ATI PN ADULT MED SURG PROCTORED EXAM
PREP 2025/2026 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES || ALREADY GRADED A+
<NEWEST VERSION>
1. AVPU - ANSWER ✔ Alert, responsive to voice, responsive to pain,
unresponsive
2. Glasgow coma scale - ANSWER ✔ Eye opening, verbal response, motor
response, low score 3 highest score 15
3. Use of the Glasgow scale is to - ANSWER ✔ Determine neurologic status
4. Insertion of an NG tube - ANSWER ✔ Determine if the client has a deviated
septum, the nurse will need to insert the tube through the nares of the
unobstructed side
5. Review the laboratory value prior to preparing the medication - ANSWER
✔ When administering a dose of (Lasix), furosemide
6. Furosemide - ANSWER ✔ A loop diuretic can lead to hypokalemia
7. Thyroidectomy - ANSWER ✔ Greatest risk to the client after thyroidectomy
is hypocalcemia
8. Highest priority after thyroidectomy - ANSWER ✔ Tingling around the
mouth
9. Side effects to albuterol(Proventil) - ANSWER ✔ Tremors
10.Clinical manifestations to a possible latex allergy - ANSWER ✔ Rhinorrhea,
nasal irritation
,11.Continuous tube feeding and administering digoxin ( Lanoxin) - ANSWER
✔ Flush the tubing before and after administration of the medication with 30
ml of water
12.When a client is experiencing severe anxiety - ANSWER ✔ Speak to the
client using simple sentences
13.A client that has diabetes mellitus and reports having influenza. - ANSWER
✔ Tell client to drink at least 240 ml of sugar free fluids every hour to
prevent dehydration
14.A nurse is caring for a client after a radical neck dissection. To which of the
following should the nurse give priority in the immediate postoperative
period? - ANSWER ✔ Ineffective airway clearance related to thick, copious
secretions.
15.A community health nurse is assisting with planning an immunization clinic
for older adult clients. The nurse should advise the clients to receive an
influenza vaccine - ANSWER ✔ annually.
16.A nurse is caring for a client who has primary open-angle glaucoma. The
client questions the nurse about the purpose of the tonometry examination.
The nurse should explain that this test is used to - ANSWER ✔ measure
intraocular pressure.
17.A nurse in an emergency department is caring for a client who has a deep
laceration on there left lower forearm and is bleeding heavily from the
wound. Which of the following interventions should the nurse perform first?
- ANSWER ✔ Apply pressure directly to the wound.
18.A nurse is caring for a client who has end-stage renal disease and must limit
protein intake. Which of the following foods should the nurse plan to include
in the client's diet? - ANSWER ✔ Eggs
19.A nurse is contributing to the plan of care for a client who has a pressure
ulcer on his heel. Which of the following should the nurse include in the
planning? - ANSWER ✔ Provide the client a diet high in vitamin C.
,20.A nurse is caring for a client who has a large wound that has a vacuum-
assisted closure device placed over it. Which of the following findings by
the nurse indicates healing of the wound? - ANSWER ✔ Granulation tissue
on the surface of the wound.
21.The nurse is caring for a client who has a pneumothorax and a water-seal
chest tube drainage system to suction. Which of the following actions should
the nurse take? - ANSWER ✔ Maintain the drainage container below the
level of the client's chest.
22.A nurse is caring for an older adult client diagnosed with colon cancer. The
client asks he nurse several questions about his treatment plan. Which of the
flooring nursing actions is appropriate? - ANSWER ✔ Help the client write
down questions to ask his provider
23.A nurse is teaching a client who is at risk for iron-deficiency anemia about
optimizing her dietary intake of iron. The nurse should explain that which of
the following sources of iron is easiest for the body to absorb? - ANSWER
✔ Chicken
24.A nurse is reinforcing teaching about preventing long-term complications of
retinopathy and neuropathy with an older adult client who has diabetes
mellitus. Which of the following actions is the most important for the nurse
to include in the teaching? - ANSWER ✔ "Maintain stable blood glucose
levels."
