ATI-MEDSURG: MEDICAL-SURGICAL CONTENT MASTERY SERIES | REAL
EXAM 2026/2027 | QUESTIONS AND 100% VERIFIED ANSWERS LATEST
VERSION (PASS GUARANTEE) GRADED A+
ATI-MedSurg (Medical-Surgical Content Mastery Series)
1. A nurse is assessing a client who has heart failure. Which finding should the
nurse report to the provider as a sign of worsening left-sided heart failure?
A. Orthopnea
B. Peripheral edema
C. Jugular vein distension
D. Hepatomegaly
ANSWER : A
2. A nurse is caring for a client who is receiving a blood transfusion and
develops chills, low back pain, and hemoglobinuria 15 minutes after the
transfusion begins. What is the priority nursing action?
A. Slow the transfusion rate
B. Administer diphenhydramine IV
C. Stop the transfusion immediately
D. Notify the provider before stopping the transfusion
ANSWER : C
3. A nurse is preparing to administer insulin glargine to a client. Which of the
following actions should the nurse take?
A. Mix it with regular insulin in the same syringe for convenience
B. Administer it subcutaneously once daily at bedtime
, C. Shake the vial vigorously before drawing up the dose
D. Use the IV route when the client cannot take oral medications
ANSWER : B
4. A nurse is assessing a client who has a nasogastric tube for gastric
decompression. Which finding indicates the tube has migrated into the
respiratory tract?
A. Gastric residual greater than 250 mL
B. Aspiration of fluid with pH of 3
C. Client coughing and choking during feeding
D. Absence of bowel sounds
ANSWER : C
5. A nurse is caring for a client who has a chest tube connected to a water-seal
drainage system. Which observation requires immediate intervention?
A. Gentle tidaling with respirations
B. Intermittent bubbling in the suction control chamber
C. Continuous bubbling in the water-seal chamber
D. 50 mL of serosanguineous drainage in 8 hours
ANSWER : C
6. A nurse is caring for a client who had a thyroidectomy 12 hours ago. The
client reports tingling around the mouth and in the fingertips. Which action
should the nurse take first?
A. Administer prescribed PRN analgesic
B. Check the serum calcium level
C. Elevate the head of the bed
D. Apply oxygen via nasal cannula
ANSWER : B
7. A nurse is reviewing discharge instructions with a client who has chronic
kidney disease (CKD). Which dietary instruction is appropriate?
, A. Increase protein intake to promote healing
B. Eat bananas and oranges daily for energy
C. Limit phosphorus by avoiding dairy and processed foods
D. Increase fluid intake to at least 3 liters per day
ANSWER : C
8. A nurse is assessing a client who has cirrhosis. Which finding indicates the
development of hepatic encephalopathy?
A. Jaundice and pruritus
B. Asterixis and altered mental status
C. Peripheral edema and ascites
D. Elevated bilirubin levels
ANSWER : B
9. A nurse is caring for a client with a new colostomy. Which observation in
the immediate postoperative period requires notification of the provider?
A. Stoma is beefy red and moist
B. Small amount of mucus from the stoma
C. Stoma is dark purple or black in color
D. Mild swelling of the stoma
ANSWER : C
10. A nurse is caring for a client who is receiving IV heparin therapy for deep
vein thrombosis. Which lab value should the nurse monitor to evaluate
therapeutic effectiveness?
A. PT/INR
B. Platelet count
C. aPTT
D. Serum fibrinogen
ANSWER : C
, 11. A nurse is caring for a client who develops sudden onset of severe chest
pain, dyspnea, and absent breath sounds on the left side. Which condition
does the nurse suspect?
A. Pulmonary embolism
B. Pneumothorax
C. Myocardial infarction
D. Pleural effusion
ANSWER : B
12. A nurse is preparing to administer digoxin to a client. Which finding
should prompt the nurse to withhold the medication and notify the provider?
A. Apical pulse of 62 bpm
B. Serum digoxin level of 0.8 ng/mL
C. Apical pulse of 52 bpm
D. Serum potassium of 3.8 mEq/L
ANSWER : C
13. A nurse is educating a client about warfarin therapy. Which statement by
the client indicates a need for further teaching?
A. 'I will avoid taking aspirin unless my doctor approves it.'
B. 'I need to eat the same amount of leafy green vegetables each day.'
C. 'I should double my dose if I miss one to catch up.'
D. 'I will wear a medical alert bracelet.'
ANSWER : C
14. A nurse is caring for a client with acute pancreatitis. Which position
provides the most comfort for this client?
