ATI MED SURG PRACTICE ASSESSMENT 2026
TEST PAPER SOLVED QUESTIONS AND
SOLUTIONS
◉ A nurse is caring for a client who has emphysema and is receiving
mechanical ventilation. The client appears anxious and restless, and
the high-pressure alarm is sounding. Which of the following actions
should the nurse take first? Answer: Instruct the client to allow the
machine to breathe for them.
Rationale: When providing client care, the nurse should first use the
least restrictive intervention. Therefore, the first action the nurse
should take is to provide verbal instructions in emotional support to
help the client relax and allow the ventilator to work. Clients can
exhibit anxiety and restlessness we're trying to "fight the ventilator."
◉ A nurse is teaching a client who has a family history of colorectal
cancer. To help mitigate this risk, which of the following dietary
alterations should the nurse recommend? Answer: Add cabbage to
the diet.
Rationale: To help reduce the risk for colorectal cancer, the client
should consume a diet that is high in fiber, low in fat, and low in
refined carbohydrates. Brassica vegetables, such as cabbage,
cauliflower, and broccoli, are all high in fiber.
,◉ A home health nurse is assigned to a client who was recently
discharged from a rehabilitation center after experiencing a right-
hemispheric stroke. Which of the following neurologic deficits
should the nurse expect to find when assessing the client? (Select all
that apply.) Answer: Visual spatial deficits, Left hemianopsia, One-
sided neglect.
Rationale: Visual spatial deficits and loss of depth perception occur
secondary to a right hemispheric stroke. Left hemianopsia, or
blindness in the left half of the visual field, occur secondary to right
hemispheric stroke. One-sided neglect, or in unawareness of the
affected side, occur secondary to a right hemispheric stroke.
◉ A nurse is caring for a client who has viral pneumonia. The client's
pulse oximeter readings have fluctuated between 79% and 88% for
the last 30 min. Which of the following oxygen delivery systems
should the nurse initiate to provide the highest concentration of
oxygen? Answer: Nonrebreather mask
Rationale: The nurse should initiate a nonrebreather mask to deliver
between 80% to 95% oxygen to the client. A client who has an
unstable respiratory status should receive oxygen via non-
rebreather mask.
, ◉ A nurse is caring for a client who has bilateral pneumonia and an
SaO2 of 85%. The client has dyspnea with a productive cough and is
using accessory muscles to breathe. Which of the following actions
should the nurse take first? Answer: Place the client in high-Fowler's
position.
Rationale: the greatest risk to this client is injury from airway
obstruction. Therefore, their priority intervention the nurse should
take us to move the client into high Fowlers position. High Fowlers
position facilitate long expansion and improves been elation and gas
exchange
◉ A nurse is planning care for a client who has extensive burn
injuries and is immunocompromised. Which of the following
precautions should the nurse include in the plan of care to prevent a
Pseudomonas aeruginosa infection? Answer: Avoid placing plants or
flowers in the client's room.
Rationale: live plants can harbor P. Aeruginosa, And this bacterium
can infect burn moons and cause life-threatening complications. The
nurse should ensure no one brings live plants or flowers into the
clients room.
◉ An older adult client is brought to an emergency department by a
family member. Which of the following assessment findings should
cause the nurse to suspect that the client has hypertonic
dehydration? Answer: Urine specific gravity 1.045
TEST PAPER SOLVED QUESTIONS AND
SOLUTIONS
◉ A nurse is caring for a client who has emphysema and is receiving
mechanical ventilation. The client appears anxious and restless, and
the high-pressure alarm is sounding. Which of the following actions
should the nurse take first? Answer: Instruct the client to allow the
machine to breathe for them.
Rationale: When providing client care, the nurse should first use the
least restrictive intervention. Therefore, the first action the nurse
should take is to provide verbal instructions in emotional support to
help the client relax and allow the ventilator to work. Clients can
exhibit anxiety and restlessness we're trying to "fight the ventilator."
◉ A nurse is teaching a client who has a family history of colorectal
cancer. To help mitigate this risk, which of the following dietary
alterations should the nurse recommend? Answer: Add cabbage to
the diet.
Rationale: To help reduce the risk for colorectal cancer, the client
should consume a diet that is high in fiber, low in fat, and low in
refined carbohydrates. Brassica vegetables, such as cabbage,
cauliflower, and broccoli, are all high in fiber.
,◉ A home health nurse is assigned to a client who was recently
discharged from a rehabilitation center after experiencing a right-
hemispheric stroke. Which of the following neurologic deficits
should the nurse expect to find when assessing the client? (Select all
that apply.) Answer: Visual spatial deficits, Left hemianopsia, One-
sided neglect.
Rationale: Visual spatial deficits and loss of depth perception occur
secondary to a right hemispheric stroke. Left hemianopsia, or
blindness in the left half of the visual field, occur secondary to right
hemispheric stroke. One-sided neglect, or in unawareness of the
affected side, occur secondary to a right hemispheric stroke.
◉ A nurse is caring for a client who has viral pneumonia. The client's
pulse oximeter readings have fluctuated between 79% and 88% for
the last 30 min. Which of the following oxygen delivery systems
should the nurse initiate to provide the highest concentration of
oxygen? Answer: Nonrebreather mask
Rationale: The nurse should initiate a nonrebreather mask to deliver
between 80% to 95% oxygen to the client. A client who has an
unstable respiratory status should receive oxygen via non-
rebreather mask.
, ◉ A nurse is caring for a client who has bilateral pneumonia and an
SaO2 of 85%. The client has dyspnea with a productive cough and is
using accessory muscles to breathe. Which of the following actions
should the nurse take first? Answer: Place the client in high-Fowler's
position.
Rationale: the greatest risk to this client is injury from airway
obstruction. Therefore, their priority intervention the nurse should
take us to move the client into high Fowlers position. High Fowlers
position facilitate long expansion and improves been elation and gas
exchange
◉ A nurse is planning care for a client who has extensive burn
injuries and is immunocompromised. Which of the following
precautions should the nurse include in the plan of care to prevent a
Pseudomonas aeruginosa infection? Answer: Avoid placing plants or
flowers in the client's room.
Rationale: live plants can harbor P. Aeruginosa, And this bacterium
can infect burn moons and cause life-threatening complications. The
nurse should ensure no one brings live plants or flowers into the
clients room.
◉ An older adult client is brought to an emergency department by a
family member. Which of the following assessment findings should
cause the nurse to suspect that the client has hypertonic
dehydration? Answer: Urine specific gravity 1.045