25.A nurse is reviewing a client's admission lab findings, which indicate the
client is hyponatremic. Which of the following lab findings should the nurse
anticipate will also be below the expected reference range? - ANSWER ✔
Chloride
26.A nurse is collecting data from a client who sustained superficial partial-
thickness and deep partial-thickness burns 72 hr ago. Which of the following
findings should the nurse report to the provider? - ANSWER ✔ temperature
of 39.1'C
27.A nurse is caring for an adolescent client who has burn wounds on her face
and hands. Which of the following statements by the client indicates that she
, has adapted to her changed body image? - ANSWER ✔ may I go with my
family to the visitors lounge
28.A nurse in a providers office is caring for a client who has a new diagnosis
of herpes zoster. The nurse should anticipate a prescription for which of the
following medications? - ANSWER ✔ acyclovir
29.A nurse if assisting with the admission of a client who is bedridden and was
admitted from home. The nurses notes a shallow crater in the epidermis of
the client's sacral area. The nurse should document that the client has a
pressure ulcer at which of the following stages? - ANSWER ✔ Stage 2
30.A nurse is reinforcing teaching with a client who has burn injuries to his
trunk about what to expect from the prescribed hydrotherapy. Which of the
following statements by the client indicates an understanding of the
teaching? - ANSWER ✔ I will be on a special shower table
31.A nurse is reinforcing teaching with a client who is wheelchair bound and
his caregiver about ways to reduce the risk of pressure ulcer formation.
Which of the following instructions should the nurse include? - ANSWER ✔
shift your weight Q 15 min.
32.A nurse is reinforcing discharge teaching with a client who is postoperative
following a surgical excision of basal cell carcinoma. Which of the
following finding should the nurse include as an indication of malignancy of
a mole? - ANSWER ✔ ulceration
33.A nurse is assisting with a development of an education session about
malignant melanoma for a group of clients. The nurse should include that
which of the following clients has an increased risk for developing
malignant melaonoma? - ANSWER ✔ a client who has a light complexion
34.A nurse is assisting with a plan of care for a client who is experiencing the
Somogyi effect and takes intermittent-acting insulin. Which of the following
actions should the nurse include in the plan? - ANSWER ✔ monitor
nighttime blood glucose
PREP 2025/2026 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES || ALREADY GRADED A+
<NEWEST VERSION>
1. AVPU - ANSWER ✔ Alert, responsive to voice, responsive to pain,
unresponsive
2. Glasgow coma scale - ANSWER ✔ Eye opening, verbal response, motor
response, low score 3 highest score 15
3. Use of the Glasgow scale is to - ANSWER ✔ Determine neurologic status
4. Insertion of an NG tube - ANSWER ✔ Determine if the client has a deviated
septum, the nurse will need to insert the tube through the nares of the
unobstructed side
5. Review the laboratory value prior to preparing the medication - ANSWER
✔ When administering a dose of (Lasix), furosemide
6. Furosemide - ANSWER ✔ A loop diuretic can lead to hypokalemia
7. Thyroidectomy - ANSWER ✔ Greatest risk to the client after thyroidectomy
is hypocalcemia
8. Highest priority after thyroidectomy - ANSWER ✔ Tingling around the
mouth
9. Side effects to albuterol(Proventil) - ANSWER ✔ Tremors
10.Clinical manifestations to a possible latex allergy - ANSWER ✔ Rhinorrhea,
nasal irritation
,11.Continuous tube feeding and administering digoxin ( Lanoxin) - ANSWER
✔ Flush the tubing before and after administration of the medication with 30
ml of water
12.When a client is experiencing severe anxiety - ANSWER ✔ Speak to the
client using simple sentences
13.A client that has diabetes mellitus and reports having influenza. - ANSWER
✔ Tell client to drink at least 240 ml of sugar free fluids every hour to
prevent dehydration
14.A nurse is caring for a client after a radical neck dissection. To which of the
following should the nurse give priority in the immediate postoperative
period? - ANSWER ✔ Ineffective airway clearance related to thick, copious
secretions.
15.A community health nurse is assisting with planning an immunization clinic
for older adult clients. The nurse should advise the clients to receive an
influenza vaccine - ANSWER ✔ annually.
16.A nurse is caring for a client who has primary open-angle glaucoma. The
client questions the nurse about the purpose of the tonometry examination.
