1
ATI NCLEX Medical Surgical
Assessment 1 2026 Latest Questions
and Answers (100% Expert Answers)
A+
A nurse is planning care for a client receiving mechanical ventilation.
Which action should the nurse include in the plan [ Ans: ] Provide means
of communication using electronic tablet, speech generating device,
alphabet board, pencil and paper, etc
A nurse is caring for a client receiving IV fluid replacement therapy for
dehydration. Which laboratory result indicates effectiveness of treatment
[ Ans: ] Urine specific gravity 1.020, within expected range of 1.005-
1.030
A nurse is monitoring lab findings for a client postoperative following
total hip arthroplasty. Which value indicates increased risk for bleeding [
© 2026
Ans: ] Platelets 80,000, range is 150,000-400,000
A nurse is admitting a client with a cervical spinal cord injury following a
motor vehicle crash. What intervention is the nurse's priority [ Ans: ]
Assist client with quad coughing to ensure airway clearance
A nurse is caring for a client receiving a blood transfusion. Which finding
indicates transfusion-associated circulatory overload [ Ans: ] Dyspnea,
indicating possible circulatory overload or transfusion-related lung
injury
A nurse is assessing a client with lung cancer undergoing radiation
therapy to the chest. What indicates an adverse effect of therapy [ Ans: ]
Altered taste sensations due to release of metabolites by dead cells
A nurse is preparing to administer packed RBCs to a client with anemia.
Which actions should the nurse plan to take [ Ans: ] Obtain pre-
transfusion temperature, verify client's blood type, use 20 gauge IV
needle for venous access
, 2
A nurse is reviewing lab findings for a dehydrated client. What BUN level
should the nurse expect [ Ans: ] 26 mg/dL, elevated levels indicate
various conditions including dehydration
A nurse is reviewing ECG strips for clients. Which image indicates atrial
fibrillation [ Ans: ] Multiple irregular waves at baseline and irregular R to
R intervals
A nurse is preparing to admit a client with a new tracheostomy. What
item is the priority to have available in the client's room upon admission
[ Ans: ] Obturator for emergency airway maintenance in case of
dislodgment or decannulation
A nurse is caring for a client who had a below the knee amputation due to
a traumatic injury 2 days ago. Which of the following statements should
the nurse use to assess how the client is coping with this change in their
body image [ Ans: ] Tell me how the changes to your leg make you feel
A nurse is teaching a client how to administer a medication using an
inhaler with a spacer. Which of the following instructions should the
© 2026
nurse include [ Ans: ] Wait at least 30 to 60 seconds between puffs of the
medication. Wait 2-5 min between using different medications from
separate inhalers
A nurse in an endoscopy clinic is providing teaching to a client who is to
undergo a colonoscopy for colon cancer screening. Which of the
following information should the nurse provide [ Ans: ] You will need
someone to drive you home after your procedure
A nurse is monitoring a client who is receiving moderate sedation with
midazolam. Which of the following findings requires immediate
intervention by the nurse [ Ans: ] No response to verbal stimuli
A nurse is reviewing the laboratory findings for a client who has heart
failure and is taking furosemide. The nurse should identify which of the
following findings as an adverse effect of the medication [ Ans: ]
Potassium 3.2 mEq/L
A nurse is caring for a client who is in Buck's traction. Which of the
following actions should the nurse take? (select all that apply) [ Ans: ]
ATI NCLEX Medical Surgical
Assessment 1 2026 Latest Questions
and Answers (100% Expert Answers)
A+
A nurse is planning care for a client receiving mechanical ventilation.
Which action should the nurse include in the plan [ Ans: ] Provide means
of communication using electronic tablet, speech generating device,
alphabet board, pencil and paper, etc
A nurse is caring for a client receiving IV fluid replacement therapy for
dehydration. Which laboratory result indicates effectiveness of treatment
[ Ans: ] Urine specific gravity 1.020, within expected range of 1.005-
1.030
A nurse is monitoring lab findings for a client postoperative following
total hip arthroplasty. Which value indicates increased risk for bleeding [
© 2026
Ans: ] Platelets 80,000, range is 150,000-400,000
A nurse is admitting a client with a cervical spinal cord injury following a
motor vehicle crash. What intervention is the nurse's priority [ Ans: ]
Assist client with quad coughing to ensure airway clearance
A nurse is caring for a client receiving a blood transfusion. Which finding
indicates transfusion-associated circulatory overload [ Ans: ] Dyspnea,
indicating possible circulatory overload or transfusion-related lung
injury
A nurse is assessing a client with lung cancer undergoing radiation
therapy to the chest. What indicates an adverse effect of therapy [ Ans: ]
Altered taste sensations due to release of metabolites by dead cells
A nurse is preparing to administer packed RBCs to a client with anemia.
Which actions should the nurse plan to take [ Ans: ] Obtain pre-
transfusion temperature, verify client's blood type, use 20 gauge IV
needle for venous access
, 2
A nurse is reviewing lab findings for a dehydrated client. What BUN level
should the nurse expect [ Ans: ] 26 mg/dL, elevated levels indicate
various conditions including dehydration
A nurse is reviewing ECG strips for clients. Which image indicates atrial
fibrillation [ Ans: ] Multiple irregular waves at baseline and irregular R to
R intervals
A nurse is preparing to admit a client with a new tracheostomy. What
item is the priority to have available in the client's room upon admission
[ Ans: ] Obturator for emergency airway maintenance in case of
dislodgment or decannulation
A nurse is caring for a client who had a below the knee amputation due to
a traumatic injury 2 days ago. Which of the following statements should
the nurse use to assess how the client is coping with this change in their
body image [ Ans: ] Tell me how the changes to your leg make you feel
A nurse is teaching a client how to administer a medication using an
inhaler with a spacer. Which of the following instructions should the
© 2026
nurse include [ Ans: ] Wait at least 30 to 60 seconds between puffs of the
medication. Wait 2-5 min between using different medications from
separate inhalers
A nurse in an endoscopy clinic is providing teaching to a client who is to
undergo a colonoscopy for colon cancer screening. Which of the
following information should the nurse provide [ Ans: ] You will need
someone to drive you home after your procedure
A nurse is monitoring a client who is receiving moderate sedation with
midazolam. Which of the following findings requires immediate
intervention by the nurse [ Ans: ] No response to verbal stimuli
A nurse is reviewing the laboratory findings for a client who has heart
failure and is taking furosemide. The nurse should identify which of the
following findings as an adverse effect of the medication [ Ans: ]
Potassium 3.2 mEq/L
A nurse is caring for a client who is in Buck's traction. Which of the
following actions should the nurse take? (select all that apply) [ Ans: ]