ATI Testing Exam for Engage Adult Medical Surgical RN-RN Caring for
the surgical client Assessment - Real Exam
Question: 1 of 30
Question: 2 of 30
Question: 3 of 30
A nurse transfers a client to the PACU postoperatively. During the hand-off report, the nurse
states that. "Dr. jones performed a bowel reaction." Which of the following sections of the
SBAR communication tool does this statement address?
A. Assessment
B. Situation
C. Recommendation
D. Background
Answer: B. Situation
Question: 4 of 30
A Nurse is preparing a client scheduled for right knee arthroplasty surgery. Which of the
following interventions should be the priority for the nurse to address to ensure client safety?
A. Provide client education regarding the surgical procedure.
B. Have the surgeon mark the surgical site.
C. Ensure the client showered the night before.
D. Initiate the prescribed antibiotic upona0mlssion to the hospital.
Answer: B. Have the surgeon mark the surgical site.
Question: 5 of 30
A Nurse is completing a preassessment fora surgical client. The nurse asks the client whether
they or any one int heir family has a history of complications from anaesthesia. Which of the
following assessment findings is most concerning?
A. Malignant hyperthermia
B. Venous thromboembolism (VTE)
C. Frequent Falls
D. Sleep Apnea
Answer: A. Malignant hyperthermia
Question: 6 of 30
A nurse teaches a surgical client about breathing and relaxation exercises during the
preoperative phase. Which of the following postoperative complications would breathing and
relaxation exercises help?
A. Pain
B. Malnutrition
C. Sleep Apnea
D. Frequent falls
Answer: A. Pain
Question: 7 of 30
A nurse is preparing a client for a surgical appendectomy. The nurse identifies an
appendectomy as which of the following types of surgical classification?
A. Expedited
B. Elective
C. Emergent
D. Urgent
Answer: D. Urgent
Question: 8 of 30
A transplant nurse is providing care related to a client's kidney transplant. Which priority
nursing action would most likely take place during the preoperative phase?
A. Monitoring the client for signs of organ rejection
B. Monitoring the client for signs of health care-associated infection
C. Educating the client's caregivers about the transplant process
D. Administering fluids and surgical wound care
Answer: C. Educating the client's caregivers about the transplant process
Question: 9 of 30
A nurse is teaching a client how to perform deep breathing exercises postoperatively. Which
of the following instructions should the nurse include in her demonstration?
A. Breathe out through your nose for eight seconds.
B. Hold your breath for more than ten seconds or for as long as you can.
C. Breathe in through your nose for four seconds.
D. Relax at the end for five seconds, then repeat five more times.
Answer: C. Breathe in through your nose for four seconds.
Question: 10 of 30
Surgical nurse received additional training to become a transplant nurse. When the nurse
administers postoperative care to a transplant client for the first time, which element of care
will be new for that nurse?
A. Monitoring for signs of organ rejection
B. Administering IV fluids and blood if ordered
C. Assisting with pain management techniques
D. Cleaning and caring for the surgical site
Answer: A. Monitoring for signs of organ rejection
Question: 11 of 30
A nurse is preparing to admit a client to an outpatient surgical center. Which of the following
will assist in collecting data that can be used to plan care during the preoperative phase?
A. Physical assessment
B. Surgical checklist
C. SBAR communication tool
D. Document management
Answer: A. Physical assessment
Question: 12 of 30
A nurse observes a client signing their informed consent for surgery. The client says to the
nurse, "I am not sure why I have to have this surgery." Which of the following actions should
the nurse take first?
A. Inform the client of the surgery and the details of the procedure, then have them sign the
consent when completed.
B. Notify the operating room staff as the client is brought into the room.
C. Inform the client to sign the consent so they can get to the operating room.
D. Contact the provider and notify them that the informed consent process is not complete,
then notify the perioperative staff that the surgery is on hold.
Answer: D. Contact the provider and notify them that the informed consent process is not
complete, then notify the perioperative staff that the surgery is on hold.
Question: 13 of 30
A nurse is caring for a client in the PACU following a surgical procedure during which they
received moderate sedation. Which of the following interventions should the nurse
implement?
A. Determine ambulation status
B. Monitor level of consciousness
C. Maintain airway
D. Assess for numbness to extremities
Answer: B. Monitor level of consciousness
Question: 14 of 30
An experienced transplant nurse is describing the transplant nursing process to a student
nurse. Which statement should the experienced nurse make?
A. The nursing process for transplant nursing has more steps than other nursing processes."
B. "Transplant nursing is similar to other types of perioperative nursing."
C. "Transplant nursing is significantly more difficult than other types of perioperative
nursing."
D. "Transplant nursing is a unique type of perioperative nursing that requires a different
process."
Answer: B. "Transplant nursing is similar to other types of perioperative nursing."
Question: 15 of 30
A Nurse is caring for a client who is having a total abdominal hysterectomy. The nurse
prepares to teach the surgical client about minimizing the plan and discomfort
postoperatively. Which of the following priority instructions should the nurse give the client?
A. Inform the client to resume their regular diet after surgery.
B. Recommend lower extremity range of motion (ROM) exercise.
C. Ensure the client understands splinting the incision and performing deep breathing
exercises.
D. Encourage the client to remain in bed for a few days after surgery.
Answer: C. Ensure the client understands splinting the incision and performing deep
breathing exercises.
Question: 16 of 30
A nurse is preparing a client for surgery when the client expresses how nervous and anxious
they are about the surgery. Which of the following responses by the nurse would help initiate
assessment of the client's need for further preoperative instruction?
