ATI RN Medical Surgical CMS Proctored Exam 2026 – UPDATED VERSION A, B & C –
100% Verified Questions and Correct Answers with Detailed Rationales – Pass the ATI
Med Surg CMS Exam with Confidence
A nurse in an emergency department is preparing to perform ocular irrigation for a client. Which of the following
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
actions should the nurse plan to take?
cn cn cn cn cn cn cn
a. Assess the client's visual acuity prior to irrigation
cn cn cn cn cn cn cn
b. Have the client turn their head toward the unaffected eye
cn cn cn cn cn cn cn cn cn
c. Hold the irrigator syringe 3.81 cm (1.5in) above the eye
cn cn cn cn cn cn cn cn cn
d. Perform the irrigation with sterile water for irrigation
cn cn cn cn cn cn cn
d. perform the irrigation with sterile water for irrigation
cn cn cn cn cn cn cn cn
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200 ml/hr. The IV tubing has a d
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
rop factor of 10 drops / mL. How many gtt/min should the nurse set the IV pump to administer? Round to the ne
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
arest whole number cn cn
33 gtt/min cn
A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Whic
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
h of the following client statements indicates an understanding of the teaching?
cn cn cn cn cn cn cn cn cn cn cn
a. I can keep my medications for 1 year before replacing it.
cn cn cn cn cn cn cn cn cn cn
b. I should lie down when I take this medication
cn cn cn cn cn cn cn cn
c. I should discontinue this medication if I develop a headache.
cn cn cn cn cn cn cn cn cn
d. I can take up to 5 tablets in 15 minutes before seeking medical attention
cn cn cn cn cn cn cn cn cn cn cn cn cn
b. I should lie down when I take this medication
cn cn cn cn cn cn cn cn
M/S c. 31/p. 201 "Stop activity and rest. Heachace is a common AE of this medication, change positions slowly"
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
A nurse is providing discharge teaching to an older adult following a left total hip arthroplasty. Which of the foll
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
woing instructions should the nurse include in the teaching?
cn cn cn cn cn cn cn cn
a. clean the incision daily with hydrogen peroxid
cn cn cn cn cn cn
b. you can cross your legs and the ankles when sitting down
cn cn cn cn cn cn cn cn cn cn
c. you should use an incentive spirometer every 8 hours
cn cn cn cn cn cn cn cn
d. install a raised toilet in your bathroom cn cn cn cn cn cn
d. install a raised toilet in your bathroom
cn cn cn cn cn cn cn
M/S c. 68/ p. 455 "Follow position restrictions to avoid dislocation, use elevated seating and a raised toilet seat"
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
,A nurse is planning care for a client following a cardiac catheterization. Which of the following actions should th
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
e nurse take?
cn cn
a. keep the client on bed rest for 24 hours
cn cn cn cn cn cn cn cn
b. limit the client's fluid intake to 1L per day.
cn cn cn cn cn cn cn cn
c. maintain the client's affected extremity in extension cn cn cn cn cn cn
d. change the client's dressing every 8 hours.cn cn cn cn cn cn
c. maintain the client's affected extremity in extension cn cn cn cn cn cn
M/S c. 27/p. 173 "Maintain bed rest in supine position with extremity straight for prescribed time"
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. Which of the foll
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
owing client statements indicates the client is adapting to their role change?
cn cn cn cn cn cn cn cn cn cn cn
a. I will need to have my partner take over shopping for groceries and cooking the meal for us
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
b. These crutches make it impossible to care for my child
cn cn cn cn cn cn cn cn cn
c. I feel bad that I have to ask my partner to keep the house clean
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
d. it's going to be difficult to tell my parents I can't take them to their appointment.
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
a. I will need to have my partner take over shopping for groceries and cooking the meal for us
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings should the nurs
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
e recognize as an indication that the client is experiencing dehydration?
cn cn cn cn cn cn cn cn cn cn
a. pitting, dependent edema cn cn
b. distended jugular veins cn cn
c. increased BP cn
d. decreased BP cn
d. decreased BP cn
M/S C. 43/ p. 277 "signs of dehydration or hypovolemia include, hypothermia, tachycardia, thready pulse, HYP
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
OTENSION, orthostatic hypotension, decreased central venous pressure, tachypnea, hypoxia
cn cn cn cn cn cn cn cn
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
was 4,000 ml over the past 24 hours. The nurse should anticipate a prescription for which of the following IV m
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
edications?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside
a. Desmopressin
, M/S c. 14/p. 85 "Diabetes insipidous is a possible complication" Phar
cn cn cn cn cn cn cn cn cn cn
m c. 40/ p.323 "desmopressin is an agent of choice for DI"
cn cn cn cn cn cn cn cn cn cn cn
A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor and rep
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
orts a nagging dry coug. Which of the following response by the nurse is appropriate?
