ATI Medical-Surgical Proctored Exam 2025: Comprehensive Review with High-Yield NCLEX Practice Questions, Correct Answers, and Expert Rationales

• Comprehensive review for ATI Medical-Surgical 2025
• High-yield NCLEX-style practice questions
• Correct answers with expert rationales
• Ideal for nursing students preparing for the proctored exam
• Boosts critical thinking and exam confidence

Preview

1. Low Purine Diet Foods
Question:
A nurse is planning to teach a client whose provider has prescribed a low purine diet.
The nurse should instruct the client that he can include which of the following foods in
his diet? (Select all that apply)
a) Sardines
b) Nuts
c) Apricots
d) Liver
e) Scallops
Correct Answers:
b) Nuts
c) Apricots
Rationale:
Purines are found in high concentrations in meats and seafood like sardines, liver, and
scallops. Nuts and apricots are low in purines and safe for clients to consume on a low
purine diet.
2. Post-Knee Arthroplasty Pain
Question:
A nurse is caring for a client following a total knee arthroplasty who reports a pain level
of 6 on a scale of 0 to 10. Which intervention should the nurse take?
a) Place pillows under the client’s knee
b) Gently massage the area around the incision
c) Apply an ice pack to the client’s knee
d) Perform range of motion exercises on the knee
Correct Answer:
c) Apply an ice pack to the client’s knee
Rationale:
Applying ice reduces inflammation and provides non-pharmacological pain relief.
Placing a pillow under the knee may cause joint contractures, and massaging near the
incision site increases infection risk.
3. Role Adaptation with Crutches
Question:
A nurse is caring for a client who has a lower extremity fracture and a prescription for
crutches. Which statement by the client indicates positive role adaptation?
a) I will need my partner to take over grocery shopping and cooking
b) It’s going to be hard telling my parents I can’t take them to their appointments
c) I feel bad asking my partner to keep the house clean
d) These crutches will make it impossible to care for my child
Correct Answer:
a) I will need my partner to take over grocery shopping and cooking
Rationale:
Acknowledging limitations and seeking assistance is a sign of healthy role adaptation.
The other responses reflect guilt or inability to cope.
4. Banana Allergy Pre-op Risk
Question:
A nurse is assessing a preoperative client who reports an allergy to bananas. The nurse
should recognize that the client is at risk for an allergic cross-reaction to which
substance?
a) Adhesive tape
b) Latex
c) Anesthetics
d) Povidone-iodine
Correct Answer:
b) Latex
Rationale:
Latex allergies are often associated with allergies to bananas, avocados, and kiwis due
to similar proteins. Clients with banana allergies should be assessed for latex
sensitivity.