[STUDY GUIDE] • HIGH-YIELD PRACTICE & REVIEW EDITION
ATI EN Adult Medical Surgical Online
Practice Exam Questions & Verified
Answers Latest 2026/2027 Edition
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
91 Questions 15 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 91 verified questions with detailed rationales covering adult medical-surgical nursing.
Each item pairs a board-style question with the correct answer and a concise explanation of the underlying
principle, making it suitable for NCLEX preparation, course review, and rapid remediation.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Indwelling Urinary Catheter Focuses on the care and complications associated with
Management indwelling urinary catheters. 7 Qs 7.7%
Urine Specific Gravity Covers the interpretation of urine specific gravity in various
Assessment clinical contexts. 6 Qs 6.6%
Surgical Interventions: Knee Addresses preoperative and postoperative care for clients
Arthroplasty undergoing knee arthroplasty. 6 Qs 6.6%
Chest Disorders: Acute Chest Examines the assessment and management of conditions
Syndrome leading to acute chest syndrome. 6 Qs 6.6%
Compression Therapy:
Graduated Compression Focuses on the application and benefits of graduated
Stockings compression stockings in managing venous insufficiency. 6 Qs 6.6%
Medication Administration and Covers principles of safe medication administration and
Safety monitoring effects. 6 Qs 6.6%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 46
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Postoperative Care and Addresses common postoperative complications and nursing
Complications interventions. 6 Qs 6.6%
Focuses on teaching clients about managing their conditions
Patient Education and Self-Care and medications. 6 Qs 6.6%
Emergency Nursing and Critical Examines critical care scenarios and emergency
Care interventions. 6 Qs 6.6%
Covers strategies for preventing and controlling infections in
Infection Control and Prevention various healthcare settings. 6 Qs 6.6%
Laboratory Values and Focuses on the interpretation of laboratory values and their
Diagnostic Tests clinical implications. 6 Qs 6.6%
Fluid and Electrolyte Addresses assessment and management of fluid and
Management electrolyte imbalances. 6 Qs 6.6%
Chronic Conditions and Disease Explores management strategies for chronic diseases and
Management associated complications. 6 Qs 6.6%
Neurological Assessments and Covers assessments and nursing interventions related to
Interventions neurological conditions. 6 Qs 6.6%
Nutrition and Dietary Focuses on nutritional needs and dietary teaching for specific
Considerations health conditions. 6 Qs 6.6%
Total Exam Coverage 15 Integrated Topic Modules 91 Qs 100.0%
TOPIC 1: INDWELLING URINARY CATHETER MANAGEMENT
7 Questions • 7.7% of Exam • Focuses on the care and complications associated with indwelling urinary catheters.
QUESTION 1
A nurse is assessing a client who is postoperative following a transurethral resection
of the prostate (TURP) and notes clots in the client's indwelling urinary catheter and a
decrease in urinary output. Which of the following actions should the nurse take?
a. Remove the client's indwelling urinary catheter.
b. Irrigate the indwelling urinary catheter.
c. Clamp the indwelling urinary catheter.
d. Apply traction to the indwelling urinary catheter.
Answer: B. Irrigate the indwelling urinary catheter.
The nurse should irrigate the client's catheter per facility protocol to remove clots obstructing the urine flow.
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 46
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 2
A nurse is providing discharge instructions to a client who has a partial-thickness burn
on the hand. Which of the following instructions should the nurse include?
a. Change the dressing every 72 hr.
b. Immobilize the hand with a pressure dressing.
c. Take pain medication 30 min after changing the dressing.
d. Wrap fingers with individual dressings.
Answer: D. Wrap fingers with individual dressings.
The nurse should instruct the client to wrap the fingers individually to allow for functional use of the hand
while healing
occurs. The nurse should also instruct the client to perform range-of-motion exercises to each finger every
hour while awake to promote function of the injured hand.
QUESTION 3
A nurse is providing teaching to a client who has a history of urinary tract infections
(UTIs). Which of the following information should the nurse include in the teaching?
a. Avoid foods that are high in ascorbic acid.
b. Add oatmeal to the water when taking a tub bath.
c. Urinate every 6 hr.
d. Take daily cranberry supplements.
Answer: D. Take daily cranberry supplements.
The client should take cranberry supplements or drink low-fructose cranberry juice because it contains
compounds that adhere to the urinary tract wall, decreasing the risk for developing a UTI.
