ATI RN MED SURG/MEDICAL SURGICAL ATI RN LATEST
VERSION 2026-2027 EXAM WITH ACTUAL TEST BANK 699
QUESTION AND CORRECT DETAILED ANSWERS WITH
RATIONALES.RATED FIVE STARS.,,, (MOST TESTED
QUESTIONS)
A1
A nurse is providing nutrition education to a client who has osteomalacia. The
nurse should identify that this condition is caused by a deficiency in which of the
following nutrients?
A. Fluoride
B. Vitamin A
C. Vitamin D
D. Phosphorus
Correct Answer: C. Vitamin D.
Rationale
Osteomalacia is caused by a deficiency in vitamin D, leading to inadequate
mineralization of bone. Fluoride, vitamin A, and phosphorus deficiencies are not
the primary causes of osteomalacia.
,DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
A nurse in the emergency department is assessing a client who was in a motor-
vehicle crash 2 days ago and sustained fractures of his tibia, ulna, and several
ribs. The client is now disoriented to time and place and has an SaO₂ of 87%. The
nurse notes generalized petechiae on the client's skin. Which of the following
complications should the nurse suspect?
A. Hypovolemic shock
B. Fat embolism syndrome
C. Thrombophlebitis
D. Avascular bone necrosis
Correct Answer: B. Fat embolism syndrome.
Rationale
Fat embolism syndrome is a complication of long bone fractures, typically
occurring 12-48 hours after injury. Manifestations include confusion, hypoxemia,
petechiae, and respiratory distress. Hypovolemic shock occurs earlier.
Thrombophlebitis and avascular necrosis are later complications.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
A nurse is caring for a client who has a fractured right hip. Which of the
following types of traction should the nurse expect the client to have prior to
hip arthroplasty surgery?
A. Balanced skeletal traction
B. Pelvic belt
C. Pelvic sling
D. Buck's traction
,Correct Answer: D. Buck's traction.
Rationale
Buck's traction is a type of skin traction used to immobilize a fractured hip
preoperatively. It helps reduce muscle spasms and pain. Balanced skeletal traction
is used for femur fractures. Pelvic belts and slings are used for pelvic fractures.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
A nurse is preparing a client for a bone scan. Which of the following statements
indicates that the client understands the pre-procedure teaching? (Select all that
apply.)
A. "I will have to drink a radioactive solution before the test begins."
B. "A special camera will scan the bones in my entire body."
C. "There will be better absorption of the radiation by healthy bone."
D. "I'll have to drink a lot of water to help get the radiation out of my body."
E. "I understand the radiation is harmless, and I don't have to worry about it."
Correct Answer: B, D, E
Rationale
The client will receive an IV injection of radioactive material, not drink it. A special
camera will scan the bones. Healthy bone absorbs more radiation than diseased
bone. Drinking water helps eliminate the radioactive material, and the radiation
dose is minimal and considered harmless.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
A nurse is caring for a client who is in skeletal traction following a femur
fracture. On entering, the nurse finds that the client has slid toward the foot of
, the bed, and the traction weight is resting on the floor. Which of the following
actions should the nurse take?
A. Remove the weight temporarily to reposition the client to the correct alignment
in bed.
B. Have the client use a trapeze to pull himself up while ensuring the weight hangs
freely.
C. Lift the rope off the pulley while the client rocks back and forth to reposition
himself.
D. Lift the weight manually while another staff member moves the client up in
bed.
Correct Answer: B. Have the client use a trapeze to pull himself up while ensuring
the weight hangs freely.
Rationale
The client should use a trapeze to pull himself up while ensuring the weight hangs
freely to maintain proper traction. Removing the weight or lifting it manually
disrupts traction. Lifting the rope off the pulley is not appropriate.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
A nurse is caring for a client who has a pelvic fracture. The client reports sudden
shortness of breath, stabbing chest pain, and feelings of doom. This client is
experiencing which of the following complications?
A. Pneumonia
B. Pulmonary embolus
C. Tension pneumothorax
D. Tuberculosis
Correct Answer: B. Pulmonary embolus.
