ATI Medical Surgical Mastery Exam
] ] ] ] ]
(2026) Questions and Correct Answers ] ] ] ]
A ]nurse ]on ]a ]Medical ]Surgical ]unit ]is ]caring ]for ]a ]group ]of ]clients. ]The ]nurse ]should ]notify ]the ]rap
id ]response ]team ]for ]which ]of ]the ]following ]clients?
A. ]Client ]who ]has ]a ]pressure ]injury ]of ]the ]right ]heel ]whose ]blood ]glucose ]is ]300mg/dL
B. ]Client ]who ]reports ]right ]calf ]pain ]and ]shortness ]of ]breath
C. ]Client ]who ]has ]blood ]on ]a ]pressure ]dressing ]in ]the ]femoral ]area ]following ]a ]cardiac ]catheteriz
ation
D. ]Client ]who ]has ]dark ]red ]coloration ]of ]left ]toes ]and ]absent ]pedal ]pulse ]- ]correct ]answer: ]B. ]Clie
nt ]who ]reports ]right ]calf ]pain ]and ]shortness ]of ]breath
Rational: ]SOB ]could ]be ]from ]a ]PE
A ]nurse ]is ]caring ]for ]a ]client ]who ]has ]ingested ]a ]toxic ]agent. ]Which ]of ]the ]following ]actions ]shoul
d ]the ]nurse ]plan ]to ]take? ](Select ]all ]that ]apply)
A. ]Induce ]vomitting
B. ]Instill ]activated ]charcoal
C. ]Perform ]a ]gastric ]lavage ]with ]aspiration
D. ]Administer ]syrup ]of ]ipecac
D. ]Infuse ]IV ]fluids ]- ]correct ]answer: ]B. ]Instill ]activated ]charcoal
C. ]Perform ]a ]gastric ]lavage ]with ]aspiration
D. ]administer ]IV ]fluids
A ]nurse ]in ]the ]emergency ]department ]is ]caring ]for ]a ]client ]who ]fell ]through ]the ]ice ]on ]a ]pond ]an
d ]is ]unresponsive ]and ]breathing ]slowly. ]Which ]of ]the ]following ]actions ]should ]the ]nurse ]take? ]
(Select ]all ]that ]apply)
,A. ]Remove ]wet ]clothing
B. ]Maintain ]normal ]room ]temperature
C. ]Apply ]warm ]blankets
D. ]Use ]a ]rapid ]rewarming ]water ]of ]40 ]to ]42
E. ]Infuse ]warmed ]IV ]fluids ]- ]correct ]answer: ]A. ]Remove ]wet ]clothing
C. ]Apply ]warm ]blankets
D. ]Use ]a ]rapid ]rewarming ]water ]of ]40 ]to ]42
E. ]Infuse ]warmed ]IV ]fluids
A ]nurse ]in ]the ]emergency ]department ]is ]assessing ]a ]client ]who ]is ]unresponsive. ]The ]clients ]part
ner ]states, ]"He ]was ]pulling ]weeds ]in ]the ]yard ]and ]slumped ]to ]the ]ground." ]Which ]of ]the ]followin
g ]techniques ]should ]the ]nurse ]use ]to ]open ]the ]clients ]airway?
A. ]Head ]tilt, ]chin ]lift
B. ]Modified ]Jaw ]thrust
C. ]Hyperextension ]of ]the ]head
D. ]Flexion ]of ]the ]head ]- ]correct ]answer: ]A. ]Head ]tilt, ]chin ]lift
A ]nurse ]is ]reviewing ]the ]common ]emergency ]management ]protocol ]for ]clients ]who ]have ]asystol
e. ]Which ]of ]the ]following ]actions ]should ]the ]nurse ]plan ]to ]take ]during ]this ]cardiac ]emergency?