QUESTION 4
PART 6 - The nurse is providing care for the client. Exhibit 1, 2, 3, 4, 5, 6...
A nurse is providing discharge teaching with the client. Which of the following
statements made by the client indicates an understanding of the teaching? SATA
a. "I should avoid taking vitamin supplements."
b. "I should notify my provider if my temperature is higher than 101 F"
c. "I should alternate taking acetaminophen with my prescribed pain medication."
d. "I should schedule several rest periods throughout the day."
e. "I will pack my abdominal wound with gauze after cleaning it."
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 46
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Answer: B. "I should notify my provider if my temperature is higher than 101 F"
d. "I should schedule several rest periods throughout the day." When evaluating outcomes, the nurse should
identify that the client understands discharge teaching after stating "I will schedule several rest periods
throughout the day" and "I will notify my provider if temperature is greater than 101 F." The client had an
exploratory laparotomy procedure and has a closed incision; therefore, the client will require rest throughout
the day and should monitor for manifestations of infection such as an elevated temperature and drainage
from surgical wound.
QUESTION 5
A nurse is assessing a client who has diabetes insipidus. Which of the following
findings should the nurse expect?
a. Low urine specific gravity
b. Hypertension
c. Bounding peripheral pulses
d. Hyperglycemia
Answer: A. Low urine specific gravity
An expected finding for a client who has diabetes insipidus is a urine specific gravity between 1.001 and
1.005. Decreased water reabsorption by the renal tubules is caused by an alteration in antidiuretic hormone
release or the kidneys' responsiveness to the hormone.
QUESTION 6
PART 5 - A nurse is caring for a client. Exhibit 1, 2, 3...
The nurse is reviewing the client's medical record. Select the 3 findings that require
nursing intervention.
a. Temperature
b. Heart rate
c. WBC count
d. Oxygen saturation
e. Potassium level
Answer: A. Temperature. The nurse should identify that the client continues to have a fever as a result of the
body's immune system fighting the infection.
c. WBC count. The nurse should identify that the client's WBC count remains elevated, which indicates an
infection.
e. Potassium level. The nurse should identify that the client's potassium level is elevated, which places them
at risk for cardiac dysrhythmias.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 46
ATI EN Adult Medical Surgical Online
Practice Exam Questions & Verified
Answers Latest 2026/2027 Edition
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
91 Questions 15 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 91 verified questions with detailed rationales covering adult medical-surgical nursing.
Each item pairs a board-style question with the correct answer and a concise explanation of the underlying
principle, making it suitable for NCLEX preparation, course review, and rapid remediation.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Indwelling Urinary Catheter Focuses on the care and complications associated with
Management indwelling urinary catheters. 7 Qs 7.7%
Urine Specific Gravity Covers the interpretation of urine specific gravity in various
Assessment clinical contexts. 6 Qs 6.6%
Surgical Interventions: Knee Addresses preoperative and postoperative care for clients
Arthroplasty undergoing knee arthroplasty. 6 Qs 6.6%
Chest Disorders: Acute Chest Examines the assessment and management of conditions
Syndrome leading to acute chest syndrome. 6 Qs 6.6%
Compression Therapy:
Graduated Compression Focuses on the application and benefits of graduated
Stockings compression stockings in managing venous insufficiency. 6 Qs 6.6%
Medication Administration and Covers principles of safe medication administration and
Safety monitoring effects. 6 Qs 6.6%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 46
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Postoperative Care and Addresses common postoperative complications and nursing
Complications interventions. 6 Qs 6.6%
Focuses on teaching clients about managing their conditions
Patient Education and Self-Care and medications. 6 Qs 6.6%
Emergency Nursing and Critical Examines critical care scenarios and emergency
Care interventions. 6 Qs 6.6%
Covers strategies for preventing and controlling infections in
Infection Control and Prevention various healthcare settings. 6 Qs 6.6%
Laboratory Values and Focuses on the interpretation of laboratory values and their
Diagnostic Tests clinical implications. 6 Qs 6.6%
Fluid and Electrolyte Addresses assessment and management of fluid and
Management electrolyte imbalances. 6 Qs 6.6%
Chronic Conditions and Disease Explores management strategies for chronic diseases and
Management associated complications. 6 Qs 6.6%
Neurological Assessments and Covers assessments and nursing interventions related to
Interventions neurological conditions. 6 Qs 6.6%
Nutrition and Dietary Focuses on nutritional needs and dietary teaching for specific
