ATI EXAM ms
Exam Solution ms
MEDSURG VATI ASSESSMENT 90 Q'S Cartes 2026 A+ GR ms ms ms ms ms ms ms ms
ADE ASSURED COMPLETE SOLUTIONS AND VERIFIED A
ms ms ms ms ms ms
NSWERS (10E77) ms
QUESTION 1 ms
A nurse is assisting with the care of four clients. Which of the following clients is the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
priority for the nurse to see -A client who has chest tubes and an oxygen Sat of 90% -
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
aclient who has peripheral edema and urinary output of 130 over 4hrs -
ms ms ms ms ms ms ms ms ms ms ms ms ms
A client who has a permanent pacemaker with heart rate of 76/min -
ms ms ms ms ms ms ms ms ms ms ms ms ms
a client who has pericarditis and temp. 38 c 100.4
ms ms ms ms ms ms ms ms ms
ANSWER
-
A client who has chest tubes and an oxygen Sat of 90% Using the airway, breathing, and circulation
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
approach to client care, the nurse should determine that the priority finding is the client's oxygen s
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
aturation level, which is below the expected reference range of 95% to 100%. Therefore, the nurse s
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hould attend to this client first.
ms ms ms ms ms
QUESTION 2 ms
A nurse is collecting data from a client who was admitted with a Glasgow Coma Scale
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of 3. Which of the following findings should the nurse expect? - Vacalizes sound -
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Blinks eyes when asked -Follows motor commands -Nonresponsive Commands
ms ms ms ms ms ms ms ms
ANSWER
Nonresponsive Commands A client who has a GCS of less than 8 has evidence of severe head injury
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
and is in a comatose state. The GCS is a standardized tool that allows for the evaluation of a client's
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
level of consciousness. The test is divided into three sections that evaluate eye opening, motor resp
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
onse, and verbal response. The GCS ranges from a high score of 15 (fully alert) to a low score of 3
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
(fully comatose). ms
QUESTION 3 ms
,A nurse is reinforcing teaching with a male client who has right sided hemiparesis ab
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
out preforming ADL's. Which of the following instructions should the nurse include in
ms ms ms ms ms ms ms ms ms ms ms ms ms
the teaching -Comb your hair with the unaffected arm -
ms ms ms ms ms ms ms ms ms
Dress your unaffected side first choose clothing with buttons -
ms ms ms ms ms ms ms ms ms
shave with your affected side
ms ms ms ms
ANSWER
Comb your hair with the unaffected arm The nurse should instruct the client to brush their hair wit
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
h the unaffected arm to reduce frustration and increase independence and self-esteem.
ms ms ms ms ms ms ms ms ms ms ms
QUESTION 4 ms
A nurse is collecting data from a client and auscultates intermittent high-
ms ms ms ms ms ms ms ms ms ms ms
pitched sounds during inspiration over the lower base of the lungs. The nurse should
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
identify this finding as which of the following lungs sounds - Fine crackles -stridor -
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rhonchi -friction ms
ANSWER
-
Fine crackles Fine crackles are auscultated in the base of the lungs as air moves through airway se
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
cretions. Fine crackles are intermittent, high-pitched sounds heard more often during inspiration.
ms ms ms ms ms ms ms ms ms ms ms
QUESTION 5 ms
A nurse is collecting data from a client who has coronary artery disease. Which of the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
following manifestations should the nurse identify as an indication that the client has
s ms ms ms ms ms ms ms ms ms ms ms ms ms
angina ( SatA) - Chest Discomfort Radiated - Pain lasting less that 15mins -
ms ms ms ms ms ms ms ms ms ms ms ms ms
Pain that is relieved with rest
ms ms ms ms ms ms
ANSWER
- Chest Discomfort Radiated - Pain lasting less that 15mins - Pain that is relieved with res
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 6 ms
A nurse is receiving change-of-
ms ms ms ms
shift report for a group of clients. Which of the following clients should the nurse plan
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
to see first? - A client who has diabetes mellitus with diaphoretic
ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
A client who has diabetes mellitus with diaphoretic When using the urgent vs. nonurgent approach t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
o client care, the nurse should determine that the priority action is to attend to a client who has dia
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
betes mellitus and is diaphoretic. Diaphoresis is a manifestation of hypoglycemia and can lead to dec
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
reased cerebral function. The nurse should check the client's blood glucose and administer a fast-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
acting glucose as prescribed.
