lOMoARcPSD|44532475
ATI Adult Medical Surgical Nursing 2025 Content Mastery
Series (CMS) Exams STUDY GUIDE ACTUAL EXAM
A nurse is collecting data from a client who has acute cholecystitis.
Which of the following manifestations should the nurse expect? -
CORRECT ANSWER Pain radiating to the right shoulder.
A nurse is reinforcing teaching with a client who has a prescription for
clopidogrel following a thrombotic stroke. Which of the following
information should the nurse include in the teaching? - CORRECT
ANSWER "The medication prevents clot formation."
A nurse is contributing to the plan of care for a client who is in
skeletal traction. Which of the following interventions should the nurse
include? - CORRECT ANSWER Keep the client's body centered in the
bed.
A nurse is contributing to the plan of care for a client who has
dysphagia following a stroke. Which of the following actions should
the nurse include in the plan of care to prevent aspiration? - CORRECT
ANSWER Keep the client upright for 30 min after a meal.
A nurse is reinforcing postoperative teaching with a client who is
scheduled for cataract surgery on his right eye. Which of the following
instructions should the nurse include? - CORRECT ANSWER "Wear a
protective eye shield while sleeping."
A nurse is collecting data from a client who was admitted with a
Glasgow coma scale (GCS) of 3. Which of the following findings should
the nurse expect? - CORRECT ANSWER Nonresponsive to commands.
A nurse is caring for a client who has type 1 diabetes mellitus and has
undergone a below-the-knee amputation. Which of the following is the
highest priority finding? - CORRECT ANSWER Skin flap of the residual
limb is cool to the touch.
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A nurse is reinforcing teaching about the prevention of sexually
transmitted infections (STIs) which a client who is sexually active.
Which of the following information should the nurse include in the
teaching? - CORRECT ANSWER Inserting a polyurethane female
condom is effective for prevention of STIs.
A nurse is administering a tap water enema to a client who has
constipation. The client reports abdominal cramping during
installation of the enema. Which of the following actions should the
nurse take? - CORRECT ANSWER Slow the rate of fluid flow.
A nurse is reinforcing teaching about mammograms which an adult
client who is postmenopausal. Which of the following statements
indicates to the nurse that the client understands the teaching? -
CORRECT ANSWER "I should have a mammogram every 1 to 2
years."
A nurse is collecting data from a client and osculates intermittent
high-pitched sounds during inspiration over the lower base of the
lungs. The nurse should identify this finding as which of the following
lung sounds? - CORRECT ANSWER Fine crackles
A nurse is assisting with the care of four clients. Which of the
following clients is the priority for the nurse to see? - CORRECT
ANSWER A client who has chest tubes and an oxygen saturation of
90%
A nurse is preparing to perform a closed irrigation of an indwelling
urinary catheter for a client who had abdominal surgery. Which of the
following actions should the nurse plan to take? - CORRECT ANSWER
Stop the irrigation if resistance is felt during fluid instillation.
A nurse is reviewing the medical record of a client who has systemic
lupus erythematous (SLE). Which of the following findings should the
nurse expect? - CORRECT ANSWER Joint pain
A nurse is preparing to transfer a client from a bed to a chair following
a total knee arthroplasty. The client has a prescription for partial
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weight bearing. Which of the following actions should the nurse take? -
CORRECT ANSWER Position feet apart before pivoting the client.
A nurse is reviewing principles of body mechanics which a client
following a lumbar laminectomy. Which of the following statements by
the client indicates an understanding of the teaching? - CORRECT
ANSWER "I will flex at the knees and use my leg muscles to lift an
object off the floor."
A nurse is caring for a client who is preoperative and does not speak
the same language as the nurse. Which of the following actions should
the nurse take? - CORRECT ANSWER Incorporate the use of pictures
as a communication tool.
A nurse is reinforcing teaching with a client who is scheduled for an
electroencephalogram (EEG). Which of the following information
should the nurse include in the teaching? - CORRECT ANSWER
"Shampoo your hair the night before the procedure."
