PN MED SURG PROCTORED /ATI PN
MEDICAL SURGICAL EXAM 2025-2026
ACTUAL EXAM
A nurse is reviewing the medical record of a client who has a prescription for morphine.
Which of the following findings should the nurse report to the provider? -
Answer--Urinary retention
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the
following actions should the nurse take? - Answer--Position pillows between the bony
prominences
A nurse is caring for a client who is postoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take first? - Answer--Stop the
medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following
information should the nurse include? - Answer--You are at risk for infertility with this
infection, regardless of treatment
A nurse is examining a clients IV site and notes a red line up his arm. The client reliant
a throbbing, burning pain at the IV site. The nurse should identify that the clients
manifestations indicate which of the following complications? -
Answer--Thrombophlebitis
,A nurse is reinforcing teaching with an adolescent client regarding testicular self
examination. Which of the following statements by the client demonstrates an
undertsmdibg of the teaching? - Answer--I understand that testicular cancer is painless
A nurse in a long term care facility is collecting data from a client who reports fullness in
the rectum and abdominal cramping. Which of the following findings should indicate to
the nurse that the client might have a fecal impaction? - Answer--Small liquid stools
A nurse in an oncology is reinforcing teaching about Mohs surgery with a client who has
skin cancer. Which of the following information should the nurse include in the teaching?
- Answer--Mohs surgery is a horizontal shaving of thin layers of the tumor
A nurse is reinforcing teaching about GERd with a client. Which of the following
statements by the client indicates an understanding of the teaching? - Answer--I should
wait at least 2 hours after eating before going to bed
A nurse is contributing to the plan of care for a clear who is postoperative following a
total knee arthroplasty. The client is using a CPM machine. Which of the following
interventions should the nurse recommend for the plan of care? - Answer--Keep a
sheepskin pad between the clients extremetity and the CPM
A nurse is assisting the charge nurse with developing an in service about caring for
clients who have internal sealed radiation implants. Which of the following information
should the nurse include? - Answer--Dispose of radiation implants in a lead container.
A nurse is preparing to suction a client who has a tracheotomy. Which of the following
actions should the nurse take first? - Answer--Ventilate with 100% oxygen
A nurse is assisting in the care of a client who has manifestations of sepsis. Which of
the following provider prescriptions should the nurse implement first? - Answer--Initiate
oxygen at 4 L/min via nasal cannula.
A nurse is caring for a client and administers penicillin IM. The client begins exhibiting
hives and has severe difficulty breathing. After establishing a patent airway, which f the
following actions should the nurse take next? - Answer--Administer epinephrine
A nurse is monitoring an older adult client who has a history of an enlarge prostate and
is experiencing Supra public discomfort. Which of the following actions should the nurse
take first? - Answer--Palpate the abdomen
, A nurse is reinforcing teaching with the family of a client who has a verbiage injury and
has a halo vest in place. Which of the following safety precautions should the nurse
include in the teaching? - Answer--Change the sheepskin liner weekly
A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of the
following actions should the nurse take to reduce the risk for aspiration? -
Answer--Allow for 30 min of rest before meals
A nurse is preparing to administer furosemide to a client who has heart failure. Which of
the following findings should the nurse report before administering the medication? -
Answer--Decreased potassium
A nurse is caring for a client who has a prescription for phenazopyrodine. Which of the
following findings should the nurse identify as a therapeutic effect of the medication? -
Answer--Decreased pain during urination
A nurse is caring for a client who has a history of breast cancer. The client asks the
nurse about birth control. Which of the following methods of birth control is
contraindicated for this client? - Answer--Combination oral contraceptive
A nurse is reinforcing discharge teaching about wound care with a family member of a
client who is postoperative. Which of the following should the nurse include in the
teaching? - Answer--Report purulent drainage to the provider
A nurse is providing discharge teaching for the family of a client who has Parkinson's
disease. Which of the following information should the nurse include in the teaching? -
Answer--Remind the client to avoid watching her feet when walking
A nurse is contributing to the plan of care for a client who has methicillin resistant
straphyloccus aureus MRSA infection and is in contact isolation precautions. Which of
the following actions should the nurse take? - Answer--Have a designated stethoscope
in the clients room
A nurse is preparing to administer scheduled medications to a client. Which of the
following precautions should the nurse verify with the provider? - Answer--Cefrriaxone
A nurse is assisting with the care of a care who is reconciled 0.9 % sodium chloride by
continuous IV infusion. The client report pain and swelling at the IV site. In which order
MEDICAL SURGICAL EXAM 2025-2026
ACTUAL EXAM
A nurse is reviewing the medical record of a client who has a prescription for morphine.
