ATI Med-Surg Proctored Assessment – Fully
Updated With VERIFIED A+ Answers
Instructions
The following 80 multiple-choice questions cover critical medical-surgical nurs-
ing topics across cardiovascular, respiratory, renal, neurological, gastrointesti-
nal, endocrine, and musculoskeletal systems. Each question includes four an-
swer options (A–D). Select the best answer for each question.
Questions
1. A client with acute myocardial infarction reports chest pain radiating to
the left arm. What is the nurse’s priority action?
A. Administer sublingual nitroglycerin as prescribed.
B. Perform a 12-lead ECG immediately.
C. Encourage deep breathing exercises.
D. Restrict all physical activity.
Correct Answer: A
2. A client with chronic obstructive pulmonary disease (COPD) has an oxygen
saturation of 88
A. Administer oxygen at 2–4 L/min via nasal cannula.
B. Encourage the client to lie flat.
C. Administer a bronchodilator after oxygen therapy.
D. Restrict fluid intake to reduce secretions.
Correct Answer: A
3. A client with acute kidney injury has a serum potassium level of 6.5 mEq/L.
What is the nurse’s first action?
A. Administer a loop diuretic.
B. Prepare for emergency dialysis.
C. Encourage potassium-rich foods.
D. Monitor urine output hourly.
Correct Answer: B
4. A client with a recent stroke exhibits dysphagia. Which intervention pro-
motes safe swallowing?
A. Provide thin liquids to prevent dehydration.
1
, B. Offer pureed foods and thickened liquids.
C. Encourage rapid eating to maintain nutrition.
D. Restrict all oral intake permanently.
Correct Answer: B
5. A client with ulcerative colitis reports frequent bloody diarrhea. What is
the priority nursing intervention?
A. Encourage a high-fiber diet.
B. Monitor for signs of dehydration.
C. Administer NSAIDs for pain relief.
D. Restrict all fluid intake.
Correct Answer: B
6. A client with type 2 diabetes has a blood glucose level of 70 mg/dL and re-
ports shakiness. What is the nurse’s first action?
A. Administer insulin immediately.
B. Provide 15 g of simple carbohydrates.
C. Restrict all carbohydrate intake.
D. Prepare for IV dextrose administration.
Correct Answer: B
7. A client with a fractured femur is in traction. Which assessment finding
indicates a complication?
A. Pain relieved with medication
B. Pale, cool toes with absent pulses
C. Stable vital signs
D. Proper alignment in traction
Correct Answer: B
8. A client with pneumonia reports a productive cough and fever. Which in-
tervention is most effective?
A. Restrict fluid intake to reduce secretions.
B. Encourage deep breathing and coughing exercises.
C. Administer a sedative to promote rest.
D. Limit oxygen therapy to prevent dependency.
Correct Answer: B
9. A client with heart failure is prescribed furosemide. Which electrolyte im-
balance should the nurse monitor?
2
, A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypermagnesemia
Correct Answer: B
10. A client with a seizure disorder is experiencing a tonic-clonic seizure. What
is the priority nursing action?
A. Insert a tongue depressor to prevent biting.
B. Ensure airway patency and protect from injury.
C. Restrain the client to prevent movement.
D. Administer oral anticonvulsants immediately.
Correct Answer: B
11. A client with chronic kidney disease is on a low-potassium diet. Which food
should the nurse recommend avoiding?
A. Apples
B. Oranges
C. White rice
D. Green beans
Correct Answer: B
12. A client with Crohn’s disease reports abdominal cramping. Which dietary
recommendation is most appropriate?
A. High-fiber diet
B. Low-residue diet
C. High-fat diet
D. Low-protein diet
Correct Answer: B
13. A client with hyperthyroidism is experiencing palpitations. Which medica-
tion should the nurse expect to administer?
A. Levothyroxine
B. Methimazole
C. Insulin
D. Metformin
Correct Answer: B
3
Updated With VERIFIED A+ Answers
Instructions
The following 80 multiple-choice questions cover critical medical-surgical nurs-
ing topics across cardiovascular, respiratory, renal, neurological, gastrointesti-
nal, endocrine, and musculoskeletal systems. Each question includes four an-
swer options (A–D). Select the best answer for each question.
Questions
1. A client with acute myocardial infarction reports chest pain radiating to
the left arm. What is the nurse’s priority action?
A. Administer sublingual nitroglycerin as prescribed.
B. Perform a 12-lead ECG immediately.
C. Encourage deep breathing exercises.
D. Restrict all physical activity.
Correct Answer: A
2. A client with chronic obstructive pulmonary disease (COPD) has an oxygen
saturation of 88
A. Administer oxygen at 2–4 L/min via nasal cannula.
B. Encourage the client to lie flat.
C. Administer a bronchodilator after oxygen therapy.
D. Restrict fluid intake to reduce secretions.
Correct Answer: A
3. A client with acute kidney injury has a serum potassium level of 6.5 mEq/L.
What is the nurse’s first action?
A. Administer a loop diuretic.
B. Prepare for emergency dialysis.
C. Encourage potassium-rich foods.
D. Monitor urine output hourly.
Correct Answer: B
4. A client with a recent stroke exhibits dysphagia. Which intervention pro-
motes safe swallowing?
A. Provide thin liquids to prevent dehydration.
1
, B. Offer pureed foods and thickened liquids.
C. Encourage rapid eating to maintain nutrition.
D. Restrict all oral intake permanently.
Correct Answer: B
5. A client with ulcerative colitis reports frequent bloody diarrhea. What is
the priority nursing intervention?
A. Encourage a high-fiber diet.
B. Monitor for signs of dehydration.
C. Administer NSAIDs for pain relief.
D. Restrict all fluid intake.
Correct Answer: B
6. A client with type 2 diabetes has a blood glucose level of 70 mg/dL and re-
ports shakiness. What is the nurse’s first action?
A. Administer insulin immediately.
B. Provide 15 g of simple carbohydrates.
C. Restrict all carbohydrate intake.
D. Prepare for IV dextrose administration.
Correct Answer: B
7. A client with a fractured femur is in traction. Which assessment finding
indicates a complication?
A. Pain relieved with medication
B. Pale, cool toes with absent pulses
C. Stable vital signs
D. Proper alignment in traction
Correct Answer: B
8. A client with pneumonia reports a productive cough and fever. Which in-
tervention is most effective?
A. Restrict fluid intake to reduce secretions.
B. Encourage deep breathing and coughing exercises.
C. Administer a sedative to promote rest.
D. Limit oxygen therapy to prevent dependency.
Correct Answer: B
9. A client with heart failure is prescribed furosemide. Which electrolyte im-
balance should the nurse monitor?
2
, A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypermagnesemia
Correct Answer: B
10. A client with a seizure disorder is experiencing a tonic-clonic seizure. What
is the priority nursing action?
A. Insert a tongue depressor to prevent biting.
B. Ensure airway patency and protect from injury.
C. Restrain the client to prevent movement.
D. Administer oral anticonvulsants immediately.
Correct Answer: B
11. A client with chronic kidney disease is on a low-potassium diet. Which food
should the nurse recommend avoiding?
A. Apples
B. Oranges
C. White rice
D. Green beans
Correct Answer: B
12. A client with Crohn’s disease reports abdominal cramping. Which dietary
recommendation is most appropriate?
A. High-fiber diet
B. Low-residue diet
C. High-fat diet
D. Low-protein diet
Correct Answer: B
13. A client with hyperthyroidism is experiencing palpitations. Which medica-
tion should the nurse expect to administer?
A. Levothyroxine
B. Methimazole
C. Insulin
D. Metformin
Correct Answer: B
3
