ATI NCLEX Medical Surgical
Assessment 1 with correct answers
100% 2026
A nurse is planning care for a client who is receiving mechanical ventilation. Which of the
following actions should the nurse include in the plan - Correct Answers Provide the client with
a means of communication
A nurse is caring for a client who is receiving IV fluid replacement therapy for dehydration.
Which of the following laboratory results indicates effectiveness of the treatment - Correct
Answers Urine Specific Gravity 1.020
**Within the expected range of 1.005-1.030
A nurse is monitoring the laboratory findings for a client who is postoperative following a total
hip arthroplasty 6 hr ago. Which of the following values indicates that the client has an
increased risk for bleeding - Correct Answers Platelets 80,000
**Normal range is 150,000-400,000
A nurse is admitting a client who has a cervical spinal cord injury following a motor vehicle
crash. Which of the following interventions is the nurse's priority while caring for this client -
Correct Answers Assist with quad coughing
**The greatest risk to a client who has a cervical spinal cord injury is an obstructed airway; the
priority is to ensure the client can clear their airway. Apply abdominal pressure as the client
coughs (quad coughing)
A nurse is caring for a client who is receiving a blood transfusion. Which of the following
findings indicates that the client is experiencing circulatory overload - Correct Answers Dyspnea
**Dyspnea is an indication of possible transfusion-associated circulatory overload, leading to
hypertension, bounding pulses, and confusion. Dyspnea can also indicate transfusion-related
acute lung injury to an anaphylactic response, which also causes wheezing, chest tightness,
cyanosis, and low BP
, A nurse is assessing a client who has lung cancer and is undergoing radiation therapy to the
chest. Which of the following indicates an adverse effect of the therapy - Correct Answers
Altered taste, **due to the release of metabolites by dead cells
A nurse is preparing to administer a unit of packed RBCs to a client who has anemia. Which of
the following actions should the nurse plan to take (select all that apply) - Correct Answers
*Obtain pre-transfusion temperature
**Verify the client's blood type with a second nurse
***Use a 20 gauge IV needle for venous access
A nurse is reviewing the laboratory findings for a client who is dehydrated. Which of the
following BUN levels should the nurse expect - Correct Answers 26 mg/dL
**Normal range is 10-20.
Elevated levels indicate renal disease, dehydration, shock, excessive protein in the diet, sepsis,
glucocorticoid use, GI bleeding, or other conditions in which blood is reabsorbed from injured
tissues
--
A low BUN level can indicate malnutrition, malabsorption, liver disease, fluid overload, or
nephrotic syndrome
A nurse is reviewing ECG strips for several clients. Which of the following images should the
nurse identify as A-Fib - Correct Answers Multiple irregular and variable waves at the baseline
and irregular R to R intervals
A nurse is preparing to admit a client who has a new tracheostomy from the operating room.
Which of the following items is the priority for the nurse to have available in the client's room
upon admission - Correct Answers Obturator
Assessment 1 with correct answers
100% 2026
A nurse is planning care for a client who is receiving mechanical ventilation. Which of the
following actions should the nurse include in the plan - Correct Answers Provide the client with
a means of communication
A nurse is caring for a client who is receiving IV fluid replacement therapy for dehydration.
Which of the following laboratory results indicates effectiveness of the treatment - Correct
Answers Urine Specific Gravity 1.020
**Within the expected range of 1.005-1.030
A nurse is monitoring the laboratory findings for a client who is postoperative following a total
hip arthroplasty 6 hr ago. Which of the following values indicates that the client has an
increased risk for bleeding - Correct Answers Platelets 80,000
**Normal range is 150,000-400,000
A nurse is admitting a client who has a cervical spinal cord injury following a motor vehicle
crash. Which of the following interventions is the nurse's priority while caring for this client -
Correct Answers Assist with quad coughing
**The greatest risk to a client who has a cervical spinal cord injury is an obstructed airway; the
priority is to ensure the client can clear their airway. Apply abdominal pressure as the client
coughs (quad coughing)
A nurse is caring for a client who is receiving a blood transfusion. Which of the following
findings indicates that the client is experiencing circulatory overload - Correct Answers Dyspnea
**Dyspnea is an indication of possible transfusion-associated circulatory overload, leading to
hypertension, bounding pulses, and confusion. Dyspnea can also indicate transfusion-related
acute lung injury to an anaphylactic response, which also causes wheezing, chest tightness,
cyanosis, and low BP
, A nurse is assessing a client who has lung cancer and is undergoing radiation therapy to the
chest. Which of the following indicates an adverse effect of the therapy - Correct Answers
Altered taste, **due to the release of metabolites by dead cells
A nurse is preparing to administer a unit of packed RBCs to a client who has anemia. Which of
the following actions should the nurse plan to take (select all that apply) - Correct Answers
*Obtain pre-transfusion temperature
**Verify the client's blood type with a second nurse
***Use a 20 gauge IV needle for venous access
A nurse is reviewing the laboratory findings for a client who is dehydrated. Which of the
following BUN levels should the nurse expect - Correct Answers 26 mg/dL
**Normal range is 10-20.
Elevated levels indicate renal disease, dehydration, shock, excessive protein in the diet, sepsis,
glucocorticoid use, GI bleeding, or other conditions in which blood is reabsorbed from injured
tissues
--
A low BUN level can indicate malnutrition, malabsorption, liver disease, fluid overload, or
nephrotic syndrome
A nurse is reviewing ECG strips for several clients. Which of the following images should the
nurse identify as A-Fib - Correct Answers Multiple irregular and variable waves at the baseline
and irregular R to R intervals
A nurse is preparing to admit a client who has a new tracheostomy from the operating room.
Which of the following items is the priority for the nurse to have available in the client's room
upon admission - Correct Answers Obturator
