LPN MEDICAL
SURGICAL ATI NCLEX
QUESTIONS AND
ANSWERS UPDATED
2026
ABnurseBisBcaringBforBaBclientBwithBaBhistoryBofBcongestiveBheartBfailureBatBriskBforB
developmentBofBfluidBvolumeBexcess.BTheBnurseBshouldBmonitorBforBwhichBofBtheBfol
lowingBthatBisBaBmanifestationBofBleftBsidedBheartBfailure?
B
SwellingBofBtheBfingersBandBhands
JugularBneckBveinBdistension
3+BankleBedema
DyspneaBwithBaBcoughBthatBisBworseBatBnightB-
BAnswerBDyspneaBwithBaBcoughBthatBisBworseBatBnight
DyspneaBwithBaBcoughBthatBisBworseBatBnightBisBanBindicationBofBleft-
sidedBheartBfailure.BLeft-
sidedBheartBfailureBcausesBbloodBtoBbackBupBinBtheBheartBandBlungsBwithBdecreased
BdistributionBofBbloodBthroughoutBtheBbody.
WhichBclientBproblemBshouldBreceiveBhighestBpriorityBwhenBaBclientBisBadmittedBwith
BanBacuteBexacerbationBofBrheumatoidBarthritis?
B
DifficultyBwithBhygieneBandBgrooming
ImpairedBphysicalBmobility
,Body-imageBdisturbance
AnxietyB-BAnswerBImpairedBphysicalBmobility
WhenBsettingBprioritiesBforBnursingBcare,BphysiologicalBneedsBshouldBbeBaddressedBfir
stBaccordingBtoBMaslow'sBHierarchyBofBNeeds.BReducingBtheBclient'sBpainBwillBhelpBw
ithBotherBneeds,BsuchBasBhygieneBandBgrooming.
ABnurseBisBcaringBforBaBclientBwithBhypoparathyroidism.BBecauseBofBtheBpotentialBele
ctrolyteBdisturbanceBassociatedBwithBthisBdiagnosis,BtheBnurseBshouldBobserveBtheBcli
entBforBevidenceBofBwhichBofBtheBfollowing?
B
ElevatedBbloodBpressure
InvoluntaryBmuscleBspasms
ColdBintolerance
WeightBlossB-BAnswerBInvoluntaryBmuscleBspasms
ABdecreaseBinBparathormoneBsecretionBleadsBtoBhypocalcemiaB(decreasedBserumBcalci
umBlevels),BwhichBmayBcauseBtetany.BInvoluntaryBmuscleBspasmsBareBaBcommonBsym
ptomBassociatedBwithBhypothyroidism.
ABclientBwithBglaucomaBisBadmittedBforBsurgeryBtheBfollowingBday.BTheBclientBisBtoBc
ontinueBtreatingBtheBglaucomaBwithBpilocarpineB(Pilocar)B2%B1BdropB4BtimesBaBday.B
WhileBinstillingBthisBmedication,BanBappropriateBnursingBactionBisBwhichBofBtheBfollow
ing?
B
InstructBtheBclientBtoBblinkBseveralBtimesBafterBinstillationBofBtheBmedication.
AskBtheBclientBtoBlookBstraightBahead.
PlaceBtheBmedicationBinBtheBconjunctivalBsacBapplyingBpressureBtoBtheBpunctaBforB1B
toB2Bmin.
DabBexcessBmedicationBfromBtheBeyeBusingBaBcottonBballB10BtoB15BsecondsBafterBins
tillation.B-
BAnswerBPlaceBtheBmedicationBinBtheBconjunctivalBsacBapplyingBpressureBtoBtheBpunc
taBforB1BtoB2Bmin.
, EyeBdropsBareBinstilledBintoBtheBconjunctivalBsacBandBpressureBappliedBtoBtheBpuncta
BforB1BtoB2BminBtoBpreventBlossBofBmedicationBintoBtheBnasalBlacrimalBductBandBint
oBtheBsystemicBcirculation.
ABclientBhasBsprainedBanBankleBwhileBplayingBsoccer.BForBtheBfirstB24BhrBfollowingBth
eBinjury,BtheBnurseBshouldBinstructBtheBclientBtoBdoBwhichBofBtheBfollowing?
