(2025/2026) ATI PN ADULT MEDICAL
SURGICAL CMS EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS | A+
GRADE
A nurse is reinforcing teaching about decreasing the risk
of osteoporosis to a client who is postmenopausal. Which
of the following instructions should the nurse include?
a) Limit vitamin D intake.
b) Increase daily intake of vitamin E.
c) Add a weight-bearing exercise regimen.
d) Take calcium carbonate supplements once a
day with breakfast. Correct Answer C. Add a weight-
bearing exercise regimen.
Rationale:
Osteoporosis is a bone disease that develops when
bone mineral density and bone mass decreases, or
when the quality or structure of bone changes. This
can lead to a decrease in bone strength that can
increase the risk of broken bones (fractures).
Pregnancy, Breastfeeding, and Bone Health.
Numerous studies have shown that weight-bearing
exercise can help to slow bone loss, and several show it
can even build bone.
,A nurse is caring for a client who has COPD with copious
secretions. Which of the following actions should the nurse
take?
a) Place the client in prone position.
b) Administer high-flow oxygen.
c) Limit fluid intake.
d) Perform postural drainage. Correct Answer D. Perform
postural drainage.
Rationale:
COPD (Chronic Obstructive Pulmonary Disease) is a
chronic lung disease that causes breathing
difficulties. It is characterized by the production of
excessive mucus and secretions in the airways, which
can lead to airway obstruction and difficulty
breathing.
In the case of a client with COPD and copious
secretions, the nurse should perform postural
drainage. Postural drainage is a technique that
involves positioning the patient so that gravity can
help drain secretions from the lungs. This technique
is effective in clearing mucus from the lungs and
improving breathing.
Administering high-flow oxygen or limiting fluid intake
are not appropriate interventions for a client with
COPD and copious secretions. High-flow oxygen can
lead to oxygen toxicity, while limiting fluid intake can
,cause dehydration and thickening of mucus, making it
harder to clear.
Placing the client in prone position is not
recommended for clients with COPD and copious
secretions. This position can cause increased
pressure on the diaphragm, leading to difficulty
breathing.
A nurse is reinforcing teaching with a client who has
COPD and reports shortness of breath and little appetite.
Which of the following instructions should the nurse
include in the teaching?
a. Eat lighter, low -calorie foods first.
b. Eliminate dairy products.
c. Consume three regular meals daily.
d. Limit fluid intake during meals Correct Answer D. Limit
fluid intake during meals
Rationale:
They tend to make breathing more difficult. Eat 4 to 6
small meals a day. This enables your diaphragm to
move freely and lets your lungs fill with air and empty
out more easily. If drinking liquids with meals makes
you feel too full to eat, limit liquids with meals or drink
after meals.
One way to manage your COPD symptoms is to opt
for a fluid-restricted diet. A diet that restricts the
, number of fluids a person can take each day is called
a fluid-restricted diet. Consuming too much fluid can
lead to an increase in mucus formation, which can
make breathing harder and also causes heart
problems
A nurse is collecting data from a client who had a long arm
cast applied 2 hr ago. Which of the following findings of
the affected extremity should the nurse report to the
provider immediately?
a) The client reports increased pain at the area
of the fracture.
b) The client reports severe itching under the
cast.
c) The client's capillary refill is 3 seconds.
d) The client's fingers are cool to the touch. Correct
Answer D. The client's fingers are cool to the touch.
Rationale:
fingers are cool to touch is an indicating of the cast is
too tight and it is blocking circulation to the extremity.
TEST
A nurse is reinforcing teaching with a client who has
diabetes melitus about reducing the risk for a stroke.
Which of the following statements by the client indicates
an understanding of the teaching?
a) "Having a total cholesterol level below 200
SURGICAL CMS EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS | A+
GRADE
A nurse is reinforcing teaching about decreasing the risk
of osteoporosis to a client who is postmenopausal. Which
of the following instructions should the nurse include?
a) Limit vitamin D intake.
b) Increase daily intake of vitamin E.
c) Add a weight-bearing exercise regimen.
d) Take calcium carbonate supplements once a
day with breakfast. Correct Answer C. Add a weight-
bearing exercise regimen.
Rationale:
Osteoporosis is a bone disease that develops when
bone mineral density and bone mass decreases, or
when the quality or structure of bone changes. This
can lead to a decrease in bone strength that can
increase the risk of broken bones (fractures).
Pregnancy, Breastfeeding, and Bone Health.
Numerous studies have shown that weight-bearing
exercise can help to slow bone loss, and several show it
can even build bone.
,A nurse is caring for a client who has COPD with copious
secretions. Which of the following actions should the nurse
take?
a) Place the client in prone position.
b) Administer high-flow oxygen.
c) Limit fluid intake.
d) Perform postural drainage. Correct Answer D. Perform
postural drainage.
Rationale:
COPD (Chronic Obstructive Pulmonary Disease) is a
chronic lung disease that causes breathing
difficulties. It is characterized by the production of
excessive mucus and secretions in the airways, which
can lead to airway obstruction and difficulty
breathing.
In the case of a client with COPD and copious
secretions, the nurse should perform postural
drainage. Postural drainage is a technique that
involves positioning the patient so that gravity can
help drain secretions from the lungs. This technique
is effective in clearing mucus from the lungs and
improving breathing.
Administering high-flow oxygen or limiting fluid intake
are not appropriate interventions for a client with
COPD and copious secretions. High-flow oxygen can
lead to oxygen toxicity, while limiting fluid intake can
,cause dehydration and thickening of mucus, making it
harder to clear.
Placing the client in prone position is not
recommended for clients with COPD and copious
secretions. This position can cause increased
pressure on the diaphragm, leading to difficulty
breathing.
A nurse is reinforcing teaching with a client who has
COPD and reports shortness of breath and little appetite.
Which of the following instructions should the nurse
include in the teaching?
a. Eat lighter, low -calorie foods first.
b. Eliminate dairy products.
c. Consume three regular meals daily.
d. Limit fluid intake during meals Correct Answer D. Limit
fluid intake during meals
Rationale:
They tend to make breathing more difficult. Eat 4 to 6
small meals a day. This enables your diaphragm to
move freely and lets your lungs fill with air and empty
out more easily. If drinking liquids with meals makes
you feel too full to eat, limit liquids with meals or drink
after meals.
One way to manage your COPD symptoms is to opt
for a fluid-restricted diet. A diet that restricts the
, number of fluids a person can take each day is called
a fluid-restricted diet. Consuming too much fluid can
lead to an increase in mucus formation, which can
make breathing harder and also causes heart
problems
A nurse is collecting data from a client who had a long arm
cast applied 2 hr ago. Which of the following findings of
the affected extremity should the nurse report to the
provider immediately?
a) The client reports increased pain at the area
of the fracture.
b) The client reports severe itching under the
cast.
c) The client's capillary refill is 3 seconds.
d) The client's fingers are cool to the touch. Correct
Answer D. The client's fingers are cool to the touch.
Rationale:
fingers are cool to touch is an indicating of the cast is
too tight and it is blocking circulation to the extremity.
TEST
A nurse is reinforcing teaching with a client who has
diabetes melitus about reducing the risk for a stroke.
Which of the following statements by the client indicates
an understanding of the teaching?
a) "Having a total cholesterol level below 200