Considerations health conditions. 6 Qs 6.6%
Total Exam Coverage 15 Integrated Topic Modules 91 Qs 100.0%
TOPIC 1: INDWELLING URINARY CATHETER MANAGEMENT
7 Questions • 7.7% of Exam • Focuses on the care and complications associated with indwelling urinary catheters.
QUESTION 1
A nurse is assessing a client who is postoperative following a transurethral resection
of the prostate (TURP) and notes clots in the client's indwelling urinary catheter and a
decrease in urinary output. Which of the following actions should the nurse take?
a. Remove the client's indwelling urinary catheter.
b. Irrigate the indwelling urinary catheter.
c. Clamp the indwelling urinary catheter.
d. Apply traction to the indwelling urinary catheter.
Answer: B. Irrigate the indwelling urinary catheter.
The nurse should irrigate the client's catheter per facility protocol to remove clots obstructing the urine flow.
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 46
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 2
A nurse is providing discharge instructions to a client who has a partial-thickness burn
on the hand. Which of the following instructions should the nurse include?
a. Change the dressing every 72 hr.
b. Immobilize the hand with a pressure dressing.
c. Take pain medication 30 min after changing the dressing.
d. Wrap fingers with individual dressings.
Answer: D. Wrap fingers with individual dressings.
The nurse should instruct the client to wrap the fingers individually to allow for functional use of the hand
while healing
occurs. The nurse should also instruct the client to perform range-of-motion exercises to each finger every
hour while awake to promote function of the injured hand.
QUESTION 3
A nurse is providing teaching to a client who has a history of urinary tract infections
(UTIs). Which of the following information should the nurse include in the teaching?
a. Avoid foods that are high in ascorbic acid.
b. Add oatmeal to the water when taking a tub bath.
c. Urinate every 6 hr.
d. Take daily cranberry supplements.
Answer: D. Take daily cranberry supplements.
The client should take cranberry supplements or drink low-fructose cranberry juice because it contains
compounds that adhere to the urinary tract wall, decreasing the risk for developing a UTI.
QUESTION 4
PART 6 - The nurse is providing care for the client. Exhibit 1, 2, 3, 4, 5, 6...
A nurse is providing discharge teaching with the client. Which of the following
statements made by the client indicates an understanding of the teaching? SATA
a. "I should avoid taking vitamin supplements."
b. "I should notify my provider if my temperature is higher than 101 F"
c. "I should alternate taking acetaminophen with my prescribed pain medication."
d. "I should schedule several rest periods throughout the day."
e. "I will pack my abdominal wound with gauze after cleaning it."
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 46
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Answer: B. "I should notify my provider if my temperature is higher than 101 F"
d. "I should schedule several rest periods throughout the day." When evaluating outcomes, the nurse should
identify that the client understands discharge teaching after stating "I will schedule several rest periods
throughout the day" and "I will notify my provider if temperature is greater than 101 F." The client had an
exploratory laparotomy procedure and has a closed incision; therefore, the client will require rest throughout
the day and should monitor for manifestations of infection such as an elevated temperature and drainage
from surgical wound.
QUESTION 5
A nurse is assessing a client who has diabetes insipidus. Which of the following
findings should the nurse expect?
a. Low urine specific gravity
b. Hypertension
c. Bounding peripheral pulses
d. Hyperglycemia
Answer: A. Low urine specific gravity
An expected finding for a client who has diabetes insipidus is a urine specific gravity between 1.001 and
1.005. Decreased water reabsorption by the renal tubules is caused by an alteration in antidiuretic hormone
release or the kidneys' responsiveness to the hormone.
QUESTION 6
PART 5 - A nurse is caring for a client. Exhibit 1, 2, 3...
The nurse is reviewing the client's medical record. Select the 3 findings that require
nursing intervention.
a. Temperature
b. Heart rate
c. WBC count
d. Oxygen saturation
e. Potassium level
Answer: A. Temperature. The nurse should identify that the client continues to have a fever as a result of the
body's immune system fighting the infection.
c. WBC count. The nurse should identify that the client's WBC count remains elevated, which indicates an
infection.
e. Potassium level. The nurse should identify that the client's potassium level is elevated, which places them
at risk for cardiac dysrhythmias.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 46
