ATI MED SURG Actual Exam (2025) comprehensive questions and verified answers (
detailed & elaborated) 2025-2026 TEST
A nurse is assessing a client who has a high-thoracic spinal cord injury. The
nurse should identify which of the following findings as a manifestation of
autonomic dysreflexia?
Report of a headache
* other manifestations are flushing of face and neck, bradycardia, and extreme HTN.
A nurse is assessing a client who is post op following a craniotomy and has a
urine output of 600ml/hr. The nurse suspects the client has manifestations of
diabetes insipidus. Which of the following lab values should the nurse plan to
obtain to assess for DI?
Specific urine.
*Ketones measure DKA. Blood glucose measures diabetes mellitus.
A nurse is assessing a client who is admitted to the facility for observation
following a closed head injury. Which of the following is the priority
assessment data the nurse should collect to determine a change in the clients
neurologic status?
Level of consciousness
*Pupils for increased intracranial pressure/brain ischemia.
A nurse is providing discharge teaching to a client who is post op following
cataract surgery and has an intraocular lens implant. Which of the following
statements by the client indicates an understanding of the instructions?
I will avoid bending over
*avoid asprin
A nurse is reviewing the medical history of a client who is scheduled for a MRI
exam. What in the clients history is a contraindication to the procedure
The pt has a pacemaker.
A nurse is assessing a client who is unconscious and has rhythmical
breathing pattern of rapid deep respirations, followed by rapid shallow
respirations, alternating w. periods of apnea. The nurse should document that
the client is experiencing which of the following types of respirations?
, Cheyne-Stokes
*Can be result of drug over dose or increased intracranial pressure and can precede
death.
Paradoxical
AKA flail chest. When chest wall contracts during inspiration and expands during
expiration. ex) rib fractures
Kussmaul
deep, rapid respiratory pattern of hyperventilation that can occur in a client who has
DKA
A nurse is reviewing the lab results of a lumbar puncture (LP) for a client who
has manifestations of bacterial meningitis. Which of the following findings
should the nurse expect?
Elevated protein
A nurse is assessing a client who has a new diagnosis of acute angle-closure
glaucoma. The nurse should anticipate the client to report which of the
following manifestations/
Severe eye pain
*Reports of halos around lights, blurred vision, headache, brow pain, and N V.
A nurse is teaching a client who has a new diagnosis of simple partial seizures
about auras. Which of the following statements by the client indicates an
understanding of the teaching?
An aura is a sensory warning that a seizure is imminent
A nurse is assessing a client who has a closed head injury and has received
mannitol for manifestations of increased intracranial pressure (ICP). Which of
the following findings should indicate to the nurse that the meds is having a
therapeutic effect?
The clients serum osmolarity is 310 mOsm/L
A nurse is teaching a client who has myopia about LASIK surgery. The nurse
should include in the teaching that which of the following is an adverse effect
of LASIK surgery.
Dry eyes.
*blurred vision
detailed & elaborated) 2025-2026 TEST
A nurse is assessing a client who has a high-thoracic spinal cord injury. The
nurse should identify which of the following findings as a manifestation of
autonomic dysreflexia?
Report of a headache
* other manifestations are flushing of face and neck, bradycardia, and extreme HTN.
A nurse is assessing a client who is post op following a craniotomy and has a
urine output of 600ml/hr. The nurse suspects the client has manifestations of
diabetes insipidus. Which of the following lab values should the nurse plan to
obtain to assess for DI?
Specific urine.
*Ketones measure DKA. Blood glucose measures diabetes mellitus.
A nurse is assessing a client who is admitted to the facility for observation
following a closed head injury. Which of the following is the priority
assessment data the nurse should collect to determine a change in the clients
neurologic status?
Level of consciousness
*Pupils for increased intracranial pressure/brain ischemia.
A nurse is providing discharge teaching to a client who is post op following
cataract surgery and has an intraocular lens implant. Which of the following
statements by the client indicates an understanding of the instructions?
I will avoid bending over
*avoid asprin
A nurse is reviewing the medical history of a client who is scheduled for a MRI
exam. What in the clients history is a contraindication to the procedure
The pt has a pacemaker.
A nurse is assessing a client who is unconscious and has rhythmical
breathing pattern of rapid deep respirations, followed by rapid shallow
respirations, alternating w. periods of apnea. The nurse should document that
the client is experiencing which of the following types of respirations?
, Cheyne-Stokes
*Can be result of drug over dose or increased intracranial pressure and can precede
death.
Paradoxical
AKA flail chest. When chest wall contracts during inspiration and expands during
expiration. ex) rib fractures
Kussmaul
deep, rapid respiratory pattern of hyperventilation that can occur in a client who has
DKA
A nurse is reviewing the lab results of a lumbar puncture (LP) for a client who
has manifestations of bacterial meningitis. Which of the following findings
should the nurse expect?
Elevated protein
A nurse is assessing a client who has a new diagnosis of acute angle-closure
glaucoma. The nurse should anticipate the client to report which of the
following manifestations/
Severe eye pain
*Reports of halos around lights, blurred vision, headache, brow pain, and N V.
A nurse is teaching a client who has a new diagnosis of simple partial seizures
about auras. Which of the following statements by the client indicates an
understanding of the teaching?
An aura is a sensory warning that a seizure is imminent
A nurse is assessing a client who has a closed head injury and has received
mannitol for manifestations of increased intracranial pressure (ICP). Which of
the following findings should indicate to the nurse that the meds is having a
therapeutic effect?
The clients serum osmolarity is 310 mOsm/L
A nurse is teaching a client who has myopia about LASIK surgery. The nurse
should include in the teaching that which of the following is an adverse effect
of LASIK surgery.
Dry eyes.
*blurred vision
