ATI ADULT MEDICAL SURGICAL EXAM 5 FINAL
STUDY GUIDE 2026 SOLVED ITEMS PREMIUM
REVIEW
◉ A nurse is reviewing data for a client who has a head injury. Which
of the following findings should indicate to the nurse that the client
might have diabetes insipidus? Answer: Urine output 650 mL/hr
◉ A nurse is caring for a client who has recurrent kidney stones and
a history of diabetes mellitus. The client is scheduled for an
intravenous pyelogram (IVP). The nurse should collect additional
data about which of the following statements made by the client?
Answer: "I took my metformin before breakfast."
◉ A nurse is collecting data from a client who is having an acute
asthma exacerbation. When auscultating the client's chest, the nurse
should expect to hear which of the following sounds? Answer:
Expiratory wheeze
◉ A nurse is planning to change an abdominal dressing for a client
who has an incision with a drain. Which of the following actions
should the nurse plan to take? Answer: Don clean gloves to remove
the dressing.
,◉ A nurse is caring for a client who is scheduled to undergo
thoracentesis. In which of the following positions should the nurse
place the client for the procedure? Answer: Sitting, leaning forward
over the bedside table.
◉ A nurse is caring for a client newly diagnosed with ovarian cancer.
Which of the following reactions from the client should the nurse
initially expect? Answer: Denial
◉ A nurse is contributing to the plan of care for a client who is
postoperative following peritoneal lavage for peritonitis. The client
has a nasogastric tube to low-intermittent suction and closed-
suction drains in place. Which of the following interventions should
the nurse include in the plan? Answer: Body weight
◉ A nurse is caring for a client who is receiving a unit of packed
RBCs. About 15 min following the start of the transfusion, the nurse
notes that the client is flushed and febrile, and reports chills. To help
confirm that the client is having an acute hemolytic transfusion
reaction, the nurse should observe for which of the following
manifestations? Answer: Hypotension
◉ A nurse is caring for a client who has a seizure disorder and
reports experiencing an aura. The nurse should recognize the client
is experiencing which of the following conditions? Answer: A
sensory warning that a seizure is imminent
,◉ A nurse is caring for a client who just had cataract surgery. Which
of the following comments from the client should the nurse report to
the provider? Answer: "I need something for the horrible pain in my
eye."
◉ A nurse is caring for a client who is scheduled for a colonoscopy.
The client asks the nurse if there will be a lot of pain during the
procedure. Which of the following responses should the nurse
make? Answer: "You may feel some cramping during the procedure."
◉ A nurse caring for a client at risk for increased intracranial
pressure is monitoring the client for manifestations that indicate
that the pressure is increasing. To do this, the nurse should check
the function of the third cranial nerve by performing which of the
following data-collection activities? Answer: Checking pupillary
responses to light
◉ A nurse is caring for a client during the immediate postoperative
period following thoracic surgery. When administering an opioid
analgesic for pain, the nurse should explain that the medication
should have which of the following effects? Answer: Reducing
anxiety
, ◉ A nurse is collecting data on a client who has hyperthyroidism.
Which of the following manifestations should the nurse expect the
client to report? Answer: Frequent mood changes
◉ A nurse is collecting data from a client who has skeletal traction.
Which of the following findings should the nurse identify as an
indication of infection at the pin sites? Answer: Fever
◉ A nurse is reinforcing teaching with a client who has type 2
diabetes mellitus. The nurse determines that teaching has been
effective when the client identifies which of the following
manifestations of hypoglycemia? (Select all that apply.) Answer:
Blurry vision 3) Tachycardia 5) Sweating
◉ A nurse is collecting data from a client who has an exacerbation of
gout. Which of the following findings should the nurse expect?
(Select all that apply.) Answer: Edema 2) Erythema 3) Tophi 4) Tight
skin
◉ A nurse is caring for a client who has myasthenia gravis (MG).
