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ATI Adult Medical Surgical Nursing CMS Exams Study Guide 2026 – Actual Exam Questions with Verified Answers and Comprehensive Med-Surg Review

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This document contains a comprehensive ATI Adult Medical Surgical Nursing Content Mastery Series (CMS) study guide with actual exam-style questions, detailed rationales, and verified answers for 2025 exam preparation. The material covers emergency nursing, cardiac emergencies, respiratory disorders, neurological conditions, acid-base imbalances, pain management, endocrine disorders, renal care, infection control, postoperative care, electrolyte imbalances, and critical nursing interventions frequently tested in ATI and NCLEX-style assessments. The study guide is designed for nursing students preparing for ATI CMS exams, medical-surgical nursing assessments, NCLEX preparation, and clinical competency evaluations. It includes prioritization questions, select-all-that-apply items, pharmacology review, emergency response protocols, and evidence-based nursing care strategies.This document is a complete study guide and actual exam question bank for the ATI Adult Medical-Surgical Nursing Content Mastery Series (CMS), updated for 2025–2026. It includes the most tested ATI questions, detailed rationales, and verified correct answers. Topics cover a full range of medical-surgical nursing systems, including respiratory, cardiac, endocrine, gastrointestinal, neurological, and renal disorders. It also contains emergency protocols, lab interpretation, pain management, and pharmacology essentials, fully aligned with ATI and NCLEX standards.

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Institution
ATI Adult Medical Surgical Nursing
Course
ATI Adult Medical Surgical Nursing

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lOMoARcPSD|26582732




ATI Adult Medical Surgical Nursing Content Mastery Series
(CMS) Exams STUDY GUIDE ACTUAL EXAM
QUESTIONS AND WELL ELABORATED ANSWERS (MOST
TESTED QUESTIONS WITH VERIFIED ANSWERS) LATEST
UPDATES 2025 |ALREADY GRADED A+ (REVISED EXAM)




In An Uncompensated Acid-Base Imbalance, The Ph And One Other Value Will Be
Abnormal. In This Analysis, The Increased Ph Determines This Client Is Alkalotic,
And The Increased HCO3 And Normal Paco2 Show This Is A Metabolic Issue.

A Client In The Emergency Department Develops The Following Cardiac Rhythm.
The Nurse Performs An Immediate Assessment And Finds The Client
Unresponsive And Pulseless. Which Of The Following Actions Is Considered The
Priority Of Care? (V-Tach)

A. Defibrillation
B. Chest Compressions
C. Assess Breath Sounds
D. Administration Of Amiodarone - CORRECT ANSWER A

A Client Experiencing Ventricular Tachycardia Who Does Not Have A Pulse
Should Receive Immediate Defibrillation. Client S Who Are Defibrillated Within
One Minute Of Onset Of VT Have A 90% Chance Of Being Converted To A More
Stable Rhythm.

A Nurse Assesses A Client Who Has Acute Pyelonephritis. Which Of The
Following Findings Would Be Expected? (Select All That Apply.)

A. Fever
B. Flank Pain
C. Tachycardia
D. Cough And Dyspnea
E. Nausea And Vomiting - CORRECT ANSWER A, B, C, E




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Fever And Chills Are Manifestations Of Pyelonephritis Related To Inflammatory
Responses. Flank And Back Pain Are Manifestations Related To Inflammation
And And Infection. Tachycardia And Tachypnea Are Manifestations Related To
Fever And/Or Pain. Nausea And Vomiting Are Manifestations Related To The
Infectious Process.

A Nurse Provides Care To A Client Who Has A Fractured Femur After Falling
From A Ladder. Which Of The Following Actions May Reduce The Incidence Of
Fat Emboli?

A. Immobilize The Extremity.
B. Provide Supplemental Oxygen.
C. Maintain A Semi-Fowler's Position.
D. Administer Subcutaneous Heparin. - CORRECT ANSWER A

Immediate Immobilization Of The Fracture In Addition To Early Surgical Fixation
May Reduce The Incidence Of Fat Embolism.

A Client Who Is Newly Diagnosed With Type 2 Diabetes Mellitus States, "I Feel
Really Dizzy And Shaky." Which Of The Following Actions Should The Nurse
Perform?

A. Administer Glucagon.
B. Give 10 Units Of Lispro.
C. Check Urine For Ketones.
D. Provide 8 Oz Of Milk. - CORRECT ANSWER D

The Nurse Should Recognize Signs And Symptoms Of Hypoglycemia And
Administer 15 G Of Carbohydrate (E.G., 8 Oz Of Milk; 4 Oz Of Orange Juice).

A Nurse Explains What To Expect During A Thoracentesis. Which Client
Statement Validates Teaching Was Effective?

A. "I Need To Be Still During The Procedure."
B. "It Will Be Difficult To Swallow For A Few Hours."
C. "A Cough May Develop During Aspiration Of Fluid."
D. "My Breathing May Be Labored For Several Minutes." - CORRECT




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ANSWER A

The Nurse Should Instruct The Client To Remain Still And Refrain From Talking
Unless Instructed By The Provider.

A Client's Wound Eviscerates Following Bariatric Surgery. Which Of The
Following Actions Should The Nurse Implement? (Select All That Apply.)

A. Call For Help.
B. Obtain Vital Signs.
C. Reinsert Protruding Organs.
D. Place In High-Fowlers Position.
E. Cover Wound With Moist Sterile Dressing. - CORRECT ANSWER A, B, E

The Nurse Should Call For Help And The Person Who Responds Should Notify
The Rapid Response Team And Surgeon. One Nurse Should Provide Care To The
Client While Another Nurse Notifies Needed Personnel. Abdominal Wound
Evisceration Is Considered A Surgical Emergency.
The Nurse Should Stay With The Client, Obtaining Vital Signs Every 5 To 10 Min
And Closely Monitoring For Signs Of Shock. The Wound Should Be Covered With
A Sterile Dressing Moistened With Warm Saline. The Dressing Must Be Kept
Sterile And Moist At All Times.

A Client Had A Modified Radical Mastectomy Yesterday. Which Of The Following
Actions Should The Nurse Implement To Prevent Transient Edema Of The
Affected Arm? (Select All That Apply.)

A. Elevate Arm On Pillow.
B. Administer Furosemide.
C. Apply Heating Pad To Site.
D. Milk Drainage Device Tubing.
E. Encourage Gentle Arm Exercises. - CORRECT ANSWER A, E

The Arm On The Affected Side Should Be Elevated Above The Level Of The Heart.
A Modified Radical Mastectomy Involves Removal Of A Portion Of The Axillary
Lymph Nodes, Which Can Cause Transient Edema. This Usually Resolves When
Collateral Circulation Is Established, Which Generally Occurs Within A Month.
Gentle Muscle Pumping Exercises (Such As Making A Fist And Releasing) Can
Help Decrease Postoperative Edema By Causing Muscle Contraction, Which




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Institution
ATI Adult Medical Surgical Nursing
Course
ATI Adult Medical Surgical Nursing

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Uploaded on
October 24, 2025
Number of pages
20
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

  • 2026
  • medical sur
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