A. ]Perform ]Defibrillation
B. ]Prepare ]for ]transcutaneous ]pacing
C. ]Administer ]epinephrine
D. ]Elevate ]the ]clients ]lower ]extremities ]- ]correct ]answer: ]C. ]Administer ]epinephrine
A ]nurse ]is ]caring ]for ]a ]client ]who ]has ]a ]new ]diagnosis ]of ]type ]2 ]diabetes ]mellitus ]and ]reports ]di
fficulty ]following ]the ]diet ]and ]remembering ]to ]take ]the ]prescribed ]medication. ]Which ]of ]the ]foll
owing ]actions ]should ]the ]nurse ]take ]to ]promote ]client ]compliance? ]Select ]all ]that ]apply
A. ]Ask ]the ]dietitian ]to ]assist ]with ]meal ]planning
, B. ]Contact ]the ]clients ]support ]system
C. ]Assess ]for ]age ]related ]cognitive ]awareness
D. ]Encourage ]the ]use ]of ]daily ]medication ]dispenser
E. ]Provide ]educational ]materials ]for ]home ]use ]- ]correct ]answer: ]A. ]Ask ]the ]dietitian ]to ]assist ]wit
h ]meal ]planning
B. ]Contact ]the ]clients ]support ]system
D. ]Encourage ]the ]use ]of ]daily ]medication ]dispenser
E. ]Provide ]educational ]materials ]for ]home ]use
A ]nurse ]in ]a ]health ]care ]clinic ]is ]evaluating ]the ]level ]of ]wellness ]for ]clients ]using ]the ]illness ]welln
ess ]continuum ]tool. ]The ]nurse ]should ]identify ]which ]of ]the ]following ]clients ]as ]being ]at ]the ]cent
er ]of ]the ]continuum?
A. ]A ]college ]student ]who ]has ]influenza
B. ]An ]older ]adult ]who ]has ]a ]new ]diagnosis ]of ]type ]2 ]diabetes ]mellitus
C. ]A ]new ]mother ]who ]has ]a ]urinary ]tract ]infection
D. ]A ]young ]male ]client ]who ]has ]a ]long ]history ]of ]well ]controlled ]rheumatoid ]arthritis ]- ]correct ]an
swer: ]D. ]A ]young ]male ]client ]who ]has ]a ]long ]history ]of ]well ]controlled ]rheumatoid ]arthritis
Rational: ]the ]center ]of ]the ]continuum ]is ]the ]clients ]normal ]state ]of ]health
A ]nurse ]is ]evaluating ]clients ]at ]a ]health ]fair ]for ]modifiable ]variables ]affecting ]health ]and ]wellnes
s. ]The ]nurse ]should ]identify ]which ]of ]the ]following ]variables ]as ]modifiable? ]Select ]all ]that ]apply
A. ]Smoking ]on ]social ]occasions
B. ]BMI ]of ]28
C. ]Alopecia
D. ]Trisomy ]21
E. ]History ]of ]reflux ]- ]correct ]answer: ]A. ]smoking ]on ]social ]occasions
B. ]BMI ]of ]28
] ] ] ] ]
(2026) Questions and Correct Answers ] ] ] ]
A ]nurse ]on ]a ]Medical ]Surgical ]unit ]is ]caring ]for ]a ]group ]of ]clients. ]The ]nurse ]should ]notify ]the ]rap
id ]response ]team ]for ]which ]of ]the ]following ]clients?
A. ]Client ]who ]has ]a ]pressure ]injury ]of ]the ]right ]heel ]whose ]blood ]glucose ]is ]300mg/dL
B. ]Client ]who ]reports ]right ]calf ]pain ]and ]shortness ]of ]breath
C. ]Client ]who ]has ]blood ]on ]a ]pressure ]dressing ]in ]the ]femoral ]area ]following ]a ]cardiac ]catheteriz
ation
D. ]Client ]who ]has ]dark ]red ]coloration ]of ]left ]toes ]and ]absent ]pedal ]pulse ]- ]correct ]answer: ]B. ]Clie
nt ]who ]reports ]right ]calf ]pain ]and ]shortness ]of ]breath
Rational: ]SOB ]could ]be ]from ]a ]PE
A ]nurse ]is ]caring ]for ]a ]client ]who ]has ]ingested ]a ]toxic ]agent. ]Which ]of ]the ]following ]actions ]shoul
d ]the ]nurse ]plan ]to ]take? ](Select ]all ]that ]apply)
A. ]Induce ]vomitting
B. ]Instill ]activated ]charcoal
C. ]Perform ]a ]gastric ]lavage ]with ]aspiration
D. ]Administer ]syrup ]of ]ipecac
D. ]Infuse ]IV ]fluids ]- ]correct ]answer: ]B. ]Instill ]activated ]charcoal
C. ]Perform ]a ]gastric ]lavage ]with ]aspiration
D. ]administer ]IV ]fluids
A ]nurse ]in ]the ]emergency ]department ]is ]caring ]for ]a ]client ]who ]fell ]through ]the ]ice ]on ]a ]pond ]an
d ]is ]unresponsive ]and ]breathing ]slowly. ]Which ]of ]the ]following ]actions ]should ]the ]nurse ]take? ]
(Select ]all ]that ]apply)
,A. ]Remove ]wet ]clothing
B. ]Maintain ]normal ]room ]temperature
C. ]Apply ]warm ]blankets
D. ]Use ]a ]rapid ]rewarming ]water ]of ]40 ]to ]42
E. ]Infuse ]warmed ]IV ]fluids ]- ]correct ]answer: ]A. ]Remove ]wet ]clothing
C. ]Apply ]warm ]blankets
D. ]Use ]a ]rapid ]rewarming ]water ]of ]40 ]to ]42
E. ]Infuse ]warmed ]IV ]fluids
A ]nurse ]in ]the ]emergency ]department ]is ]assessing ]a ]client ]who ]is ]unresponsive. ]The ]clients ]part
ner ]states, ]"He ]was ]pulling ]weeds ]in ]the ]yard ]and ]slumped ]to ]the ]ground." ]Which ]of ]the ]followin
g ]techniques ]should ]the ]nurse ]use ]to ]open ]the ]clients ]airway?
