ATI ADULT MEDICAL SURGICAL EXAM 5
COMPREHENSIVE TEST PAPER 2026 FULL
SOLUTION VERIFIED PASS
◉ A nurse is caring for a client who is being evaluated for
endometrial cancer. Which of the following findings should the
nurse expect the client to report? Answer: Abnormal vaginal
bleeding
◉ A nurse is caring for a client following an open reduction and
internal fixation of a fractured femur. Which of the following findings
is the nurse's priority? Answer: Altered level of consciousness
◉ A nurse is assisting in the care of a client who is 2 hours
postoperative following a wedge resection of the left lung and has a
chest tube to suction. Which of the following is the priority finding
the nurse should report to the provider? Answer: Abdomen is
distended
◉ A nurse is reinforcing discharge teaching with a client about how
to care for a newly created ileal conduit. Which of the following
instructions should the nurse include in the teaching? Answer:
Change the ostomy pouch daily
,◉ A nurse is assisting in the plan of care for a client who had a
removal of the pituitary gland. Which of the following actions should
the nurse include in the plan? Answer: Change the nasal drip pad as
needed.
◉ A nurse is caring for a client who asks why she is being prescribed
aspirin 325 mg daily following a myocardial infarction. The nurse
should instruct the client that aspirin is prescribed for clients who
have coronary artery disease for which of the following effects?
Answer: To prevent blood clotting
◉ A nurse is collecting data from a client who has open-angle
glaucoma. Which of the following findings should the nurse expect?
Answer: Loss of peripheral vision
◉ A nurse is collecting data from a client who has acute
gastroenteritis. Which of the following data collection findings
should the nurse identify as the priority? Answer: Potassium 2.5
mEq/L
◉ A nurse is reinforcing discharge teaching with a client who had a
total abdominal hysterectomy and a vaginal repair. Which of the
following statements by the client indicates a need for further
teaching? Answer: "I will take a tub bath instead of a shower."
,◉ A nurse is assisting with the care of a client who has a femur
fracture and is in skeletal traction. Which of the following actions
should the nurse take? Answer: Ensure the client's weights are
hanging freely from the bed.
◉ A nurse is assisting with the care of a client immediately following
a lumbar puncture. Which of the following actions should the nurse
take? (Select all that apply.) Answer: 1) Encourage fluid intake. 2)
Monitor the puncture site for hematoma.
◉ A nurse is assisting in the care of a client who is 2 hours
postoperative following a wedge resection of the left lung and has a
chest tube to suction. Which of the following is the priority finding
the nurse should report to the provider? Answer: Abdomen is
distended
◉ A nurse is reviewing the laboratory results of a client who is
postoperative and has a respiratory rate of 7/min. The arterial blood
gas (ABG) values include:
pH 7.22 PaCO2 68 mm Hg Base excess -2 PaO2 78 mm Hg Oxygen
saturation 80% Bicarbonate 28 mEq/L
Which of the following interpretations of the ABG values should the
nurse make Answer: Respiratory acidosis
◉ A nurse is reinforcing teaching with a client who has peripheral
vascular disease (PVD). The nurse should recognize that which of
, the following statements by the client indicates a need for further
teaching? Answer: "I will wear stockings with elastic tops."
◉ A nurse is preparing to provide morning hygiene care for a client
who has Alzheimer's disease. The client becomes agitated and
combative when the nurse approaches him. Which of the following
actions should the nurse plan to take? Answer: Calmly ask the client
if he would like to listen to some music.
◉ A nurse is collecting data on a client's wound. The nurse observes
that the wound surface is covered with soft, red tissue that bleeds
easily. The nurse should recognize this is a manifestation of which of
the following? Answer: Granulation tissue
◉ A nurse is caring for a client who has multiple myeloma and has a
WBC count of 2,200/mm3 . Which of the following food items
brought by the family should the nurse prohibit from being given to
the client? Answer: Fresh fruit basket
◉ A nurse is contributing to the plan of care for an older adult client
who is postoperative following a right hip arthroplasty. Which of the
following interventions should the nurse include in the plan?
