ATI Medical-Surgical (Med Surg) Proctored Exam 2025 – Complete Study Guide with Practice Questions, Correct Answers, and Expert Rationales

• Complete study guide for ATI Med-Surg 2025
• Practice questions with correct answers and expert rationales
• Focuses on medical-surgical nursing concepts
• Perfect for nursing students preparing for the proctored exam
• Enhances critical thinking and exam readiness

Preview

Which nursing intervention should the nurse implement that best confirms the
placement of an endotracheal tube?
A) Use an end-tital CO2 detector.
B) Ascultate for bilateral breath sounds.
C) Obtain pulse oximeter reading.
D) Check symmetrical chest movement. – – correct ans- -A) Use an end-tital CO2
detector
The end-tital CO2 detector indicates the presence of CO2 by a color change or a
number (A), which is evidence that the ET is in the trachea, not the esophagus. Other
assessments, such as breathe sounds (B), pulse oximetry (C) and chest movement (D),
are methods to evaluate the effectiveness of ventilation and oxygenation, but do not
measure CO2 in expired air from the ET.
An older female client is admitted with atrophic vaginitis and perineal cutaneous
candidiasis. What is the priority nursing diagnosis for this client?
A) Risk for injury.
B) Impaired comfort.
C) Disturbed body image.
D) Ineffective health maintenance. – – correct ans- -B) Impaired comfort.
In menopausal women, the vaginal mucous membrane responds to low estrogen levels
causing the vaginal walls to become thinner, drier, and susceptible to infection which
leads to atrophic vaginitis. Perineal cutaneous candidiasis contributes to other
manifestations of vaginal infections, such as vaginal irritation, burning, pruritus,
increased leukorrhea, bleeding, and dyspareunia, and support the primary nursing
diagnosis, Impaired comfort (B). Risk for injury (A), body image (C), and ineffective
health maintenance (D) are secondary and linked to impaired comfort.
A man who smokes two packs of cigarettes a day wants to know if smoking is
contributing to the difficulty that he and his wife are having getting pregnant. What
information is best for the nurse to provide? (Select all that apply.)
A) Only marijuana cigarettes affect sperm count.
B) Smoking can decrease the quantity and quality of sperm.
C) The first semen analysis should be repeated to confirm sperm counts.
D) Cessation of smoking improves general health and fertility.
E) Sperm specimens should be collected in 2 subsequent days.
Correct Answer(s): B, C, D – – correct ans- -B) Smoking can decrease the quantity and
quality of sperm.
C) The first semen analysis should be repeated to confirm sperm counts.
D) Cessation of smoking improves general health and fertility.
Correct selections are (B, C, and D). Use of tobacco, alcohol, and marijuana may affect
sperm counts (B). Sperm counts vary from day to day and are dependent on emotional
and physical status and sexual activity, so a single analysis may be inconclusive (C). A
minimum of two analyses should be performed several weeks apart to assess male
fertility, not (E). (A and D) contain inaccurate information.