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ATI CMS MED SURG PROCTORED/ ATI MED SURG
CMS PROCTORED EXAM 2025/ 2026 ACTUAL EXAM
COMPLETE 180 QUESTIONS WITH DETAILED
VERIFIED ANSWERS WITH RATIONALES (100%
CORRECT ANSWERS) /ALREADY GRADED
A+||LATEST EXAM!!
An older adult is brought to an emergency department by
a family member. Which of the following assessment
findings should cause the nurse to suspect that the client
has hypertonic dehydration? - Answer-Urine Specific
gravity 1.045
A urine specific gravity greater than 1.030 indicates a
decrease in urine volume and an increase in osmolarity,
which is a manifestation of hypertonic dehydration.
A nurse in a community clinic is caring for a client who
reports an increase in the frequency of migraine
headaches. To help reduce the risk for migraine
headaches, which of the following foods should the nurse
recommend the client avoid? - Answer-Aged cheese
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Foods that contain tyramine, such as aged cheese and
sausage, can trigger migraine headaches.
A nurse is planning teaching for a client who has bladder
cancer and is to undergo a cutaneous diversion procedure
to establish a ureterostomy. Which of the following
statements should the nurse include in the teaching? -
Answer-"You should cut the opening of the skin barrier
one-eight inch wider than the stoma."
The client should cut the opening of the skin barrier 0.3 cm
(1/8in) wider than the stoma to minimize irritation of the
skin from exposure to urine.
A nurse is providing teaching to a client who has
hypothyroidism and is receiving levothyroxine. The nurse
should instruct the client that which of the following
supplements can interfere with the effectiveness of the
medication? - Answer-Calcium
Calcium limits the development of osteoporosis in clients
who are postmenopausal and works as an antacid.
Calcium supplements can interfere with the metabolism of
a number of medications, including levothyroxine. The
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nurse should instruct the client to avoid taking calcium
within 4 hr of levothyroxine administration.
A nurse is conducting an admission history for a client who
is to undergo a CT scan with an IV contrast agent. The
nurse should identify that which of the following findings
requires further assessment? - Answer-History of asthma
A client who has a history of asthma has a greater risk of
reacting to the contrast dye used during the procedure.
Other conditions that can result in a reaction to contrast
media include allergies to foods, such as shellfish, eggs,
milk, and chocolate.
A nurse in an ICU is assessing a client who has a
traumatic brain injury. Which of the following findings
should the nurse identify as a component of Cushing's
triad? - Answer-Bradycardia
A client who has increased intracranial pressure from a
traumatic brain injury can develop bradycardia, which is
one component of Cushing's triad. The other components
of Cushing's triad are severe hypertension and a widened
pulse pressure.
, 4|Page
A nurse is planning to irrigate and dress a clean,
granulating wound for a client who has a pressure injury.
Which of the following actions should the nurse take? -
Answer-Use a 30-mL syringe
The nurse should use a 30-mL to 60-mL syringe with an
18- or 19- gauge catheter to deliver the ideal pressure of 8
pounds per square inch (psi) when irrigating a wound. To
maintain healthy granulation tissue, the wound irrigation
should be delivered at between 4 and 15 psi.
A nurse in an emergency department is reviewing the
provider's prescriptions for a client who sustained a
rattlesnake bite to the lower leg. Which of the following
prescriptions should the expect? - Answer-Administer an
opioid analgesic to the client.
The nurse should expect a prescription for an opioid
analgesic to promote comfort following a rattlesnake bite.
A nurse is reviewing the health record of a client who is
scheduled for allergy skin testing. The nurse should
postpone the testing and report to the provider which of
ATI CMS MED SURG PROCTORED/ ATI MED SURG
CMS PROCTORED EXAM 2025/ 2026 ACTUAL EXAM
COMPLETE 180 QUESTIONS WITH DETAILED
VERIFIED ANSWERS WITH RATIONALES (100%
CORRECT ANSWERS) /ALREADY GRADED
A+||LATEST EXAM!!
An older adult is brought to an emergency department by
a family member. Which of the following assessment
findings should cause the nurse to suspect that the client
has hypertonic dehydration? - Answer-Urine Specific
gravity 1.045
A urine specific gravity greater than 1.030 indicates a
decrease in urine volume and an increase in osmolarity,
which is a manifestation of hypertonic dehydration.
A nurse in a community clinic is caring for a client who
reports an increase in the frequency of migraine
headaches. To help reduce the risk for migraine
headaches, which of the following foods should the nurse
recommend the client avoid? - Answer-Aged cheese
,2|Page
Foods that contain tyramine, such as aged cheese and
sausage, can trigger migraine headaches.
A nurse is planning teaching for a client who has bladder
cancer and is to undergo a cutaneous diversion procedure
to establish a ureterostomy. Which of the following
statements should the nurse include in the teaching? -
Answer-"You should cut the opening of the skin barrier
one-eight inch wider than the stoma."
The client should cut the opening of the skin barrier 0.3 cm
(1/8in) wider than the stoma to minimize irritation of the
skin from exposure to urine.
A nurse is providing teaching to a client who has
hypothyroidism and is receiving levothyroxine. The nurse
should instruct the client that which of the following
supplements can interfere with the effectiveness of the
medication? - Answer-Calcium
Calcium limits the development of osteoporosis in clients
who are postmenopausal and works as an antacid.
Calcium supplements can interfere with the metabolism of
a number of medications, including levothyroxine. The
,3|Page
nurse should instruct the client to avoid taking calcium
within 4 hr of levothyroxine administration.
A nurse is conducting an admission history for a client who
is to undergo a CT scan with an IV contrast agent. The
nurse should identify that which of the following findings
requires further assessment? - Answer-History of asthma
A client who has a history of asthma has a greater risk of
reacting to the contrast dye used during the procedure.
Other conditions that can result in a reaction to contrast
media include allergies to foods, such as shellfish, eggs,
milk, and chocolate.
A nurse in an ICU is assessing a client who has a
traumatic brain injury. Which of the following findings
should the nurse identify as a component of Cushing's
triad? - Answer-Bradycardia
A client who has increased intracranial pressure from a
traumatic brain injury can develop bradycardia, which is
one component of Cushing's triad. The other components
of Cushing's triad are severe hypertension and a widened
pulse pressure.
, 4|Page
A nurse is planning to irrigate and dress a clean,
granulating wound for a client who has a pressure injury.
Which of the following actions should the nurse take? -
Answer-Use a 30-mL syringe
The nurse should use a 30-mL to 60-mL syringe with an
18- or 19- gauge catheter to deliver the ideal pressure of 8
pounds per square inch (psi) when irrigating a wound. To
maintain healthy granulation tissue, the wound irrigation
should be delivered at between 4 and 15 psi.
A nurse in an emergency department is reviewing the
provider's prescriptions for a client who sustained a
rattlesnake bite to the lower leg. Which of the following
prescriptions should the expect? - Answer-Administer an
opioid analgesic to the client.
The nurse should expect a prescription for an opioid
analgesic to promote comfort following a rattlesnake bite.
A nurse is reviewing the health record of a client who is
scheduled for allergy skin testing. The nurse should
postpone the testing and report to the provider which of
