ATI MED-SURG CMS PROCTORED EXAM LATEST
2026 UPDATE 100 QUESTIONS AND DETAILED
VERIFIED ANSWERS FROM ACTUAL EXAMS TEST
GRADE A+
1.
A nurse is caring for a client with heart failure who has gained 2 kg (4.4 lb) in 2
days. What is the priority action?
A. Restrict sodium intake
B. Notify the provider
C. Encourage ambulation
D. Increase fluid intake
Answer: B. Notify the provider
Rapid weight gain indicates fluid retention and possible worsening heart failure
requiring immediate intervention.
2.
A client with COPD is receiving oxygen therapy. Which finding indicates oxygen
toxicity?
A. Productive cough
B. Substernal chest pain
C. Cyanosis
D. Bradycardia
Answer: B. Substernal chest pain
Oxygen toxicity manifests as chest pain, dyspnea, and pulmonary changes due to
high oxygen levels.
,3.
Which lab value should the nurse report immediately for a client receiving
heparin?
A. Platelets 90,000/mm³
B. aPTT 60 seconds
C. Hgb 13 g/dL
D. INR 1.2
Answer: A. Platelets 90,000/mm³
This suggests heparin-induced thrombocytopenia, a serious complication.
4.
A nurse is caring for a client post-thyroidectomy. Which finding requires
immediate intervention?
A. Hoarseness
B. Neck swelling
C. Pain at incision
D. Temperature 37.8°C
Answer: B. Neck swelling
Indicates possible hemorrhage causing airway obstruction—life-threatening.
5.
Which diet is appropriate for a client with chronic kidney disease?
A. High protein
B. High potassium
C. Low sodium
D. High phosphorus
,Answer: C. Low sodium
Helps reduce fluid retention and hypertension in CKD.
6.
A client with diabetes reports shakiness and sweating. What is the nurse’s first
action?
A. Check blood glucose
B. Administer insulin
C. Provide fluids
D. Call provider
Answer: A. Check blood glucose
Symptoms suggest hypoglycemia; confirm before intervention.
7.
Which position is best for a client with increased intracranial pressure?
A. Supine
B. Trendelenburg
C. Semi-Fowler’s
D. Prone
Answer: C. Semi-Fowler’s
Promotes venous drainage and reduces ICP.
8.
A nurse is assessing a client with hypocalcemia. What is an expected finding?
A. Muscle weakness
B. Positive Chvostek’s sign
, C. Bradycardia
D. Decreased reflexes
Answer: B. Positive Chvostek’s sign
Indicates neuromuscular irritability from low calcium.
9.
A client is on warfarin therapy. Which lab value indicates therapeutic effect?
A. Platelets
B. PT/INR
C. aPTT
D. Hgb
Answer: B. PT/INR
Warfarin effectiveness is monitored by PT/INR.
10.
Which finding indicates improvement in a client with pneumonia?
A. Crackles
B. Fever
C. O2 sat 96%
D. Productive cough
Answer: C. O2 sat 96%
Improved oxygenation signals recovery.
11.
A nurse is caring for a client with a chest tube. Which finding requires
intervention?
2026 UPDATE 100 QUESTIONS AND DETAILED
VERIFIED ANSWERS FROM ACTUAL EXAMS TEST
GRADE A+
1.
A nurse is caring for a client with heart failure who has gained 2 kg (4.4 lb) in 2
days. What is the priority action?
A. Restrict sodium intake
B. Notify the provider
C. Encourage ambulation
D. Increase fluid intake
Answer: B. Notify the provider
Rapid weight gain indicates fluid retention and possible worsening heart failure
requiring immediate intervention.
2.
A client with COPD is receiving oxygen therapy. Which finding indicates oxygen
toxicity?
A. Productive cough
B. Substernal chest pain
C. Cyanosis
D. Bradycardia
Answer: B. Substernal chest pain
Oxygen toxicity manifests as chest pain, dyspnea, and pulmonary changes due to
high oxygen levels.
,3.
Which lab value should the nurse report immediately for a client receiving
heparin?
A. Platelets 90,000/mm³
B. aPTT 60 seconds
C. Hgb 13 g/dL
D. INR 1.2
Answer: A. Platelets 90,000/mm³
This suggests heparin-induced thrombocytopenia, a serious complication.
4.
A nurse is caring for a client post-thyroidectomy. Which finding requires
immediate intervention?
A. Hoarseness
B. Neck swelling
C. Pain at incision
D. Temperature 37.8°C
Answer: B. Neck swelling
Indicates possible hemorrhage causing airway obstruction—life-threatening.
5.
Which diet is appropriate for a client with chronic kidney disease?
A. High protein
B. High potassium
C. Low sodium
D. High phosphorus
,Answer: C. Low sodium
Helps reduce fluid retention and hypertension in CKD.
6.
A client with diabetes reports shakiness and sweating. What is the nurse’s first
action?
A. Check blood glucose
B. Administer insulin
C. Provide fluids
D. Call provider
Answer: A. Check blood glucose
Symptoms suggest hypoglycemia; confirm before intervention.
7.
Which position is best for a client with increased intracranial pressure?
A. Supine
B. Trendelenburg
C. Semi-Fowler’s
D. Prone
Answer: C. Semi-Fowler’s
Promotes venous drainage and reduces ICP.
8.
A nurse is assessing a client with hypocalcemia. What is an expected finding?
A. Muscle weakness
B. Positive Chvostek’s sign
, C. Bradycardia
D. Decreased reflexes
Answer: B. Positive Chvostek’s sign
Indicates neuromuscular irritability from low calcium.
9.
A client is on warfarin therapy. Which lab value indicates therapeutic effect?
A. Platelets
B. PT/INR
C. aPTT
D. Hgb
Answer: B. PT/INR
Warfarin effectiveness is monitored by PT/INR.
10.
Which finding indicates improvement in a client with pneumonia?
A. Crackles
B. Fever
C. O2 sat 96%
D. Productive cough
Answer: C. O2 sat 96%
Improved oxygenation signals recovery.
11.
A nurse is caring for a client with a chest tube. Which finding requires
intervention?