ms ms ms
, QUESTION 7 ms
A nurse is reinforcing teaching with a young adult client about testicular self-
ms ms ms ms ms ms ms ms ms ms ms ms
examination. Which of the following instructions should the nurse include? -
ms ms ms ms ms ms ms ms ms ms
Examine your testicles after a warm shower -
ms ms ms ms ms ms ms ms
Press each testicle inwardly with your finger -
ms ms ms ms ms ms ms ms
Rinse any soap off your hands before examining your testicle -Perform the self-
ms ms ms ms ms ms ms ms ms ms ms ms ms
examination every 2 month
ms ms ms ms
ANSWER
Examine your testicles after a warm shower After exposure to warm water in a shower or bath, the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
scrotum relaxes and becomes easy to palpate. The testicle should feel smooth and round, and the cli
s ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ent should report any lumps to his provider.
ms ms ms ms ms ms ms
QUESTION 8 ms
A nurse is collecting data from a client who has tuberculosis and started combination
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
therapy 2months ago. Which of the following diagnostic results indicates that the clien
ms ms ms ms ms ms ms ms ms ms ms ms
t is adhering to the medication regimen. - A negative chest X-ray -
ms ms ms ms ms ms ms ms ms ms ms ms
A negative sputum culture -A negative tuberculin skin test -
ms ms ms ms ms ms ms ms ms ms
A negative titer for cytomegalovirus
ms ms ms ms
ANSWER
A negative sputum culture Tuberculosis is an infectious disease spread through airborne droplets. Sp
ms ms ms ms ms ms ms ms ms ms ms ms ms
utum cultures are obtained to both diagnose tuberculosis and to determine whether the medication
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
treatment has been effective. After the client begins antibiotic treatment for tuberculosis, a sputum c
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ulture is obtained monthly. A negative culture is an indication that the client is no longer infectious
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
and the medication therapy has been effective.
ms ms ms ms ms ms
QUESTION 9 ms
A nurse is collecting data from a client who has bacterial meningitis. Which of the foll
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
owing findings should the nurse expect? - Severe Headache
ms ms ms ms ms ms ms ms
ANSWER
-
Severe Headache The nurse should expect a client who has meningitis to have severe and persisten
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
t headaches that worsen with movement of the head.
ms ms ms ms ms ms ms ms
QUESTION 10 ms
A nurse is reinforcing with a client who has pernicious anemia. Which of the following
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
statements by the client indicated an understanding of the teaching -
ms ms ms ms ms ms ms ms ms ms ms
I will be able to switch to a nasal form of cyanocobalamin when my levels stabilize
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Exam Solution ms
MEDSURG VATI ASSESSMENT 90 Q'S Cartes 2026 A+ GR ms ms ms ms ms ms ms ms
ADE ASSURED COMPLETE SOLUTIONS AND VERIFIED A
ms ms ms ms ms ms
NSWERS (10E77) ms
QUESTION 1 ms
A nurse is assisting with the care of four clients. Which of the following clients is the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
priority for the nurse to see -A client who has chest tubes and an oxygen Sat of 90% -
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
aclient who has peripheral edema and urinary output of 130 over 4hrs -
ms ms ms ms ms ms ms ms ms ms ms ms ms
A client who has a permanent pacemaker with heart rate of 76/min -
ms ms ms ms ms ms ms ms ms ms ms ms ms
a client who has pericarditis and temp. 38 c 100.4
ms ms ms ms ms ms ms ms ms
ANSWER
-
A client who has chest tubes and an oxygen Sat of 90% Using the airway, breathing, and circulation
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
approach to client care, the nurse should determine that the priority finding is the client's oxygen s
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
aturation level, which is below the expected reference range of 95% to 100%. Therefore, the nurse s
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hould attend to this client first.
ms ms ms ms ms
QUESTION 2 ms
A nurse is collecting data from a client who was admitted with a Glasgow Coma Scale
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of 3. Which of the following findings should the nurse expect? - Vacalizes sound -
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Blinks eyes when asked -Follows motor commands -Nonresponsive Commands
ms ms ms ms ms ms ms ms
ANSWER
Nonresponsive Commands A client who has a GCS of less than 8 has evidence of severe head injury
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
and is in a comatose state. The GCS is a standardized tool that allows for the evaluation of a client's
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
level of consciousness. The test is divided into three sections that evaluate eye opening, motor resp
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
onse, and verbal response. The GCS ranges from a high score of 15 (fully alert) to a low score of 3
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
(fully comatose). ms
QUESTION 3 ms
,A nurse is reinforcing teaching with a male client who has right sided hemiparesis ab
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
out preforming ADL's. Which of the following instructions should the nurse include in
ms ms ms ms ms ms ms ms ms ms ms ms ms
the teaching -Comb your hair with the unaffected arm -
ms ms ms ms ms ms ms ms ms
Dress your unaffected side first choose clothing with buttons -
ms ms ms ms ms ms ms ms ms
shave with your affected side
ms ms ms ms
ANSWER
Comb your hair with the unaffected arm The nurse should instruct the client to brush their hair wit
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
h the unaffected arm to reduce frustration and increase independence and self-esteem.
