ATI PRACTICE TEST B MED SURG ACTUAL
EXAM PAPER 2026 COMPLETE QUESTIONS
AND SOLUTIONS GRADED A+
◉ A nurse is assessing a client admitted with peripheral vascular
disease,. Which of the following findings indicates a venous vascular
disorder?
a) An ulcer at the tip of a toe
b) Hair loss distal to the clients calves
c) Leg pain at rest
d) Edema of the ankle
Answer: Edema of the ankle
◉ A nurse is assessing a client who has pericarditis. In which of the
following areas of the client's chest should the nurse place the
stethoscope to best hear a pericardial friction rub?
A) right 4th intercostal
B) left 4th intercostal
C) right nipple line
D) left lower sternal boarder
Answer: D) apical pulse
,◉ A nurse is caring for a client who has a chest tube. The client asks
why the fluid in the water-seal chamber rises and falls. Which of the
following statements should the nurse make?
a) " this means your lung is fully expanded "
b) " this indicates a possible leak"
c) " suction pressure that is too high causes this"
d) " Your breathing pattern causes this"
Answer: d) " Your breathing pattern causes this"
◉ A community health nurse is reviewing home care instructions
with an older adult client who has a new diagnosis of heart failure.
Which of the following is the priority topic for the nurse to review
with the client?
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record
Answer: C) changes in weight
◉ A nurse is teaching a client about the use of transcutaneous
electrical nerve stimulation (TENS) unit. Which of the following
statements should the nurse include?
a) "Apply lotion to the site prior to attaching the electrodes"
,b) " this device requires access to a 220 volt outlet"
c) ' this device delivers heat via electrodes that are attached to the
effected area"
d) "adjust the dial until you feel a 'pins and needles' sensation"
Answer: d) "adjust the dial until you feel a 'pins and needles'
sensation"
◉ A nurse is providing teaching to a client who is postoperative
following a total hip arthroplasty. Which of the following statements
should the nurse make?
a) " use raised toilet seat to maintain your hips above the knees"
b) " twist at the waist when standing from a seated position"
c) "move your stronger leg first when using a walker"
d) " apply a heating pad to the operative hip to decrease pain"
Answer: a) " use raised toilet seat to maintain your hips above the
knees"
◉ A nurse finds a client in bed, unresponsive and breathing. Which
of the following action should the nurse take first?
a) Establish IV access
b) Apply blood pressure cuff
c) Palpate for the client's carotid pulse
d) Initiate cardiac monitoring for the client
, Answer: c) Palpate for the client's carotid pulse
◉ A nurse is caring for a patient who is experiencing a hypertensive
crisis. Which of the following actions should the nurse take?
a) Initiate IV dopamine infusion
b) Perform neurological assessments
c) Place the client supine
d) Begin an IV bolus of lacted ringer's
Answer: b) Perform neurological assessments
◉ A nurse is providing discharge teaching about blood sugar
monitoring for a client who has a new diagnosis of type 2 diabetes
mellitus. The nurse should instruct the client to obtain which of the
following supplies?
a) Sterile lancets
b) Compression stockings
c) Hand mirror
d) toenail clippers
Answer: c) hand mirror
◉ A nurse is completing discharge teaching to a patient who has a
peripherally inserted central catheter ( PICC) line in the left arm.
Which of the following instructions should the nurse include in the
teaching?
EXAM PAPER 2026 COMPLETE QUESTIONS
AND SOLUTIONS GRADED A+
◉ A nurse is assessing a client admitted with peripheral vascular
disease,. Which of the following findings indicates a venous vascular
disorder?
a) An ulcer at the tip of a toe
b) Hair loss distal to the clients calves
c) Leg pain at rest
d) Edema of the ankle
Answer: Edema of the ankle
◉ A nurse is assessing a client who has pericarditis. In which of the
following areas of the client's chest should the nurse place the
stethoscope to best hear a pericardial friction rub?
A) right 4th intercostal
B) left 4th intercostal
C) right nipple line
D) left lower sternal boarder
Answer: D) apical pulse
,◉ A nurse is caring for a client who has a chest tube. The client asks
why the fluid in the water-seal chamber rises and falls. Which of the
following statements should the nurse make?
a) " this means your lung is fully expanded "
b) " this indicates a possible leak"
c) " suction pressure that is too high causes this"
d) " Your breathing pattern causes this"
Answer: d) " Your breathing pattern causes this"
◉ A community health nurse is reviewing home care instructions
with an older adult client who has a new diagnosis of heart failure.
Which of the following is the priority topic for the nurse to review
with the client?
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record
Answer: C) changes in weight
◉ A nurse is teaching a client about the use of transcutaneous
electrical nerve stimulation (TENS) unit. Which of the following
statements should the nurse include?
a) "Apply lotion to the site prior to attaching the electrodes"
,b) " this device requires access to a 220 volt outlet"
c) ' this device delivers heat via electrodes that are attached to the
effected area"
d) "adjust the dial until you feel a 'pins and needles' sensation"
Answer: d) "adjust the dial until you feel a 'pins and needles'
sensation"
◉ A nurse is providing teaching to a client who is postoperative
following a total hip arthroplasty. Which of the following statements
should the nurse make?
a) " use raised toilet seat to maintain your hips above the knees"
b) " twist at the waist when standing from a seated position"
c) "move your stronger leg first when using a walker"
d) " apply a heating pad to the operative hip to decrease pain"
Answer: a) " use raised toilet seat to maintain your hips above the
knees"
◉ A nurse finds a client in bed, unresponsive and breathing. Which
of the following action should the nurse take first?
a) Establish IV access
b) Apply blood pressure cuff
c) Palpate for the client's carotid pulse
d) Initiate cardiac monitoring for the client
, Answer: c) Palpate for the client's carotid pulse
◉ A nurse is caring for a patient who is experiencing a hypertensive
crisis. Which of the following actions should the nurse take?
a) Initiate IV dopamine infusion
b) Perform neurological assessments
c) Place the client supine
d) Begin an IV bolus of lacted ringer's
Answer: b) Perform neurological assessments
◉ A nurse is providing discharge teaching about blood sugar
monitoring for a client who has a new diagnosis of type 2 diabetes
mellitus. The nurse should instruct the client to obtain which of the
following supplies?
a) Sterile lancets
b) Compression stockings
c) Hand mirror
d) toenail clippers
Answer: c) hand mirror
◉ A nurse is completing discharge teaching to a patient who has a
peripherally inserted central catheter ( PICC) line in the left arm.
Which of the following instructions should the nurse include in the
teaching?