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
a. "your cough may require that you stop or change your medicaiton"
cn cn cn cn cn cn cn cn cn cn
b. "increasing your daily fluid intake may eliminate your cough cn cn cn cn cn cn cn cn
c. "sucking on a lozenge may reduce the frequency of your cough"
cn cn cn cn cn cn cn cn cn cn
d. "your cough should go away in time" cn cn cn cn cn cn
a. "your cough may require that you stop or change your medicaiton"
cn cn cn cn cn cn cn cn cn cn
Pharm c. 20/ p. 155 "Cough is a complication. Inform clients of the possibility of experiencing a dry cough and t
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
o notify the provider. Discontinue the medication"
cn cn cn cn cn cn
A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following asse
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ssment findings should the nurse identify as a potentional trigger for exacerbations?
cn cn cn cn cn cn cn cn cn cn cn
a. eating a strict vegetarian diet cn cn cn cn
b. a history of herpes zoster
cn cn cn cn
c. taking amiodipine for hypertension cn cn cn
d. using a nicotine transdermal patchcn cn cn cn
d. using a nicotine transdermal patch
cn cn cn cn cn
M/S C. 35/ p. 223 "Risk factors for peripheral artery disease like Raynaud's disease include cigarette smoking"
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
A nurse is caring for a client who has a central venous access devise and notes the tubing has become
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
disconnected. The client develops dyspnea and tachycardia. Which of the following actions should the nurse tak
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
e first?
cn
a. Perform an ECG cn cn
b. Obtain ABG values cn cn
c. Turn the client to his left side
cn cn cn cn cn cn
d. Clamp the catheter cn cn
d. clamp the catheter
cn cn cn
A nurse is completing an assessment of an older adult client and notes reddened areas over the bony
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
plan of care? cn cn
a. Turn and reposition the client every 4 hours
cn cn cn cn cn cn cn
b. apply an occlusive dressing cn cn cn
100% Verified Questions and Correct Answers with Detailed Rationales – Pass the ATI
Med Surg CMS Exam with Confidence
A nurse in an emergency department is preparing to perform ocular irrigation for a client. Which of the following
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
actions should the nurse plan to take?
cn cn cn cn cn cn cn
a. Assess the client's visual acuity prior to irrigation
cn cn cn cn cn cn cn
b. Have the client turn their head toward the unaffected eye
cn cn cn cn cn cn cn cn cn
c. Hold the irrigator syringe 3.81 cm (1.5in) above the eye
cn cn cn cn cn cn cn cn cn
d. Perform the irrigation with sterile water for irrigation
cn cn cn cn cn cn cn
d. perform the irrigation with sterile water for irrigation
cn cn cn cn cn cn cn cn
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200 ml/hr. The IV tubing has a d
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
rop factor of 10 drops / mL. How many gtt/min should the nurse set the IV pump to administer? Round to the ne
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
arest whole number cn cn
33 gtt/min cn
A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Whic
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
h of the following client statements indicates an understanding of the teaching?
cn cn cn cn cn cn cn cn cn cn cn
a. I can keep my medications for 1 year before replacing it.
cn cn cn cn cn cn cn cn cn cn
b. I should lie down when I take this medication
cn cn cn cn cn cn cn cn
c. I should discontinue this medication if I develop a headache.
cn cn cn cn cn cn cn cn cn
d. I can take up to 5 tablets in 15 minutes before seeking medical attention
cn cn cn cn cn cn cn cn cn cn cn cn cn
b. I should lie down when I take this medication
cn cn cn cn cn cn cn cn
M/S c. 31/p. 201 "Stop activity and rest. Heachace is a common AE of this medication, change positions slowly"
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
A nurse is providing discharge teaching to an older adult following a left total hip arthroplasty. Which of the foll
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
woing instructions should the nurse include in the teaching?