ms ms ms ms ms ms ms ms ms ms ms
QUESTION 4 ms
A nurse is collecting data from a client and auscultates intermittent high-
ms ms ms ms ms ms ms ms ms ms ms
pitched sounds during inspiration over the lower base of the lungs. The nurse should
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
identify this finding as which of the following lungs sounds - Fine crackles -stridor -
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rhonchi -friction ms
ANSWER
-
Fine crackles Fine crackles are auscultated in the base of the lungs as air moves through airway se
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
cretions. Fine crackles are intermittent, high-pitched sounds heard more often during inspiration.
ms ms ms ms ms ms ms ms ms ms ms
QUESTION 5 ms
A nurse is collecting data from a client who has coronary artery disease. Which of the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
following manifestations should the nurse identify as an indication that the client has
s ms ms ms ms ms ms ms ms ms ms ms ms ms
angina ( SatA) - Chest Discomfort Radiated - Pain lasting less that 15mins -
ms ms ms ms ms ms ms ms ms ms ms ms ms
Pain that is relieved with rest
ms ms ms ms ms ms
ANSWER
- Chest Discomfort Radiated - Pain lasting less that 15mins - Pain that is relieved with res
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 6 ms
A nurse is receiving change-of-
ms ms ms ms
shift report for a group of clients. Which of the following clients should the nurse plan
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
to see first? - A client who has diabetes mellitus with diaphoretic
ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
A client who has diabetes mellitus with diaphoretic When using the urgent vs. nonurgent approach t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
o client care, the nurse should determine that the priority action is to attend to a client who has dia
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
betes mellitus and is diaphoretic. Diaphoresis is a manifestation of hypoglycemia and can lead to dec
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
reased cerebral function. The nurse should check the client's blood glucose and administer a fast-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
acting glucose as prescribed.
ms ms ms
, QUESTION 7 ms
A nurse is reinforcing teaching with a young adult client about testicular self-
ms ms ms ms ms ms ms ms ms ms ms ms
examination. Which of the following instructions should the nurse include? -
ms ms ms ms ms ms ms ms ms ms
Examine your testicles after a warm shower -
ms ms ms ms ms ms ms ms
Press each testicle inwardly with your finger -
ms ms ms ms ms ms ms ms
Rinse any soap off your hands before examining your testicle -Perform the self-
ms ms ms ms ms ms ms ms ms ms ms ms ms
examination every 2 month
ms ms ms ms
ANSWER
Examine your testicles after a warm shower After exposure to warm water in a shower or bath, the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
scrotum relaxes and becomes easy to palpate. The testicle should feel smooth and round, and the cli
s ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ent should report any lumps to his provider.
ms ms ms ms ms ms ms
QUESTION 8 ms
A nurse is collecting data from a client who has tuberculosis and started combination
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
therapy 2months ago. Which of the following diagnostic results indicates that the clien
ms ms ms ms ms ms ms ms ms ms ms ms
t is adhering to the medication regimen. - A negative chest X-ray -
ms ms ms ms ms ms ms ms ms ms ms ms
A negative sputum culture -A negative tuberculin skin test -
ms ms ms ms ms ms ms ms ms ms
A negative titer for cytomegalovirus
ms ms ms ms
ANSWER
A negative sputum culture Tuberculosis is an infectious disease spread through airborne droplets. Sp
ms ms ms ms ms ms ms ms ms ms ms ms ms
utum cultures are obtained to both diagnose tuberculosis and to determine whether the medication
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
treatment has been effective. After the client begins antibiotic treatment for tuberculosis, a sputum c
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ulture is obtained monthly. A negative culture is an indication that the client is no longer infectious
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
and the medication therapy has been effective.
ms ms ms ms ms ms
QUESTION 9 ms
A nurse is collecting data from a client who has bacterial meningitis. Which of the foll
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
owing findings should the nurse expect? - Severe Headache
ms ms ms ms ms ms ms ms
ANSWER
-
Severe Headache The nurse should expect a client who has meningitis to have severe and persisten
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
t headaches that worsen with movement of the head.
ms ms ms ms ms ms ms ms
QUESTION 10 ms
A nurse is reinforcing with a client who has pernicious anemia. Which of the following
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
statements by the client indicated an understanding of the teaching -
ms ms ms ms ms ms ms ms ms ms ms
I will be able to switch to a nasal form of cyanocobalamin when my levels stabilize
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