Which of the following findings should the nurse report to the provider? -
Answer--Urinary retention
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the
following actions should the nurse take? - Answer--Position pillows between the bony
prominences
A nurse is caring for a client who is postoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take first? - Answer--Stop the
medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following
information should the nurse include? - Answer--You are at risk for infertility with this
infection, regardless of treatment
A nurse is examining a clients IV site and notes a red line up his arm. The client reliant
a throbbing, burning pain at the IV site. The nurse should identify that the clients
manifestations indicate which of the following complications? -
Answer--Thrombophlebitis
,A nurse is reinforcing teaching with an adolescent client regarding testicular self
examination. Which of the following statements by the client demonstrates an
undertsmdibg of the teaching? - Answer--I understand that testicular cancer is painless
A nurse in a long term care facility is collecting data from a client who reports fullness in
the rectum and abdominal cramping. Which of the following findings should indicate to
the nurse that the client might have a fecal impaction? - Answer--Small liquid stools
A nurse in an oncology is reinforcing teaching about Mohs surgery with a client who has
skin cancer. Which of the following information should the nurse include in the teaching?
- Answer--Mohs surgery is a horizontal shaving of thin layers of the tumor
A nurse is reinforcing teaching about GERd with a client. Which of the following
statements by the client indicates an understanding of the teaching? - Answer--I should
wait at least 2 hours after eating before going to bed
A nurse is contributing to the plan of care for a clear who is postoperative following a
total knee arthroplasty. The client is using a CPM machine. Which of the following
interventions should the nurse recommend for the plan of care? - Answer--Keep a
sheepskin pad between the clients extremetity and the CPM
A nurse is assisting the charge nurse with developing an in service about caring for
clients who have internal sealed radiation implants. Which of the following information
should the nurse include? - Answer--Dispose of radiation implants in a lead container.
A nurse is preparing to suction a client who has a tracheotomy. Which of the following
actions should the nurse take first? - Answer--Ventilate with 100% oxygen
A nurse is assisting in the care of a client who has manifestations of sepsis. Which of
the following provider prescriptions should the nurse implement first? - Answer--Initiate
oxygen at 4 L/min via nasal cannula.
A nurse is caring for a client and administers penicillin IM. The client begins exhibiting
hives and has severe difficulty breathing. After establishing a patent airway, which f the
following actions should the nurse take next? - Answer--Administer epinephrine
A nurse is monitoring an older adult client who has a history of an enlarge prostate and
is experiencing Supra public discomfort. Which of the following actions should the nurse
take first? - Answer--Palpate the abdomen
, A nurse is reinforcing teaching with the family of a client who has a verbiage injury and
has a halo vest in place. Which of the following safety precautions should the nurse
include in the teaching? - Answer--Change the sheepskin liner weekly
A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of the
following actions should the nurse take to reduce the risk for aspiration? -
Answer--Allow for 30 min of rest before meals
A nurse is preparing to administer furosemide to a client who has heart failure. Which of
the following findings should the nurse report before administering the medication? -
Answer--Decreased potassium
A nurse is caring for a client who has a prescription for phenazopyrodine. Which of the
following findings should the nurse identify as a therapeutic effect of the medication? -
Answer--Decreased pain during urination
A nurse is caring for a client who has a history of breast cancer. The client asks the
nurse about birth control. Which of the following methods of birth control is
contraindicated for this client? - Answer--Combination oral contraceptive
A nurse is reinforcing discharge teaching about wound care with a family member of a
client who is postoperative. Which of the following should the nurse include in the
teaching? - Answer--Report purulent drainage to the provider
A nurse is providing discharge teaching for the family of a client who has Parkinson's
disease. Which of the following information should the nurse include in the teaching? -
Answer--Remind the client to avoid watching her feet when walking
A nurse is contributing to the plan of care for a client who has methicillin resistant
straphyloccus aureus MRSA infection and is in contact isolation precautions. Which of
the following actions should the nurse take? - Answer--Have a designated stethoscope
in the clients room
A nurse is preparing to administer scheduled medications to a client. Which of the
following precautions should the nurse verify with the provider? - Answer--Cefrriaxone
A nurse is assisting with the care of a care who is reconciled 0.9 % sodium chloride by
continuous IV infusion. The client report pain and swelling at the IV site. In which order