The nurse should explain that this test is used to - ANSWER ✔ measure
intraocular pressure.
17.A nurse in an emergency department is caring for a client who has a deep
laceration on there left lower forearm and is bleeding heavily from the
wound. Which of the following interventions should the nurse perform first?
- ANSWER ✔ Apply pressure directly to the wound.
18.A nurse is caring for a client who has end-stage renal disease and must limit
protein intake. Which of the following foods should the nurse plan to include
in the client's diet? - ANSWER ✔ Eggs
19.A nurse is contributing to the plan of care for a client who has a pressure
ulcer on his heel. Which of the following should the nurse include in the
planning? - ANSWER ✔ Provide the client a diet high in vitamin C.
,20.A nurse is caring for a client who has a large wound that has a vacuum-
assisted closure device placed over it. Which of the following findings by
the nurse indicates healing of the wound? - ANSWER ✔ Granulation tissue
on the surface of the wound.
21.The nurse is caring for a client who has a pneumothorax and a water-seal
chest tube drainage system to suction. Which of the following actions should
the nurse take? - ANSWER ✔ Maintain the drainage container below the
level of the client's chest.
22.A nurse is caring for an older adult client diagnosed with colon cancer. The
client asks he nurse several questions about his treatment plan. Which of the
flooring nursing actions is appropriate? - ANSWER ✔ Help the client write
down questions to ask his provider
23.A nurse is teaching a client who is at risk for iron-deficiency anemia about
optimizing her dietary intake of iron. The nurse should explain that which of
the following sources of iron is easiest for the body to absorb? - ANSWER
✔ Chicken
24.A nurse is reinforcing teaching about preventing long-term complications of
retinopathy and neuropathy with an older adult client who has diabetes
mellitus. Which of the following actions is the most important for the nurse
to include in the teaching? - ANSWER ✔ "Maintain stable blood glucose
levels."
25.A nurse is reviewing a client's admission lab findings, which indicate the
client is hyponatremic. Which of the following lab findings should the nurse
anticipate will also be below the expected reference range? - ANSWER ✔
Chloride
26.A nurse is collecting data from a client who sustained superficial partial-
thickness and deep partial-thickness burns 72 hr ago. Which of the following
findings should the nurse report to the provider? - ANSWER ✔ temperature
of 39.1'C
27.A nurse is caring for an adolescent client who has burn wounds on her face
and hands. Which of the following statements by the client indicates that she
, has adapted to her changed body image? - ANSWER ✔ may I go with my
family to the visitors lounge
28.A nurse in a providers office is caring for a client who has a new diagnosis
of herpes zoster. The nurse should anticipate a prescription for which of the
following medications? - ANSWER ✔ acyclovir
29.A nurse if assisting with the admission of a client who is bedridden and was
admitted from home. The nurses notes a shallow crater in the epidermis of
the client's sacral area. The nurse should document that the client has a
pressure ulcer at which of the following stages? - ANSWER ✔ Stage 2
30.A nurse is reinforcing teaching with a client who has burn injuries to his
trunk about what to expect from the prescribed hydrotherapy. Which of the
following statements by the client indicates an understanding of the
teaching? - ANSWER ✔ I will be on a special shower table
31.A nurse is reinforcing teaching with a client who is wheelchair bound and
his caregiver about ways to reduce the risk of pressure ulcer formation.
Which of the following instructions should the nurse include? - ANSWER ✔
shift your weight Q 15 min.
32.A nurse is reinforcing discharge teaching with a client who is postoperative
following a surgical excision of basal cell carcinoma. Which of the
following finding should the nurse include as an indication of malignancy of
a mole? - ANSWER ✔ ulceration
33.A nurse is assisting with a development of an education session about
malignant melanoma for a group of clients. The nurse should include that
which of the following clients has an increased risk for developing
malignant melaonoma? - ANSWER ✔ a client who has a light complexion
34.A nurse is assisting with a plan of care for a client who is experiencing the
Somogyi effect and takes intermittent-acting insulin. Which of the following
actions should the nurse include in the plan? - ANSWER ✔ monitor
nighttime blood glucose