Answer: Maintain abduction of the right hip.
COMPREHENSIVE TEST PAPER 2026 FULL
SOLUTION VERIFIED PASS
◉ A nurse is caring for a client who is being evaluated for
endometrial cancer. Which of the following findings should the
nurse expect the client to report? Answer: Abnormal vaginal
bleeding
◉ A nurse is caring for a client following an open reduction and
internal fixation of a fractured femur. Which of the following findings
is the nurse's priority? Answer: Altered level of consciousness
◉ A nurse is assisting in the care of a client who is 2 hours
postoperative following a wedge resection of the left lung and has a
chest tube to suction. Which of the following is the priority finding
the nurse should report to the provider? Answer: Abdomen is
distended
◉ A nurse is reinforcing discharge teaching with a client about how
to care for a newly created ileal conduit. Which of the following
instructions should the nurse include in the teaching? Answer:
Change the ostomy pouch daily
,◉ A nurse is assisting in the plan of care for a client who had a
removal of the pituitary gland. Which of the following actions should
the nurse include in the plan? Answer: Change the nasal drip pad as
needed.
◉ A nurse is caring for a client who asks why she is being prescribed
aspirin 325 mg daily following a myocardial infarction. The nurse
should instruct the client that aspirin is prescribed for clients who
have coronary artery disease for which of the following effects?
Answer: To prevent blood clotting
◉ A nurse is collecting data from a client who has open-angle
glaucoma. Which of the following findings should the nurse expect?
Answer: Loss of peripheral vision
◉ A nurse is collecting data from a client who has acute
gastroenteritis. Which of the following data collection findings
should the nurse identify as the priority? Answer: Potassium 2.5
mEq/L
◉ A nurse is reinforcing discharge teaching with a client who had a
total abdominal hysterectomy and a vaginal repair. Which of the
following statements by the client indicates a need for further
teaching? Answer: "I will take a tub bath instead of a shower."
,◉ A nurse is assisting with the care of a client who has a femur
fracture and is in skeletal traction. Which of the following actions
should the nurse take? Answer: Ensure the client's weights are
hanging freely from the bed.
◉ A nurse is assisting with the care of a client immediately following
a lumbar puncture. Which of the following actions should the nurse
take? (Select all that apply.) Answer: 1) Encourage fluid intake. 2)
Monitor the puncture site for hematoma.
◉ A nurse is assisting in the care of a client who is 2 hours
postoperative following a wedge resection of the left lung and has a
chest tube to suction. Which of the following is the priority finding
the nurse should report to the provider? Answer: Abdomen is
distended
◉ A nurse is reviewing the laboratory results of a client who is
postoperative and has a respiratory rate of 7/min. The arterial blood
gas (ABG) values include:
pH 7.22 PaCO2 68 mm Hg Base excess -2 PaO2 78 mm Hg Oxygen
saturation 80% Bicarbonate 28 mEq/L
Which of the following interpretations of the ABG values should the
nurse make Answer: Respiratory acidosis
◉ A nurse is reinforcing teaching with a client who has peripheral
vascular disease (PVD). The nurse should recognize that which of
, the following statements by the client indicates a need for further
teaching? Answer: "I will wear stockings with elastic tops."
◉ A nurse is preparing to provide morning hygiene care for a client
who has Alzheimer's disease. The client becomes agitated and
combative when the nurse approaches him. Which of the following
actions should the nurse plan to take? Answer: Calmly ask the client
if he would like to listen to some music.
◉ A nurse is collecting data on a client's wound. The nurse observes
that the wound surface is covered with soft, red tissue that bleeds
easily. The nurse should recognize this is a manifestation of which of
the following? Answer: Granulation tissue
◉ A nurse is caring for a client who has multiple myeloma and has a
WBC count of 2,200/mm3 . Which of the following food items
brought by the family should the nurse prohibit from being given to
the client? Answer: Fresh fruit basket
◉ A nurse is contributing to the plan of care for an older adult client
who is postoperative following a right hip arthroplasty. Which of the
following interventions should the nurse include in the plan?
Answer: Maintain abduction of the right hip.