Which of the following is a complication of MG for which the nurse
should monitor? Answer: Respiratory difficulty
◉ .A nurse is caring for a client who is experiencing an acute
exacerbation of ulcerative colitis. The nurse should recognize that
STUDY GUIDE 2026 SOLVED ITEMS PREMIUM
REVIEW
◉ A nurse is reviewing data for a client who has a head injury. Which
of the following findings should indicate to the nurse that the client
might have diabetes insipidus? Answer: Urine output 650 mL/hr
◉ A nurse is caring for a client who has recurrent kidney stones and
a history of diabetes mellitus. The client is scheduled for an
intravenous pyelogram (IVP). The nurse should collect additional
data about which of the following statements made by the client?
Answer: "I took my metformin before breakfast."
◉ A nurse is collecting data from a client who is having an acute
asthma exacerbation. When auscultating the client's chest, the nurse
should expect to hear which of the following sounds? Answer:
Expiratory wheeze
◉ A nurse is planning to change an abdominal dressing for a client
who has an incision with a drain. Which of the following actions
should the nurse plan to take? Answer: Don clean gloves to remove
the dressing.
,◉ A nurse is caring for a client who is scheduled to undergo
thoracentesis. In which of the following positions should the nurse
place the client for the procedure? Answer: Sitting, leaning forward
over the bedside table.
◉ A nurse is caring for a client newly diagnosed with ovarian cancer.
Which of the following reactions from the client should the nurse
initially expect? Answer: Denial
◉ A nurse is contributing to the plan of care for a client who is
postoperative following peritoneal lavage for peritonitis. The client
has a nasogastric tube to low-intermittent suction and closed-
suction drains in place. Which of the following interventions should
the nurse include in the plan? Answer: Body weight
◉ A nurse is caring for a client who is receiving a unit of packed
RBCs. About 15 min following the start of the transfusion, the nurse
notes that the client is flushed and febrile, and reports chills. To help
confirm that the client is having an acute hemolytic transfusion
reaction, the nurse should observe for which of the following
manifestations? Answer: Hypotension
◉ A nurse is caring for a client who has a seizure disorder and
reports experiencing an aura. The nurse should recognize the client
is experiencing which of the following conditions? Answer: A
sensory warning that a seizure is imminent
,◉ A nurse is caring for a client who just had cataract surgery. Which
of the following comments from the client should the nurse report to
the provider? Answer: "I need something for the horrible pain in my
eye."
◉ A nurse is caring for a client who is scheduled for a colonoscopy.
The client asks the nurse if there will be a lot of pain during the
procedure. Which of the following responses should the nurse
make? Answer: "You may feel some cramping during the procedure."
◉ A nurse caring for a client at risk for increased intracranial
pressure is monitoring the client for manifestations that indicate
that the pressure is increasing. To do this, the nurse should check
the function of the third cranial nerve by performing which of the
following data-collection activities? Answer: Checking pupillary
responses to light
◉ A nurse is caring for a client during the immediate postoperative
period following thoracic surgery. When administering an opioid
analgesic for pain, the nurse should explain that the medication
should have which of the following effects? Answer: Reducing
anxiety
, ◉ A nurse is collecting data on a client who has hyperthyroidism.
Which of the following manifestations should the nurse expect the
client to report? Answer: Frequent mood changes
◉ A nurse is collecting data from a client who has skeletal traction.
Which of the following findings should the nurse identify as an
indication of infection at the pin sites? Answer: Fever
◉ A nurse is reinforcing teaching with a client who has type 2
diabetes mellitus. The nurse determines that teaching has been
effective when the client identifies which of the following
manifestations of hypoglycemia? (Select all that apply.) Answer:
Blurry vision 3) Tachycardia 5) Sweating
◉ A nurse is collecting data from a client who has an exacerbation of
gout. Which of the following findings should the nurse expect?
(Select all that apply.) Answer: Edema 2) Erythema 3) Tophi 4) Tight
skin
◉ A nurse is caring for a client who has myasthenia gravis (MG).
Which of the following is a complication of MG for which the nurse
should monitor? Answer: Respiratory difficulty
◉ .A nurse is caring for a client who is experiencing an acute
exacerbation of ulcerative colitis. The nurse should recognize that