cn cn cn cn cn cn cn cn
a. clean the incision daily with hydrogen peroxid
cn cn cn cn cn cn
b. you can cross your legs and the ankles when sitting down
cn cn cn cn cn cn cn cn cn cn
c. you should use an incentive spirometer every 8 hours
cn cn cn cn cn cn cn cn
d. install a raised toilet in your bathroom cn cn cn cn cn cn
d. install a raised toilet in your bathroom
cn cn cn cn cn cn cn
M/S c. 68/ p. 455 "Follow position restrictions to avoid dislocation, use elevated seating and a raised toilet seat"
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
,A nurse is planning care for a client following a cardiac catheterization. Which of the following actions should th
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
e nurse take?
cn cn
a. keep the client on bed rest for 24 hours
cn cn cn cn cn cn cn cn
b. limit the client's fluid intake to 1L per day.
cn cn cn cn cn cn cn cn
c. maintain the client's affected extremity in extension cn cn cn cn cn cn
d. change the client's dressing every 8 hours.cn cn cn cn cn cn
c. maintain the client's affected extremity in extension cn cn cn cn cn cn
M/S c. 27/p. 173 "Maintain bed rest in supine position with extremity straight for prescribed time"
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. Which of the foll
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
owing client statements indicates the client is adapting to their role change?
cn cn cn cn cn cn cn cn cn cn cn
a. I will need to have my partner take over shopping for groceries and cooking the meal for us
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
b. These crutches make it impossible to care for my child
cn cn cn cn cn cn cn cn cn
c. I feel bad that I have to ask my partner to keep the house clean
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
d. it's going to be difficult to tell my parents I can't take them to their appointment.
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
a. I will need to have my partner take over shopping for groceries and cooking the meal for us
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings should the nurs
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
e recognize as an indication that the client is experiencing dehydration?
cn cn cn cn cn cn cn cn cn cn
a. pitting, dependent edema cn cn
b. distended jugular veins cn cn
c. increased BP cn
d. decreased BP cn
d. decreased BP cn
M/S C. 43/ p. 277 "signs of dehydration or hypovolemia include, hypothermia, tachycardia, thready pulse, HYP
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
OTENSION, orthostatic hypotension, decreased central venous pressure, tachypnea, hypoxia
cn cn cn cn cn cn cn cn
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
was 4,000 ml over the past 24 hours. The nurse should anticipate a prescription for which of the following IV m
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
edications?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside
a. Desmopressin
, M/S c. 14/p. 85 "Diabetes insipidous is a possible complication" Phar
cn cn cn cn cn cn cn cn cn cn
m c. 40/ p.323 "desmopressin is an agent of choice for DI"
cn cn cn cn cn cn cn cn cn cn cn
A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor and rep
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
orts a nagging dry coug. Which of the following response by the nurse is appropriate?
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
a. "your cough may require that you stop or change your medicaiton"
cn cn cn cn cn cn cn cn cn cn
b. "increasing your daily fluid intake may eliminate your cough cn cn cn cn cn cn cn cn
c. "sucking on a lozenge may reduce the frequency of your cough"
cn cn cn cn cn cn cn cn cn cn
d. "your cough should go away in time" cn cn cn cn cn cn
a. "your cough may require that you stop or change your medicaiton"
cn cn cn cn cn cn cn cn cn cn
Pharm c. 20/ p. 155 "Cough is a complication. Inform clients of the possibility of experiencing a dry cough and t
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
o notify the provider. Discontinue the medication"
cn cn cn cn cn cn
A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following asse
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ssment findings should the nurse identify as a potentional trigger for exacerbations?
cn cn cn cn cn cn cn cn cn cn cn
a. eating a strict vegetarian diet cn cn cn cn
b. a history of herpes zoster
cn cn cn cn
c. taking amiodipine for hypertension cn cn cn
d. using a nicotine transdermal patchcn cn cn cn
d. using a nicotine transdermal patch
cn cn cn cn cn
M/S C. 35/ p. 223 "Risk factors for peripheral artery disease like Raynaud's disease include cigarette smoking"
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
A nurse is caring for a client who has a central venous access devise and notes the tubing has become
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
disconnected. The client develops dyspnea and tachycardia. Which of the following actions should the nurse tak
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
e first?
cn
a. Perform an ECG cn cn
b. Obtain ABG values cn cn
c. Turn the client to his left side
cn cn cn cn cn cn
d. Clamp the catheter cn cn
d. clamp the catheter
cn cn cn
A nurse is completing an assessment of an older adult client and notes reddened areas over the bony
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
plan of care? cn cn
a. Turn and reposition the client every 4 hours
cn cn cn cn cn cn cn
b. apply an occlusive dressing cn cn cn