A. "Tell me what you have already been told about the surgery."
B. "I would be happy to explain the whole procedure to you."
C. "No need to worry; everyone is nervous when they are going to have surgery."
D. "You are having a major surgery, and you will experience some pain."
Answer: A. "Tell me what you have already been told about the surgery."
Question: 17 of 30
A nurse is preparing a client for a surgical procedure. During which of the following
timeframes should the nurse initiate the prescribed antibiotic to help decrease surgical site
infections?
A. 90 minutes before entering the operating room
B. 30 minutes after admission to the hospital
C. 60 minutes before performing the surgical incision
D. 15 minutes after entering the presurgical holding area
Answer: C. 60 minutes before performing the surgical incision
Question: 18 of 30
A transplant nurse is identifying client risk factors during the preoperative phase. Which of
the following potential complications should the nurse recognize puts the client at a higher
risk level due to the medications and procedures for organ transplants?
A. Malignant hyperthermia
B. Postoperative pain
C. Acquiring a secondary infection
D. Fluid imbalance
Answer: C. Acquiring a secondary infection
Question: 19 of 30
A nurse is using the "I Pass the Baton" hand-off tool when transferring a client to the
operating room. Which of the following steps of the tool should the nurse use when reporting
that the client has allergies to latex and penicillin?
A. Assessment
B. Ownership
C. Safety
D. Timing
Answer: C. Safety
Question: 20 of 30
A nurse is providing preoperative education to a client scheduled for elective surgery. Which
of the following is the best time for the nurse to provide preoperative teaching?
A. When the client has arrived in the PACU
B. Three weeks prior to surgery
C. After preoperative medications have been given
D. The afternoon or evening prior to surgery
Answer: D. The afternoon or evening prior to surgery
Question: 21 of 30
A nurse is providing information to a client being admitted to the surgical clinic for a right
knee arthroscopy. The nurse explains to the client that they will be receiving perioperative
care. The client asks, "When does that care occur?" Which of the following statements made
by the nurse is correct?
A. "This care occurs during your preadmission assessment and data collection."
B. "Perioperative care occurs before, during, and after surgery."
C. "Perioperative care is care the nurse provides during surgery."
D. "This care is provided when you get out of surgery."
B. "Perioperative care occurs before, during, and after surgery."
Answer: B. "Perioperative care occurs before, during, and after surgery."
Question: 22 of 30
A transplant nurse is part of a multidisciplinary care team creating a documented plan of care
for a client in need of a heart transplant. Which of the following standards of professional
performance for transplant nursing is the nurse demonstrating by being part of the team?
A. Professional practice evaluation
B. Leadership
C. Resource utilization
D. Collaboration
Answer: D. Collaboration
Question: 23 of 30
A nurse is using the SBAR communication tool when handing off a client to the PACU
nurse. Which of the following sections of the tool is the nurse using when describing the
client's comorbidities?
A. Background
B. Situation
C. Recommendation
D. Assessment
Answer: A. Background
Question: 24 of 30
A nurse documents how much solution is administered to a postoperative client
intravenously, as well as how much output is collected in the client's catheter bag. Which of
the following elements of postoperative care is the nurse directly performing?
A. Ensure respiratory and cardiovascular stability.
B. Manage postoperative pain.
C. Maintain adequate fluid balance.
D. Assist with early ambulation.
Answer: C. Maintain adequate fluid balance.
Question: 25 of 30
A nurse administers IV medication and reviews breathing and relaxation techniques with a
client recovering from a mastectomy. Which element of postoperative care is the nurse
performing?
A. Ensuring respiratory and cardiovascular stability
B. Maintaining adequate fluid balance
C. Providing surgical site care
D. Managing postoperative pain
Answer: D. Managing postoperative pain
Question: 26 of 30
A nurse is caring for a client who is scheduled for a laparotomy. The client states that they
are concerned about the possibility of postoperative infection. Which of the following actions
should the nurse take to address the client's concern and decrease the risk of infection?
A. Ask the client whether they or their family have a history of complications from
anaesthesia.
B. Educate the client during the preoperative phase about wound care.
C. Teach the client breathing and relaxation exercises.
D. Evaluate the client's risk of developing venous thromboembolism (VTE).
Answer: B. Educate the client during the preoperative phase about wound care.
Question: 27 of 30
A nurse is preparing a client for a surgical procedure, explaining that perioperative nursing
care is primarily focused on the client to provide high-quality care. The nurse is
demonstrating knowledge of the Perioperative Patient-Focused Model. Which of the
following domains of this model has more emphasis on structural standardized data elements
and analytical reporting?
A. Safety
B. Behavioral Responses
C. Physiological Responses
D. Health System
Answer: D. Health System
Question: 28 of 30
A nurse is admitting a client to the surgical clinic for elective surgery. Which of the following
is the priority focus during the preoperative phase?
A. Place the operating table in the correct position.
B. Prepare the client mentally and physically for surgery.
C. Ensure that there is a sterile field in the operating room.
D. Inspect dressings and reinforce them as necessary.
Answer: B. Prepare the client mentally and physically for surgery.
Question: 29 of 30
A nurse is preparing a client for total hip surgery. The client has been on anticoagulant
therapy for the last few months. During which of the following periods in the surgical
checklist is the risk of greater than 500 mL blood loss assessed and recorded?
A. SIGN-OUT
B. TIBE-OUT
C. CHECK-IN
D. SIGN-IN
Answer: D. SIGN-IN
Question: 30 of 30