A. ]Head ]tilt, ]chin ]lift
B. ]Modified ]Jaw ]thrust
C. ]Hyperextension ]of ]the ]head
D. ]Flexion ]of ]the ]head ]- ]correct ]answer: ]A. ]Head ]tilt, ]chin ]lift
A ]nurse ]is ]reviewing ]the ]common ]emergency ]management ]protocol ]for ]clients ]who ]have ]asystol
e. ]Which ]of ]the ]following ]actions ]should ]the ]nurse ]plan ]to ]take ]during ]this ]cardiac ]emergency?
A. ]Perform ]Defibrillation
B. ]Prepare ]for ]transcutaneous ]pacing
C. ]Administer ]epinephrine
D. ]Elevate ]the ]clients ]lower ]extremities ]- ]correct ]answer: ]C. ]Administer ]epinephrine
A ]nurse ]is ]caring ]for ]a ]client ]who ]has ]a ]new ]diagnosis ]of ]type ]2 ]diabetes ]mellitus ]and ]reports ]di
fficulty ]following ]the ]diet ]and ]remembering ]to ]take ]the ]prescribed ]medication. ]Which ]of ]the ]foll
owing ]actions ]should ]the ]nurse ]take ]to ]promote ]client ]compliance? ]Select ]all ]that ]apply
A. ]Ask ]the ]dietitian ]to ]assist ]with ]meal ]planning
, B. ]Contact ]the ]clients ]support ]system
C. ]Assess ]for ]age ]related ]cognitive ]awareness
D. ]Encourage ]the ]use ]of ]daily ]medication ]dispenser
E. ]Provide ]educational ]materials ]for ]home ]use ]- ]correct ]answer: ]A. ]Ask ]the ]dietitian ]to ]assist ]wit
h ]meal ]planning
B. ]Contact ]the ]clients ]support ]system
D. ]Encourage ]the ]use ]of ]daily ]medication ]dispenser
E. ]Provide ]educational ]materials ]for ]home ]use
A ]nurse ]in ]a ]health ]care ]clinic ]is ]evaluating ]the ]level ]of ]wellness ]for ]clients ]using ]the ]illness ]welln
ess ]continuum ]tool. ]The ]nurse ]should ]identify ]which ]of ]the ]following ]clients ]as ]being ]at ]the ]cent
er ]of ]the ]continuum?
A. ]A ]college ]student ]who ]has ]influenza
B. ]An ]older ]adult ]who ]has ]a ]new ]diagnosis ]of ]type ]2 ]diabetes ]mellitus
C. ]A ]new ]mother ]who ]has ]a ]urinary ]tract ]infection
D. ]A ]young ]male ]client ]who ]has ]a ]long ]history ]of ]well ]controlled ]rheumatoid ]arthritis ]- ]correct ]an
swer: ]D. ]A ]young ]male ]client ]who ]has ]a ]long ]history ]of ]well ]controlled ]rheumatoid ]arthritis
Rational: ]the ]center ]of ]the ]continuum ]is ]the ]clients ]normal ]state ]of ]health
A ]nurse ]is ]evaluating ]clients ]at ]a ]health ]fair ]for ]modifiable ]variables ]affecting ]health ]and ]wellnes
s. ]The ]nurse ]should ]identify ]which ]of ]the ]following ]variables ]as ]modifiable? ]Select ]all ]that ]apply
A. ]Smoking ]on ]social ]occasions
B. ]BMI ]of ]28
C. ]Alopecia
D. ]Trisomy ]21
E. ]History ]of ]reflux ]- ]correct ]answer: ]A. ]smoking ]on ]social ]occasions
B. ]BMI ]of ]28