B
PerformBgentleBrangeBofBmotionB(ROM)BexercisesBonBtheBankleBjointBtoBpreventBcont
ractures.
KeepBmoistBheatBonBtheBankleBtoBpreventBmuscleBspasm.
KeepBtheBfootBinBaBdependentBpositionBtoBaideBcirculationBtoBtheBfoot.
KeepBiceBonBtheBankleBtoBpreventBedema.B-
BAnswerBKeepBiceBonBtheBankleBtoBpreventBedema.
IceBorBcoldBwillBconstrictBbloodBvesselsBtoBtheBinjuredBareaBdecreasingBswelling.BNer
veBimpulseBtransmissionBwillBalsoBbeBreduced,BresultingBinBanalgesiaBtoBtheBinjuredBa
reaBandBaBreductionBofBmuscleBspasms.BIceBapplicationsBshouldBnotBexceedB20BtoB3
0BminBperBapplication.
ABnurseBisBassistingBwithBtheBdischargeBofBaBclientBnewlyBdiagnosedBwithBdiabetes.B
WhenBreviewingBinformationBaboutBproperBfootBcare,BwhichBofBtheBfollowingBwouldB
beBappropriateBtoBinclude?
B
SoakBfeetBeveryBnightBinBwarmBwater.
WearBcleanBcottonBsocksBdaily.
WalkBbarefootBatBhomeBwhenBpossible.
GetBfittedBforBshoesBinBtheBmorning.B-BAnswerBWearBcleanBcottonBsocksBdaily.
CottonBsocksBshouldBbeBwornBbyBclientsBwhoBareBdiabetic.BTheyBareBsoftBandBwillBw
ickBexcessBmoistureBawayBfromBtheBfoot.
FollowingBaBtransientBischemicBattackB(TIA),BaBclientBisBalert,BslightlyBconfused,BandBh
asBaBbloodBpressureBofB204/102BmmBHg.BTheBclientBisBalsoBincontinentBofBurine.BW
SURGICAL ATI NCLEX
QUESTIONS AND
ANSWERS UPDATED
2026
ABnurseBisBcaringBforBaBclientBwithBaBhistoryBofBcongestiveBheartBfailureBatBriskBforB
developmentBofBfluidBvolumeBexcess.BTheBnurseBshouldBmonitorBforBwhichBofBtheBfol
lowingBthatBisBaBmanifestationBofBleftBsidedBheartBfailure?
B
SwellingBofBtheBfingersBandBhands
JugularBneckBveinBdistension
3+BankleBedema
DyspneaBwithBaBcoughBthatBisBworseBatBnightB-
BAnswerBDyspneaBwithBaBcoughBthatBisBworseBatBnight
DyspneaBwithBaBcoughBthatBisBworseBatBnightBisBanBindicationBofBleft-
sidedBheartBfailure.BLeft-
sidedBheartBfailureBcausesBbloodBtoBbackBupBinBtheBheartBandBlungsBwithBdecreased
BdistributionBofBbloodBthroughoutBtheBbody.
WhichBclientBproblemBshouldBreceiveBhighestBpriorityBwhenBaBclientBisBadmittedBwith
BanBacuteBexacerbationBofBrheumatoidBarthritis?
B
DifficultyBwithBhygieneBandBgrooming
ImpairedBphysicalBmobility
,Body-imageBdisturbance
AnxietyB-BAnswerBImpairedBphysicalBmobility
WhenBsettingBprioritiesBforBnursingBcare,BphysiologicalBneedsBshouldBbeBaddressedBfir
stBaccordingBtoBMaslow'sBHierarchyBofBNeeds.BReducingBtheBclient'sBpainBwillBhelpBw
ithBotherBneeds,BsuchBasBhygieneBandBgrooming.
ABnurseBisBcaringBforBaBclientBwithBhypoparathyroidism.BBecauseBofBtheBpotentialBele
ctrolyteBdisturbanceBassociatedBwithBthisBdiagnosis,BtheBnurseBshouldBobserveBtheBcli
entBforBevidenceBofBwhichBofBtheBfollowing?
