(2025/2026) ATI MEDICAL SURGICAL
CMS PROCTORED EXAM QUESTIONS
AND DETAILED CORRECT ANSWERS |
A+ GRADE
A nurse is preparing a teaching plan for a client who has
mucositis related to chemotherapy treatment. Which of the
following instructions should the nurse include?
a. "rinse your mouth with hydrogen peroxide"
b. "brush your teeth for 60 seconds twice daily"
c. "wear your dentures only during meals"
d. "floss your teeth following meals" Correct Answer d.
"floss your teeth following meals"
A critical care nurse is assessing a client who has severe
head injury. In response to painful stimuli, the client does
not open her eyes, dispays decerebrate posturing, and
makes incomprehensible sounds. Which of the following
Glasgow Coma Scale scores should the nurse assign the
client?
a. 5
b. 2
c. 13
d. 10 Correct Answer a. 5
A nurse is providing discharge teaching to a client who
has heart failure and instucts him to limit sodium intake to
2g per day. Which of the following statements by the client
indicates an understanding of the teaching?
,a. I can season my foods with garlic and onion salts
b. I can have mayonnaise on my sandwhiches
c. I can have frozen fruit juice bar for dessert
d. I can drink vegetable juice with a meal Correct Answer
c. I can have frozen fruit juice bar for dessert
A nurse is preparing to perform occular irrigation for a
client following chemical splash to the eye. Which of the
following actions should the nurse plan to take first?
a. Instil 0.9% sodium chloride solution into the affected
eye
b. administer proparacaine eyedrops into the affected eye
c. collect information about the irritant that caused the
injury Correct Answer c. collect information about the
irritant that caused the injury
A nurse is assessing a client following extubation from a
ventilator. For which of the following should the nurse
intervene immediately?
a. Rhonchi
b. SaO2 92%
c. Sore throat
d. Stridor Correct Answer d. Stridor
A nurse is reviewing the laboratory reports of a client who
has acute pancreatitis. Which of the following findings
should the nurse expect?
a. elevated serum calcium
b. elevated blood glucose
c. decreased serum amylase
,d. decreased erythrocyte sedimitation rate Correct Answer
b. elevated blood glucose
A nurse is reviewing the medical record of a client who
has diabetes insipidus. Which of the following findings
should the nurse expect?
a. hypothermia
b. Urine specific gravity 1.001 (<1.005)
c. Elevated blood pressure
d. BUN 15 mg/dl Correct Answer b. Urine specific gravity
1.001 (<1.005)
A nurse is planning care for a client who has pulmonary
embolism. Which of the following interventions should the
nurse include?
a. initiate a continuous IV heparin infusion
b. instruct the client to massage the lower extremities
c. position the client on the left side
d. measure vital signs every 4 hours Correct Answer a.
initiate a continuous IV heparin infusion
A nurse is providing discharge teaching to a client who is
recovering from a sickle cell crisis. Which of the following
instructions should the nurse include?
a. Avoid extremely hot or cold temperatures
b. limit fluids to 1.5L per day
c. limit alcohol intake to one drink per day
d. avoid getting a flu vaccination Correct Answer a. Avoid
extremely hot or cold temperatures
, A nurse in the emergency department is caring for a client
who is in hypovolemic shock. Which of the following
actions should the nurse take first?
a. Obtain a blood specimen for type and crossmatch
b. insert a large-bore IV catheter
c. administer IV therapy
d. monitor urine output Correct Answer b. insert a large-
bore IV catheter
A nurse is caring for a client who has an arteriovenous
graft. Which of the following findings indicates adequate
circulation of the graft?
a. dilated appearance of the graft
b. absence of a bruit
c. normotensive blood pressure
d. palpable thrill Correct Answer d. palpable thrill
A nurse is assessing a client who has heart failure and is
receiving a loop diuretic. Which of the following findings
indicates hypokalemia?
a. oliguria
b. hypertension
c. muscle weakness
d. positive Chvostek's sign Correct Answer c. muscle
weakness
A nurse is caring for a client who has a full-thickness burn
injury covering 15% of their body. Which of the following
actions should the nurse take?
a. weight the client once per week
b. provide the client with a protein intake of 1g/kg/day
CMS PROCTORED EXAM QUESTIONS
AND DETAILED CORRECT ANSWERS |
A+ GRADE
A nurse is preparing a teaching plan for a client who has
mucositis related to chemotherapy treatment. Which of the
following instructions should the nurse include?
a. "rinse your mouth with hydrogen peroxide"
b. "brush your teeth for 60 seconds twice daily"
c. "wear your dentures only during meals"
d. "floss your teeth following meals" Correct Answer d.