A nurse is caring for a client who has a new diagnosis of moderate
Alzheimer's disease. Which of the following provider prescriptions
should the nurse expect? - CORRECT ANSWER Donepezil 5mg PO
daily
A nurse is collecting data from a client who has left homonymous
hemianopsia following a stroke. Which of the following client findings
indicates effective management of homonymous hemianopsia? -
CORRECT ANSWER Eats items from both sides of the lunch tray.
A nurse is reinforcing teaching bout preventing UTIs with a female
client. Which of the following statements by the client indicates an
understanding of the information? - CORRECT ANSWER "I will
increase my intake of water."
A nurse is reinforcing teaching with a client about advance directives.
The nurse should identify that which of the following client responses
indicates an understanding of the teaching? - CORRECT ANSWER "If
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I have advance directives with a do-not-resusciate order, I can change
it later."
A nurse is reinforcing discharge teaching with a client who has a new
cast. The client is prescribed hydrocodone for the pain. The nurse
should instruct the client to report immediately which of the following
findings to the provider? - CORRECT ANSWER Swelling of the
affected extremity.
A nurse is caring for a client who is experiencing difficulty using
utensils to eat following a stroke. Which of the following referrals
should the nurse recommend? - CORRECT ANSWER Occupational
therapist
A nurse is reinforcing teaching with a client who is experiencing
neutropenia as a result of chemotherapy. Which of the following
information should the nurse include? - CORRECT ANSWER Bathe
with antimicrobial soap daily.
Take temperature daily.
Avoid gardening.
A nurse is collecting data from a client who has diabetes myelitis and
a blood because level of 61 mg/dL. Which of the findings should the
nurse expect? - CORRECT ANSWER Difficulty concentrating.
The nurse is reinforcing teaching with a client who has a history of
calcium oxalate kidney stones. Which of the following statements by
the client indicates an understanding of the instructions? - CORRECT
ANSWER "I'll be sure to eliminate peanuts from my diet."
A nurse is caring for a client who is receiving bolus enteral feedings
and is prescribed digoxin and furosemide. Which of the following
actions should the nurse take? - CORRECT ANSWER Flush the tube
with water before and after each medication.
Downloaded by madiba South Africa stuvia ()
ATI Adult Medical Surgical Nursing 2025 Content Mastery
Series (CMS) Exams STUDY GUIDE ACTUAL EXAM
A nurse is collecting data from a client who has acute cholecystitis.
Which of the following manifestations should the nurse expect? -
CORRECT ANSWER Pain radiating to the right shoulder.
A nurse is reinforcing teaching with a client who has a prescription for
clopidogrel following a thrombotic stroke. Which of the following
information should the nurse include in the teaching? - CORRECT
ANSWER "The medication prevents clot formation."
A nurse is contributing to the plan of care for a client who is in
skeletal traction. Which of the following interventions should the nurse
include? - CORRECT ANSWER Keep the client's body centered in the
bed.
A nurse is contributing to the plan of care for a client who has
dysphagia following a stroke. Which of the following actions should
the nurse include in the plan of care to prevent aspiration? - CORRECT
ANSWER Keep the client upright for 30 min after a meal.
A nurse is reinforcing postoperative teaching with a client who is
scheduled for cataract surgery on his right eye. Which of the following
instructions should the nurse include? - CORRECT ANSWER "Wear a
protective eye shield while sleeping."
A nurse is collecting data from a client who was admitted with a
Glasgow coma scale (GCS) of 3. Which of the following findings should
the nurse expect? - CORRECT ANSWER Nonresponsive to commands.
A nurse is caring for a client who has type 1 diabetes mellitus and has
undergone a below-the-knee amputation. Which of the following is the
highest priority finding? - CORRECT ANSWER Skin flap of the residual
limb is cool to the touch.
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
A nurse is reinforcing teaching about the prevention of sexually
transmitted infections (STIs) which a client who is sexually active.
Which of the following information should the nurse include in the
teaching? - CORRECT ANSWER Inserting a polyurethane female
condom is effective for prevention of STIs.
A nurse is administering a tap water enema to a client who has
constipation. The client reports abdominal cramping during
installation of the enema. Which of the following actions should the
nurse take? - CORRECT ANSWER Slow the rate of fluid flow.