B
ElevatedBbloodBpressure
InvoluntaryBmuscleBspasms
ColdBintolerance
WeightBlossB-BAnswerBInvoluntaryBmuscleBspasms
ABdecreaseBinBparathormoneBsecretionBleadsBtoBhypocalcemiaB(decreasedBserumBcalci
umBlevels),BwhichBmayBcauseBtetany.BInvoluntaryBmuscleBspasmsBareBaBcommonBsym
ptomBassociatedBwithBhypothyroidism.
ABclientBwithBglaucomaBisBadmittedBforBsurgeryBtheBfollowingBday.BTheBclientBisBtoBc
ontinueBtreatingBtheBglaucomaBwithBpilocarpineB(Pilocar)B2%B1BdropB4BtimesBaBday.B
WhileBinstillingBthisBmedication,BanBappropriateBnursingBactionBisBwhichBofBtheBfollow
ing?
B
InstructBtheBclientBtoBblinkBseveralBtimesBafterBinstillationBofBtheBmedication.
AskBtheBclientBtoBlookBstraightBahead.
PlaceBtheBmedicationBinBtheBconjunctivalBsacBapplyingBpressureBtoBtheBpunctaBforB1B
toB2Bmin.
DabBexcessBmedicationBfromBtheBeyeBusingBaBcottonBballB10BtoB15BsecondsBafterBins
tillation.B-
BAnswerBPlaceBtheBmedicationBinBtheBconjunctivalBsacBapplyingBpressureBtoBtheBpunc
taBforB1BtoB2Bmin.
, EyeBdropsBareBinstilledBintoBtheBconjunctivalBsacBandBpressureBappliedBtoBtheBpuncta
BforB1BtoB2BminBtoBpreventBlossBofBmedicationBintoBtheBnasalBlacrimalBductBandBint
oBtheBsystemicBcirculation.
ABclientBhasBsprainedBanBankleBwhileBplayingBsoccer.BForBtheBfirstB24BhrBfollowingBth
eBinjury,BtheBnurseBshouldBinstructBtheBclientBtoBdoBwhichBofBtheBfollowing?
B
PerformBgentleBrangeBofBmotionB(ROM)BexercisesBonBtheBankleBjointBtoBpreventBcont
ractures.
KeepBmoistBheatBonBtheBankleBtoBpreventBmuscleBspasm.
KeepBtheBfootBinBaBdependentBpositionBtoBaideBcirculationBtoBtheBfoot.
KeepBiceBonBtheBankleBtoBpreventBedema.B-
BAnswerBKeepBiceBonBtheBankleBtoBpreventBedema.
IceBorBcoldBwillBconstrictBbloodBvesselsBtoBtheBinjuredBareaBdecreasingBswelling.BNer
veBimpulseBtransmissionBwillBalsoBbeBreduced,BresultingBinBanalgesiaBtoBtheBinjuredBa
reaBandBaBreductionBofBmuscleBspasms.BIceBapplicationsBshouldBnotBexceedB20BtoB3
0BminBperBapplication.
ABnurseBisBassistingBwithBtheBdischargeBofBaBclientBnewlyBdiagnosedBwithBdiabetes.B
WhenBreviewingBinformationBaboutBproperBfootBcare,BwhichBofBtheBfollowingBwouldB
beBappropriateBtoBinclude?
B
SoakBfeetBeveryBnightBinBwarmBwater.
WearBcleanBcottonBsocksBdaily.
WalkBbarefootBatBhomeBwhenBpossible.
GetBfittedBforBshoesBinBtheBmorning.B-BAnswerBWearBcleanBcottonBsocksBdaily.
CottonBsocksBshouldBbeBwornBbyBclientsBwhoBareBdiabetic.BTheyBareBsoftBandBwillBw
ickBexcessBmoistureBawayBfromBtheBfoot.
FollowingBaBtransientBischemicBattackB(TIA),BaBclientBisBalert,BslightlyBconfused,BandBh
asBaBbloodBpressureBofB204/102BmmBHg.BTheBclientBisBalsoBincontinentBofBurine.BW