"floss your teeth following meals"
A critical care nurse is assessing a client who has severe
head injury. In response to painful stimuli, the client does
not open her eyes, dispays decerebrate posturing, and
makes incomprehensible sounds. Which of the following
Glasgow Coma Scale scores should the nurse assign the
client?
a. 5
b. 2
c. 13
d. 10 Correct Answer a. 5
A nurse is providing discharge teaching to a client who
has heart failure and instucts him to limit sodium intake to
2g per day. Which of the following statements by the client
indicates an understanding of the teaching?
,a. I can season my foods with garlic and onion salts
b. I can have mayonnaise on my sandwhiches
c. I can have frozen fruit juice bar for dessert
d. I can drink vegetable juice with a meal Correct Answer
c. I can have frozen fruit juice bar for dessert
A nurse is preparing to perform occular irrigation for a
client following chemical splash to the eye. Which of the
following actions should the nurse plan to take first?
a. Instil 0.9% sodium chloride solution into the affected
eye
b. administer proparacaine eyedrops into the affected eye
c. collect information about the irritant that caused the
injury Correct Answer c. collect information about the
irritant that caused the injury
A nurse is assessing a client following extubation from a
ventilator. For which of the following should the nurse
intervene immediately?
a. Rhonchi
b. SaO2 92%
c. Sore throat
d. Stridor Correct Answer d. Stridor
A nurse is reviewing the laboratory reports of a client who
has acute pancreatitis. Which of the following findings
should the nurse expect?
a. elevated serum calcium
b. elevated blood glucose
c. decreased serum amylase
,d. decreased erythrocyte sedimitation rate Correct Answer
b. elevated blood glucose
A nurse is reviewing the medical record of a client who
has diabetes insipidus. Which of the following findings
should the nurse expect?
a. hypothermia
b. Urine specific gravity 1.001 (<1.005)
c. Elevated blood pressure
d. BUN 15 mg/dl Correct Answer b. Urine specific gravity
1.001 (<1.005)
A nurse is planning care for a client who has pulmonary
embolism. Which of the following interventions should the
nurse include?
a. initiate a continuous IV heparin infusion
b. instruct the client to massage the lower extremities
c. position the client on the left side
d. measure vital signs every 4 hours Correct Answer a.
initiate a continuous IV heparin infusion
A nurse is providing discharge teaching to a client who is
recovering from a sickle cell crisis. Which of the following
instructions should the nurse include?
a. Avoid extremely hot or cold temperatures
b. limit fluids to 1.5L per day
c. limit alcohol intake to one drink per day
d. avoid getting a flu vaccination Correct Answer a. Avoid
extremely hot or cold temperatures
, A nurse in the emergency department is caring for a client
who is in hypovolemic shock. Which of the following
actions should the nurse take first?
a. Obtain a blood specimen for type and crossmatch
b. insert a large-bore IV catheter
c. administer IV therapy
d. monitor urine output Correct Answer b. insert a large-
bore IV catheter
A nurse is caring for a client who has an arteriovenous
graft. Which of the following findings indicates adequate
circulation of the graft?
a. dilated appearance of the graft
b. absence of a bruit
c. normotensive blood pressure
d. palpable thrill Correct Answer d. palpable thrill
A nurse is assessing a client who has heart failure and is
receiving a loop diuretic. Which of the following findings
indicates hypokalemia?
a. oliguria
b. hypertension
c. muscle weakness
d. positive Chvostek's sign Correct Answer c. muscle
weakness
A nurse is caring for a client who has a full-thickness burn
injury covering 15% of their body. Which of the following
actions should the nurse take?
a. weight the client once per week
b. provide the client with a protein intake of 1g/kg/day