A. Supine with legs extended
B. Prone
C. Side-lying with knees drawn to chest
D. High Fowler's
ANSWER : C
EXAM 2026/2027 | QUESTIONS AND 100% VERIFIED ANSWERS LATEST
VERSION (PASS GUARANTEE) GRADED A+
ATI-MedSurg (Medical-Surgical Content Mastery Series)
1. A nurse is assessing a client who has heart failure. Which finding should the
nurse report to the provider as a sign of worsening left-sided heart failure?
A. Orthopnea
B. Peripheral edema
C. Jugular vein distension
D. Hepatomegaly
ANSWER : A
2. A nurse is caring for a client who is receiving a blood transfusion and
develops chills, low back pain, and hemoglobinuria 15 minutes after the
transfusion begins. What is the priority nursing action?
A. Slow the transfusion rate
B. Administer diphenhydramine IV
C. Stop the transfusion immediately
D. Notify the provider before stopping the transfusion
ANSWER : C
3. A nurse is preparing to administer insulin glargine to a client. Which of the
following actions should the nurse take?
A. Mix it with regular insulin in the same syringe for convenience
B. Administer it subcutaneously once daily at bedtime
, C. Shake the vial vigorously before drawing up the dose
D. Use the IV route when the client cannot take oral medications
ANSWER : B
4. A nurse is assessing a client who has a nasogastric tube for gastric
decompression. Which finding indicates the tube has migrated into the
respiratory tract?
A. Gastric residual greater than 250 mL
B. Aspiration of fluid with pH of 3
C. Client coughing and choking during feeding
D. Absence of bowel sounds
ANSWER : C
5. A nurse is caring for a client who has a chest tube connected to a water-seal
drainage system. Which observation requires immediate intervention?
A. Gentle tidaling with respirations
B. Intermittent bubbling in the suction control chamber
C. Continuous bubbling in the water-seal chamber
D. 50 mL of serosanguineous drainage in 8 hours
ANSWER : C
6. A nurse is caring for a client who had a thyroidectomy 12 hours ago. The
client reports tingling around the mouth and in the fingertips. Which action
should the nurse take first?
A. Administer prescribed PRN analgesic
B. Check the serum calcium level
C. Elevate the head of the bed
D. Apply oxygen via nasal cannula
ANSWER : B
7. A nurse is reviewing discharge instructions with a client who has chronic
kidney disease (CKD). Which dietary instruction is appropriate?
, A. Increase protein intake to promote healing
B. Eat bananas and oranges daily for energy
C. Limit phosphorus by avoiding dairy and processed foods
D. Increase fluid intake to at least 3 liters per day
ANSWER : C
8. A nurse is assessing a client who has cirrhosis. Which finding indicates the
development of hepatic encephalopathy?
A. Jaundice and pruritus
B. Asterixis and altered mental status
C. Peripheral edema and ascites
D. Elevated bilirubin levels
ANSWER : B
9. A nurse is caring for a client with a new colostomy. Which observation in
the immediate postoperative period requires notification of the provider?
A. Stoma is beefy red and moist
B. Small amount of mucus from the stoma
C. Stoma is dark purple or black in color
D. Mild swelling of the stoma
ANSWER : C
10. A nurse is caring for a client who is receiving IV heparin therapy for deep
vein thrombosis. Which lab value should the nurse monitor to evaluate
therapeutic effectiveness?
A. PT/INR
B. Platelet count
C. aPTT
D. Serum fibrinogen
ANSWER : C
, 11. A nurse is caring for a client who develops sudden onset of severe chest
pain, dyspnea, and absent breath sounds on the left side. Which condition
does the nurse suspect?
A. Pulmonary embolism
B. Pneumothorax
C. Myocardial infarction
D. Pleural effusion
ANSWER : B
12. A nurse is preparing to administer digoxin to a client. Which finding
should prompt the nurse to withhold the medication and notify the provider?
A. Apical pulse of 62 bpm
B. Serum digoxin level of 0.8 ng/mL
C. Apical pulse of 52 bpm
D. Serum potassium of 3.8 mEq/L
ANSWER : C
13. A nurse is educating a client about warfarin therapy. Which statement by
the client indicates a need for further teaching?
A. 'I will avoid taking aspirin unless my doctor approves it.'
B. 'I need to eat the same amount of leafy green vegetables each day.'
C. 'I should double my dose if I miss one to catch up.'
D. 'I will wear a medical alert bracelet.'
ANSWER : C
14. A nurse is caring for a client with acute pancreatitis. Which position
provides the most comfort for this client?
A. Supine with legs extended
B. Prone
C. Side-lying with knees drawn to chest
D. High Fowler's
ANSWER : C