Rationale
Sudden shortness of breath, stabbing chest pain, and feelings of doom are classic
signs of a pulmonary embolism. Pelvic fractures increase the risk of deep vein
VERSION 2026-2027 EXAM WITH ACTUAL TEST BANK 699
QUESTION AND CORRECT DETAILED ANSWERS WITH
RATIONALES.RATED FIVE STARS.,,, (MOST TESTED
QUESTIONS)
A1
A nurse is providing nutrition education to a client who has osteomalacia. The
nurse should identify that this condition is caused by a deficiency in which of the
following nutrients?
A. Fluoride
B. Vitamin A
C. Vitamin D
D. Phosphorus
Correct Answer: C. Vitamin D.
Rationale
Osteomalacia is caused by a deficiency in vitamin D, leading to inadequate
mineralization of bone. Fluoride, vitamin A, and phosphorus deficiencies are not
the primary causes of osteomalacia.
,DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
A nurse in the emergency department is assessing a client who was in a motor-
vehicle crash 2 days ago and sustained fractures of his tibia, ulna, and several
ribs. The client is now disoriented to time and place and has an SaO₂ of 87%. The
nurse notes generalized petechiae on the client's skin. Which of the following
complications should the nurse suspect?
A. Hypovolemic shock
B. Fat embolism syndrome
C. Thrombophlebitis
D. Avascular bone necrosis
Correct Answer: B. Fat embolism syndrome.
Rationale
Fat embolism syndrome is a complication of long bone fractures, typically
occurring 12-48 hours after injury. Manifestations include confusion, hypoxemia,
petechiae, and respiratory distress. Hypovolemic shock occurs earlier.
Thrombophlebitis and avascular necrosis are later complications.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
A nurse is caring for a client who has a fractured right hip. Which of the
following types of traction should the nurse expect the client to have prior to
hip arthroplasty surgery?
A. Balanced skeletal traction
B. Pelvic belt
C. Pelvic sling
D. Buck's traction
,Correct Answer: D. Buck's traction.
Rationale
Buck's traction is a type of skin traction used to immobilize a fractured hip
preoperatively. It helps reduce muscle spasms and pain. Balanced skeletal traction
is used for femur fractures. Pelvic belts and slings are used for pelvic fractures.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
A nurse is preparing a client for a bone scan. Which of the following statements
indicates that the client understands the pre-procedure teaching? (Select all that
apply.)
A. "I will have to drink a radioactive solution before the test begins."
B. "A special camera will scan the bones in my entire body."
C. "There will be better absorption of the radiation by healthy bone."
D. "I'll have to drink a lot of water to help get the radiation out of my body."
E. "I understand the radiation is harmless, and I don't have to worry about it."
Correct Answer: B, D, E
Rationale
The client will receive an IV injection of radioactive material, not drink it. A special
camera will scan the bones. Healthy bone absorbs more radiation than diseased
bone. Drinking water helps eliminate the radioactive material, and the radiation
dose is minimal and considered harmless.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
A nurse is caring for a client who is in skeletal traction following a femur
fracture. On entering, the nurse finds that the client has slid toward the foot of
, the bed, and the traction weight is resting on the floor. Which of the following
actions should the nurse take?
A. Remove the weight temporarily to reposition the client to the correct alignment
in bed.
B. Have the client use a trapeze to pull himself up while ensuring the weight hangs
freely.
C. Lift the rope off the pulley while the client rocks back and forth to reposition
himself.
D. Lift the weight manually while another staff member moves the client up in
bed.
Correct Answer: B. Have the client use a trapeze to pull himself up while ensuring
the weight hangs freely.
Rationale
The client should use a trapeze to pull himself up while ensuring the weight hangs
freely to maintain proper traction. Removing the weight or lifting it manually
disrupts traction. Lifting the rope off the pulley is not appropriate.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
A nurse is caring for a client who has a pelvic fracture. The client reports sudden
shortness of breath, stabbing chest pain, and feelings of doom. This client is
experiencing which of the following complications?
A. Pneumonia
B. Pulmonary embolus
C. Tension pneumothorax
D. Tuberculosis
Correct Answer: B. Pulmonary embolus.
Rationale
Sudden shortness of breath, stabbing chest pain, and feelings of doom are classic
signs of a pulmonary embolism. Pelvic fractures increase the risk of deep vein
