ATI MEDICAL SURGICAL CMS PROCTORED
EXAM PREP 2026 FULL QUESTION
COLLECTION WITH EXPERT SOLUTIONS
◉ A nurse is reviewing the laboratory reports of a client who has
acute pancreatitis. Which of the following findings should the nurse
expect?
a. elevated serum calcium
b. elevated blood glucose
c. decreased serum amylase
d. decreased erythrocyte sedimitation rate
Answer: b. elevated blood glucose
◉ A nurse is reviewing the medical record of a client who has
diabetes insipidus. Which of the following findings should the nurse
expect?
a. hypothermia
b. Urine specific gravity 1.001 (<1.005)
c. Elevated blood pressure
d. BUN 15 mg/dl
Answer: b. Urine specific gravity 1.001 (<1.005)
,◉ A nurse is planning care for a client who has pulmonary
embolism. Which of the following interventions should the nurse
include?
a. initiate a continuous IV heparin infusion
b. instruct the client to massage the lower extremities
c. position the client on the left side
d. measure vital signs every 4 hours
Answer: a. initiate a continuous IV heparin infusion
◉ A nurse is providing discharge teaching to a client who is
recovering from a sickle cell crisis. Which of the following
instructions should the nurse include?
a. Avoid extremely hot or cold temperatures
b. limit fluids to 1.5L per day
c. limit alcohol intake to one drink per day
d. avoid getting a flu vaccination
Answer: a. Avoid extremely hot or cold temperatures
◉ A nurse in the emergency department is caring for a client who is
in hypovolemic shock. Which of the following actions should the
nurse take first?
a. Obtain a blood specimen for type and crossmatch
b. insert a large-bore IV catheter
,c. administer IV therapy
d. monitor urine output
Answer: b. insert a large-bore IV catheter
◉ A nurse is caring for a client who has an arteriovenous graft.
Which of the following findings indicates adequate circulation of the
graft?
a. dilated appearance of the graft
b. absence of a bruit
c. normotensive blood pressure
d. palpable thrill
Answer: d. palpable thrill
◉ A nurse is assessing a client who has heart failure and is receiving
a loop diuretic. Which of the following findings indicates
hypokalemia?
a. oliguria
b. hypertension
c. muscle weakness
d. positive Chvostek's sign
Answer: c. muscle weakness
, ◉ A nurse is caring for a client who has a full-thickness burn injury
covering 15% of their body. Which of the following actions should
the nurse take?
a. weight the client once per week
b. provide the client with a protein intake of 1g/kg/day
c. maintain a daily count of the client's caloric intake
d. place the client on a low-carb diet
Answer: c. maintain a daily count of the client's caloric intake
◉ A nurse is providing discharge teaching to a client who has an
ileostomy. Which of the following client statements indicate an
understanding of the teaching?
a. I will expect my stools to be loose
b. I will eat a high fiber diet
c. I will take a laxative when I'm constipated.
d. I will empty my bag when it is full
Answer: a. I will expect my stools to be loose
◉ A nurse is caring for a client who is receiving TPN through a
central line. The current bag is nearly empty, and a new bag is
unavailable from the pharmacy. Which of the following actions
should the nurse take?
a. switch the infusions to a 10% dextrose solutions
b. discontinue the infusion and flush the line
EXAM PREP 2026 FULL QUESTION
COLLECTION WITH EXPERT SOLUTIONS
◉ A nurse is reviewing the laboratory reports of a client who has
acute pancreatitis. Which of the following findings should the nurse
expect?
a. elevated serum calcium
b. elevated blood glucose
c. decreased serum amylase
d. decreased erythrocyte sedimitation rate
Answer: b. elevated blood glucose
◉ A nurse is reviewing the medical record of a client who has
diabetes insipidus. Which of the following findings should the nurse
expect?
a. hypothermia
b. Urine specific gravity 1.001 (<1.005)
c. Elevated blood pressure
d. BUN 15 mg/dl
Answer: b. Urine specific gravity 1.001 (<1.005)
,◉ A nurse is planning care for a client who has pulmonary
embolism. Which of the following interventions should the nurse
include?
a. initiate a continuous IV heparin infusion
b. instruct the client to massage the lower extremities
c. position the client on the left side
d. measure vital signs every 4 hours
Answer: a. initiate a continuous IV heparin infusion
◉ A nurse is providing discharge teaching to a client who is
recovering from a sickle cell crisis. Which of the following
instructions should the nurse include?
a. Avoid extremely hot or cold temperatures
b. limit fluids to 1.5L per day
c. limit alcohol intake to one drink per day
d. avoid getting a flu vaccination
Answer: a. Avoid extremely hot or cold temperatures
◉ A nurse in the emergency department is caring for a client who is
in hypovolemic shock. Which of the following actions should the
nurse take first?
a. Obtain a blood specimen for type and crossmatch
b. insert a large-bore IV catheter
,c. administer IV therapy
d. monitor urine output
Answer: b. insert a large-bore IV catheter
◉ A nurse is caring for a client who has an arteriovenous graft.
Which of the following findings indicates adequate circulation of the
graft?
a. dilated appearance of the graft
b. absence of a bruit
c. normotensive blood pressure
d. palpable thrill
Answer: d. palpable thrill
◉ A nurse is assessing a client who has heart failure and is receiving
a loop diuretic. Which of the following findings indicates
hypokalemia?
a. oliguria
b. hypertension
c. muscle weakness
d. positive Chvostek's sign
Answer: c. muscle weakness
, ◉ A nurse is caring for a client who has a full-thickness burn injury
covering 15% of their body. Which of the following actions should
the nurse take?
a. weight the client once per week
b. provide the client with a protein intake of 1g/kg/day
c. maintain a daily count of the client's caloric intake
d. place the client on a low-carb diet
Answer: c. maintain a daily count of the client's caloric intake
◉ A nurse is providing discharge teaching to a client who has an
ileostomy. Which of the following client statements indicate an
understanding of the teaching?
a. I will expect my stools to be loose
b. I will eat a high fiber diet
c. I will take a laxative when I'm constipated.
d. I will empty my bag when it is full
Answer: a. I will expect my stools to be loose
◉ A nurse is caring for a client who is receiving TPN through a
central line. The current bag is nearly empty, and a new bag is
unavailable from the pharmacy. Which of the following actions
should the nurse take?
a. switch the infusions to a 10% dextrose solutions
b. discontinue the infusion and flush the line
