ATI MED SURG CMS PROCTORED
EXAMINATION 2026 BANK MOST EXAM
QUESTIONS WILL COME FROM HERE
/ALREADY GRADED A+
1.
A nurse is caring for a client with acute pulmonary edema
who suddenly becomes anxious, tachypneic, and has
frothy pink sputum. The client is currently supine and
oxygen saturation is 84%. What is the nurse’s priority
action?
A. Obtain a stat chest x-ray
B. Place client in high Fowler’s position and apply oxygen
C. Administer IV furosemide first
D. Encourage coughing and deep breathing
Answer: B
Rationale: Airway and breathing take priority. Upright
positioning improves lung expansion and oxygenation
immediately.
2.
,A client receiving IV heparin has an aPTT of 110 seconds.
The nurse notes no active bleeding. What is the best
action?
A. Continue infusion at same rate
B. Increase heparin dose
C. Hold infusion per protocol
D. Administer vitamin K
Answer: C
Rationale: Therapeutic aPTT is elevated beyond range;
infusion must be held or adjusted even without visible
bleeding.
3.
A nurse is assessing a post-stroke client. Which finding
requires immediate intervention?
A. Dysphagia with coughing during meals
B. Slight facial droop
C. Mild confusion
D. Weak grip on affected side
Answer: A
Rationale: Dysphagia with coughing indicates aspiration
risk → airway threat.
,4.
A client with COPD is receiving oxygen at 5 L/min via
nasal cannula. The nurse notes increasing drowsiness and
decreased respiratory rate. What is the priority action?
A. Encourage incentive spirometry
B. Decrease oxygen flow rate
C. Increase oxygen delivery
D. Administer bronchodilator only
Answer: B
Rationale: High oxygen in COPD can suppress respiratory
drive (CO₂ retention).
5.
A nurse notes peaked T waves and widened QRS on ECG.
The client is weak and reports palpitations. What is the
priority action?
A. Administer calcium gluconate
B. Give insulin only
C. Restrict fluids
D. Administer sodium bicarbonate
Answer: A
Rationale: Severe hyperkalemia requires cardiac
membrane stabilization first.
, 6.
A post-operative client suddenly develops unilateral calf
pain, warmth, and swelling. What is the nurse’s first
action?
A. Massage the affected leg
B. Encourage ambulation
C. Keep client on bed rest and notify provider
D. Apply warm compress
Answer: C
Rationale: Suspected DVT → prevent embolization; no
massage or ambulation.
7.
A client with diabetic ketoacidosis has potassium level of
3.2 mEq/L. Which provider order should the nurse
question?
A. IV insulin infusion
B. IV potassium replacement
C. Normal saline infusion
D. Hourly blood glucose checks
EXAMINATION 2026 BANK MOST EXAM
QUESTIONS WILL COME FROM HERE
/ALREADY GRADED A+
1.
A nurse is caring for a client with acute pulmonary edema
who suddenly becomes anxious, tachypneic, and has
frothy pink sputum. The client is currently supine and
oxygen saturation is 84%. What is the nurse’s priority
action?
A. Obtain a stat chest x-ray
B. Place client in high Fowler’s position and apply oxygen
C. Administer IV furosemide first
D. Encourage coughing and deep breathing
Answer: B
Rationale: Airway and breathing take priority. Upright
positioning improves lung expansion and oxygenation
immediately.
2.
,A client receiving IV heparin has an aPTT of 110 seconds.
The nurse notes no active bleeding. What is the best
action?
A. Continue infusion at same rate
B. Increase heparin dose
C. Hold infusion per protocol
D. Administer vitamin K
Answer: C
Rationale: Therapeutic aPTT is elevated beyond range;
infusion must be held or adjusted even without visible
bleeding.
3.
A nurse is assessing a post-stroke client. Which finding
requires immediate intervention?
A. Dysphagia with coughing during meals
B. Slight facial droop
C. Mild confusion
D. Weak grip on affected side
Answer: A
Rationale: Dysphagia with coughing indicates aspiration
risk → airway threat.
,4.
A client with COPD is receiving oxygen at 5 L/min via
nasal cannula. The nurse notes increasing drowsiness and
decreased respiratory rate. What is the priority action?
A. Encourage incentive spirometry
B. Decrease oxygen flow rate
C. Increase oxygen delivery
D. Administer bronchodilator only
Answer: B
Rationale: High oxygen in COPD can suppress respiratory
drive (CO₂ retention).
5.
A nurse notes peaked T waves and widened QRS on ECG.
The client is weak and reports palpitations. What is the
priority action?
A. Administer calcium gluconate
B. Give insulin only
C. Restrict fluids
D. Administer sodium bicarbonate
Answer: A
Rationale: Severe hyperkalemia requires cardiac
membrane stabilization first.
, 6.
A post-operative client suddenly develops unilateral calf
pain, warmth, and swelling. What is the nurse’s first
action?
A. Massage the affected leg
B. Encourage ambulation
C. Keep client on bed rest and notify provider
D. Apply warm compress
Answer: C
Rationale: Suspected DVT → prevent embolization; no
massage or ambulation.
7.
A client with diabetic ketoacidosis has potassium level of
3.2 mEq/L. Which provider order should the nurse
question?
A. IV insulin infusion
B. IV potassium replacement
C. Normal saline infusion
D. Hourly blood glucose checks
