated
• What is a holter monitor used for? -✓✓ detecting irregular heart rate and rhythms
• What is the role of a pacemaker? -✓✓ regulate the heart rate
• What is a echocardiogram used for? -✓✓ detecting valve dysfunction
• What do PPI do for gastric ulcers? -✓✓ it suppresses gastric acid production
• What does high fowler's position accomplish? -✓✓ increases lung expansion and
improves ventilation
• What med would you d/c to before going in for allergy testing? -✓✓ prednisone
• If a pt were to state that their vision went blurry before a car accident, what would you
do first? -✓✓ monitor neuro
• What would be first thing to do if bowel is protruding from stomach? -✓✓ call for help
• What kind of skin for hypothyroidism? -✓✓ dry scaly
• What does metformin do to glucose? -✓✓ it decreases the amount of glucose
produced in liver
• When should pt take metformin? -✓✓ with or immediately following meals
• If you have hair loss on lower legs what could be problem? -✓✓ Peripheral arterial
disease (PAD)
• When does pain happen with PAD? -✓✓ with resting
• How is pain relieved with PAD? -✓✓ Dangling the feet
