ATI Med Surg CMS Proctored Exam
2026 ATI Med Surg CMS Proctored
Exam Questions And Answers Practice
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TEST
A nurse is collecting data from a client prior to administering hydrochlorothiazide for mild
hypertension. Which of the following findings should the nurse identify as a contraindication
to administering the medication?
a) 2+ pedal edema
b) Potassium 2.8 mEq/L
c) Allergy to shellfish
d) History of GERD –
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ATI Med Surg CMS Proctored Exam
Correct Answer :B. Potassium 2.8 mEq/L
Rationale:
HCTZ or hydrochlorothiazide is a diuretic medication also used in treating high blood pressure.
It is non-selective diuretic therefore it also flushes out electrolytes such as potassium. Normal
potassium range is 3.5-5.0mEq/L, therefore a value of 2.8mEq/L is contraindicated because it
can lead further to hypokalemia.
A nurse is caring for a client who has a terminal illness and is in the active phase of dying. The
client refuses further hydration and nourishment. Which of the following actions should the
nurse take?
a) Request a prescription for IV fluids.
b) Ask the client's health care surrogate for permission to withhold nourishment.
c) Provide regular oral care for the client with a moist swab.
d) Explain the importance of oral hydration to the chest. –
Correct Answer :C. Provide regular oral care for the client with a
moist swab.
A nurse is caring for a client who has returned to the unit following a cardiac catheterization
using a femoral approach. Which of the following methods should the nurse use to monitor
for complications?
a) Check the client's blood pressure while the
client lies supine, sits, and stands.
b) Palpate the client's brachial pulses and
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ATI Med Surg CMS Proctored Exam
compare bilaterally.
c) Check for jugular vein distention while the
client is supine.
d) Palpate the client's pedal pulses and
compare bilaterally. –
Correct Answer :D. Palpate the client's pedal pulses and compare
bilaterally.
Rationale:
After a cardiac catheterization procedure using the femoral approach, it is important for the
nurse to monitor the client for any complications that may arise. One such complication is
impaired blood flow to the lower extremities, which can be detected by palpating the client's
pedal pulses and comparing them bilaterally.
Palpating the pedal pulses involves gently pressing the fingertips against the dorsalis pedis
and posterior tibial arteries on both feet to assess the presence, strength, and symmetry of
the pulses. The dorsalis pedis artery is located on the top of the foot, just lateral to the
extensor hallucis longus tendon, while the posterior tibial artery is located behind the medial
malleolus, slightly inferior to the ankle bone.
TEST
A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus. Which
of the following client statements indicates understanding of the teaching?
a) "I should put lotion between my toes every
day to prevent dryness and cracking."
b) "I should apply a heating pad to my feet every
night to help with circulation."
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ATI Med Surg CMS Proctored Exam
c) "I should use my wrist to test the temperature
of the water before bathing."
d) "I should round the corners of my toenails
with a nail file to prevent ingrown nails." –
Correct Answer :C. "I should use my wrist to test the temperature of the water before
bathing."
Rationale:
When taking care of their feet, people with diabetes should check their feet daily for signs of
swelling, redness, or heat, which may be signs of infection. They should also wash their feet
daily and dry well between the toes. If there is a lot of moisture between the toes, they can
use methylated spirits.
They should moisturize dry skin, especially cracked heels (for example, with sorbolene cream)
but not between the toes It's important to avoid hot water and harsh soaps that can damage
the skin. People with diabetes should also avoid using a heating pad, hot water bottle, or
electric blanket on their feet and avoid walking barefoot.
They should protect their feet from heat and cold and never attempt to remove corns,
calluses, warts, or other foot lesions themselves. They should see their doctor or podiatrist for
these issues.
TEST
The nurse is reinforcing teaching about foot care to the diabetic client. Which of the following
statements should the nurse make?
A. "Remove any calluses or corns when they develop."
B. "Do not use any foot powder as a remedy for sweating feet."