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ATI Med Surg CMS Proctored Exam
BRAND NEW 2026,2027 Practice Questions
with Solutions ALREADY GRADED A+,
Exams of Nursing
A nurse in an emergency department is preparing to perform ocular irrigation for a client. Which
of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5in) above the eye
d. Perform the irrigation with sterile water for irrigation - --ANS---d. perform the irrigation with
sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200 ml/hr. The
IV tubing has a drop factor of 10 drops / mL. How many gtt/min should the nurse set the IV
pump to administer? Round to the nearest whole number - --ANS---33 gtt/min
A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the
teaching?
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a. I can keep my medications for 1 year before replacing it.
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache.
d. I can take up to 5 tablets in 15 minutes before seeking medical attention - --ANS---b. I should
lie down when I take this medication
M/S c. 31/p. 201 "Stop activity and rest. Heachace is a common AE of this medication, change
positions slowly"
A nurse is providing discharge teaching to an older adult following a left total hip arthroplasty.
Which of the follwoing instructions should the nurse include in the teaching?
a. clean the incision daily with hydrogen peroxid
b. you can cross your legs and the ankles when sitting down
c. you should use an incentive spirometer every 8 hours
d. install a raised toilet in your bathroom - --ANS---d. install a raised toilet in your bathroom
M/S c. 68/ p. 455 "Follow position restrictions to avoid dislocation, use elevated seating and a
raised toilet seat"
A nurse is planning care for a client following a cardiac catheterization. Which of the following
actions should the nurse take?
a. keep the client on bed rest for 24 hours
b. limit the client's fluid intake to 1L per day.
c. maintain the client's affected extremity in extension
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d. change the client's dressing every 8 hours. - --ANS---c. maintain the client's affected extremity
in extension
M/S c. 27/p. 173 "Maintain bed rest in supine position with extremity straight for prescribed
time"
A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches.
Which of the following client statements indicates the client is adapting to their role change?
a. I will need to have my partner take over shopping for groceries and cooking the meal for us
b. These crutches make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. it's going to be difficult to tell my parents I can't take them to their appointment. - --ANS---a. I
will need to have my partner take over shopping for groceries and cooking the meal for us
A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings
should the nurse recognize as an indication that the client is experiencing dehydration?
a. pitting, dependent edema
b. distended jugular veins
c. increased BP
d. decreased BP - --ANS---d. decreased BP
M/S C. 43/ p. 277 "signs of dehydration or hypovolemia include, hypothermia, tachycardia,
thready pulse, HYPOTENSION, orthostatic hypotension, decreased central venous pressure,
tachypnea, hypoxia
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A nurse in the emergency department is assessing a client. Which of the following actions should
the nurse take first? Exhibit
a. obtain a sputum sample for culture
b. administer ondasetron
c. initiate airborne precuations
d. prepare the client for a chest x-ray - --ANS---c. initiate airborne precuations
Always initiate precautions to protect YOURSELF from the patient
A nurse is caring for a client who is scheduled for a masectomy. The client tells the nurse, "I'm
not sure I want to have a mastectomy." Which of the following statements should the nurse
make?
a. "I can give you a list of other people who had the same procedure"
b. "you will be cancer-free if you have the procedure"
c. "I can give you additional information about the procedure"
d. "you should get a second opinion regarding the procedure" - --ANS---c. "I can give you
additional information about the procedure"
A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identify the
sequence of steps the nurse should follow:
a. verify blood compatibility with another nurse
b. obtain venous access using 19-gauge needle
c. obtain the unit of packed RBCs from blood bank
ATI Med Surg CMS Proctored Exam
BRAND NEW 2026,2027 Practice Questions
with Solutions ALREADY GRADED A+,
Exams of Nursing
A nurse in an emergency department is preparing to perform ocular irrigation for a client. Which
of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5in) above the eye
d. Perform the irrigation with sterile water for irrigation - --ANS---d. perform the irrigation with
sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200 ml/hr. The
IV tubing has a drop factor of 10 drops / mL. How many gtt/min should the nurse set the IV
pump to administer? Round to the nearest whole number - --ANS---33 gtt/min
A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the
teaching?
,2|Page
a. I can keep my medications for 1 year before replacing it.
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache.
d. I can take up to 5 tablets in 15 minutes before seeking medical attention - --ANS---b. I should
lie down when I take this medication
M/S c. 31/p. 201 "Stop activity and rest. Heachace is a common AE of this medication, change
positions slowly"
A nurse is providing discharge teaching to an older adult following a left total hip arthroplasty.
Which of the follwoing instructions should the nurse include in the teaching?
a. clean the incision daily with hydrogen peroxid
b. you can cross your legs and the ankles when sitting down
c. you should use an incentive spirometer every 8 hours
d. install a raised toilet in your bathroom - --ANS---d. install a raised toilet in your bathroom
M/S c. 68/ p. 455 "Follow position restrictions to avoid dislocation, use elevated seating and a
raised toilet seat"
A nurse is planning care for a client following a cardiac catheterization. Which of the following
actions should the nurse take?
a. keep the client on bed rest for 24 hours
b. limit the client's fluid intake to 1L per day.
c. maintain the client's affected extremity in extension
,3|Page
d. change the client's dressing every 8 hours. - --ANS---c. maintain the client's affected extremity
in extension
M/S c. 27/p. 173 "Maintain bed rest in supine position with extremity straight for prescribed
time"
A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches.
Which of the following client statements indicates the client is adapting to their role change?
a. I will need to have my partner take over shopping for groceries and cooking the meal for us
b. These crutches make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. it's going to be difficult to tell my parents I can't take them to their appointment. - --ANS---a. I
will need to have my partner take over shopping for groceries and cooking the meal for us
A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings
should the nurse recognize as an indication that the client is experiencing dehydration?
a. pitting, dependent edema
b. distended jugular veins
c. increased BP
d. decreased BP - --ANS---d. decreased BP
M/S C. 43/ p. 277 "signs of dehydration or hypovolemia include, hypothermia, tachycardia,
thready pulse, HYPOTENSION, orthostatic hypotension, decreased central venous pressure,
tachypnea, hypoxia
, 4|Page
A nurse in the emergency department is assessing a client. Which of the following actions should
the nurse take first? Exhibit
a. obtain a sputum sample for culture
b. administer ondasetron
c. initiate airborne precuations
d. prepare the client for a chest x-ray - --ANS---c. initiate airborne precuations
Always initiate precautions to protect YOURSELF from the patient
A nurse is caring for a client who is scheduled for a masectomy. The client tells the nurse, "I'm
not sure I want to have a mastectomy." Which of the following statements should the nurse
make?
a. "I can give you a list of other people who had the same procedure"
b. "you will be cancer-free if you have the procedure"
c. "I can give you additional information about the procedure"
d. "you should get a second opinion regarding the procedure" - --ANS---c. "I can give you
additional information about the procedure"
A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identify the
sequence of steps the nurse should follow:
a. verify blood compatibility with another nurse
b. obtain venous access using 19-gauge needle
c. obtain the unit of packed RBCs from blood bank