A nurse is reinforcing teaching about mammograms which an adult
client who is postmenopausal. Which of the following statements
indicates to the nurse that the client understands the teaching? -
CORRECT ANSWER "I should have a mammogram every 1 to 2
years."
A nurse is collecting data from a client and osculates intermittent
high-pitched sounds during inspiration over the lower base of the
lungs. The nurse should identify this finding as which of the following
lung sounds? - CORRECT ANSWER Fine crackles
A nurse is assisting with the care of four clients. Which of the
following clients is the priority for the nurse to see? - CORRECT
ANSWER A client who has chest tubes and an oxygen saturation of
90%
A nurse is preparing to perform a closed irrigation of an indwelling
urinary catheter for a client who had abdominal surgery. Which of the
following actions should the nurse plan to take? - CORRECT ANSWER
Stop the irrigation if resistance is felt during fluid instillation.
A nurse is reviewing the medical record of a client who has systemic
lupus erythematous (SLE). Which of the following findings should the
nurse expect? - CORRECT ANSWER Joint pain
A nurse is preparing to transfer a client from a bed to a chair following
a total knee arthroplasty. The client has a prescription for partial
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
weight bearing. Which of the following actions should the nurse take? -
CORRECT ANSWER Position feet apart before pivoting the client.
A nurse is reviewing principles of body mechanics which a client
following a lumbar laminectomy. Which of the following statements by
the client indicates an understanding of the teaching? - CORRECT
ANSWER "I will flex at the knees and use my leg muscles to lift an
object off the floor."
A nurse is caring for a client who is preoperative and does not speak
the same language as the nurse. Which of the following actions should
the nurse take? - CORRECT ANSWER Incorporate the use of pictures
as a communication tool.
A nurse is reinforcing teaching with a client who is scheduled for an
electroencephalogram (EEG). Which of the following information
should the nurse include in the teaching? - CORRECT ANSWER
"Shampoo your hair the night before the procedure."
A nurse is caring for a client who has a new diagnosis of moderate
Alzheimer's disease. Which of the following provider prescriptions
should the nurse expect? - CORRECT ANSWER Donepezil 5mg PO
daily
A nurse is collecting data from a client who has left homonymous
hemianopsia following a stroke. Which of the following client findings
indicates effective management of homonymous hemianopsia? -
CORRECT ANSWER Eats items from both sides of the lunch tray.
A nurse is reinforcing teaching bout preventing UTIs with a female
client. Which of the following statements by the client indicates an
understanding of the information? - CORRECT ANSWER "I will
increase my intake of water."
A nurse is reinforcing teaching with a client about advance directives.
The nurse should identify that which of the following client responses
indicates an understanding of the teaching? - CORRECT ANSWER "If
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
I have advance directives with a do-not-resusciate order, I can change
it later."
A nurse is reinforcing discharge teaching with a client who has a new
cast. The client is prescribed hydrocodone for the pain. The nurse
should instruct the client to report immediately which of the following
findings to the provider? - CORRECT ANSWER Swelling of the
affected extremity.
A nurse is caring for a client who is experiencing difficulty using
utensils to eat following a stroke. Which of the following referrals
should the nurse recommend? - CORRECT ANSWER Occupational
therapist
A nurse is reinforcing teaching with a client who is experiencing
neutropenia as a result of chemotherapy. Which of the following
information should the nurse include? - CORRECT ANSWER Bathe
with antimicrobial soap daily.
Take temperature daily.
Avoid gardening.
A nurse is collecting data from a client who has diabetes myelitis and
a blood because level of 61 mg/dL. Which of the findings should the
nurse expect? - CORRECT ANSWER Difficulty concentrating.
The nurse is reinforcing teaching with a client who has a history of
calcium oxalate kidney stones. Which of the following statements by
the client indicates an understanding of the instructions? - CORRECT
ANSWER "I'll be sure to eliminate peanuts from my diet."
A nurse is caring for a client who is receiving bolus enteral feedings
and is prescribed digoxin and furosemide. Which of the following
actions should the nurse take? - CORRECT ANSWER Flush the tube
with water before and after each medication.
Downloaded by madiba South Africa stuvia ()
